Evidence ledger · source atlas

ArtfileIndependentLedger

Executive summary ArtFile Clear is a done-for-you reporting operations desk for independent and small multi-site US fertility clinics that must annually submit cycle-level Assisted Reproductive Technology (ART) data to CDC’s National ART Surveillance System (NASS) — and, for SART members, through SART CORS — under the Fertility Clinic Success Rate and Certification Act of 1992 (FCSRCA). The buyer is not buying another EMR co-pilot. They are buying a Reporting-Year Completeness Pack : every in-scope cycle accounted for, outcome chase queue exhausted or documented, validation errors cleared, and a medical-director-ready verification binder released before the public non-reporter listing clock expires.

artfileindependentfertilitycdcnassreporting

Who this is for

A precise operating owner, not a generic audience.

Responsible buyer

Target buyer ICP: Independent US fertility / REI clinics and small groups (1–4 sites) performing roughly 150–750 ART cycles/year, SART member or NASS-direct reporter, without a full-time registry data manager. Beachhead: clinics that missed or nearly missed a prior deadline, recently changed EMR, or are PE-backed roll-ups standardizing reporting ops. Economic buyer: Practice owner / Medical Director / COO.

Cost of the gap

Painful problem ART outcomes are knowable only ~9–10 months after cycle start. Clinics must then assemble patient demographics, diagnoses, procedure parameters, and pregnancy/birth results — often by manually emailing/texting/calling OBs and patients — then pass NASS/SART validation and obtain medical-director verification. Trade press reports ~2 full admin days per 20 patients, up to two-thirds of some embryologists’ time on non-revenue admin, and ~6% human transcription error rates that can move public success statistics.

Outcome

The outcome we sell Specialist-released Reporting-Year Completeness Pack for one clinic and one reporting year: cycle census, outcome-chase status ledger, exception queue with documented non-responses, field-validation clearance log, draft NASS/SART import artifacts (where EMR allows), and medical-director verification binder. Optional year-round Continuity Desk runs monthly chase so December is not a fire drill. Client remains the reporting entity; medical director remains the verifier/signer.

Decision rule

Proceed only when the source record, service boundary, responsible reviewer, and release criteria can be named before work begins.

Method

The work moves through visible states.

  1. ScopeService delivery workflow Sales Gap Snapshot → BAA + pilot SOW.
  2. CollectSecure intake of cycle export and chase contacts.
  3. NormalizeAI normalize + deterministic completeness score.
  4. ValidateChase sequences for missing outcomes (clinic-approved scripts).
  5. ResolveValidation clearance against NASS/SART rules.
  6. ReviewSpecialist RELEASE Completeness Pack.
  7. ReleaseMD verification meeting (client).

Engagement

Buy the reviewed outcome, with boundaries written down.

Pricing evidence and proposed pricing Primary model is per reporting-year Completeness Pack and per-clinic Continuity — never hourly.

Release package

  • The outcome we sell Specialist-released Reporting-Year Completeness Pack for one clinic and one reporting year: cycle census, outcome-chase status ledger, exception queue with documented non-responses, field-validation clearance log, draft NASS/SART import artifacts (where EMR allows), and medical-director verification binder.
  • Optional year-round Continuity Desk runs monthly chase so December is not a fire drill.
  • Client remains the reporting entity; medical director remains the verifier/signer.
  • A human-released operating pack with version history and a correction channel.

Proof standard

Operating evidence: No verified cycle-time result is published yet. The first result will be calculated from accepted intake through qualified-human release.

Client evidence: No client identity or case narrative is published. A reference may appear only after written permission and factual review.

Volume evidence: No completed-client count is claimed. Counts will be published only after the delivery ledger and provider records reconcile.

Evidence room

Authority comes from traceable sources, not decorative claims.

Open the full canonical blueprint dossier

  • CDC NASS overviewSource identified in the canonical blueprint; verify currency before client reliance.
  • CDC 2021 ART Report PDFSource identified in the canonical blueprint; verify currency before client reliance.
  • OMB ICRSource identified in the canonical blueprint; verify currency before client reliance.
  • CDC validationSource identified in the canonical blueprint; verify currency before client reliance.
  • Fertility Bridge / IRHSource identified in the canonical blueprint; verify currency before client reliance.
  • PMC SART CORS reviewSource identified in the canonical blueprint; verify currency before client reliance.
  • SART CORSSource identified in the canonical blueprint; verify currency before client reliance.
  • EmbryoLogixSource identified in the canonical blueprint; verify currency before client reliance.

Service boundary

Automation prepares. A qualified human releases.

ArtfileIndependentLedger is an operational documentation and processing service operated by Your Deputy, Obuke LLC. It is not a law firm and does not provide legal, tax, medical, financial, or other licensed professional advice. Consumer and personal debt matters are not accepted. The client retains its licensed professionals and decision authority. Automation may organize and check records, but a qualified human must review and release every client deliverable. Minimum-necessary data handling and professional review apply.

  • Unsupported facts remain unresolved, never inferred into a client deliverable.
  • Jurisdiction-specific or licensed questions are routed to the client's professional.
  • Every correction retains the source, reviewer, version, and reason for change.

Questions

Know the limits before intake.

Is this legal or professional advice?

No. This is bounded operational documentation and processing support. Licensed judgment remains with the client and its professionals.

Does automation make the final decision?

No. It can organize records, run declared checks, and prepare an exception queue. A qualified human reviews and releases every deliverable.

Is a client portal or CRM already active?

This public site does not claim an active portal integration. Portal access is provisioned only after the relevant backend is configured and independently verified.

What happens when evidence conflicts?

The item is placed in an exception state with its sources and owner. It is not silently resolved or presented as verified.

Fit diagnostic

Send enough context to scope the next conversation—no sensitive files.

Do not submit protected health information, personal financial data, credentials, or confidential client records through this public page.