Backbench

Healthcare back offices still depend on practice-management, payer, scheduling, and administrative systems with incomplete or absent APIs. The supplied research confirms a managed-service competitor for 10-to-100-physician groups and a published deployment of nine healthcare agents using a layered security envelope. Backbench's remaining hypothesis is a customer-operated governed platform rather than a contractor-managed service. It begins with observation and draft preparation, then graduates narrowly scoped tasks only after the buyer's security, privacy, legal, clinical, revenue-cycle, and operational review. Every session runs in an isolated disposable environment, receives short-lived credentials through a broker, reaches only approved destinations, resists untrusted page instructions, and records visible actions, screenshots, DOM or accessibility state where available, inputs, outputs, approvals, provider acknowledgment, destination readback, and correction. It never exposes raw secrets to the agent, never operates clinical care, never represents logs as HIPAA compliance or a passed risk analysis, and never treats an on-screen success message as destination truth. Any required business-associate agreement, security attestation, or risk analysis is separately executed and scoped.

The operations, revenue-cycle, IT, security, privacy, or automation leader at a multi-specialty medical group with repetitive nonclinical work in legacy systems.