The Agentic Operating System for FQHCs

Your board report. Your denial analysis. Your staffing decisions.
Answered in seconds from your own data.

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.

Lives inside Microsoft Teams & Open WebUI
Claude on AWS Bedrock, inside your own AWS
Connects to eClinicalWorks, claims, documents
HIPAA-eligible · PHI never leaves your walls
90-Day Go-Live Guarantee
90 daysContract to go-live
100%PHI stays in your AWS
0Per-seat license fees
10 yrsFQHC intelligence built in
Trusted by FQHCs across PR, USVI, and the mainland US
Built For Your Role

Different chair. Different questions. Same system.

Executives, finance, medical, and operations each get answers to the questions they actually own — from the same data, in the same Teams window.

CEO / Executive Director

Board-ready answers before the meeting starts.

  • Draft the board packet for this month — visits, revenue, UDS trend, top risks.
  • Where are we losing the most money right now, and what's the fix?
  • Model the impact of opening a fifth site in 18 months.
CFO / Finance

Revenue leak found before payroll runs.

  • Show denial dollars at risk this week by payer and reason code.
  • Compare cost-per-encounter site-by-site, YTD, and flag outliers.
  • Project 340B revenue impact if we adjust dispensing volume 10%.
CMO / Medical Director

Quality gaps closed before they hit UDS.

  • List diabetic patients with A1c > 9 who have a visit in the next 14 days.
  • Show controlled hypertension performance by provider panel vs last year.
  • Which providers are trending down on colorectal screening and why?
COO / Operations

Scheduling and staffing decisions backed by data.

  • Should we hire a physician or an NP next quarter? Pull panel size, productivity, payer mix.
  • No-show rate by provider, day-of-week, and site — last 90 days.
  • Flag credentials and DEA licenses expiring in the next 90 days.
Dashboards On Demand

Build dashboards like these on the go — in seconds.

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.

AR write-off deep-dive dashboard with KPI cards, live FYTD versus last fiscal year comparison, and monthly write-off chart
"Analyze AR write-offs this fiscal year versus last, and show me what we are leaving on the table."
CAS code breakdown dashboard showing volume by adjustment reason code with ranked bars
"Break the write-offs down by CAS reason code and flag which ones were recoverable."

Every view is generated from your data, inside your AWS environment. Save it, schedule it, or email it to the board.

Copilot is a chatbot bolted onto Office. FQHC OS is a private system.

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.

Dimension
Copilot / ChatGPT / Generic AI
FQHC OS
Where your PHI lives
Multi-tenant Microsoft / OpenAI / Anthropic cloud.
Inside your own AWS account. PHI never leaves your tenant.
What it can actually see
Outlook, SharePoint, and Office docs. Not your EHR.
eClinicalWorks, 837/835 claims, denials, UDS extracts, credentialing, SOPs.
How well it knows your business
Generic model. No community-health-center context.
Preloaded with our Enterprise Intelligence Framework™ — ten years of FQHC data models, UDS logic, PR/mainland Medicaid rules, 340B nuance.
Agent architecture
One chatbot with plugins.
Multi-agent system: billing, clinical, front desk, executive, compliance — orchestrated together.
Inference economics
Frontier model on every query. Per-seat fees forever.
Local models for routine work, Claude for reasoning. 60–80% lower inference cost. No per-seat.
HIPAA + audit posture
BAA with the vendor. Your data may train shared models.
Your BAA with AWS. Your KMS keys. Your data never trains a shared model. Full audit trail in your VPC.
Enterprise Intelligence Framework™

The part nobody else can rent.

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.

Security & Compliance

Your data stays in your walls. Not a marketing line — an architecture.

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.

01

PHI never leaves your AWS tenant

Claude runs on AWS Bedrock inside your account. Inference happens in your VPC. No PHI ever transits an external SaaS.

02

Your data never trains a shared model

Bedrock guarantees model isolation. Prompts, documents, and outputs are not used to improve any provider's foundation model. Period.

03

HIPAA-eligible from day one

All services covered by AWS BAA. Least-privilege IAM. KMS-managed encryption at rest and in transit. Break-glass audit logging.

04

Full audit trail, staff-level attribution

Every query, every document access, every generated report — logged with user identity through Microsoft Teams SSO. HIPAA access reviews on demand.

05

Role-based access control

Billing sees billing. Clinical sees clinical. Executive sees the roll-up. Data-level permissions mirror your existing eCW and organizational structure.

06

Runs even if the internet drops

Local model routing for high-volume routine work keeps operations resilient. Frontier models are called only when reasoning demands it.

Rent your intelligence forever, or build it once.

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.

Rented Intelligence

SaaS dashboards & EHR vendor reports

  • Per-seat pricing. Forever. Every new hire is another line item on a vendor invoice.
  • Rigid, generic dashboards. Designed by someone else, for someone else's questions.
  • Vendor tickets and wait queues. Need a new view? File a request. Wait weeks. Get a workaround.
  • Your data in someone else's cloud. PHI shipped to a third-party tenant you don't control.
  • One-size-fits-no-one. Billing, clinical, and exec teams forced into the same view.
Owned Intelligence

FQHC OS inside your own AWS

  • One implementation, no subscription. Two payments of $7,500. Done. The system is yours.
  • Dashboards on demand, in plain English. Describe what you want. The AI builds the view. No ticket, no wait.
  • Every team defines their own. Billing, clinical, front desk, exec — each builds their own formats and saved views.
  • Runs inside your AWS account. Claude via your own AWS Bedrock. PHI never leaves your walls. HIPAA-eligible day one.
  • The sky is the limit. Auto-generated reports, scheduled emails, drafted patient communications, denial alerts.
Per Person · Per Team · Per Department

One platform. Every team builds their own.

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.

Billing

Denial trends by payer

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.

Clinical

Patient-flow summary by inbox

A morning email summarizing yesterday's no-shows, follow-ups due, and care-gap alerts by panel.

Front Desk

Today's check-in brief

A one-screen view of today's appointments, insurance flags, and outstanding intake forms.

Executive

Should we hire a physician or a nurse next quarter?

On-demand staffing and financial-impact analysis pulled from your EHR and claims. Ready before the board meeting — not three weeks after.

Real prompts your staff can type into Teams today. No ticket required.
Billing & Revenue Cycle
Show top 10 denial reasons last month by payer with dollars at risk
Which CPT codes are denying most often for Medicaid MCO this quarter?
Flag claims aging over 60 days by payer and assigned biller
Compare clean-claim rate week-over-week and email me Mondays at 7am
Draft an appeal letter template for medical-necessity denials on E/M codes
Clinical & Quality (UDS)
List all diabetic patients with A1c > 9 in the last 12 months by provider panel
Show UDS Table 6B controlled hypertension performance vs last year
Which patients are overdue for colorectal screening and have an upcoming visit?
Generate a care-gap worklist for my Wednesday panel — sorted by risk
Email each PCP a daily summary of yesterday's abnormal labs on their panel
Front Desk & Patient Access
Brief me on today's schedule — insurance flags, missing forms, new patients
List patients with expired Medicaid eligibility coming in this week
Draft a bilingual no-show outreach text for tomorrow's high-risk slots
Show no-show rate by provider, day-of-week, and clinic site for last 90 days
Executive & Operations
Should we hire another physician or an NP next quarter? Pull panel size, productivity, and payer mix
Build a board-ready financial + operational summary for last month
Compare visits, encounters, and revenue per provider site-by-site, YTD
Project HRSA Sliding Fee revenue impact if we adjust the FPL threshold
Alert me when any KPI moves more than 15% week-over-week
Compliance & HR
Which providers have credentials or DEA licenses expiring in the next 90 days?
Pull a HIPAA access-log summary for any patient record opened by 5+ users
Draft the narrative section of our HRSA OSV readiness checklist
Summarize last week's incident reports and tag by severity

A private AI layer for your FQHC.

01

Build your own dashboards — no vendor, no ticket, no wait

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.

02

Every person, team, and department gets their own

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.

03

Auto-generated content and email

Daily summaries, denial alerts, board-ready reports, drafted patient communications. Generated on demand or on a schedule. Pushed to the inboxes that need them.

04

Your data stays in your walls

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.

From contract to go-live in 90 days.

Three focused phases. One dedicated team. You don't pay the second half until it works.

Days 1 – 30 · Foundation

We build your environment

  • AWS account setup and Bedrock provisioning
  • Claude model access configuration
  • Open WebUI deployed for all staff
  • eClinicalWorks data model mapping
  • Security, IAM, and HIPAA controls
Days 31 – 60 · Intelligence

We teach it your organization

  • RAG pipeline build and testing
  • EHR and claims data ingestion
  • Policies, SOPs, and documents uploaded
  • Department-specific use cases configured
  • Accuracy testing with your team
Days 61 – 90 · Go-Live

Your team takes the keys

  • Staff training across every department
  • Dashboard and email automation enablement
  • Handoff documentation
  • 30 days post-launch monitoring
  • Optional managed support kickoff

The 90-Day Go-Live Guarantee

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.

AI Jumpstart — everything included, one monthly price.

Implementation, hosting, inference, and ongoing optimization. No per-seat licensing. No surprise usage bills. One predictable monthly investment, priced for your region.

AI Jumpstart · Puerto Rico & Latin America
$8K–12K
per month · inference included

For FQHCs across Puerto Rico and Latin America. Final price based on user count, data volume, and EHR complexity.

AI Jumpstart · Mainland US & Other
$12K–18K
per month · inference included

For health centers in the mainland US and other markets. Final price based on user count, data volume, and EHR complexity.

What's included every month
  • FQHC OS inside Microsoft Teams & Open WebUIAll staff, no per-seat fees
  • Claude on AWS Bedrock — inference usageIncluded
  • AWS hosting & HIPAA-eligible infrastructureRun on our AWS — included
  • eClinicalWorks, claims & document connectorsIncluded
  • Dashboards, reports & scheduled emails on demandUnlimited
  • Ongoing optimization & supportIncluded
Hosting your way. The default is our AWS — inference and infrastructure are bundled into the monthly price. Prefer to run it inside your own AWS account? We deploy there too, and adjust pricing accordingly.

90-Day Go-Live Guarantee applies to every Jumpstart engagement. You don't pay until we deliver.

Inside FQHC operations since 2012.

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.

01

eClinicalWorks expertise built in

We know the eCW data structures cold. The AI layer is pre-informed by years of work inside FQHC environments.

02

HIPAA-eligible by design

Every deployment runs on HIPAA-eligible AWS infrastructure inside your own account. Compliance is the architecture, not an add-on.

03

Serving FQHCs across PR, USVI, and mainland US

Community health centers in three jurisdictions trust Millennial Networks with their technology infrastructure.

04

Humans First, Tech Second

Technology should serve your people, not replace them. We build tools that make your staff faster, sharper, and happier in their work.

Book a 30-minute discovery call.

We come prepared. You'll see a live demo of FQHC OS answering real FQHC questions. Thirty minutes. No commitment.

No commitment. 30 minutes. We come prepared.