Vellum
Every charge. Every change. Provably governed.
A walkthrough of the governed charge-change flow, from request through approval to verifiable evidence. Screens were captured from the real application using demo hospital data. No patient information is stored.
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01
See every open change
Operations dashboard: requests in flight, cycle times and what is waiting on whom.
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02
Route each request for review
A scoped approval queue gives each reviewer only the requests their role and facility allow.
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03
Review the exact before and after
Each request shows its workflow step, role and facility, plus a field-by-field diff.
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04
Lock fields by workflow step
Fields a step may not change are locked in the UI and enforced on the server.
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05
Approve from anywhere
Approve, return or deny on mobile; every decision is persisted.
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06
Keep facility differences
Corporate changes reach selected facilities while local overrides are preserved.
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07
Track every price change
On CT head 3520-0145 the corporate gross charge is $1,842.00, with a scheduled increase to $1,897.26 from 2027-01-01. Facility comparison flags the Kestrel Bay Community Hospital override at $2,310.00 — 25.4% above corporate.
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08
Prove the history
Every event is hash-chained, so the audit trail can be verified rather than trusted.
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09
Export the evidence
Download the proof as JSON, CSV or PDF for auditors.
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10
Hand off controlled files
Scoped downstream CSV/XLSX templates; nothing is sent automatically.
See it live
Sign in to the live demo with your access code, pick a role from the staff directory, and walk the same flow yourself.