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HEALTHCARE AGENTS · REFERRAL AND PATIENT ACCESS

Automate referral intake and patient access with an AI agent

Automate referral intake and patient access with an AI agent

Automate referral intake and patient access with an AI agent

Referrals land in a shared inbox and sit for weeks. The Referral and Patient Access Agent spots each one the day it arrives, runs eligibility, flags the authorisation, matches the patient to records you hold, and ranks the queue by care at risk.

Referrals land in a shared inbox and sit for weeks. The Referral and Patient Access Agent spots each one the day it arrives, runs eligibility, flags the authorisation, matches the patient to records you hold, and ranks the queue by care at risk.

HOW IT WORKS

How the Referral and Patient Access Agent goes to work

How the Referral and Patient Access Agent goes to work

How the Referral and Patient Access Agent goes to work

Prebuilt, configured to your systems, then released into the work. Read-only against clinical systems.

Prebuilt, configured to your systems, then released into the work. Read-only against clinical systems.

01

Start from the prebuilt agent

It already knows referrals, claims, remittances and fee schedules, and the checks your team runs on them.

02

Configure it to your tools, systems and parameters

We connect Epic or athenahealth, Availity, Waystar and your referral inbox, and load your contracts, standards and approval chain.

03

Release it into the work

It starts on live work. Our platform checks every draft against its source and stops where a person must approve.

04

It works like a trained member of your team

Work arrives ranked and drafted. Your team approves, and nothing reaches a patient or payer without sign-off.

OUR PLATFORM

What makes it work

What makes it work

What makes it work

Our platform is the instruction manual behind the agent.

Our platform is the instruction manual behind the agent.

It knows how you decide

It knows how you decide

Your contracts, standards, thresholds and approval chain, plus what your team knows, written down as the playbook the agent follows.

It reads every system

It reads every system

Every tool connected where it sits, one record per patient, and every figure traced to its source.

It checks its own work

It checks its own work

Every draft is checked against its source and your rules, and the agent stops where a person has to approve.

It stays inside your rules

It stays inside your rules

It sees only what the person it works for can see, your BAA obligations apply, and every step is logged.

THE SYSTEMS IT READS

The systems the Referral and Patient Access Agent is configured to

The systems the Referral and Patient Access Agent is configured to

The systems the Referral and Patient Access Agent is configured to

Reached where they sit. Nothing is migrated and nothing touches clinical care.

Reached where they sit. Nothing is migrated and nothing touches clinical care.

Epic

Epic

Referrals, scheduling and encounters

athenahealth

athenahealth

Claim lines and expected reimbursement

Availity

Availity

Eligibility and prior authorisation

Waystar

Waystar

835 remittances and denial codes

Change Healthcare

Change Healthcare

Clearinghouse rejections

Payer contracts

Payer contracts

The fee schedule that was agreed

Referral inbox

Referral inbox

Referrals nobody triaged

Clinical notes

Clinical notes

Documentation supporting the charge

OR schedule

OR schedule

Cases, minutes and surgeon

Preference cards

Preference cards

Supplies consumed per case

QuickBooks per site

QuickBooks per site

One ledger per clinic

Legacy PM systems

Legacy PM systems

Older practice management extracts

FAQ

AI referral management and patient access: common questions

AI referral management and patient access: common questions

AI referral management and patient access: common questions

What does a referral intake agent do?

What does a referral intake agent do?

It spots every referral as it lands in your inbox, in any format, and pulls eligibility, authorisation status and prior records before anyone opens it. The queue is ranked by value and days waiting.

Is the agent built from scratch for our practice?

Is the agent built from scratch for our practice?

No. It comes prebuilt for referral intake, and we configure it to what you already run: your referral inbox and portal, Epic or athenahealth, Availity and scheduling. Nothing is replaced.

Does this contact patients automatically?

Does this contact patients automatically?

No. The agent drafts the outreach and the authorisation, and a person in patient access approves before anything is sent.

Let’s build your company a brain
and put AI to work.

Let’s build your company a brain
and put AI to work.

Let’s build your company a brain
and put AI to work.

Your systems, your documents, and what your people have been carrying around in their heads. Thirty minutes to see what an AI brain could look like in your company.

Book a strategy call