Veteran benefits operations
Claims, developed evidence-complete.
Evidence gathering, records assembly, gap-checking, claimant follow-up — the development work that slows a claim, assembled submission-ready and routed through your representatives before anything is filed.
No rip-and-replace
Runs on top of your case-management system.
No rip-and-replace — finished development work is delivered into the case system your team already runs in. The system sits over your existing stack; there is nothing new for your team to operate.
The work
Three workflows. Your people approve every one.
- CLAIMS DEVELOPMENTIn development
Evidence gathered, organized, and gap-checked into a submission-ready packet.
Accredited rep approves
- RECORDS ASSEMBLYIn development
Service and medical records read and indexed against the claimed conditions, missing items flagged.
Rep reviews
- RATING-RATIONALE SUMMARYIn development
Decision letters read and summarized into a plain-language rationale with the cited evidence.
Rep decides
In development means we prove each one on your real caseload in shadow mode before it touches a live claim. Only our privileged-litigation intake and chronology work runs in operation today. The system develops and packages evidence — it never decides eligibility.
The deliverable
What lands on the rep's desk.
- Condition claimed
- Tinnitus, secondary to in-service noise exposure
- Evidence on file
- DD-214 · audiology exam 05/19 · buddy statement
- Gap identified
- No nexus letter — flagged for request
- Status
- Packet ready — pending rep review
Structure real, contents synthetic.
Is this you?
Built for one kind of operation.
- Claim volume and records work are the constraint on your throughput, not the advocacy.
- Reps spend the day chasing records and checking completeness instead of representing claimants.
- You run on a case-management system you are not going to replace.
- Veteran records carry sensitive personal and medical data that rules out generic AI.
If claims development isn't your bottleneck, this isn't your page — and we'll say so on the call.
The boundary
Veteran records stay in your boundary.
Single-tenant, your keys
Your workload runs in a dedicated environment that is yours alone, under customer-held encryption keys.
No model provider in the chain
Open-weight models we run inside your boundary — claimant records never reach a third-party model provider. Enforced in code, not promised in a policy.
Egress-deny by architecture
A fail-closed gateway classifies every request before inference; anything that can't be served inside your boundary is refused.
Veteran records carry sensitive personal and medical information — every request is classified before inference and served inside your boundary, never sent to a third-party model provider. Approved frontier models may handle non-sensitive tasks when your policy allows — the hard line holds only where the data is privileged or regulated.
Frameworks
- SOC 2 Type II
- ISO 27001
- HIPAA / HITECH
Architecture built to meet these standards — formal certification in progress.
How it starts
No demo. A bounded pilot on your real caseload.
- 01 · Discovery
A listening call on where claims development actually stalls. No fit, we say so.
- 02 · Risk classification
Every data class mapped to where it may be processed before anything is built.
- 03 · Shadow mode
The system runs alongside your team on your real caseload, with zero external effect.
- 04 · Human-reviewed pilot
Live work with a representative approving every output — nothing is filed unreviewed.
- 05 · ROI review
Measured against your own baseline. We expand deliberately, or we stop.
Scope and pricing are set in the briefing, against your own baseline — never a list price.
Next
One of the operations we run.
Veteran benefits operations is one of the document-heavy, high-trust operations Miko runs — the same evidence-complete, human-approved model extends across the others under Solutions. None is live until it's proven on your real work.
Run by the engineer who built it — Eric Yun designs Miko's inference, routing, and approval gates personally, and operates Pleadly under attorney-client privilege today.
Bring one claim file to the briefing.
We'll walk a development packet, the boundary, and a sample deliverable — under NDA, candidly.
Book a briefing →