Patient data stays inside your building in every mode. The only thing that changes is how a claim reaches the clearinghouse and how the response comes back.
Pick any mode. These three facts hold in all of them.
The appliance runs on your practice's own hardware. Coding, scrubbing, and AI inference all happen inside your walls, in every mode.
In every mode the appliance reaches out; nothing arrives uninvited. There is no inbound port listening for the outside world.
Patient records, clinical notes, and billing history live on the appliance. Only the claim files you approve go out, the same 837P every clearinghouse already requires.
The appliance never touches the internet. A small relay box does the talking. It keeps the isolation that makes Full Mode worth auditing and the hands-off workflow that makes Connected Mode worth running.
Inside your building
Sovereign RCM Appliance
Patient records, AI coding, claim queue. No route to the internet.
private network only
Relay Box
Forwards approved claims on a schedule. Pulls remittances back. Holds no patient records.
one outbound connection
Clearinghouse
Receives the same 837P files every billing system sends.
The appliance holds Full Mode's posture: it has no route to the internet, only to the relay on your private network. One box to inspect, one cable to trace.
The relay gives you Connected Mode's workflow. Approved claims go out on schedule and remittances come back without anyone carrying a USB drive.
Unplug the relay and approved claims wait on the appliance. Billing pauses until it returns. The patient record never moves.
Some practices want maximum assurance. Some want zero manual steps. Both are supported configurations, not compromises.
Air-gapped
Nothing touches a network. Claims travel on an encrypted USB drive.
Firewall-restricted
The appliance submits claims itself over one restricted connection.
The day-to-day workflow is identical in all three. Only the steps where a claim leaves the building, or a response arrives, look different.
Network-isolated
Air-gapped
Firewall-restricted
Most practices land on Hybrid. We'll walk your team through all three during a demo and match the posture to your compliance requirements.