Open governance framework · v1.3 · Practitioner-led · not an accredited standard, certification, or regulatory requirement · seeking shadow-evaluation partners
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Shadow Evaluation · 90 Days · Observe Only

For Payers: Shadow Evaluation Guide

Establish a behavioral baseline for AI voice agent transparency — zero vendor changes, zero production risk. Run in parallel with live traffic; observe, collect evidence, decide what to require later.

Diagram contrasting unverified impersonation latency with the verified NHID-Clinical trust pathway: early disclosure, pre-data checkpoint, escalation, and sealed audit.

Impersonation latency vs. verified disclosure pathway

Interested in becoming a pilot partner?

We are actively seeking payer and provider organizations for the 90-day shadow evaluation below. You would be among the first.

Get in Touch

Start here — a pilot in three steps

The Tier 0 Shadow Pilot Kit runs on your own call logs. Observe-only, no vendor changes, usable numbers in 2–4 weeks.

1 Get the kit

Download the Tier 0 Shadow Pilot Kit — a minimal event schema, a measurement script, and a report template.

2 Run it on your logs

Map a sample of your call records to the minimal event schema, then run measure_pilot.py. Nothing touches production.

3 Read your numbers

You get impersonation-latency and disclosure metrics on your own traffic in a ready-to-share report. Use it to decide what to require of vendors.

See the full shadow-evaluation guide →

Important: No payer has adopted NHID-Clinical in production yet. It is a voluntary reference model, not an accredited standard, certification, or regulatory requirement.

What You Gain

Metric Today (typical) Target with NHID-Clinical
Verification latency 3–5 min or call terminated < 5 seconds
Audit effort per vendor Manual call review (hours) ~2 minutes (test suite)
RFP disclosure language Custom per vendor One standard clause
Escalation response time Untracked ≤ 2 seconds, logged

How the 90-Day Shadow Evaluation Works

1 Weeks 1–2 — Add RFP Language

Insert this clause into your next voice AI vendor RFP or BAA amendment:

"The vendor's AI agent SHALL produce NHID-Clinical v1.3 JSON trace logs for all B2B administrative calls, including disclosure timestamps and opt-out handling. The payer may run the open-source conformance test suite against vendor output at any time."

Existing contract? Send as a formal amendment request.

2 Weeks 3–6 — Vendor Sandbox Testing

Ask your vendor to run the open-source suite — results in under 5 minutes.

  1. git clone https://github.com/NHID-Clinical/NHID-Clinical.git
  2. pip install -r requirements.txt
  3. python -m pytest tests/ -v
  4. Send full terminal output (+ optional sample traces)

3 Weeks 7–10 — Validate Logs Yourself

  1. Place vendor JSON traces in traces/
  2. Run python -m pytest tests/ -v
  3. Verify: disclosure before NPI/member ID; no deceptive artifacts; escalation ≤ 2s on request

4 Weeks 11–12 — Measure Impact

  • Verification latency (target < 5s)
  • Escalation volume from identity uncertainty (target > 30% reduction)

5 Decide Next Steps

  • Tests pass + metrics improve → consider requiring conformance in future contracts
  • Tests fail or flat metrics → remediation or disqualify from future bids
v1.3 vs. v2: v1.3 covers disclosure behavior and audit trails — suitable for shadow evaluations today. v2 adds cryptographic agent identity (NHID-Auth v2) for when you must verify the agent was authorized by the provider it claims to represent. NPIs are public; v1.3 alone does not prove authorization. Read the v2 roadmap →

Evaluation Resources

Get involved

Read the specification. Share what you think.

Whether it is right, wrong, incomplete, or misses the real problem — that feedback shapes the next version.

Start a pilot →

Procurement at a glance

Shadow evaluation checklist: (1) pick one call type, (2) mirror transcripts to the conformance API, (3) review the evidence bundle with compliance. No production risk.

Shadow Evaluation Guide →   Operational Blueprint (PDF) →

Where to go next

Four ways into NHID-Clinical, whatever you came to do.