P402 Meter is a healthcare prior authorization review system where every AI token is priced in USDC.e and settled on Tempo mainnet via MPP in real time.
Prior authorization review is the proof of concept: a document-heavy, high-stakes workflow where every reasoning step has measurable value and every cent of cost can be governed, attributed, and audited. If per-token AI billing works here, it works everywhere.
P402 Meter instruments the Gemini generation stream at the chunk level. Each text chunk emitted by the model triggers a ledger event: tokens estimated, cost calculated at $0.0000006/token, USDC.e amount recorded, event settled on Tempo. A single prior authorization review generates 55+ onchain events. Total cost: under $0.001.
Upload a prior-auth document → Gemini 3.1 Flash reads it, classifies it, reviews it → every token of that thinking settles in USDC.e on Tempo mainnet via MPP → Gemini 3.1 Pro audits the economics → humans approve the recommendation with full onchain proof of work.
Prior authorization review is document-heavy, policy-bound, multi-step, explainability-critical, and economically significant. If per-token billing works here, it works everywhere.
P402 Meter was designed explicitly against the platform requirements. Each check below maps to something visible in the live demo, not claimed in theory.
Each route handles exactly one step of the workflow. They are independently testable, stateless where possible, and every settlement-producing route writes directly to Tempo.
P402 Meter is not a demo for developers. The end buyer is a health plan, TPA, or utilization management vendor who currently pays $25-100 per manual prior auth review and receives no real-time cost visibility, no usage-based billing, and no audit trail that survives litigation.
Everything claimed on this page is verifiable in the live demo. Here is the exact sequence to evaluate it.
P402 Meter adapts automatically to the environment. Every mode produces real ledger events and real proof references. Only the source of the AI text and the on-chain settlement change between modes.
Real Gemini 3.1 Flash/Pro calls. Pre-funded TEMPO_TREASURY_PRIVATE_KEY wallet submits one real USDC.e TIP-20 transfer on Tempo mainnet at session close. Tempo Explorer link is live immediately.
Pre-recorded stream replays a real prior-auth session. 55 chunks. Real proof refs from a prior live run. All ledger events, approval gate, and economic audit run identically. No API keys needed to run or judge.
If the Gemini free tier returns a 429 or quota error, the system silently switches to Proof Replay mid-session. A thin amber notice appears. The rest of the demo proceeds identically.
55+ Tempo settlements. Under $0.001 total. Gemini reading a real PA form. Two distinct model roles. Real USDC.e TIP-20 transfers on Tempo mainnet. Every number verifiable on the block explorer.