Customer Stories

Teams shipping better AI, measurably

From 12-person startups to 90-person platforms — these teams replaced guesswork with a number they trust.

4

Industries

12–90

Team members

<1 hr

To detect regressions

50%+

Primary metric lift

NovaMed AI

12 peopleMedical AI
OpenAI (GPT-4o)
LangChain
Pinecone
LangSmith
OpenTelemetry
We were flying blind on 15,000 daily conversations. A prompt tweak silently degraded clinical accuracy — we only found out when physicians called us. qualityindex.ai turned that into a one-hour feedback loop.
Dr. Anika Patel

Dr. Anika Patel

CTO & Co-founder

4.2% → 0.8%

Hallucination rate

81% reduction across all specialties

3 days → 1 hr

Regression detection

Mean time to catch quality drops

HIPAA + SOC 2

Compliance

Eval Card docs satisfied both audits

A routine prompt update to improve bedside manner caused hallucination rates to spike on rare conditions — but only rare conditions. Aggregate accuracy looked fine because common cases masked the regression. With 15K daily conversations, manual spot-checking covered less than 0.1% of traffic.

Connected OpenTelemetry and LangSmith connectors to capture every conversation turn. Created Eval Cards for Faithfulness, Clinical Accuracy, and Rare Condition Coverage across 18 specialties. The Safety pillar now flags any response that recommends treatment without citing a guideline source.

CartStack

35 peopleE-commerce
Anthropic (Claude 3.5)
Qdrant
Guardrails AI
OpenTelemetry
40% of our search queries were hitting the embedding model unnecessarily. The Efficiency pillar paid for the entire platform in month one — just from cache optimization insights.
Marcus Chen

Marcus Chen

Head of AI & Search

+23%

Search relevance

nDCG@10 across all categories

$0.12 → $0.04

Cost per query

67% reduction via caching

40%

Cache opportunity

Queries previously all hitting the model

Search relevance varied wildly across product categories — apparel performed well, electronics and home goods had poor nDCG@10. Cost per query had crept to $0.12 with 800K daily queries, and there was no visibility into which pipeline stages consumed the most tokens.

Deployed OpenTelemetry across the full search pipeline. Created per-category Eval Cards for all 12 product categories. The Efficiency pillar computed per-request cost by stage, identifying that embedding generation for near-identical queries was the largest cost driver. GitHub connector triggers Quality Index rescoring on every retrieval PR.

Lexis AI

60 peopleLegal Tech
OpenAI (GPT-4 Turbo)
Mistral (fine-tuned)
LlamaIndex
NeMo Guardrails
When we upgraded to GPT-4 Turbo, extraction accuracy dropped on multi-party contracts but improved on simpler ones. Without per-model quality tracking, we'd have shipped a net regression.
Sarah Okafor

Sarah Okafor

VP of Engineering

89% → 96%

Extraction accuracy

On complex multi-party contracts

2 weeks

Testing time saved

Replaced manual A/B testing cycles

3

Regressions caught

Before any customer impact

After upgrading from GPT-4 to GPT-4 Turbo, extraction accuracy dropped on complex multi-party contracts (3+ parties, 50+ pages) while improving on simpler ones. The aggregate metric showed improvement, masking the regression on their most valuable contract type. Every model change required two weeks of manual A/B testing.

Linked every deployment to a Quality Index snapshot via the GitHub connector. Created Eval Cards segmented by contract complexity (Simple, Standard, Complex). Built a model comparison dashboard — GPT-4 vs. GPT-4 Turbo vs. fine-tuned Mistral, side-by-side. Automated remediation proposed routing complex contracts back to GPT-4.

FlowOps

90 peopleDevOps Platform
Anthropic (Claude 3.5 Opus)
LangGraph
Datadog
OpenTelemetry
50 tool integrations and zero visibility into which ones dragged down our agent success rate. Turns out 3 tools caused 80% of timeouts. Fixed in one sprint.
JW

James Whitfield

CTO

72% → 94%

Workflow success

Reliable for Tier 1 incidents

45 → 12 min

P95 resolution

73% faster after fixing 3 tools

3 of 50

Root cause

Tools causing 80% of all timeouts

Agent workflows had a 72% success rate with P95 resolution times of 45 minutes — barely faster than manual runbooks. Tool calls failed silently, reasoning chains timed out, and debugging meant grepping CloudWatch logs across dozens of services. Customer trust was eroding.

Deployed OpenTelemetry across the LangGraph execution engine. The Reliability pillar gave each of 50 tools its own success rate. The Efficiency pillar computed P95 time per tool and workflow step, revealing 3 tools causing 80% of timeouts. Created Eval Cards for Workflow Correctness, Resolution Quality, and Escalation Appropriateness.

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