Every product built on Marble inherits all five. The products never have to build them.
No two sources accept the same authorization. State by state, province by province, facility by facility, the rules differ. The requester captures the person's authorization in one flow; Marble carries the right authorization to each source, in the form that source requires, and checks it before anything moves.
Identity is verified before any request goes out, and enriched with the identifiers each holder actually uses, so the right person is matched to the right record across sources that never agreed on an identifier.
Digital exchange where it exists, managed retrieval where it does not. Marble connects once to each holder, inside the national frameworks they already work in, and every product built on Marble reuses that connection.
Whatever a source sends back, a FHIR endpoint or a faxed chart, arrives as one structure: normalized to FHIR, de-duplicated, with the source and the authorization logged on every element.
Pre-qualification reports, criteria matching, coding inference, time-stamped chronologies and data extraction for the person reviewing it. API and MCP servers carry the same answers into the workflows and AI systems that need data they can trust.
SOC 2 Type II compliant across Marble: one attestation covers SettLiT, Medchart and the Marble API, because Marble moves the data for all of them. A 100% pass rate on network audits. DirectTrust Full Member. Reports under NDA through the Trust Center.
Trust Center
The treatment purpose of use exists so clinicians can share information with other clinicians caring for the same patient. Using it to pull records for anything else, including litigation, is a misuse of the networks, and it has drawn investigations and enforcement across the industry. Marble does not do it and does not condone it.
Every record that moves through Marble moves under a written agreement in which the data source has approved the purpose in advance. The person authorizes the request, and the request reaches each network under a purpose that network has pre-approved for that use. That is why Marble holds a 100% pass rate on network audits, why pharmacies, labs, clearinghouses, state exchanges, EHR vendors and national exchanges keep Marble connected, and why the records hold up where they are used.
It is slower and harder to build this way. It is also the only way that lasts: for the person, for the organizations that hold the records, and for the networks everyone depends on. If a vendor cannot say which purpose each of its sources has approved, ask why.
Marble sits on the working groups that decide what authorization means.
