DESKGATE
Run this with Claude, live
Off by default — the walkthrough is scripted and deterministic. Switch it on and steps 2 and 4 call the Anthropic Messages API for real, on the synthetic chart data below. The ledger records the actual call, not a description of one.

One case, end to end

The mock EHR is the system of record. DeskGate never writes to it. It reads what the coordinator already has open, stages the payer-portal step, and stops before the irreversible click.

1 · Intake (EHR)
2 · PA required
3 · Stage portal
4 · Attachments
5 · Human gate
6 · Evidence record
7 · Follow-up
Stage 1 · Coordinator's existing system MOCK EHR

Case already open in the work queue

DeskGate does not create this. The clinical decision is already made and the case is already in their queue.

Data flow ledger

LIVE
build 91529ff
Nothing on this page executes. Every step below is scripted. No API call is made, no model is contacted, no payer receives anything. Each row describes what would happen in production and is tagged described to say so.
Stays in this browser session
Leaves the browser — external service
Not retained by DeskGate — provider terms and signed agreements still to be verified
0 Local — stayed in this browser session
0 External — would leave the browser in production
0 Total events — Local + External, one per row below
0 Of those, retained by DeskGate — a subset, not a fourth category. The hash record only.
AWAITINGStart the walkthrough to populate the ledger.

Who receives the external calls

OPTIONAL

The desk chooses this, and it decides whether the screen-read step can carry real PHI. Switch it to see how the ledger changes.

Honest gaps
  1. Steps marked external require a signed BAA with that provider before any live PHI. Not yet in place.
  2. On the Anthropic route specifically: the Messages API is covered as an eligible service under Anthropic's BAA on a HIPAA-ready organisation. Two caveats we do not gloss over — the Primary Owner must sign the BAA and then have PHI use enabled by Anthropic, and Covered Models carry 30-day retention and are not available with zero data retention. So "zero retention" describes what DeskGate stores, not the whole path. Anthropic's BAA coverage table →
  3. Computer Use, Web Fetch, the Files API and the Batch API are not covered under that BAA. DeskGate uses plain image-in-Messages, which is.
  4. DeskGate is a business associate whenever it touches PHI for a covered entity — client-held API keys reduce exposure but do not remove that obligation.
  5. This walkthrough runs on pages we control. Automating a third-party payer portal needs the operator runtime in that tab.