Public Trust Registry · 2026 mandate year

The governance record for clinical AI.

When a malpractice carrier, hospital CISO, or OCR investigator asks how you govern ambient scribes, you hand them a Certificate ID — not a PDF you drafted in a chatbot.

Raux LLC · Nashville, TN · 12-month hosted listing with every suite

PolicyXAI public record

PX-2026-HC-10001

ACTIVE

Nashville Healthcare AI Clinic, LLC

Tennessee — TRAIGA / HTI-1 aligned

Suite
Practice Shield
Expires
2027-03-12
Crypto hash
e8f9…9b77
  • Approved-tool roster on file
  • Human-in-the-loop attestation in EHR
  • Zero model-training warranty
  • Ambient consent captured at intake

HIPAA

HHS OCR § 164.308 administrative safeguards

HTI-1

ONC FAVES algorithm transparency mapping

CG 40 47

ISO AI exclusion-rider safe-harbor packet

50-STATE

Consent, biometric, and HITL patchwork

Why this exists

Ambient scribes shipped. Governance did not.

Freed-class tools are in tens of thousands of exam rooms. Abridge is inside 300+ health systems. Malpractice policies now carry ISO CG 40 47 AI exclusion riders. Underwriters do not accept a ChatGPT policy. They accept a third-party record they can query.

$50k+

OCR fine risk per breach involving ungoverned AI

50

State AI and health-data laws the radar tracks

70%

Ambient drafts with ≥1 error in a 2025 simulation

Feb ’26

ONC HTI-1 enforcement-discretion window closed

The moat

Anyone can generate a PDF. Only a registry can be queried.

PolicyXAI issues a cryptographic Certificate ID. The live portal confirms status, approved tools, jurisdiction, and hash. Embed the seal. Print the QR at check-in. Hand the ID to the carrier.

Open the live portal
  • Approved-tool roster

    Only BAA-backed, scored scribes are authorized. Shadow ChatGPT is a finding.

  • Human-in-the-loop attestation

    Every AI-drafted note is reviewed and signed by a licensed provider.

  • Zero-training warranty

    Patient audio is not ingested into foundational models. Contractual, not hoped-for.

  • Active expiration

    Listings die in 12 months unless the warranty keeps them current. Expiry is the product.

Free clinical suite

Tools first. Checkout second.

Governance suites

The binder is how you get the record.

Most chosen

Most chosen

Practice Shield

$299one-time

Six production documents plus a 12-month public Trust Registry listing. Deploy in a week.

  • AI Acceptable Use Policy
  • Patient Ambient Scribe Consent
  • 33-Point Vendor Security Scorecard
  • Quarterly Clinician Chart Audit Log
Issue Practice Shield

For HealthTech

Vendor Shield

$599one-time

Procurement dossier that gets a CISO to yes in 48 hours — plus a vendor Trust Registry certification.

  • 10-Article AI-Specific BAA Addendum
  • 50-Point Hospital Security Questionnaire
  • ONC HTI-1 FAVES Transparency Binder
  • LLM Data-Pipeline Whitepaper Template
Issue Vendor Shield

Best value

Complete Shield

$899one-time

Every Practice and Vendor document, two board-level bonuses, and a multi-location enterprise listing.

  • All 11 core documents
  • 50-State AI Law Matrix
  • Board-Ready Governance Brief
Issue Complete Suite

Fulfillment

Product, payment, logistics, end artifact.

01

Score the exposure

Five questions. A risk grade a carrier will recognize. A recommended suite.

02

Issue the kit

Pay once. Binder documents are personalized to the practice, state, and scribe.

03

List the record

A Certificate ID goes into the public Trust Registry. Seal and QR for the waiting room.

04

Hand it to the carrier

When ISO CG 40 47 or OCR asks, you send a URL — not a PDF you drafted last night.

Issue the record before the carrier asks for it.

Fifteen minutes. A Certificate ID. A binder your medical director can sign this month.