Less paperwork. Same compliance. Better patient throughput.
We automate the administrative layer of healthcare operations without touching clinical decisions. Prior auth processing, billing, scheduling, and intake get faster. Your clinical staff get more time for patients.
Prior authorization processing
Prior auth requests are extracted from payer portals, matched to clinical criteria, and routed for physician review only when medical judgment is required. Routine approvals move without touching clinical staff time.
Medical billing and claims management
Claims are assembled from encounter data, checked against payer rules before submission, and tracked through the remittance process. Denials trigger an automatic review workflow rather than sitting in a queue.
Patient scheduling and appointment management
Scheduling rules, provider availability, and patient preferences are combined to minimize gaps and no-shows. Automated reminders reduce no-show rates. Cancellations trigger waitlist fills without staff involvement.
Patient intake and eligibility verification
Intake forms are collected digitally, insurance eligibility is verified in real time at the point of scheduling, and patient records are updated before the patient arrives. Front-desk staff handle exceptions, not routine data entry.
Referral coordination and care transitions
Referrals are tracked from initiation to specialist acceptance. Missing information prompts are sent automatically. Care transition documentation follows the patient without manual faxing.
Compliance reporting and audit documentation
HIPAA access logs, incident reports, and regulatory submissions are generated from operational data rather than assembled manually. Audit readiness is continuous, not a sprint before an inspection.
Workflow and compliance audit
We map current administrative workflows alongside your HIPAA compliance posture. Output is a prioritized list of automation targets ranked by volume, time cost, and compliance risk.
Architecture and BAA
We design the integration architecture, establish Business Associate Agreements, and define data handling protocols. No data moves until the legal framework is in place.
Phased implementation
We start with the highest-volume administrative process and build in phases. Each phase runs in parallel with existing workflows for two weeks before handover.
Ongoing monitoring
All automated processes have audit logging active from day one. Monthly reviews cover throughput, error rates, and any regulatory changes that affect the automation.