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Healthcare Glossary

AI Diligence Console

Most VCs are software investors first, healthcare investors second. This glossary is the shortest possible mental model of the operating network for the healthcare workforce, every term used in this room, defined.

Credentialing: The process by which a facility verifies a clinician's identity, licenses, education, sanctions history, and work history before letting them practice. Initial credentialing is typically 60-120 days; recredentialing happens every 24-36 months.
Privileging: Separate from credentialing. A facility's medical staff committee decides what specific procedures or services a verified clinician is allowed to perform at that facility, based on training, case logs, and outcomes. A clinician can be credentialed without being privileged for a given procedure.
Primary Source Verification (PSV): Verification of a credential by querying the authoritative issuer directly, a state Board of Nursing, the FSMB, ABMS, etc. PSV is what Joint Commission / CMS surveyor surveyors look for. Secondary-source verification (vendor aggregators returning unsourced answers) does not satisfy the standard.
Truth ladder: Rōvn's internal taxonomy for the depth of any fact: ATTESTED → PROCESSED → VERIFIED → APPROVED. Labels move up the ladder over time, never down. Receipts attach from PROCESSED upward. See 04.4 AI Doctrine.
Passport: The worker-owned verified credential record. Travels with the worker across facilities. Foundation of the network flywheel: one verification reusable everywhere.
Connect (internal codename): Internal engineering codename for the facility operator cockpit. Public name: facility operator (also "Operator"). Not used in customer-facing copy, appears here only because investors hear it in technical conversations and may encounter it in code/repos. Orchestrates the hiring pipeline and reads verified Passports. Does not run credentialing itself; that's the Rōvn network engine.
NPDB: National Practitioner Data Bank. Federal repository of malpractice payments, adverse licensure actions, clinical privilege actions, and professional society actions. Queried via QRXS. Mandatory before initial appointment and biennially for renewal at most accredited facilities.
Nursys: NCSBN-operated national nurse-license database. Rōvn integrates the e-Notify API (v3.1.5) for active license lookup and continuous monitoring across all 50 states + DC.
OIG LEIE: HHS Office of Inspector General, List of Excluded Individuals/Entities. Federal sanctions list. Anyone on it cannot receive payment from any federal healthcare program. Sweep is monthly minimum.
SAM.gov: System for Award Management. Federal entity registration and exclusions list. The Rōvn entity is validated with an assigned UEI.
FSMB / PDC API: Federation of State Medical Boards. The PDC API is the commercial physician primary-data rail (MED API is board-only). Provides licensure, public board orders, and discipline records.
ABMS: American Board of Medical Specialties. Confirms physician board certification. On Rōvn's adapter roadmap, Q3 2026.
Verifiable: Commercial coverage-acceleration vendor that federates state board lookups. Used by Rōvn as a supplemental rail, not source-of-truth. Receipts must include source authority evidence (name+timestamp, URL, or artifact) before any cell flips to VERIFIED.
OPPE / FPPE: Joint Commission requirements for ongoing physician evaluation. OPPE = Ongoing Professional Practice Evaluation (continuous). FPPE = Focused Professional Practice Evaluation (triggered, e.g. new privilege). Both are workflow targets on the Rōvn roadmap.
CVO: Credentials Verification Organization. NCQA certifies CVOs across 11 verification elements. Rōvn's NCQA CVO trajectory is in progress, not certified. See 06.8.
NCQA ongoing monitoring (eff. July 1, 2025): NCQA's updated standards, effective July 1, 2025, require ongoing monitoring of each provider's license, sanctions, and exclusions at least every 30 days, shortened primary-source verification windows (120 days accreditation / 90 days certification), and escalation of adverse findings to a peer-review body. The quarterly, manual, batch approach now fails survey. The lead regulatory why-now driver, see 10.4.
HIPAA-aligned · BAA available: The procurement-safe phrasing Rōvn uses. There is no HIPAA certification issued by any authority. "Aligned" means built to satisfy HIPAA Privacy and Security Rules; "BAA available" means Rōvn will execute a Business Associate Agreement with the customer.
IAL2: Identity Assurance Level 2, per NIST SP 800-63A. Remote identity proofing with document + biometric checks. Rōvn uses Persona for IAL2-equivalent verification (currently sandbox-configured pending production key).
CAH / ASC / LTC: Critical Access Hospital (rural) · Ambulatory Surgical Center · Long-Term Care. Rōvn's initial ICP wedge, small to mid-sized facilities that feel the credentialing cost most acutely and have the shortest decision cycles.
CMS recoupment: When CMS retroactively claws back Medicare/Medicaid payments for services that turn out to have been ineligible, including services rendered by an unprivileged or improperly credentialed provider. Billing for an improperly-credentialed provider remains exposed to False Claims Act liability under Medicare's 60-Day Rule. A driver of the regulatory tailwind in 10.4.
SAFE: Simple Agreement for Future Equity. Y Combinator-originated instrument. Rōvn's current raise is $2.25M on a $15M post-money SAFE.

Ask the AI agent about this section, the raise, compliance posture, or any cross-document question. Grounded in Rōvn's deep context, with on-page source citations.

AI queries route through AWS Bedrock under BAA · Anthropic Claude (Haiku 4.5) under BAA · zero-data-retention posture · no PHI in prompts.