AI at the point of care is now part of the medical record.
Tokto records every prompt your utilization, clinical, and member-support teams run, ready for the clinical lead, the GC, CMS, and the HIPAA auditor.
Your team turns on a new AI scribe and a prior-auth assistant this quarter. The clinical lead asks who validated it, the GC asks about PHI, the compliance officer asks about the BAA. No one has a single answer that matches.
What you get with Tokto
- Every AI interaction tied to a member, a plan, a clinician, an authorization, and a model version.
- A single record that the clinical lead, the GC, and the HIPAA auditor can read against the same evidence.
- Policy at the prompt: PHI blocked from uncontracted vendors, AI denials held for clinical review, ambient capture stopped without consent.
- AI used at the speed of care with the record the plan needs.
How it works
Tokto sits inside every AI conversation in the plan. The utilization-management co-pilot, the ambient clinical scribe, the prior-auth assistant — all become records at the moment of use. The record carries the member, the clinician, the authorization, the model, and the policy that applied. Practitioners get the speed; the plan gets the trail.
When the clinical lead asks who used what, when the GC asks about PHI, when CMS asks how a denial was reviewed, the answer is one query. The team uses AI; the plan stays inside HIPAA and the clinical-review requirement.
What goes wrong without it
- A new tool gets used across two clinical teams before anyone notices. Compliance finds out at audit.
- An ambient scribe captures patient audio without consent. CIPA exposure follows.
- An AI assistant denies a claim with no recorded clinical review. The denial is reversed on appeal.
- A vendor with PHI access has no current BAA. The plan cannot produce a use record.
In March 2026, a federal judge in the District of Minnesota ordered UnitedHealth to disclose internal documents and source materials behind nH Predict, the AI tool used to manage Medicare Advantage post-acute care claims. Plaintiffs in the related Estate of Lokken class action cite a 90 percent reversal rate on appealed denials, with only 0.2 percent of patients ever appealing. The Lokken class was certified in February 2025.
See how Tokto makes enterprise AI visible, governed, and accountable for Teams in Healthcare.
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