How You Get Paid · Conceptual Health®

For patients

Get paid for being healthier than yesterday.

Every verified action that nudges your eight-axis CH score upward earns HEALTHCOIN™. Spend it on health (HSA-eligible at any merchant via virtual card), pool it with family, or hold it. We never sell HCR — you earn every last unit.

Step 01

Open your chart. Mint your wallet.

One signup. KYC + identity vault. The moment your record is live, you have an HCR wallet — minted from your verified existence, not from anyone's purchase.

Free. Always free.

+250 HCR

Onboarding

Step 02

Connect your wearable. Live a normal life.

Apple Watch, Whoop, Oura, Garmin, Dexcom — pick your existing device, plug it in. The eight-axis Master Equation reads your sleep, movement, glucose, recovery; we pay for the verified streaks, not the steps.

Streaks: 7-day, 30-day, 180-day, 365-day milestones.

5–25 HCR/day

Lifestyle

Step 03

Show up to your visit. Take the medication.

Show for an annual physical: 200 HCR. Complete a vaccination: 50–250 HCR by axis impact. Adhere to a chronic medication for the full month (PDC ≥ 80%): 80 HCR. The rules are public; the audit is on-chain.

Verified by your provider's chart entry, not your self-report.

50–250 HCR

Per action

Step 04

Optional: list your data. Earn HCC.

Researchers query the marketplace for verified populations — "1,000 type-2 diabetics on metformin who improved A1c by >1%." If your record matches and you opted in, you're paid in HCC, per access, every time. Revoke whenever you want.

You set the price floor. You see who paid. You can revoke any consent in one tap.

$2–$140

Per matched query

Step 05

Spend, pool, or hold.

Pay copays in HCR. Issue a Virtual card and spend at any HSA-eligible merchant. Pool with family for a shared health goal. Or hold — HCR has a 21B hard cap, halving milestones, and a transparent issuance schedule.

Wallet, virtual cards, and family-pool tools live in Guardian Orb.

1 HCR ≈ $0.10

Initial peg, floats after

For clinics

Stop paying for an EHR. Start earning from one.

The Conceptual Health EHR is free, ambient, and AI-native. You don't pay us per-seat, per-encounter, or per-claim. Instead, the chain pays your clinic for every closed-loop care event you produce — order placed, result returned, follow-up done. Your patients get healthier; you get paid for proving it.

Step 01

Switch your EHR. Free.

Migrate from Epic, Athena, eClinicalWorks, NextGen, Practice Fusion, or DrChrono. We import your charts via FHIR/C-CDA, train your staff on the AI Scribe in a single afternoon, and zero your billing.

Migration assistance is included. Implementation typically 14–30 days.

$0

License + setup

Step 02

Use the AI Scribe. Charts write themselves.

Push-to-talk during the visit. The encounter is captured, transcribed, SOAP-noted, ICD-10/CPT-coded, and signature-ready before you say goodbye to the patient. Three minutes per chart, on average.

Every override is logged for the eval queue — your overrides retrain the model.

2 HCR

Per closed encounter

Step 03

Close the loop. Earn for completion.

Every order tracks to result. Every abnormal lab routes to a follow-up task. Every Rx is adherence-tracked. When the loop closes, the chain credits your clinic in HCR — the proof of care is the payment trigger.

No upcoding incentive. No volume incentive. Quality is the metric.

5–80 HCR

Per closed loop

Step 04

Mine the data your patients consent to share.

When a patient opts a record into the Research Marketplace, the clinic that produced the data earns a share alongside the patient. You're not selling data — you're being paid for having generated verified, attributable, IRB-grade signal.

30% to patient · 50% to clinic · 20% to network treasury (capped, public). This is the clinical network settlement split. Research data licensing revenue is separate: 88% to the patient, 12% platform fee.

~$2,400/yr

Per active patient (illustrative)

Step 05

Bill insurance the same way you always have.

We don't replace your revenue cycle — we automate it. AI auto-codes ICD-10, CPT, HCC, and modifiers. Claims submit to clearinghouse. Denials route as inbox tasks with AI-drafted appeals. Your AR shortens; your write-off rate drops.

Insurance reimbursement plus chain rewards plus marketplace share — three revenue streams, one practice.

+24%

Avg revenue lift, illustrative

For researchers

Buy outcomes, not patient lists.

Optum charges $200K for a populated cohort and a six-month wait. We charge per query, return verified outcomes in seconds, and pay the patients who answered you. IRB-gated. Consent-tracked. Reproducibly attributable. Built for the cohort you actually need, not the one a vendor pre-built.

Step 01

Submit your query. Get a match count in seconds.

Write your inclusion/exclusion criteria as a structured FHIR query or natural language. Our matcher returns a count of consented records — no PHI exposed — within one second. You see what's available before you spend a dollar.

10,000 free counts/month for accredited researchers.

Free

Match counts

Step 02

Pay for what you query.

Pull the matched cohort: $0.80 per record. Pull longitudinal follow-up: $0.20 per record per quarter. Pull adjudicated outcomes: $1.20 per outcome. Every charge is itemized, every record is consent-tracked, every payment is split with the patient and clinic of origin.

30% to patient · 50% to clinic · 20% to network treasury. This is the clinical network settlement split. Research data licensing revenue is separate: 88% to the patient, 12% platform fee.

$0.80

Per record

Step 03

Run your study. We'll re-contact for you.

Need to enroll? Send a re-contact request to the cohort. The patient sees your IRB approval, your study sponsor, and your offered HCR honorarium — and decides. We mediate; you never see the unconsented identity. Conversion typically 12–28%.

Re-contact gateway compliant with 45 CFR 46 Common Rule and HIPAA Safe Harbor.

12–28%

Avg re-contact opt-in

Step 04

Publish your results — with reproducible attribution.

Every record has a chain hash. Every analysis can cite back to the exact verified source. Reviewers can validate your N. Replicators can rerun your query against the same population. Reproducibility is the default, not a footnote.

Whitepaper-grade citation export, suitable for NEJM / JAMA submission.

100%

Verifiable provenance

For network clinics

Your charts are productive infrastructure.

Network Clinics are independent practices that generate enough verified clinical signal to mine the chain. Every encounter your team produces — coded, signed, closed-loop — is a block. You're not selling data. You're being paid for being a credible source of medical truth, on a network that pays for credibility.

Step 01

Apply to the Network. Get reviewed by peers.

Submit your clinic. Peer physicians review your patient outcomes, override rates, attestation history, and quality measures. Approval is gated on credibility, not size.

Approval requires ≥6 months on the Conceptual Health EHR.

~30 days

Application → admission

Step 02

Mine encounters. Get paid per block.

Every closed-loop encounter your clinic produces is candidate data for a network block. Your share of the block reward scales with: encounter quality (audit score), data completeness (FHIR coverage), and consent volume (research opt-ins).

Reward halves at 10K, 50K, 250K, and 1M total network patients.

12–80 HCR

Per block

Step 03

Earn marketplace share on every consented query.

When a researcher pulls a record your clinic produced, you receive 50% of the query fee. The patient gets 30%. The treasury keeps 20% (capped, public). For an active 2-doc clinic, this is ~$200K–$500K/year on top of insurance reimbursement.

Treasury allocation is published live on the Treasury Glass dashboard.

50%

Of every query

Step 04

Govern the network. Vote on protocols.

Network Clinics get governance weight proportional to clinical contribution. Vote on protocol updates, model deployments, query market policies, and treasury allocations. Your clinic's stake in the network grows with the rigor of your charts.

One physician, one vote — weighted by your clinic's audit score.

1 vote

Per credentialed physician

Run the numbers

What would you earn?

Drag the sliders. The math is the same one we publish — and the same one the chain pays out against. Estimates only; actual earnings depend on verification, consent, and the public issuance schedule.

Your year, roughly.

Annual preventive visits Physical, dental, eye, gyn, derm 3

Wearable streak (days/year) Apple Watch, Whoop, Oura, Garmin 240

Chronic medications adhered (PDC ≥80%) Earns monthly, capped at 5 2

Vaccinations + screenings completed Flu, COVID, mammogram, colonoscopy, etc. 4

Research marketplace listings opted in Each listing earns per matched query 2

Eight-axis lift (pts) achieved this year Each axis point earns a tiered bonus 12

Projected first-year earnings

9,180

HCR · ≈ $918 at the initial peg

Preventive visits600 HCR

Wearable streak2,400 HCR

Med adherence1,920 HCR

Vax + screenings800 HCR

Research (HCC, USD-est.)~280 HCR-eq

Eight-axis lift bonus3,180 HCR

Total9,180 HCR

All payouts are illustrative. Verified actions only earn after clinic chart-entry confirmation. The actual issuance schedule, halving milestones, and 21B hard cap are documented in the HCR covenant.

The full ladder, public and signed

Every action's payout, listed.

Below is an excerpt from the HCR public issuance schedule. The full ledger of 280+ qualifying actions, with axis weighting and verification rules, is published on chain.conceptualhealth.com and audited quarterly.

Action Axis Payout Verification

Annual physical, completedPV · TA200 HCRProvider chart-entry signed

Vaccination on schedulePV · ER50–250 HCRCVX code + lot number

Cancer screening (age-appropriate)PV · TA300–800 HCRPath / radiology report

Chronic med adherence (PDC ≥80%, monthly)PV80 HCR/moPharmacy fill log

7-day wearable streakPV · ER25 HCRWearable signature

30-day wearable streakPV · ER160 HCRWearable signature

365-day wearable streak (annual)PV · ER · NM2,400 HCRWearable signature

Therapy session attendedES · SC120 HCRProvider chart-entry signed

Crisis resolution check-inES200 HCRCrisis-team verified

Eight-axis lift +1 pt (verified)Mixed100–400 HCRMaster Equation closed-form

Refer a friend who completes signupSC · RS300 HCRBoth wallets minted

Plasma / blood donationSC · RS450 HCRCenter confirmation

280+ qualifying actions in total. See the full ledger →

Why this is real

Earned, never sold. Verified, never assumed.

Hard cap, public schedule.

21,000,000,000 HCR. Halving at 10K, 50K, 250K, and 1M total patients. The schedule is published; the math is on chain.

No pre-mine, no insider sale.

Founders, employees, and clinics earn HCR the same way patients do. No private allocations, no founder unlocks, no "investor tier."

Audited, attested, on-record.

SOC 2 Type II, HIPAA, HITRUST. The treasury is a Treasury Glass dashboard — every wallet, every transaction, public, in real time.

Patient-owned data, end to end.

Your record is yours. Sharing requires per-record consent. Every access is logged. Revocation is one tap. We never sell what we see.

Open your chart, mint your wallet

A network that pays the people in it. Free, on day one.

No credit card. No insurance verification gate. No paywall to your own record. Sign up in 4 minutes; your HCR wallet mints the moment KYC clears.

Open my chart → Read the HCR covenant