≋ THREE SHORE AI

MEDICAL HEALTH / AI-ASSISTED CODING

ACE / AUTONOMOUS CODING ENGINE

Clinical coding.
Evidence behind
every decision.

Reduce the coding burden with EHR-ready AI that proposes codes, surfaces supporting evidence, and directs uncertain cases to human review.

Clinical context to coding clarityDocumentation informs AI-assisted coding. Specialists review suggestions before claims preparation.ACEClinical context to coding clarityDocumentationCode candidatesClaims context01Clinical records02Coding assistance03Specialist reviewCONCEPTUAL WORKFLOW · THREE SHORE AI

Clinical context to coding clarity

DocumentationCode candidatesClaims context
  1. 01Clinical records
  2. 02Coding assistance
  3. 03Specialist review
Documentation informs AI-assisted coding. Specialists review suggestions before claims preparation.

THE CODING CHALLENGE

Move from clinical notes
to reviewable codes.

ACE analyzes clinical encounters and proposes codes alongside source evidence, confidence scores, and an audit trail. Designed to support efficient, consistent medical coding, it helps healthcare organizations reduce administrative backlogs while maintaining a clear record of how coding decisions were reached.

The solution combines responsible AI, human oversight, and analytics to support transparent, accountable coding workflows across healthcare settings.

ACE BY THE NUMBERS

A foundation for operational validation.

6,400+

Human-audited codes

Gold-standard validation set

86,000+

Coding guidelines

Reference knowledge base

<30 sec

Per encounter

Reported demonstration processing time

90–100%

Confidence range

Reported model confidence, not an accuracy measure

Figures describe the reported validation resources and demonstration results. Encounter time and model confidence do not establish production accuracy or guaranteed performance.

ENCOUNTER EXAMPLE

Motor-vehicle trauma

In the reported demonstration, ACE proposed twelve codes in under thirty seconds: nine ICD-10 diagnoses and three CPT procedures, covering findings from a skull fracture to complex wound repair.

Each code was connected to the supporting words in the encounter note. Conflicts or low-confidence results trigger review by a certified coder.

09ICD-10 diagnoses
03CPT procedures

9 diagnoses · 3 procedures
Source evidence accompanies each proposed code.

KEY STRENGTHS

Built around coding confidence.

Accurate

Ground proposals in coding guidance and evaluate them against human-audited records.

Explainable

Show the supporting encounter text and reasoning context for review.

Scalable

Support increasing encounter volumes through a tiered deployment model.

Secure

Combine isolated infrastructure, encryption, and defined access boundaries.

HOW ACE COMPARES

From coding friction
to a reviewable record.

Three common challenges. Three ways ACE supports a clearer decision.

CHALLENGE 01

Manual coding

Capacity depends on specialist availability.

ACE RESPONSE

Confidence-gated

Score proposals; flag uncertainty for human review.

CHALLENGE 02

Rules-based encoders

Rigid logic can miss clinical context.

ACE RESPONSE

Traceable

Connect each proposed code to source evidence.

CHALLENGE 03

Opaque AI outputs

Missing evidence makes review difficult.

ACE RESPONSE

Auditable

Keep the context behind coding decisions.

THE EVIDENCE PATH

See how a coding proposal becomes reviewable.

  1. 01

    Clinical encounter

    Start with the source record.

  2. 02

    Code proposal

    Suggest codes with evidence.

  3. 03

    Confidence check

    Identify conflicts or uncertainty.

  4. 04

    Reviewable record

    Keep evidence and decisions together.

Human review where it matters

Low-confidence or conflicting proposals route to a certified coder for review.

Conceptual workflow · Supports coding review; model confidence is not a measure of accuracy.

THE ACE INNOVATION

Controls built into the coding workflow.

CONTROL 01

Model risk management

Score outputs and route low-confidence results or conflicting codes to certified human coders.

CONTROL 02

Verification and validation

Evaluate coding outputs against a gold-standard set of more than 6,400 human-audited codes.

CONTROL 03

Span-level explainability

Trace each proposed code to the exact passage in the clinical encounter that supports it.

CONTROL 04

Separation of roles

Keep administrative access separate from the clinical data pathway.

CONTROL 05

Isolated deployment

Deploy within an isolated virtual private cloud, with encryption at rest and in transit.

CONTROL 06

EHR-ready exchange

Ingest and export standard encounter formats to support integration with clinical workflows.

BUSINESS MODEL

Managed delivery.
Scale by encounter volume.

ACE’s fully managed SaaS model combines a one-time deployment license with an annual subscription based on encounter volume. Deployment covers assessment, configuration, integration, tuning, and Authority to Operate (ATO) support.

Essential

Up to 1M

encounters / year

Professional

1M–20M

encounters / year

Enterprise

20M–75M

encounters / year

Enterprise Plus

75M+

encounters / year

Negotiated

Commercial and government use
Designed for both commercial health organizations and government missions.

Cloud deployment
Infrastructure as code supports cloud portability, including GovCloud. The current implementation runs on Amazon Bedrock with a pluggable architecture.

Discuss deployment and pricing

WHERE ACE FITS

Connected capabilities and markets.

PILOT PARTNERSHIPS

Ready to evaluate ACE
for your organization?

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