FQHC OS is an agentic operating system for FQHCs — a layer of agents deployed inside your own AWS, connected to eClinicalWorks, claims, and documents, used by every team right inside Microsoft Teams. Built on ten years of FQHC intelligence. Live in 90 days.
Executives, finance, medical, and operations each get answers to the questions they actually own — from the same data, in the same Teams window.
Ask in plain English. The agent queries your own claims and EHR data, then renders the analysis: KPI cards, CAS code breakdowns, FYTD comparisons, monthly trend charts. No BI ticket, no custom development fee, no waiting on a vendor roadmap.


Every view is generated from your data, inside your AWS environment. Save it, schedule it, or email it to the board.
General-purpose AI can't see your EHR, doesn't know community-health-center operations, and sends your data to somebody else's cloud. Here's the difference, line by line.
Ten years inside FQHCs, distilled into a proprietary intelligence layer: eCW data models, UDS Table 6B logic, 837/835 claim structures, PR & mainland Medicaid rules, 340B economics, HRSA compliance patterns, credentialing workflows. FQHC OS ships with that context preloaded — every agent, every prompt, every report. A CFO turning on Copilot gets a smart intern with no domain knowledge. You get a specialist that already knows the job.
Every deployment runs inside your own AWS account. Your BAA. Your KMS keys. Your VPC. Your audit logs. Nothing about FQHC OS depends on shipping PHI to a third party.
Claude runs on AWS Bedrock inside your account. Inference happens in your VPC. No PHI ever transits an external SaaS.
Bedrock guarantees model isolation. Prompts, documents, and outputs are not used to improve any provider's foundation model. Period.
All services covered by AWS BAA. Least-privilege IAM. KMS-managed encryption at rest and in transit. Break-glass audit logging.
Every query, every document access, every generated report — logged with user identity through Microsoft Teams SSO. HIPAA access reviews on demand.
Billing sees billing. Clinical sees clinical. Executive sees the roll-up. Data-level permissions mirror your existing eCW and organizational structure.
Local model routing for high-volume routine work keeps operations resilient. Frontier models are called only when reasoning demands it.
Per-seat SaaS and EHR dashboards are rigid, generic, expensive forever, and ship your data to someone else's cloud. A private AI layer is the alternative.
Billing wants one format. Clinical wants another. The front desk needs something different again. There's no ticket to a vendor and no waiting — each team describes what they need and the AI builds it.
Catches denial pattern shifts week-over-week so you stop losing the same dollars twice. Root causes and dollars at risk, daily — no IT ticket.
A morning email summarizing yesterday's no-shows, follow-ups due, and care-gap alerts by panel.
A one-screen view of today's appointments, insurance flags, and outstanding intake forms.
On-demand staffing and financial-impact analysis pulled from your EHR and claims. Ready before the board meeting — not three weeks after.
Describe what you want in plain English. The AI builds the view. Iterate live until it matches how your team actually thinks about the problem.
Billing, clinical, front desk, and executive teams each define their own formats, reports, and saved views. One employee's denial-trends view doesn't have to fit anyone else's workflow.
Daily summaries, denial alerts, board-ready reports, drafted patient communications. Generated on demand or on a schedule. Pushed to the inboxes that need them.
Runs on Claude via your own AWS Bedrock account. PHI never leaves your environment. Your data never trains a shared model. HIPAA-eligible from day one.
Three focused phases. One dedicated team. You don't pay the second half until it works.
Your AI Jumpstart goes live in 90 days — FQHC OS deployed, trained on your data, and your staff actively using it inside Microsoft Teams. If we don't deliver in 90 days, you don't pay until we do.
Implementation, hosting, inference, and ongoing optimization. No per-seat licensing. No surprise usage bills. One predictable monthly investment, priced for your region.
For FQHCs across Puerto Rico and Latin America. Final price based on user count, data volume, and EHR complexity.
For health centers in the mainland US and other markets. Final price based on user count, data volume, and EHR complexity.
90-Day Go-Live Guarantee applies to every Jumpstart engagement. You don't pay until we deliver.
Millennial Networks LLC has served FQHCs across Puerto Rico, the US Virgin Islands, and the mainland United States for nearly a decade. Humans First, Tech Second.
We know the eCW data structures cold. The AI layer is pre-informed by years of work inside FQHC environments.
Every deployment runs on HIPAA-eligible AWS infrastructure inside your own account. Compliance is the architecture, not an add-on.
Community health centers in three jurisdictions trust Millennial Networks with their technology infrastructure.
Technology should serve your people, not replace them. We build tools that make your staff faster, sharper, and happier in their work.
We come prepared. You'll see a live demo of FQHC OS answering real FQHC questions. Thirty minutes. No commitment.