A physician-owned network.
Your license, working on your terms.
Altru.care is the clinical practice behind a growing review network: physicians reviewing AI-drafted clinical outputs, signing letters of medical necessity, and attesting the work — within their own specialty and licensure, on their own hours.
What the work is
Per completed review — same for yes or no
Ambient-scribe notes at the low end; complex prior authorizations and care plans at the high end. No shifts, no minimums — review between patients or in an evening block.
LMN signingState-matched, specialty-matched
Letters of medical necessity for members in states where you hold a license, at fair-market per-review rates. You sign only what your own judgment supports.
Every signature, receiptedA tamper-evident record
Each attestation is hash-anchored with a seven-year audit trail — the record protects you as much as the patient. See the live tamper demo.
How the network is structured
A practice, not a gig platform
Clinical service is delivered under Altru.care, a physician-owned practice led by a multi-state licensed medical director. Reviewers credential into the practice — the entity structure separates clinical judgment from the software that routes it.
The workflow is ClinicalSwipe
Three gestures: approve, flag, or edit. Cases arrive matched to your specialty — an orthopedic surgeon reviews orthopedic prior auths, not pediatric discharge instructions.
Why this exists now
CMS made licensed-clinician review of AI decisions a payment requirement in 2026. The question isn't whether physicians sit in the loop — it's whether the loop pays them fairly and keeps receipts.
Reviews are matched to specialty and state licensure. Compensation is per-review at fair market value. Applying takes about two minutes: real-time NPI verification against the CMS NPPES registry, then your specialties, states, and availability. Credentialing details follow acceptance.
Join the networkBeyond reviews: own your channel
Your own patient-facing surface
Fork the open template: your name, your domain, your patients. A condition site with structured education, check-ins, and an AI assistant — running in minutes, owned by you, not rented from a platform.
Suggestible to your patients — with receipts
Hand a patient your channel's link at the visit. Everything it tells them can carry your signature and a tamper-evident hash — your channel, provably yours, unlike anonymous health content.
Private by architecture
Built for on-device intelligence: patient interactions can run locally on the patient's phone, and the governed harness handles anything clinical — a privacy posture cloud platforms can't match.
The full ladder: earn on reviews, wire the harness into your organization, and run your own channel — income, tools, and distribution, owned by the physician at every layer.