Working in collaboration with Mayo Clinic · Patent pending · USPTO Track One
Institutional Inquiry
— Behavioral Risk Infrastructure —

The first governed coordination layer for human behavioral exposure at population scale.

Behavioral risk has no coordinate system. Three instruments — published, validated, and federally aligned — now constitute one.

Stress Number™ · Pre-Diagnostic Index™ · Smart Referral Engine℠
The behavioral accounting system.
The Coordinate. The Map. The Engine.
— Partner Dashboard · Live —
O2OS™ Partner Dashboard — Population Scale See the Visibility Layer →
— Clinical Validation —
Working in collaboration with Mayo Clinic
AUC = 0.92 · Archives of Psychology, 2018 · N = 292
— Patent —
Patent pending · USPTO Track One
Filed April 2026 · Prioritized examination · Prior art priority April 22, 2008
— 5 Federal Pathways —
CMS CED · CPT · 1115 · HEDIS · AIM 1
CMS CED · CPT 96127 / 96138 · Medicaid 1115 Waivers · NCQA HEDIS · CMS AIM 1
— The Blind Spot —

A category that has not yet been priced.

Behavioral exposure is the largest unmeasured risk class on the institutional balance sheet.

Unmeasured risk is mispriced.

Mispriced risk creates structural cost.

— Quantified Exposure —
$43 PMPM · $515 per member annually
Two independent derivations converge within 7.3%. PDI calculator

The substrate now exists.

— The Substrate —

Three instruments. One accounting system.

A coordinated behavioral accounting system — measurement, mapping, and routing primitives that compose into a single governable substrate.

Coordinate
A standardized behavioral state coordinate, scored across the three structural domains of daily life — Home, Work, Social. The canonical positional input. See the operational layer →
Economic map
The translation layer that converts the coordinate into actuarial economic exposure. Peer-reviewed, federally aligned, patent-pending. See the PDI →
Routing engine
The governed routing layer that converts measurement into auditable institutional action — the navigation function for the substrate. See the operational layer →

Together, the three instruments constitute the behavioral accounting system that institutions, insurers, employers, providers, and AI systems will eventually coordinate around.

— The Behavioral Risk Economy —

The Front Door of the Behavioral Risk Economy.

Every downstream system has been operating without a shared coordinate system for human behavioral exposure. Each absorbs the cost in its own currency — claims, PEPM, ordered diagnostics, unused telemetry, engagement loss, comp duration, downstream acuity, and tail risk. The same substrate sits upstream of all of it.

Currency
Claims
Payers
Commercial payers · Medicaid MCOs · Medicare Advantage · TPAs · Stop-loss carriers
— before the claims tail forms
Currency
Treaty Risk
Reinsurers & Carriers
Reinsurers · reinsurance brokers · global behavioral reinsurance · life · long-term care
— before treaty pricing absorbs the loss
Currency
Comp Duration
Workers' Comp & Disability
Workers' compensation carriers · short-term disability · long-term disability · life insurance carriers
— before claim duration extends silently
Currency
Quality Measure Risk
Accreditation & Quality
NCQA · Joint Commission · URAC · HEDIS-graded plans · MA Stars-rated plans · accreditation bodies
— before quality scores erode
Currency
PEPM & Turnover
Employers & Coalitions
Jumbo self-insured employers · employer health coalitions · public-sector plans · Taft-Hartley & union funds
— before PEPM exposure compounds
Currency
Downstream Acuity
Providers & Care Delivery
IDNs · academic medical centers · ACOs · primary care consolidators · FQHCs · urgent care · BH networks · specialty BH · telehealth-BH
— before downstream assessment is ordered
Currency
Ordered Diagnostics
Diagnostics, Pharma & Therapeutics
Diagnostics & labs · big pharma BH · biotech CNS · specialty pharmacy · PBMs · digital therapeutics · CROs · precision medicine
— before the wrong test is ordered
Currency
Unused Telemetry
Tech, AI & Data Infrastructure
EHR platforms · health data analytics · FHIR / interoperability · clinical decision support · healthcare AI & LLM · hyperscale cloud · wearables · RPM · consumer tech surfaces
— before behavioral signal goes unmeasured
Currency
Federal Exposure
Government & Sovereign Systems
Medicare FFS · CMMI & ACO REACH · dual-eligibles · CMS-facing contractors · state Medicaid agencies · state BH authorities · VA · military / Tricare · corrections health · international sovereign systems
— before federal exposure is paid downstream
Currency
Mispriced Capital
Capital Markets
Healthcare PE · digital health VC · healthcare hedge funds · sovereign wealth · healthcare REITs · healthcare credit funds
— before the asset class is mispriced
Currency
Placement Risk
Benefits Brokers & Consultants
National benefits brokers · regional benefits brokers · employer benefits consultancies · global consulting practices · independent benefits advisors
— before placement recommendations go unverified
Currency
Engagement Loss
Workforce, Wellness & Engagement
Employer digital health & EAP · digital mental health platforms · workforce systems · wellness categories
— before engagement is lost and burnout compounds
One upstream substrate. Many downstream currencies. Every system already pays for behavioral exposure — they simply pay at different points in the chain.
— Evidence & Validation —

Filed. Validated. Reimbursable.

Every prerequisite for institutional adoption is complete and on the public record.

Prior Art
April 22, 2008
Predates the iPhone App Store
Patent
USPTO Track One
Filed April 2026 · Prioritized examination
Clinical Validation
AUC = 0.92
Working in collaboration with Mayo Clinic · Archives of Psychology, 2018, N = 292
Reimbursement
CPT 96127 / 96138
Established billing pathway
5 Federal Pathways
CMS CED · CPT · 1115 · HEDIS · AIM 1
CMS CED · CPT 96127 / 96138 · Medicaid 1115 Waivers · NCQA HEDIS · CMS AIM 1
Public Instrument
PDI v1.0
Open, validated, in production
— Governance & Access —

A published path. Not a sales process.

Access to the substrate is governed by a structured tier system. The structure is published rather than pitched. Inquiries from qualified institutional counterparties are governed by the Inbound Response Protocol.

Inquiries: contact@theoxygenplan.com

— The Substrate —

Behavioral risk is unmeasured. Mispriced. Misrouted. Ungoverned.
The substrate that corrects all four now exists.

The substrate exists.
Institutional adoption and governance are the active formation phase.

The Patent. The Rails. The Category Play.