Seven planned digital workers, designed to finish clinical tasks end to end
By design, these are not chatbots: each digital worker would plug into the systems of hospitals, pharma companies, insurers, pharmacies and families, act within its A0–A4 authority and hand back a result with an evidence chain. Below, a concept design of the planned first product’s in-hospital workspace (not a real product screen; simulated data).
Product previewKunXi Medical LLM is at the design and concept stage
This section describes what we plan to build and how we intend to do it — not finished products or results. Product forms, model sizes, technical approaches, features, interfaces, metrics, scenarios and timelines are design concepts that have not been built or validated; they may be adjusted or changed as development, validation and regulatory requirements evolve. Nothing here is a commitment, an offer or a claim of clinical effectiveness.
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Planned: six To B digital workers + a To C chronic-care companionPlanned first product: insurance compliance & record QCFour planned tiers: 320B / 70B / 32B / 7B
In-hospital insurance compliance & QC workspaceConcept illustration · not a real product screen · simulated data
Projected claim denial rate1.3%4.7% before (simulated)−3.4pt
DRG grouping accuracy96.8%front sheet+5.1pt
Insurance risk by department (issues per 100 records)
Cardiology8.2
Orthopaedics7.1
Oncology5.6
Endocrinology4.3
Neurology3.1
Respiratory2.4
HighMediumLow
Claim denials and deductions · monthly (CNY 10k)
Disease follow-up (this month)
Planned2,140
On time1,812
Escalated86
Plans run after the attending doctor confirms them; abnormal values trigger reminders and, if needed, referral.
Agent activity (full audit trail)
Insurance agentPlain and contrast CT billed twice (2 items); department asked to fix before settlementA3
Coding agentPrincipal diagnosis and procedure codes disagree; DRG may be under-coded; sent to codersA3
Medication agentNSAID + ACE inhibitor + diuretic together; doctor alertedA3
Follow-up agentDrafted 214 discharge follow-up plans, awaiting the attending doctorA1
Product matrix
Product plan: six To B digital workers + a To C chronic-care companion
NoticeThis module is a design concept, not yet built, and may change.
In the plan, each digital worker has a clear customer, a complete task, a step count and a deliverable. Compliance alerts and claim recommendations are A3 actions that need human approval.
B · HospitalPlanned first
Insurance Compliance Officer
Complete taskReads the record before discharge, checks it against 15,500 rules and verifies the DRG group
Problem to solveSlow manual claims; hard to price people with conditions
B · Pharmacy
Prescription Review Assistant
Complete taskReviews prescriptions, checks interactions and insurance rules
Steps~10 steps
Planned outputReview opinion + full audit trail
Problem to solveToo few pharmacists; compliance pressure
B · Health mgmt
Health Management Assistant
Complete taskReads device and check-up data, assesses TCM constitution, writes a follow-up and care plan
Steps~15 steps
Planned outputHealth report + follow-up plan + audit trail
Problem to solveDevice data nobody can read; services people don’t renew
C · Family
Chronic Care Companion
Complete taskTracks blood pressure and glucose, reminds about medication, explains reports, escalates anomalies
StepsAll year
Planned outputGoal: better control and follow-up completion
Problem to solveLow control rates in chronic disease; broken continuity of care
People and agents together
Design principle: digital workers do the steps, people make the call
NoticeThis module is a design concept, not yet built, and may change.
By design, digital workers would take care of the repetitive reading, checking, verifying, drafting and scheduling, and hand anything that needs judgement to a person along with the evidence: doctors confirm orders and care, medical-records and insurance staff re-check coding and compliance, pharmacists confirm high-risk drugs, claims handlers sign off claims.
A0 read-only and A1 drafting are designed to be automated at scale
A3 actions always need human approval; A4 high-risk actions are off for agents
Every accept and reject would flow back as a process label for the next round of training
Planned first product
Planned first: an insurance compliance & record QC agent, designed to sit before discharge settlement with a human final review
NoticeThis module is a design concept, not yet built, and may change.
Described as “current process – entry point – input – output – human review – exception handling – measurable value”. All of this is a product concept: screens and flow are concept illustrations and the metrics are designed acceptance targets; the product is still being designed, with no pilot or measured results yet.
①Doctor writes the record
②Front-sheet coding
③Settlement list upload
④Insurance audit / inspection
⑤Denials · clawbacks
▲Planned entry point: stop it beforehand
Today: found after the fact, recovered after the fact
Stage
Insurance compliance & record QC agent (concept · on-premises)
Current process
After discharge, staff spot-check records and codes with low coverage; insurance audits find issues later, then deduct and claw back
Entry point
After the discharge summary, before the settlement list is uploaded; an A3 action: it only alerts, never edits the record or uploads on anyone’s behalf
Input
Clinical notes, orders, tests, front sheet, settlement list; 15,500 rules and the hospital’s own knowledge base
Output
List of suspected violations + suggested fixes + source evidence chain; DRG / DIP pre-grouping and coding suggestions
Human review
Ward doctor confirms changes → medical records / insurance office re-checks; every action logged and auditable
Exceptions
Low confidence or rule conflicts go to a person; model failures fall back to the rule engine; staged release, one-click rollback
Measurable value
Efficiency: QC time per record · quality: recall, false-alarm rate, coding agreement · operations: denials and deductions (patient outcomes are not a first-release claim)
Scope and responsibility
Inpatient records in secondary and tertiary hospitals; used by doctors, medical-records staff and the insurance office; no diagnostic or treatment decisions; doctors and the insurance office have the final say.
SourcesNational Healthcare Security Administration (15,500 rule points, 2025); flow and screens are KunXi illustrations (simulated data); metrics are acceptance targets, not measured results
NoticeThis module is a design concept, not yet built, and may change.
In the plan, one 320B medical model plans long tasks and acts as the teacher, distilled into three deployment tiers that reach further down by setting. Model sizes and tiers may change; the four launch gates are design metrics, each to be met by measurement before release.
Deployment
320BCloud flagship
70BOn-premises
32BAppliance
7BEdge / offline
Deployment
Compute centre and provincial nodes, inside the authorised domain
Integrated compute-data-model stack / private deployment / dedicated data domain
Integrated stack / ready-to-run appliance, plug-and-play in hospital (target)
Runs offline, works on weak networks (target)
Reference hardware
From one 8-GPU node (FP8 weights ≈ 320 GB)
Virtual machine or one 8-GPU inference server (domestic accelerators optional)
2–4 GPU appliance or virtual machine
Single-GPU industrial PC / edge device
Who it serves
Pharma, insurers, model licensees; teacher for the family
Insurance offices, medical-records departments and wards of tertiary hospitals
Secondary hospitals, medical alliances, check-up centres, pharmacy-chain HQs
Primary care, pharmacy stores, wearables and consumer devices
The planned first product (insurance compliance & record QC), inpatient journey
Record QC, prescription pre-review, report reading
Primary-care AI assistant, prescription review, on-device chronic care
Four launch gates (design metrics, released after measurement)
< 3%hallucination rate
≥ 85%medical licensing exam
≥ 95%plausibility on a 10,000-case look-back
≤ 8 weeksiteration cycle
Training and distillation
320B medical continued pre-training + three-real reinforcement learning → distil 70B / 32B / 7B with specialty fine-tuning; about 0.8 trillion tokens for V1, targeting about 1.5 trillion after multi-domain federation (estimates); exam scores are a capability floor only, never evidence of clinical effectiveness.
SourcesHardware is a reference configuration; gates are design metrics, not measured results; training corpus figures are estimates
Planned delivery
Design goals: on-premises, plug-and-play, works offline
NoticeThis module is a design concept, not yet built, and may change.
By design, the planned first product would not depend on regional data authorisation: data would stay in the hospital and it would run on-premises.
0170B on-premises
Reference: one 8-GPU inference server; data never leaves the hospital
0232B appliance
Goal: ready to run, plug-and-play in hospital
037B offline
Goal: works on weak networks in primary care and stores
04Integrations
HIS / EMR / LIS / PACS / insurance settlement list
05Response target
P95 ≤ 3 s per step (target)
06Resilience
Designed to fall back to the rule engine on failure; staged release, one-click rollback
Note: KunXi Medical LLM is a product preview at the design and concept stage. Unless a public study is cited, the products, capabilities, thresholds, metrics and timelines in this section are KunXi design targets, concepts or estimates — not achieved or measured results — and may change; product screens are concept illustrations with simulated data. By design, the agents only make suggestions; clinical decisions are made by doctors.
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Explore putting a medical LLM to work on real clinical tasks
KunXi Medical LLM is at the design and concept stage. Hospitals, pharma companies, insurers, pharmacies and health-management providers who are interested are welcome to talk to us and assess data, workflow and the validation path together.