The Infrastructure Behind Smarter Social Care.
Open City Labs connects eligibility, enrollment, care coordination, and billable services into a single governed platform — so the right people get the right benefits, care teams can act on the full picture, and every decision is documented, defensible, and audit-ready.
Powered by the AlignHealthcare.AI governance layer. Built for government agencies, managed care organizations, health systems, and social care providers.
What brings you here?
Government agencies · MCOs · Health systems
Eligibility & Enrollment
Automate determinations across 227+ programs — Medicaid, SNAP, housing assistance, WIC, and more — with H.R. 1-compliant audit trails generated automatically at every step.
See the Eligibility & Enrollment solutionHealth systems · Managed care · HIEs
Care Coordination
Give care teams a 360° view of clinical and social needs — shared care plans, closed-loop referrals, and FHIR-native data exchange across every partner in your network.
See the Care Coordination solutionSocial care providers · CBOs · AAAs
Billable Social Care
Make your coordination work reimbursable. We support Community Health Integration (CHI) and Principal Illness Navigation (PIN) Medicare billing — with the documentation infrastructure to back it up.
See the Billable Social Care solutionCIOs · Innovation leaders · AI builders
AI Governance
Deploy agentic AI across enrollment and care workflows with governed, benchmarked, audit-ready infrastructure. Every action logged. Every model validated. Every decision defensible.
AlignHealthcare.AI governance platform ↗One platform. Four problems solved. One governance layer underneath all of it.
Most organizations managing eligibility, care coordination, and social services are running on a stack of disconnected tools — each solving one problem, none sharing data, none producing the documentation that compliance and oversight requirements demand.
Navigator360 integrates these workflows into a single platform, with FHIR-native data exchange, a national directory of health and human service organizations, and an immutable audit ledger that records every action across every workflow. The AlignHealthcare.AI governance layer runs underneath — benchmarking AI performance, enforcing consent policies, and generating the artifacts that make deployment defensible.
The result is a platform that doesn't just automate — it governs.
We meet every program where it is today — and move it forward.
Eligibility and enrollment touch programs that run on very different infrastructure. Navigator360 works across all of it — because your clients' access to benefits can't wait for a state system to modernize.
Lane 1 — API Integration
If the program has an API, our AI agent connects directly. Applications are submitted, eligibility is verified, and status is retrieved programmatically — fast, scalable, and with zero manual entry. Every call is receipted to the audit ledger.
Path Forward
Already here? We optimize and monitor. Not here yet? We build the integration and help you get to API-first interoperability.
Lane 2 — Web Form Automation
If the program doesn't have an API but has a web-based portal, our agent logs in, navigates the form, and enters the applicant's data automatically — with documented consent at every step. No API required. No manual re-entry.
Path Forward
We can migrate web form workflows to API-based submission when the program is ready to move.
Lane 3 — PDF / eFax
If the program still runs on paper forms, our agent completes the PDF and transmits it via eFax. Every field filled from integrated data. Every submission receipted. Nothing falls through the gap.
Path Forward
We support programs at every stage of modernization — with a clear path to digital-first workflows when the time is right.
In every lane, every action is logged to an immutable audit ledger. Consent verified. Data entered. Submission confirmed. H.R. 1-compliant documentation is generated automatically — no additional staff time required.
AlignHealthcare.AI
Governed AI. AI Automated Rules Enforcement w/Human in the Loop.
Navigator360 is built on the AlignHealthcare.AI governance layer — the infrastructure that ensures every AI-assisted action in your workflow is benchmarked, monitored, and documented.
16 pre-built consent and privacy policies. Secure AI identity with rotating certificates. A rapid benchmarking engine that continuously validates model performance against healthcare and industry specific standards. And an audit ledger that records every action with full provenance — deterministic, traceable, and exportable for legal/regulatory review.
For organizations operating under H.R. 1, federal audit requirements, or value-based contracts, this is the difference between deploying AI and hoping, vs. robust enforcement and trusted audit, ready visibility into AI decision making.
How the AlignHealthcare.AI governance layer works ↗Consent Policies
16
Pre-built consent and privacy policies ready to deploy
AI Identity
Secure
Rotating certificates for every AI agent identity in your system
Benchmarking
Continuous
Model performance validated against healthcare-specific standards
Audit Ledger
Immutable
Every action logged with full provenance — exportable for legal review
Built for every organization navigating the intersection of health, social care, and government agencies.
| Industry | Challenge | Outcome |
|---|---|---|
| Government Agencies | Federal audit exposure from improper payments and manual determination processes that can't generate compliant documentation at scale. | Automated eligibility workflows with H.R. 1-compliant artifacts, three-lane submission for any system, and an immutable audit ledger at every step. |
| Managed Care Organizations | Member churn, SDOH gaps, and compliance overhead from disconnected enrollment and care management systems. | Integrated eligibility, care coordination, and member engagement tools — with the audit infrastructure your compliance teams require. |
| Healthcare Providers | Clinical staff losing time to manual SDOH screening and enrollment referrals that disappear without a closed loop. | FHIR-native eligibility and enrollment embedded in clinical workflows, with shared care plans and tracked referral outcomes. |
| Social Care Providers & CBOs | Coordination work that isn't reimbursed, documentation that doesn't meet billing standards, and no connection to the clinical record. | CHI and PIN Medicare billing support, interoperability with health systems and HIEs, and documentation that makes your work visible and payable. |
| AI & Technology Leaders ↗ | Agentic AI that automates workflows but can't produce the governance artifacts needed to defend deployment decisions. | Governed enrollment infrastructure powered by AlignHealthcare.AI — benchmarked, monitored, audit-ready. |
Ready to see governed agentic enrollment in practice?
We work with government agencies, managed care organizations, health systems, and social care networks navigating eligibility complexity, H.R. 1 compliance, and AI deployment in regulated environments.