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Industries · Healthcare

AI agents & automation for healthcare

Healthcare organizations lose a large share of staff time to administrative work: faxed referrals, prior authorization forms, insurance checks and scheduling calls. These are the workflows where AI agents help most, because they are high-volume, rule-heavy and full of documents.

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Where AI helps

AI use cases in healthcare

We focus on administrative and operational work, with people reviewing anything that affects care. Clinical decisions stay with clinicians.

  • Prior authorization

    Gather the clinical details a payer needs, fill in the request and track its status, flagging missing information for staff.

    AI AgentsAI Automation

  • Patient intake and referrals

    Read faxed and emailed referrals, extract patient and insurance details and create records in the practice management system.

    Computer VisionAI Automation

  • Scheduling and patient questions

    Answer common questions and book, move or confirm appointments by chat, text or phone, handing complex requests to staff.

    Conversational AI

  • Claims and denials

    Check claims for missing codes before submission and sort denials by reason so billing teams work the recoverable ones first.

    AI AutomationPredictive Analytics

  • Policy and protocol search

    Let staff ask questions of internal policies, payer rules and protocols and get answers with links to the source document.

    RAG Systems

What we design for

Building AI for healthcare

The constraints that shape every project in this industry.

  • HIPAA and protected health information

    Any vendor handling protected health information for you needs a Business Associate Agreement. We use model and cloud services that sign one, such as Azure OpenAI or AWS Bedrock, and keep PHI out of systems that don’t.

  • People stay in the loop

    Agents prepare and route work; staff approve anything that affects a patient’s care, coverage or record.

  • Interoperability

    We connect through standard interfaces such as FHIR and HL7 where your systems support them, and through documented exports where they don’t.

  • Audit trails

    Every action an agent takes is logged with its inputs, so compliance teams can review what happened and why.

Systems these projects typically involve

  • EHR systems via FHIR and HL7
  • Practice management systems
  • Payer portals
  • Fax and document inboxes
  • Patient messaging and phone systems
  • Azure OpenAI
  • AWS Bedrock

FAQ

AI in healthcare: questions

Can AI be used with patient data under HIPAA?

Yes, if every vendor that touches protected health information has signed a Business Associate Agreement and the system follows HIPAA safeguards for access, encryption and logging. We design around those requirements from the start.

Will AI make clinical decisions?

Not in the systems we build. We automate administrative and operational work and keep clinical judgment with licensed staff.

Can it work with our EHR?

Most modern EHRs offer FHIR APIs, and many accept HL7 messages. Where an integration isn’t available, agents can work from exports, inbox documents or the systems your staff already use.

Where should a healthcare organization start?

With one high-volume administrative workflow, such as referral intake or prior authorization, where time saved is easy to measure and no clinical decision is involved.

Free consultation

Talk to us about AI in healthcare

Book a free 60-minute strategy session. We'll look at your workflows, check feasibility and recommend where to start.

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