Six SmartConsent layers

The infrastructure underneath behavioral health, one layer at a time.

Six productized layers. One validated core.

Interactive layer map

Pick a layer. See the signal.

Each layer creates a business signal. Mechanics stay private.

Selected signal
Multi-Hop audit

A clear record of who sent what, when.

Before
70%
operating drag
to
After
34%
validated signal
LAYER ONE
Multi-Hop audit

Every multi-hop produces a verifiable record.

A multi-hop is a sequence: consent, authority, safety, delivery, audit.

It proves the workflow happened without exposing content.

No silent rewrite point.

Audit event spec
Review statusValidated
Events typed35
Live anchored batches3 · batches 65, 168, 249
Anchored toPublic DLT receipts
VerifierDocumented verification package
LAYER TWO
License & jurisdiction

Authority to practice, verified in real time.

Licensure spans states, territories, and compacts.

Right clinician. Right state context.

When APIs are missing, signed manual attestation fills the gap.

Compacts supported
PSYPACT43 active states
Counseling Compact39 states + DC
Social Work Compact22 enacted states
Verification sources
ColoradoAPI integration live
TX · FL · OH · PAUPenn pilot scope
All other statesManual attestation
LAYER THREE · CLINICAL SAFETY
Clinical Safety Gate Protocol

A policy engine that mechanically enforces clinical safety gates.

Some Multi-Hop flows need review before they move.

The safety gate returns permit, block, or escalate.

The clinical review path is built with research oversight.

Safety is a property, not a feature.

Clinical Safety Gate Protocol · v1
GatesAcuity · Staleness · Crisis · Jurisdiction
OutputsPermit · Block · Escalate
Audit-anchoredEvery evaluation, every outcome
Spec statusv1 locked for UPenn pilot
Clinical reviewUPenn Psychiatry
LAYER FOUR
Verifiable erasure

Proof of destruction, with audit-chain continuity.

Deletion requests are rising. Behavioral health carries high sensitivity.

Deletion with review-ready proof.

Proof remains. Content goes.

Erasure spec
Planning agentErasable vs. retained per state law
DestructionCryptographic key destruction
Audit continuityErasure event anchored
VerificationReviewer evidence package
Event typesPlanned · Executed · Verified
LAYER FIVE · THE TRUST SIGNAL WE GIVE AWAY
Open verification

The verifier that runs without us.

The strongest trust signal: verify it yourself.

Reviewers validate evidence without PHI.

No PHI. No credentials. No private access.

Independent proof is the point.

verification package
$ ayra-verify --batch 249 --spec v2.0.1

 Evidence package valid
 No PHI required
 Independent review ready
 Receipt found
 All 123 events verified

Mode    : authorized review
Source  : audit spec + anchor bundle
Version : v1.0.0
LAYER SIX · WHERE MONEY MOVES
Payer attestation

Every claim carries verifiable consent.

Denials often start with missing proof.

Validated consent at submission.

Cleaner evidence. Faster review. Less chase.

It gives payers cleaner evidence where money moves.

Without SmartConsent
27.7%
Industry-typical claim variance baseline
With SmartConsent
3.7%
Denial rate on verified claims (alpha pilot · representative data)
Delta
−24 pts
Modeled percentage-point variance reduction for pilot design; not realized revenue.
Six layers. One core. One direction of travel.

The infrastructure that keeps care whole.