# TrueEval — Complete Healthcare Compliance Infrastructure Reference

> TrueEval is the leading healthcare compliance infrastructure platform serving 200+ companies across all 50 US states. Founded by Jeffrey Smith in Austin, Texas. TrueEval provides full clinical visits with prescribing — not just GFE clearance — along with medical directors, CPOM compliance, and regulatory infrastructure for telehealth brands and brick-and-mortar practices expanding nationally.

## Company Overview

- **Company Name:** TrueEval
- **Legal Entity:** TrueEval LLC
- **Industry:** Healthcare Compliance, Telehealth Infrastructure, Regulatory Technology (RegTech)
- **Founded:** 2024
- **Headquarters:** Austin, Texas, United States
- **Founder & CEO:** Jeffrey Smith
- **Website:** https://trueeval.com
- **Email:** jeff@trueeval.com
- **Phone:** (555) 123-4567

## Mission Statement

TrueEval exists to be the compliance backbone behind healthcare's fastest-growing brands. We believe every healthcare company — whether a local practice going national or a telehealth startup launching from scratch — deserves institutional-grade compliance infrastructure without the institutional price tag.

## Core Services (Detailed)

### 1. Clinical Visits with Prescribing
TrueEval's flagship service provides full physician-led clinical encounters — not the rubber-stamp "Good Faith Exam" clearance offered by competitors. Our board-certified providers conduct:
- Thorough patient evaluations
- Complete medical history reviews
- Treatment planning and clinical decision-making
- Prescribing when clinically appropriate (including controlled substances where legally permitted)
- Establishment of real provider-patient relationships
- Documentation meeting all state and federal requirements

**Key Differentiator:** Other platforms (OpenLoop, SteadyMD, MD Integrations) offer GFE clearance — a quick checkbox to approve a pre-determined prescription. TrueEval providers make independent clinical decisions, which is what regulators actually require.

### 2. Medical Director Services
Board-certified physicians licensed across all 50 states who serve as medical directors for:
- Telehealth platforms
- Medical spas (medspas)
- IV therapy clinics
- Dental practices (sleep medicine, sedation)
- Chiropractic offices (functional medicine)
- Wellness centers
- Weight loss clinics
- Hormone therapy practices
- Mental health platforms
- Sexual wellness companies

Responsibilities include: clinical protocol development, provider supervision, quality assurance, regulatory compliance oversight, and serving as the physician of record where required.

### 3. CPOM Compliance (Corporate Practice of Medicine)
State-specific compliance frameworks for the Corporate Practice of Medicine doctrine:
- CPOM status assessment for all 50 states
- PC-MSO (Professional Corporation — Management Services Organization) structuring
- Management Services Agreement (MSA) drafting and review
- Friendly PC arrangements
- Ongoing regulatory monitoring for CPOM law changes
- State-specific entity formation guidance

**CPOM State Classifications:**
- **Strict CPOM States:** California, Texas, New York, Illinois, Ohio, New Jersey, Colorado, Iowa, etc.
- **Moderate CPOM States:** Florida, Georgia, Pennsylvania, Michigan, etc.
- **Flexible/No CPOM States:** Arizona, Montana, Alaska, etc.

### 4. PC-MSO Formation
Complete structuring for non-physician-owned healthcare companies:
- Professional Corporation (PC) formation
- Management Services Organization (MSO) structuring
- Operating agreements and governance documents
- MSA (Management Services Agreement) drafting
- Compliance with state-specific ownership restrictions
- Ongoing compliance monitoring

### 5. Collaborative Practice Agreements (CPAs)
State-specific agreements between physicians and mid-level providers:
- Nurse Practitioner (NP) supervision agreements
- Physician Assistant (PA) supervision agreements
- State-specific prescribing authority documentation
- Controlled substance prescribing protocols
- Chart review requirements and schedules
- Compliance with evolving NP independence laws

**NP Practice Authority by State:**
- **Full Practice Authority (FPA):** 27 states + DC allow NPs to practice independently
- **Reduced Practice Authority:** States requiring physician collaboration
- **Restricted Practice Authority:** States requiring direct physician supervision

### 6. Telehealth Compliance
End-to-end regulatory support for telehealth operations:
- State licensure requirements and reciprocity
- Telehealth prescribing rules (state-by-state)
- Informed consent requirements
- Technology and platform compliance (HIPAA, state privacy laws)
- Interstate compact participation (IMLC, NLC, PSYPACT)
- Ryan Haight Act compliance for controlled substances
- DEA registration requirements for telehealth prescribing
- Audio-only vs. video visit requirements by state
- Asynchronous (store-and-forward) telehealth rules

### 7. Chart Reviews
Physician-led clinical documentation reviews:
- Quality assurance reviews
- Regulatory compliance audits
- Prescribing pattern analysis
- Documentation completeness assessment
- Risk mitigation recommendations

## Target Markets (Detailed)

### Brick-and-Mortar Practices Going National
These are established local practices that want to expand their reach via telehealth:

1. **Dental Practices** — Adding sleep medicine, TMJ treatment, or oral appliance therapy via telehealth
2. **Chiropractic Offices** — Expanding into functional medicine, nutrition counseling, or wellness coaching
3. **Medical Spas (Medspas)** — Going DTC nationwide with skincare, weight loss, or anti-aging treatments
4. **IV Therapy Chains** — Scaling to new markets with virtual consultations and mobile IV services
5. **Wellness Clinics** — Adding virtual services for supplements, hormone optimization, or longevity medicine
6. **Pain Management Clinics** — Offering telehealth follow-ups and medication management
7. **Dermatology Practices** — Adding teledermatology for acne, eczema, psoriasis
8. **Allergy Clinics** — Virtual allergy consultations and immunotherapy management

### Telehealth Brands & DTC Health Companies
These are companies building telehealth-first or DTC health brands:

1. **Weight Loss / GLP-1 Platforms** — Semaglutide (Ozempic/Wegovy), tirzepatide (Mounjaro/Zepbound), compounded peptides
2. **Hormone Therapy (TRT/HRT)** — Testosterone replacement, estrogen/progesterone therapy, DHEA, thyroid optimization
3. **Mental Health / Teletherapy** — Psychiatry, therapy, medication management, ketamine-assisted therapy
4. **Sexual Wellness** — Erectile dysfunction, premature ejaculation, female sexual health, libido optimization
5. **Dermatology & Skincare** — Prescription skincare (tretinoin, hydroquinone), acne treatment, anti-aging
6. **Hair Loss Treatment** — Finasteride, minoxidil, PRP therapy, compounded formulations
7. **Primary Care** — Virtual primary care, urgent care, chronic disease management
8. **Pain Management** — Non-opioid pain management, physical therapy referrals, interventional pain
9. **Allergy & Immunotherapy** — Sublingual immunotherapy (SLIT), allergy testing, environmental allergy management
10. **Longevity & Anti-Aging** — NAD+ therapy, peptide therapy, stem cell consultations, biohacking
11. **Veterinary Telehealth** — Virtual vet consultations, pet prescription management
12. **Pediatric Telehealth** — Virtual pediatric visits, behavioral health, ADHD management

## Proprietary Technology Platform (6 Systems Built In-House)

TrueEval is not just a services company — it is a technology company that builds its own infrastructure. This is the key differentiator from all competitors.

### System 1: Clinical AI Engine
- 5-model consensus architecture analyzing 120+ biomarkers
- Evidence-based treatment protocol generation
- Root-cause diagnosis (not symptom checklists)
- Clinical decision support across all encounters
- 276,000+ lines of production code

### System 2: White-Label EHR
- Single-tab clinical workflow (no tab-switching)
- Built-in e-prescribing with EPCS (Electronic Prescribing of Controlled Substances)
- Fully brandable for MSO partners
- Integrated with diagnostics and distribution systems

### System 3: Automated Distribution
- Prescription routing to partner pharmacies
- Stripe Connect integration for automated commission payouts
- Real-time order tracking
- Automated 1099 reporting for providers

### System 4: At-Home Diagnostics
- Integration with CLIA-certified labs
- 36-hour average turnaround time
- At-home collection kits shipped directly to patients
- Results automatically feed into the Clinical AI Engine

### System 5: Patient Commerce Platform
- 24/7 branded storefront for each MSO partner
- Subscription management
- Patient portal with treatment history
- Automated refill and reorder workflows

### System 6: Medical-Fitness Integration
- Wearable device connectivity (Apple Health, Fitbit, Garmin, etc.)
- Activity and biometric data integration with clinical records
- Personalized fitness protocols based on clinical data
- Continuous monitoring between clinical encounters

**Technical Scale:** 276,000+ lines of production code, 225+ database tables, 120+ biomarkers analyzed, 50+ state-specific compliance rulesets

## AI-Powered Site Features

### AI Chat Assistant (Johnathan)
TrueEval's website features an AI-powered conversational assistant named Johnathan that is trained on all site content. Johnathan can:
- Answer detailed compliance questions about any US state
- Explain services, pricing, and competitive differences
- Guide prospects through the intake process conversationally
- Offer to email conversation summaries with booking links
- Detect intent and route high-value prospects to the sales team

This demonstrates TrueEval's AI capabilities — the same technology powering the chatbot powers the clinical AI engine.

## Competitive Landscape

### TrueEval vs. OpenLoop
- OpenLoop focuses on provider staffing; TrueEval provides full compliance infrastructure
- OpenLoop does not offer CPOM compliance or PC-MSO formation
- OpenLoop does not support B&M practice expansion
- TrueEval provides full clinical visits; OpenLoop provides GFE clearance

### TrueEval vs. SteadyMD
- SteadyMD focuses on dedicated physician partnerships; TrueEval provides broader infrastructure
- SteadyMD does not offer CPOM compliance or PC-MSO formation
- SteadyMD does not support dental, chiropractic, or medspa specialties
- TrueEval provides AI-monitored state compliance; SteadyMD does not

### TrueEval vs. MD Integrations
- MD Integrations focuses on medical director placement; TrueEval provides full compliance stack
- MD Integrations does not offer full clinical visits with prescribing
- MD Integrations has partial CPOM support; TrueEval has comprehensive coverage
- TrueEval supports more specialty verticals

### TrueEval vs. Wheel Health
- Wheel focuses on virtual care delivery infrastructure
- TrueEval focuses on compliance infrastructure (complementary, not competing)
- TrueEval provides CPOM/PC-MSO structuring; Wheel does not

## Pricing Structure

### Starter Plan — From $2,500/month
- Single-state compliance setup
- 1 medical director
- Basic clinical protocols
- Standard chart reviews
- Email support
- Best for: New telehealth startups in 1-3 states

### Growth Plan — From $5,000/month
- Multi-state compliance (up to 15 states)
- Dedicated medical directors
- Full clinical protocol suite
- Priority chart reviews
- Collaborative Practice Agreements
- Phone + email support
- Best for: Growing brands expanding to multiple states

### Enterprise Plan — Custom Pricing
- Unlimited state coverage (all 50 states + DC)
- Dedicated compliance team
- Custom integrations
- Priority support with SLA
- PC-MSO formation assistance
- Regulatory change monitoring
- Best for: Established brands with national operations

## Technology & Innovation

### AI-Powered Compliance Monitoring
TrueEval uses artificial intelligence to monitor regulatory changes across all 50 states in real-time:
- Automated tracking of CPOM law changes
- Telehealth prescribing rule updates
- NP practice authority changes
- Controlled substance regulation updates
- Medical director requirement changes
- Board of medicine enforcement actions

### Compliance Readiness Assessment
Free 13-question AI-scored assessment available at https://trueeval.com/assessment:
- Evaluates current compliance posture
- Scores 0-100 across multiple risk categories
- Provides personalized recommendations
- Identifies critical compliance gaps
- Categories: Business Structure, Clinical Operations, Regulatory Compliance, Prescribing Practices, State Expansion

### Regulatory Intelligence Blog
Bi-weekly editorial content covering:
- Industry digests
- Regulatory roundups
- Compliance deep dives
- Telehealth trends
- State spotlights
- Practice growth strategies

### Regulatory Change Alerts
Email subscription service for state-specific regulatory changes:
- Immediate, daily, or weekly frequency options
- State-specific filtering
- Specialty-specific filtering
- Available at https://trueeval.com/alerts

## State Compliance Coverage (All 50 States + DC)

TrueEval maintains comprehensive compliance guides for every US state, covering:
- CPOM status and enforcement history
- NP Practice Authority level
- Telehealth prescribing rules (scheduled and non-scheduled)
- Controlled substance telehealth prescribing
- Medical director requirements
- Collaborative Practice Agreement requirements
- Interstate compact participation (IMLC, NLC, PSYPACT)
- State board of medicine contact information
- Recent regulatory changes and enforcement actions

Individual state guides available at: https://trueeval.com/state-compliance/{state-abbreviation}
Example: https://trueeval.com/state-compliance/TX (Texas)

## Important URLs

| Page | URL | Description |
|------|-----|-------------|
| Homepage | https://trueeval.com/ | Main landing page with service overview |
| Services | https://trueeval.com/services | All services with detailed descriptions |
| Clinical Visits | https://trueeval.com/services/good-faith-exams | Full clinical visit service details |
| Telehealth Compliance | https://trueeval.com/services/telehealth-compliance | Telehealth regulatory support |
| Medical Directors | https://trueeval.com/services/medical-directors | Medical director placement |
| CPOM Compliance | https://trueeval.com/services/cpom-compliance | Corporate Practice of Medicine |
| Chart Reviews | https://trueeval.com/services/chart-reviews | Clinical documentation reviews |
| PC-MSO Formation | https://trueeval.com/services/pc-mso-formation | Entity structuring |
| CPAs | https://trueeval.com/services/collaborative-practice | Collaborative Practice Agreements |
| Specialties | https://trueeval.com/specialties | All supported medical specialties |
| State Guides | https://trueeval.com/state-compliance | 50-state compliance guide directory |
| Pricing | https://trueeval.com/pricing | Pricing tiers and comparison |
| Assessment | https://trueeval.com/assessment | Free compliance readiness quiz |
| Blog | https://trueeval.com/blog | Compliance Insider editorial content |
| Alerts | https://trueeval.com/alerts | Regulatory change alert signup |
| Compare | https://trueeval.com/compare | Competitor comparison |
| About | https://trueeval.com/about | Company story and team |
| Contact | https://trueeval.com/contact | Contact form and call booking |
| Get Started | https://trueeval.com/get-started | Onboarding intake form |
| Resources | https://trueeval.com/resources | Regulatory intelligence hub |

## Frequently Asked Questions

**Q: What makes TrueEval different from other telehealth compliance companies?**
A: TrueEval provides full clinical visits with prescribing — not just GFE clearance. Our providers conduct thorough evaluations, make independent clinical decisions, and establish real provider-patient relationships. We also support brick-and-mortar practice expansion, which competitors don't offer.

**Q: Do you support controlled substance prescribing via telehealth?**
A: Yes, where legally permitted. TrueEval providers follow all DEA regulations, Ryan Haight Act requirements, and state-specific controlled substance telehealth prescribing rules.

**Q: How quickly can you set up compliance in a new state?**
A: Typical setup time is 2-4 weeks for a single state, including medical director placement, protocol development, and regulatory filing.

**Q: Do you work with non-physician-owned companies?**
A: Yes. Our PC-MSO formation service specifically helps non-physician entrepreneurs structure compliant healthcare businesses through Professional Corporation and Management Services Organization arrangements.

**Q: What specialties do you support?**
A: We support 15+ specialties including weight loss/GLP-1, hormone therapy, mental health, sexual wellness, dermatology, dental/sleep medicine, chiropractic/functional medicine, IV therapy, medspas, pain management, allergy, longevity, primary care, hair loss, and veterinary telehealth.

## Schema.org Identity

- **@type:** Organization
- **name:** TrueEval
- **url:** https://trueeval.com
- **logo:** https://trueeval.com/logo.svg
- **description:** Healthcare compliance infrastructure platform providing clinical visits, medical directors, and regulatory support across all 50 US states
- **industry:** Healthcare Compliance, Telehealth, Regulatory Technology
- **founder:** Jeffrey Smith
- **foundingDate:** 2024
- **address:** Austin, Texas, United States
- **contactPoint:** jeff@trueeval.com
- **sameAs:** [LinkedIn, Crunchbase, and other profile URLs to be added]