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Slides: Make your LLM app a Domain Expert: How to Build an Expert System — Christopher Lovejoy, Anterior

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Make your LLM app a Domain Expert: How to Build an Expert System — Christopher Lovejoy, Anterior

Relationship To World's Fair 2026

These slides are extracted from a public AI Engineer YouTube video connected to World's Fair 2026. Speaker-matched clips are supporting context unless later confirmed as exact session recordings; official livestream recordings are day-level/event-level source material.

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Extracted Slides

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Anterior

We're a New York-based, clinician-led

company that provides clinical

reasoning tools and solutions to

accelerate and automate healthcare

administration

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KLAS CASE STUDY

We achieved a baseline performance of 95% for approving care...

then iterated with a specific customer to >99% within 8 weeks

Initial Results 8 Weeks Later

Performance (F1-Score)

95.73% Performance (F1-Score)

99.24%

using the system

outlined in this talk

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(2) Empower domain experts to define and

maintain a failure mode ontology

Photo extraction

Table extraction

Handwriting extraction

Medical record extraction

Checkbox extraction

Medical Necessity Review

Failure Modes

Logic representation

Rules interpretation

Rule source selection

Clinical reasoning

Under-inference

Over-inference

Chronological reasoning

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AIE

MEASURE

SpecfyFailuremode'tofx

Makechanges

ReviewAIoutputs

Analyze perfornance

toprioritisework

Produetion

Performance

opplication

insights

"Failure mode

dataset"eval

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Failure mode datasets enable targeted product

iteration

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AIE

Empower your domain experts to make

improvements directly with tooling and evals

Application Pipelines

Tooling for

domain experts

Domain evals

Domain

Knowledge Base

Microsoft

smol.ai

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AIE

Putting it together

Microsoft

smol ai

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Takeaways

• To build domain-native LLM applications you need to solve the last mile problem.

• Using the best models isn't enough - you should build an adaptive domain intelligence engine.

• Domain experts power this system by reviewing AI outputs to generate performance metrics, failure modes and suggested improvements.

• This takes production data and uses it to give your LLM product a nuanced understanding of customer workflows.

• The result is a self-improving, data-driven process that can be managed by a domain expert PM.

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AIE

Thankyou

pherovejyMD

chris@anterior.com

chrislovejoy.me

Anterior.com/Company

Microsoft

smol?

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