Module 03 · Use-Case Portfolio & Priority Engine
Fourteen candidates.
One executive-legible ranking.
Every AI opportunity Meridian is considering, scored by the proprietary Sherlock Priority Score. The Board sees this every quarter. The CEO uses it to decide where the next dollar goes — and what to stop.
Portfolio quadrant
Value × Feasibility · Bubble size = Priority Score · Hover for detail
AI Value Score →
Strategic bets
Priority 1
Deprioritize
Quick wins
01
02
03
04
05
06
07
08
09
10
11
12
13
14
← Lower feasibility · AI Feasibility Score · Higher feasibility →
Bubble legend
80+ High priority · Fund now
60–79 Mid priority · Pilot or fund
40–59 Low priority · Defer or de-scope
STOP Stop · Governance or risk fail
Executive read: Coding copilot, prior auth automation, and ambient scribe are the top 3. Two initiatives — marketing copy and fundraising targeting — should stop immediately (both shadow, both regulatory-exposed).
Ranked portfolio
Sherlock scoring · June 2026 refresh
| # |
Use case |
Value™ |
Feas.™ |
Consq.™ |
Priority™ |
Sponsor |
Recommendation |
| 01 |
Coding & documentation copilot (Epic-native)
Revenue Cycle · CFO sponsor
|
88 |
82 |
42 |
91 |
J. Okonkwo (CFO) |
● Invest · Scale enterprise · Est. $18–22M annual net. |
| 02 |
Prior auth automation (MA plan)
Utilization Mgmt · Plan CEO sponsor
|
92 |
64 |
58 |
87 |
K. Ramirez (VP UM) |
● Invest · Governed rollout · Human-in-loop for all adverse actions. |
| 03 |
Ambient clinical scribe (physician group)
Physician group · CMIO sponsor
|
84 |
78 |
62 |
84 |
Dr. R. Nguyen (CMIO) |
● Invest · After governance · Complete Tier-1 controls before scale. |
| 04 |
Radiology assist — expand to lung & chest
Imaging · Chief Radiology
|
78 |
70 |
55 |
78 |
Dr. S. Patel |
● Invest · Extend proven pattern |
| 05 |
Denial appeal drafting (provider-side)
Physician group · CMIO
|
72 |
66 |
48 |
74 |
Dr. R. Nguyen (CMIO) |
● Invest · Fund enterprise expansion |
| 06 |
Sepsis early warning — tuning & outcomes audit
Hospital ops · CMO
|
64 |
82 |
55 |
68 |
Dr. M. Chen (CMO) |
◐ Pilot · Retune with outcomes audit |
| 07 |
Member call center summarization & triage
MA plan · VP Member
|
62 |
60 |
52 |
62 |
L. Alvarez |
◐ Pilot · After data-residency fix |
| 08 |
Bed placement / capacity optimization
Hospital ops · COO
|
58 |
68 |
42 |
58 |
P. Grant (COO) |
◐ Pilot · Add equity audit |
| 09 |
Legal redlining — expand to procurement contracts
Legal · GC
|
44 |
84 |
32 |
52 |
J. Feld (GC) |
○ Defer · Low value vs. runway |
| 10 |
Provider directory update (LLM extraction)
MA plan · Ops
|
42 |
72 |
38 |
48 |
K. Ramirez |
○ Defer · CMS penalty exposure minimal |
| 11 |
HR resume screening
HR · CHRO
|
38 |
60 |
48 |
38 |
T. Wallace (CHRO) |
◑ Committee review · Bias-audit posture |
| 12 |
Marketing copy generation (unsanctioned)
Marketing · Shadow
|
60 |
28 |
78 |
— |
Unassigned |
■ STOP · CMS TPMO + brand risk |
| 13 |
Fundraising donor targeting
Foundation · Shadow
|
28 |
40 |
62 |
— |
Unassigned |
■ STOP · Data-use violation |
| 14 |
Ambient scribe — ED expansion
Emergency Dept · CMO
|
68 |
32 |
72 |
34 |
Dr. M. Chen (CMO) |
○ Defer · Workflow not ready · Revisit Q1 |