TEFCA Review Protocol
QHIN Participant & Subparticipant Audit · Four-Bucket Classification · Six-Source Validation · 95% Confidence Sampling
Every Entity, Consistently Classified
Each participant and subparticipant is sorted into one of four defensible, audit-ready outcome categories.
17,543
No Discrepancy — record matches authoritative sources cleanly.
2,018
Minor / Administrative — small corrections, no compliance impact.
1,012
Inexplicable — requires analyst investigation and evidence gathering.
513
Non-Compliant — escalated to SME review and federal notification.
Right Review, Right Resource, Right Time
Workload is intelligently triaged so analysts and subject-matter experts focus only where human judgment is needed.
Auto-Complete
Clean matches resolved automatically by the AI validation engine with no human touch.
Analyst Queue
Ambiguous records routed to trained analysts with evidence pre-assembled for fast disposition.
SME / COR Escalation
High-risk and non-compliant findings escalated to subject-matter experts and the contracting officer’s representative.
Cross-Checked Against Authoritative Federal Data
Every determination is corroborated across multiple authoritative registries — no single point of failure.
Built for the Rigor of Federal Healthcare Oversight
From statistical sampling to full audit traceability — designed for defensible, repeatable reviews.
AI Validation Engine
Automated entity matching across six authoritative sources, surfacing discrepancies in seconds with full confidence scoring.
95% Confidence Sampling
Statistically valid sampling methodology ensures findings are defensible and survive independent scrutiny.
Accuracy Rate Tracking
Per-network accuracy dashboards with Excellent / Acceptable / Review-Required thresholds at a glance.
Audit-Ready Trails
Every determination is logged, timestamped, and version-controlled with an evidence bank for full traceability.
Priority & COR Alerts
Automated escalation and notification workflows for high-risk findings and contracting-officer-directed reviews.
FISMA-Moderate Security
Delivered with NIST 800-53 controls, HIPAA safeguards, and Section 508 accessibility compliance.
See the TEFCA Review Protocol in Action
Schedule a live demonstration tailored to your QHIN audit and healthcare interoperability oversight requirements.