Ground Truth Systems Information

Ground Truth Systems builds verifiable clinical AI for regulated healthcare decisions. Most healthcare AI can read, summarize, and draft. That is not enough when a determination must survive physician review, regulatory scrutiny, appeal, audit, or litigation. Ground Truth Systems combines foundation models with deterministic clinical reasoning, retained ontologies, evidence-to-criterion mapping, and human-in-the-loop governance. Our architecture separates what AI is good at from what regulated decisions require: models read and extract; clinical ontologies and rules engines reason; humans remain accountable for consequential determinations. Our platform includes COMAND, an agent governance and control plane for regulated AI systems; CORE, a Clinical Ontology and Reasoning Engine; Fusion applications for human-augmented clinical decision support; and Pipeline products for automated clinical data processing, extraction, and FHIR conversion. We help payers, utilization review organizations, independent review organizations, legal teams, and healthcare enterprises turn complex clinical records into traceable, auditable, defensible outputs. Every output traceable. Every decision auditable. Every regulated determination defensible.