Healthcare workflow automation that ends the fax-and-phone tax on your clinical staff.

Prior authorization is the highest-impact starting point for most practices. A typical manual prior auth request takes 20 to 45 minutes of staff time and 1 to 3 business days to resolve. Automation that submits auth requests electronically, tracks status, and escalates denials removes most of that manual staff time and delivers same-day turnaround for routine cases. Insurance eligibility verification is close behind, running manual eligibility checks before every appointment is expensive and error-prone. Automated eligibility checks run at scheduling and again 24 hours before the appointment catch changes before they become claim denials. Appointment reminders and no-show management are also high-return targets: automated multi-channel reminders (text, email, voice) with a reschedule link recover 15 to 25 percent of appointments that would otherwise no-show, with no coordinator time spent.

HIPAA compliance is an architecture decision, not a checkbox. For every healthcare automation system we build, we default to encrypted data storage and transit, role-based access controls that match the clinical workflow, minimum necessary access principles, full audit logging, business associate agreement templates for any third-party integrations, and secure messaging channels that meet the technical safeguard requirements. We scope HIPAA requirements in the discovery phase and deliver a security architecture document as part of every healthcare project. For practices with specific EHR integration requirements, we assess PHI handling across the integration boundary before the build starts.

Yes, in most cases. We integrate with Epic, Cerner, Athenahealth, eClinicalWorks, Kareo, DrChrono, and most EHR systems that expose an HL7 FHIR or proprietary API. The automation layer sits between your EHR and your administrative workflows, it doesn't replace the EHR. Patient data flows into the EHR; admin tasks are handled by the automation system. If your EHR uses a non-standard integration approach, we assess feasibility and scope the integration approach during the discovery phase. We don't make integration promises before we've looked at the API documentation.

Staff adoption is the single biggest risk in healthcare technology projects. Automation that coordinators find confusing reverts to the old workflow within two weeks. We build coordinator-facing interfaces that match how the work actually happens: task queues, simple form submissions, status dashboards with no medical jargon. We run user acceptance testing with your actual staff before anything goes live, document the system in plain language, and stay engaged for 30 days post-launch to address friction in real-world use.

Cost depends on the scope and which workflows you are automating. A focused automation covering one workflow, such as prior authorization submission and tracking, typically runs between $30,000 and $60,000. A broader system covering scheduling, eligibility, billing, and intake ranges from $80,000 to $180,000. We lock the price in writing before development starts. A scope change is a change request with a separate price, never a surprise on the final invoice. We provide a fixed-price quote after the discovery phase, which takes one week.

Most practices have their first automated workflow in production within 8 weeks. A full-featured system covering scheduling, prior auth, eligibility, intake, and billing typically ships in 14 to 20 weeks depending on EHR integration complexity. We run bi-weekly demos from week 2 so you see working software throughout the build, not just at the end.

Yes. HEDIS quality measure reporting for payer value-based contracts and MIPS (Merit-based Incentive Payment System) performance data for CMS both follow the same pattern as the rest of your admin workload: structured data that currently gets assembled by hand under deadline pressure. We build extraction pipelines that pull the required measures from your EHR and claims data, validate against the measure specification, and assemble the submission format automatically on your reporting schedule, cutting the staff time per reporting period from days to hours.