New An auditable agent for prior authorization →
ChatPrism Labs

Make agents accountable.

ChatPrism Labs is an independent research lab in Phoenix, Arizona. We build AI agents for work that is regulated — a patient’s chart, a radiograph, a claim — and we publish the evidence that they hold up.

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Mission

Language models are already good enough to take on regulated work. They are not yet good enough to be trusted with it without evidence.

So we build the system and the evidence together. Every agent that leaves this lab carries a hard privacy boundary, a citation for each clinical claim it makes, and an evaluation suite a reviewer outside the lab can run end to end.

That has produced a voice agent that keeps protected health information out of third-party models, a caries detector measured against dentist consensus, and an evolutionary agent search that finds working programs on a fraction of the compute. Next: longer-horizon clinical operations, and the audit tooling that has to come with them.

Research

All publications →
Voice & PrivacySep 18, 2026

A HIPAA-compliant voice agent that redacts in the streaming path

PHI and PII are detected and stripped before a single token reaches a third-party model, at 180 ms median added latency — with a signed audit trail for every turn.

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Medical imagingJul 29, 2026

Classifying dental decay from panoramic radiographs

Lesion-level supervision on 14,300 panoramic X-rays, scored against three-dentist consensus rather than chart labels, and reported per tooth site.

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Agents & SearchMay 14, 2026

Augmenting standard evolutionary agents with a learned critic

A critic trained on the population’s own failures prunes candidates before execution, cutting the evaluations needed to reach a working program substantially.

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Agentic workflowsOct 7, 2026

An auditable agent for prior authorization, with a human in the loop

The agent assembles the payer packet, cites the chart line behind every assertion, and will not submit without a clinician signature. Nothing it writes is unattributable.

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Who we are

Meet the team →

We are machine learning researchers and infrastructure engineers who have shipped into clinics and regulated enterprises, working alongside the clinicians who read the images. The lab is small on purpose: the people who do the research also write the evaluations and stand behind the deployment.

JC

Jesse Cisneros

Founder

RM

Rizwan Mehdi

President

HR

Hassan Rehman

AI Solution Architect

How we collaborate

No result leaves this lab on our word alone. Each line of work is reviewed by people who do not report to us.

Practicing cliniciansLesion-level annotation and consensus review for the imaging work.
Privacy counselHIPAA and state privacy review of the redaction boundary and retention policy.
Clinical operations teamsPilot deployments, with pre-registered metrics and a published write-up.
Independent reviewersOur eval harnesses are open so results can be reproduced outside the lab.

News

2026-10-07We release the prior-authorization agent paper, together with its evaluation harness 2026-08-26PrismBench‑Health is now open: agent tasks drawn from real regulated workflows 2026-06-02The lab opens a dedicated annotation room in downtown Phoenix

Work with us.

If you build evaluation harnesses, privacy infrastructure, or medical imaging models, we would like to see your work. If you run a clinic, a payer, or a compliance function and want a pilot that is actually measured, write to us.

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