Custom AI Agents for Healthcare

MedOps delivers healthcare AI services and AI healthcare consulting to automate the work your team repeats every day. Our team handles discovery, design, and HIPAA‑aligned delivery—so you can deploy AI services in healthcare with measurable outcomes. Whether you need a pilot or full‑scale rollout, we provide healthcare AI consulting that’s grounded in your systems, policies, and KPIs.

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What we build

AI Scribe & Documentation

Ship faster notes without sacrificing accuracy. Our agents summarize encounters, propose code candidates, and surface missing details for review—helping teams improve clinical documentation at scale. If you’re comparing clinical documentation solutions, we can tailor the experience and provide ongoing clinical documentation support for your staff.Typical outputs: structured SOAP notes; suggested ICD/CPT candidates with evidence links; EHR note updates.

Intake, Scheduling & Triage

Reduce bottlenecks before the visit. Agents capture demographics/consents, route exceptions, and schedule intelligently.
Typical outputs: appointment tasks, pre‑visit reminders, exception queues.

  • Streamline patient intake with checklists tied to visit types.
  • Offer a smooth, mobile‑first digital patient intake experience.

Typical outputs: appointment tasks, pre‑visit reminders, exception queues.

Patient Engagement

Reach the right patients, with the right message, at the right time. We integrate with your EHR and outreach stack, or partner with patient engagement companies you already use. Our approach aligns EHR and patient engagement data so teams always see context and next steps.

Typical outputs: recall lists, outreach campaigns, conversion/status write‑back.

Claims Processing & Follow‑ups

Close the loop faster with payer systems and clearinghouses. We monitor statuses and surface anomalies to your billing team.

Pattern‑based monitoring for AI in healthcare claims processing
Alerts when claims stall; proactive next‑best action suggestions

Typical outputs: claim status dashboards, task queues, payer follow‑up summaries.

Platform & Workflow Automation

Your agents run on a modern stack with reusable components for orchestration, security, and observability.

  • Foundation models adapted for generative AI in healthcare workloads
  • Guardrails and testing around generative AI healthcare use cases
  • Reusable blocks for clinical workflow automation
  • Patterns for intelligent process automation in healthcare
  • Build kits for healthcare workflow solutions and healthcare workflow tools
  • Templates for workflow automation healthcare across service lines

Typical outputs: event‑driven pipelines, human‑in‑the‑loop worklists, audit trails, dashboards.

Integrations

  • EHR/RCM: Epic, Cerner/Oracle Health, Athena, NextGen, Allscripts, Nextech, ModMed
  • Standards: FHIR R4, HL7v2, X12 270/271, 276/277, 835/837
  • Ops: clearinghouses, fax/eFax, SFTP, webhooks, CRMs
  • Data: your SQL/Mongo warehouses and object storage for artifacts

Security & Compliance

  • HIPAA‑aligned architecture with BAA
  • PHI encryption at rest & in transit
  • RBAC
  • Detailed audit logging
  • Policy prompts & guardrails to prevent over‑automation.

Delivery in four phases

  • Discovery & Fit (1–2 weeks) – map systems, policies, KPIs, and edge cases.
  • Pilot Agent (2–4 weeks) – ship a thin slice, measure accuracy/latency/time saved.
  • Scale & Integrate (4–8 weeks) – expand endpoints/rules; enable safe auto‑actions.
  • Operate & Improve (ongoing) – monitoring, drift checks, weekly updates, KPI dashboards.

What success looks like

Clinical workflow automation

Cut 30–70% of manual clicks by orchestrating agents across intake, documentation, coding, and follow-ups—without changing your EHR.

Digital patient intake

Shorter check-ins and higher completion rates with mobile-first forms, pre-visit checklists, and EHR write-back.

Improve clinical documentation

AI scribe assistance that drafts structured SOAP notes, surfaces missing details, and speeds note turnaround.

Medical coding (ICD/CPT) support

Higher coding accuracy and cleaner charge capture with code suggestions, modifier checks, and confidence-based worklists.

AI in healthcare claims processing

Faster claim status resolution and fewer rework loops—monitor 276/277, reconcile 835/837, and auto-flag anomalies.

Denial management & appeals

Lower preventable denials and faster overturns with root-cause detection and payer-specific appeal drafts queued for review.

Healthcare AI Services & Custom  Agents

Design, build, and integrate agents for intake, documentation, coding, denial management, and AI in healthcare claims processing secure EHR write back included.

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