Your license earns between shifts.
The supply door where a nurse practitioner’s or pharmacist’s sign-off authority earns off the clock — matched to scope and state, covered by design, paid flat. Early access; this deck says exactly what exists today.
You hold a live NP or pharmacist license with prescriptive or sign-off authority — a signature that carries statutory weight. On shift, it earns what the schedule says. Off shift, it earns nothing.
What keeps the authority idle is not demand — telehealth runs on exactly the acts your license reserves. It is the overhead stack:
A practice authority should be a productive asset, not a cost center — and it should earn on your terms, not only your employer’s.
Membership is a supply door of the gigs.* expert register — the family where the deliverable is an approval and the value is the signature, built on the ratified pattern of its sibling doors gigs.lawyer and gigs.claims. You join once. Sign-off work is designed to reach you from the cell’s demand side — telehealth systems and agent callers buying the reserved acts your license alone can perform. The platform carries the overhead verbs — match, verify, carry, meter, pay — and the prepared chart. You keep the licensed verbs: review, sign off, send back, decline.
The authority claims are mechanics, not adjectives:
signoff fee schedule–·–posts when stack#1 §A5 resolves · median review turnaround–·–posts when first ninety days of measured completions resolves — the structure is a design fact and stated in the indicative; the figures are measured, then published, never asserted in advance.
The engagement is limited-scope by design: review and, in your independent clinical judgment, sign or send back. No patient relationship outlives the act unless you take one on — an ongoing arrangement is always a separate, named engagement, never ambient duty.
The gigs.* family runs on two registers that never mix. The expert register — this door — pays for a signature: async queue, per-act fee, deliverable is an approval. The work register pays for presence: shifts dispatched, per-shift rate, deliverable is a completed task. gigs.health recruits sign-off value; its deliberate contrast pair, gigs.healthcare, is the staged work-register door that staffs facilities. The same clinician can hold accounts in both registers, but track records never cross the register line — a shift history never inflates a sign-off record, and vice versa.
Inside the healthcare pack, the tribes keep their own doors: physicians walk through gigs.doctor, the pack lead; NPs and pharmacists — the clinicians whose sign-off authority is its own tribe, with its own recruiting language — walk through this one. One ICP per door, by rule.
Every gigs.* supply door is B2H2A — business to licensed human to agent — and only B2H2A, because a statute names a person. A prescription needs a prescriber; a DUR clearance needs a pharmacist; a collaborative-practice agreement names its parties. The H is not a user persona — it is the licensed human whose signature makes the work lawful. On the cell’s designed fulfilment path — A2H2A, agent to licensed human to agent — you are the required supplier, which is exactly why the reserved acts stay with you and never with the platform.
The demand rail is staged, not live: apis.healthcare is a staged Tier-2 domain in the family map, and no calling system buys acts through it today. Supply is recruited first, candidly — this door exists to have the licensed pool ready when the rail opens, and it says so rather than implying flow that doesn’t exist.
Functions migrate Human → Agentic → Generative → Code until they hit their vertical’s floor, and clinical practice has one of the highest floors we operate against: the reserved acts stop the migration cold, by statute. Everything around the signature — intake, history assembly, the chart and DUR first pass, scheduling, invoicing — migrates. The prescription signature, the DUR clearance, the collaborative-practice sign-off do not. That is why this membership exists and why it appreciates as the software improves: the software makes your minutes more productive; it cannot replace the license.
The fee line is a design commitment: the Sign-off Fee is flat and never a share of anything clinical, and the cell’s own economics are designed to sit on the demand side of that line — posted per-act rates to the systems that buy the acts, never a cut of the clinician’s fee.
The door is live: gigs.health runs the early-access application — license type, states, practice areas, capacity — server-rendered, working with JavaScript disabled, credentials stored as unverified until the onboarding check exists. The success copy reflects only what the pipeline actually did. Honest pre-launch, on the page.
gigs.lawyer is live — the sibling supply door for attorneys and patent agents, with its own full record in this estate.
gigs.claims is live — the sibling supply door for carrier-side adjusters, with its own full record in this estate.
The sibling doors are built to one substrate by design — one worker, one Gig envelope, one Register system serving every door. Serving is a liveness fact, not an architecture claim: the URLs above evidence that the doors answer, not the topology behind them.
The operating entity is not yet designed — a stricter candour than the sibling cells, whose entities are designed but unformed. Telehealth prescribing sits under corporate-practice-of-medicine and pharmacy-practice rules that shape what the entity must be, and no membership goes live before that design is done, the entity exists, and its practice-structure posture is opinion-backed for the first state.
The full path — demand in on the rail, routed act, clinician sign-off, coverage in force, payment out same day — flips to posted on its first cold settlement, with the evidence URL, not before.
supply pool size–·–posts when stack#1 §A5 resolves · routed act volume–·–posts when stack#1 §A5 resolves — no figures are presentable until the numbers gate resolves. No pool figure, payout figure, or minutes-per-review figure is asserted anywhere in this deck: they are measured after the entity forms, never estimated before it.
If nothing changes: the authority sits idle between shifts — or the uncovered improvisation, which is the risk this platform exists to replace.
If it works: off-shift income from acts your license already signs, coverage naming you, scope and state respected by construction — a credential gone from cost center to productive asset.
What applying now gets you: a place in the verification queue, held in order of application; membership in the first-state cohort when the entity forms — the founding cohort’s licenses and states are an input to which state goes first; and a voice on the fee schedule before it posts — the schedule is set with the founding cohort, not announced to it.
Apply for early access. The fee memo — how the money works, why the fee is flat and known first, who insures what — is the first thing we send every applicant.