for healthcare practices

13 hours a week.That's what prior auth alone costs a practice in physician-and-staff time — every week, no exceptions. Refill triage and pre-visit intake stack on top.source: ama 2024 prior authorization physician survey

the fix

Hire AI Specialistsfor your practice.

Specialists draft Refill Review Packets, PA submissions, and intake — citing Epic on FHIR, DailyMed, and your protocols. They ask for sign-off in your Mailbox before anything touches a chart.

early-access pilot · 30-day money-back (if usage <25%) · BAA available before PHI flows

📬
Refill Triage
📝
Prior Auth
📋
Pre-Visit Intake
Eligibility Check
Reconciliation Note
Patient Outreach

Built with AI · taught by humans · trained on the world

meet a specialist

What it sounds liketo hire one.

Every Specialist introduces themselves the same way — what they do, where they pull from, and who signs off. Here's the Refill Triage Specialist introducing itself to a physician practice.

“Every action passes through the Mailbox first.”
#
refills-triage
· slack · west clinic
live
👤
Dr. Reyesphysician9:47am
Hey — refill request just came in for amlodipine 5mg, J. Patel. Anything to flag?
📬
Refill Triage Specialisthealthcare9:47am
Hi — pulling J. Patel's chart from Epic on FHIR. Cross-referenced DailyMed and OpenFDA: amlodipine refill is within 14d of last dispense and no new interactions with current meds. Drafted a Refill Review Packet for your sign-off — I'll write the Reconciliation Note back to chart once you approve.
Epic on FHIRDailyMedOpenFDAPractice protocols
📬
needs sign-off
Refill Review Packet · 1 action

who this is for

Every practice.Solo to health system.

Same Specialists. Same pilot offer. BAA available before any PHI flows. The price scales with the work — not the gate.

Who this is for

  • Healthcare practices — solo, small, multi-site, or health system
  • Any EHR — or none yet. The Mailbox is the front door.
  • Drowning in refill triage, prior auth, or intake work
  • Need a BAA in place before PHI flows

We work alongside

  • Epic, athenaOne, eClinicalWorks
    Epic connects on FHIR; other EHRs work from the exports you already run.
  • Abridge, Suki, DAX
    Keep your scribe. Specialists handle the work scribes don’t.
  • Your portal, PMS, billing
    Specialists plug into your existing stack via the Mailbox.
  • Health-system procurement
    Enterprise tier ships with custom DPA + dedicated AWS tenant.

what a pilot looks like for a small practice

One pilot. 30-day money-back.Risk's on our side.

Less than the refill hours it hands back every week. The 30-day money-back means a solo doc can try this without anyone signing off on a bigger budget than the lunch order.

Solo doc, ten-doc, or a hundred-doc system — same pilot, same money-back, same BAA. We scale to fit.

Pilot
one specialist
10d
target go-live
30d
money-back

how it works

Five steps.From install to upgrade.

  1. step 01

    Browse the Library

    Pick a Specialist tuned for healthcare. Each one has a name, a role, and the data sources they pull from.

  2. step 02

    Teach them with Knowledge

    Drop in your formularies, refill protocols, payor rules, intake forms. Specialists cite from your knowledge in every reply.

  3. step 03

    Put them on Connections

    Slack, Outlook, Epic on FHIR — connect once. Specialists work where your team already works.

  4. step 04

    Approve in the Mailbox

    When a Specialist needs sign-off — chart writes, payor calls, patient emails — they ask in your Mailbox first.

  5. step 05

    Get sharper over time

    We retrain Specialists continuously. Your install shows "update available" when a sharper version ships — apply, skip, or fork.

  6. shipped to your install →

the healthcare library

Three Specialists.Drawn from the work you do every day.

We're shipping the highest-pain workflows first — Refill is live, Prior Auth and Intake follow.

📬
live

Refill Triage Specialist

Drafts Refill Review Packets. Pulls chart context from Epic on FHIR, cross-references DailyMed + OpenFDA, asks for sign-off in the Mailbox.

See it in the library
📝
next up

Prior Authorization Specialist

Drafts PA submissions, tracks status with the payor, and escalates denials — with the clinical justification packet attached.

📋
coming soon

Pre-Visit Intake Specialist

Collects and structures patient intake forms. Flags gaps in history, meds, and consents before the visit so the MA isn’t scrambling.

paired workflows · weekly refill audit · daily pa status brief

  • Epic on FHIR
  • EHR exports
  • Practice protocols
  • Confluence
  • SharePoint
  • Google Drive
  • Slack
  • Teams
  • Outlook
  • Email
  • SMS
  • WhatsApp
  • Webhook

built for HIPAA + state AI rules

PHI stays in the AWS region by architecture.

Specialists run on AWS Bedrock with a BAA signed before any PHI flows. Every chart write and payor call logged for your audit binder. No foundation-model training on your data.

AWS Bedrock

All inference runs on AWS Bedrock with per-org isolation. PHI stays in the AWS region by architecture, and by default no third-party model providers receive your data. Optional provider-data-share models (e.g. Claude Fable 5) are off by default and require a deliberate per-agent opt-in.

PHI guardrails

PHI flagged, redacted, or blocked per your practice policy. Patient-name leak prevention on every channel.

Tamper-evident audit

Every chart write, payor call, and refill approval logged for HIPAA audits and OIG inspections.

HIPAA + BAA

BAA signed before any PHI flows. SOC 2 Type II audit target Q3 2026. Designed with CA AB 3030 (AI clinical-info disclosures) and SB 1120 (UM human-review) in mind. FSMB AI guidance informs our approach.

pricing

After the pilot.Tiers built for the practice you run.

Start with a pilot. After 30 days, convert into a Practice tier or walk away money-back — your call.

Solo

For solos getting their first Specialist working — no headcount cap.

Early access
  • Unlimited Specialists, teams & knowledge
  • Email + Slack channels
  • Google Drive, Notion, Web-crawler connectors
  • Voice + images included (from your usage)
Request an invite

Starter

For small teams putting Specialists on more of their channels.

Early access
  • Unlimited Specialists, teams & knowledge
  • Everything in Solo, plus webhook & AWS-events channels
  • Voice + images included (from your usage)
  • Workflows + document generation
Request an invite
most popular

Practice

For teams that need compliance controls, SSO, and the Studio.

Early access
  • Everything in Starter, plus:
  • 11 channels (+Teams, SMS, WhatsApp, Telegram, Discord, Messenger, GitHub)
  • + SharePoint & Confluence connectors
  • HIPAA BAA, SSO, Studio + Canary
Request an invite

Practice Plus

For multi-team orgs with SCIM, SOC 2 scans, and full Studio.

Early access
  • Everything in Practice, plus:
  • 15 channels (+LinkedIn, Bluesky, HeyGen, Sentry)
  • + Salesforce connector
  • SCIM · SOC 2, GDPR, NIST scans
Request an invite

Enterprise

For groups that need dedicated AWS, custom DPA, and a named CSM.

Talkto us

custom — scoped with you

  • Dedicated AWS tenant
  • BAA + custom DPA
  • SSO + SCIM provisioning
  • Custom Specialists authored with you
  • Named CSM + quarterly reviews
Talk to us

start a pilot

Hire your first Specialistby the end of the week.

Early-access pilot. 30-day money-back (if usage <25% of bundle). BAA signed before any PHI flows. Target go-live in 10 days; if we miss, you walk away within the money-back window.

Target go-live · 10 days
BAA before PHI flows
30-day money-back (<25%)