Common questions
AI for NDIS providers — frequently asked
The seven questions procurement, finance, and clinical leads ask before turning AI on for NDIS work.
- What clinical content does CareOS AI actually see?
- AI features for NDIS providers operate on structural metadata — session type, goal IDs, duration, participant pseudonym, funding stream, service-booking line, plan budget headroom. The encrypted clinical body of progress notes is not sent to external AI APIs. This is a hard product contract enforced at the API layer; it is not a configurable toggle.
- Is CareOS AI a replacement for a clinician, coordinator, or finance reviewer?
- No. Every AI output is a draft. Clinicians, coordinators, and finance reviewers approve, amend, or reject before AI-drafted content reaches a participant, a PACE batch, or a published roster. The product is built around AI assistance with mandatory human-in-the-loop review, not autonomous decision-making.
- Are AI features included in the NDIS module pricing or charged separately?
- Standard AI assists (progress note drafting, claim line pre-validation, coordinator copilot, roster draft) are included with the NDIS module. The optional Intelligence bundle adds higher-volume assists (incident triage, restrictive-practice flagging, service-agreement drafting). Per-output cost transparency is published on /pricing — providers see exactly what each AI call costs to make decisions about volume.
- Can NDIS providers turn off specific AI features?
- Yes. Each AI assist ships with a per-feature opt-out at the organisation and team level. A provider can disable AI roster drafting while keeping AI claim pre-validation, or vice versa, without losing the rest of the platform. Audit logs continue to record opt-out decisions and the operator who made them.
- Does CareOS AI support PACE and PRODA claim validation?
- Yes. Claim lines are pre-validated against NDIS Price Guide, registration group, plan budget remaining, service-booking constraints, and travel-claim rules before the batch is sent to PACE or PRODA. The validation happens on structural data already in CareOS — not on free-text clinical notes.
- How is AI accuracy measured and improved over time?
- Every AI output carries provenance (model, prompt version, input metadata) and is paired with the human reviewer's outcome — accept, amend, or reject. Aggregated outcomes drive prompt and model selection. Providers receive per-feature acceptance rates and amendment patterns through Search-Console-style reports inside the platform.
- Where is CareOS AI inference run, and does it leave Australia?
- Operational data lives in AWS Sydney with Melbourne DR. AI inference runs through privacy-controlled endpoints (Anthropic, OpenAI) using only pseudonymised metadata — the encrypted clinical body never leaves Australia. The full data flow, including the pseudonymisation pipeline, is documented in the Trust Pack at /security#trust-pack.