Flagship Audit Engagement
Comprehensive Healthcare AI Audit
The complete package — bundles clinical, prior auth, bias, governance, and vendor evaluation into one integrated audit. The only way to earn the AI Health Audit Verified distinction.
Overview
What this engagement does
Our flagship engagement is the only way to earn the AI Health Audit Verified distinction. It bundles five core independent evaluations — Clinical Validation, Prior Authorization & UM Audit, Bias & Equity Assessment, Governance Review, and Vendor Due Diligence — into a single integrated audit with a risk-prioritized corrective-action plan. Each component can also be procured separately, but only the full Comprehensive Audit earns the verification mark.
Typical timeline
8–14 weeks
Timelines are configurable estimates and depend on scope, system complexity, and evidence availability.
Who It's For
Health plans deploying AI in prior authorization or utilization management
Hospitals implementing clinical decision-support tools
Healthcare technology companies preparing for customer due diligence
AI developers seeking independent validation before launch
Organizations investigating a reported AI-related incident
Systems Covered
Predictive risk models
Clinical decision-support tools
Utilization-management and prior-authorization systems
Claims-related decision support
Generative AI applications in clinical or administrative workflows
Healthcare automation and workflow orchestration tools
AI agents that perform multistep tasks or take actions within workflows (agent testing applies)
What's Inside
Five component evaluations, one integrated audit
Each component below can be purchased separately — but only the full Comprehensive Audit integrates all five and earns the AI Health Audit Verified distinction.
1
Clinical Validation
Physician and AI engineer led review of clinical appropriateness and coverage-criteria alignment.
2
Prior Authorization & UM Audit
Focused review of AI used in prior authorization, medical necessity, and utilization management.
3
Bias & Equity Assessment
Subgroup performance measurement and disparity analysis.
4
Governance Review
Governance maturity assessment, policy review, and oversight evaluation.
5
Vendor Due Diligence
Vendor documentation, performance evidence, and contract-risk review.
+
Agent Testing (for systems with agentic functionality)
Agent testing is an additional sixth assessment domain that applies only to systems with agentic functionality. Audits of non-agentic systems include the five core components.
Integrated Agentic Assurance
Healthcare AI Agent Auditing: Integrated Agentic Assurance
For healthcare AI systems with agentic capabilities, the Comprehensive Healthcare AI Audit incorporates specialized testing of agent behavior, tool use, workflow execution, authorization boundaries, human oversight, clinical safety, and failure management. This evaluation extends beyond model outputs to assess how agents operate within real-world healthcare environments.
Agent testing is scoped and risk-based and does not guarantee safety or regulatory compliance.
What Is Evaluated
Data provenance and representativeness
Intended use and stated limitations
Model performance across overall and subgroup populations
Clinical appropriateness for the intended use case
Fairness across protected and clinically meaningful subgroups
Explainability and transparency mechanisms
Workflow integration and human-review design
Privacy and security controls
Governance, monitoring, and incident response
Deliverables
Executive risk summary
Detailed findings report
Risk-prioritized issue register
Bias and subgroup analysis
Clinical validation findings
Governance gap analysis
Corrective-action roadmap
Documentation package
Monitoring recommendations
Board or executive presentation
Frequently Asked Questions
Common questions
What is the AI Health Audit Verified distinction?
The AI Health Audit Verified distinction is earned only by completing a full Comprehensive Healthcare AI Audit. It signals to your board, regulators, customers, and partners that your AI system has undergone independent, physician and AI engineer led evaluation across clinical, technical, fairness, governance, and vendor dimensions. Component engagements procured separately do not earn the verification mark.
Can I purchase just one component instead of the full audit?
Yes. Clinical Validation, Prior Authorization & UM Audit, Bias & Equity Assessment, Governance Review, and Vendor Due Diligence can each be purchased as standalone engagements. However, only the full Comprehensive Audit bundles all five into an integrated findings package and earns the verification mark.
Does this audit guarantee regulatory compliance?
No. Compliance is determined by regulators. Our audit provides independent evidence that helps you demonstrate responsible governance, identify gaps, and prioritize remediation. It supports regulatory readiness but cannot guarantee any specific regulatory outcome.
Do you review proprietary model internals?
We can review model documentation, performance evidence, and — under appropriate confidentiality and security protections — model artifacts provided by the developer or vendor. We do not require source code access to complete a meaningful audit, but we will request specific evidence depending on scope.
Can the audit be scoped to a single use case?
Yes. Comprehensive audits are typically scoped to one AI system or use case at a time. Multi-system engagements can be structured as a phased program.
Does every Comprehensive Audit include agent testing?
No. Agent-specific testing is an additional assessment domain added only for systems with agentic functionality, such as AI that performs multistep tasks, uses tools, or initiates actions within workflows. Audits of non-agentic systems include the five core components. Like the rest of the audit, agent testing is scoped and risk-based and does not guarantee safety or regulatory compliance.
Related Services
Standalone or bundled
AI Governance Readiness Assessment
Find out where your organization stands before an audit finds out for you. Available separately or as part of the Comprehensive Audit.
Typical timeline: 3–5 weeks
Standalone or bundled
Clinical and Utilization Management Validation
Independent validation that AI recommendations align with clinical evidence and coverage criteria. Available separately or as part of the Comprehensive Audit.
Typical timeline: 6–10 weeks
Standalone or bundled
Bias, Fairness and Equity Evaluation
Identify whether your healthcare AI performs differently across patient populations. Available separately or as part of the Comprehensive Audit.
Typical timeline: 5–8 weeks
Standalone or bundled
Vendor AI Due Diligence
Evaluate AI vendors before you contract or deploy. Available separately or as part of the Comprehensive Audit.
Typical timeline: 3–6 weeks
Requires prior Comprehensive Audit
Continuous Monitoring and Reassessment
Ongoing oversight after your Comprehensive Audit is complete. Requires a prior Comprehensive Audit engagement.
Typical timeline: Ongoing; quarterly and annual cadence
Standalone or within the Comprehensive Audit
Healthcare AI Agent Auditing & Assurance
Independent clinical, technical, and operational evaluation of healthcare AI agents, for vendors and healthcare organizations.
Ready to scope a Comprehensive Audit engagement?
Start with a consultation. We will confirm scope, required evidence, timeline, and pricing before any commitment.
Independent healthcare AI auditing, governance, vendor consulting, compliance education, and enterprise training.
● Founded in 2023
United States · Remote-first
© 2026 AI Health Audit. All rights reserved. · AI Health Audit provides independent audit, advisory, and educational services. We do not provide legal advice, compliance determinations, or guarantees of regulatory outcomes. Findings are educational and informational.
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