HIPAA-COMPLIANT AGENTIC AI FOR MEDICAL PRACTICES
HIPAA-compliant agentic AI that answers every patient call, books appointments, enters data into your EHR, automates prior auth, follows up on claims, and runs patient outreach - without adding headcount.
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Lost annually to no-shows per solo physician practice
Solv Health 2023
Of denied claims never resubmitted - lost permanently
HFMA / Change Healthcare
Per week per physician spent on admin instead of care
AMA 2024
Prior auth requests per physician - 12 staff hours each
AMA 2024
WHAT EVOLVE AI AGENTS ACTUALLY IS
Answers every patient call 24/7. Conducts natural, empathetic conversations in 15+ languages. Handles scheduling, FAQs, intake, billing questions, and after-hours emergencies. Runs outbound reminder and recall campaigns.
Real-time EHR data entry. Insurance eligibility via Availity and Change Healthcare. Prior authorization handling. Claims status followup. AR aging outreach. CRM and billing updates. Post-call workflow triggers. No human touch.
INBOUND VOICE CAPABILITIES
Every call answered instantly regardless of volume, time of day, or day of week.
All verticals
Books into Epic, eClinicalWorks, Jane App, and Google Calendar in real time during the call.
Healthcare
Collects demographics, insurance info, and consent docs verbally and via SMS link.
Healthcare
Triggers real-time eligibility via Availity or Change Healthcare during the call.
Healthcare
Books, captures intake, answers questions, escalates emergencies every evening and weekend.
All verticals
Routes calls based on business rules - to agent handling, specialist queue, or live staff.
Healthcare
OUTBOUND VOICE CAPABILITIES
Reduce no-shows by up to 70%. Instant rescheduling when patient cannot attend.
Healthcare
Calls patients with outstanding balances, offers payment plans, captures commitments.
Healthcare
Outbound calls to incoming referrals before first appointment - capturing intake early.
Healthcare
Post-visit calls for satisfaction data and systematic Google review requests.
Healthcare
Reaches lapsed patients for annual visits and preventive screenings automatically.
Healthcare
Automated calls for prescription pickups and refill reminders - improving adherence.
Healthcare
AGENTIC TASK EXECUTION
Real-time EHR data entry
Writes structured patient data directly into your EHR during or immediately after the call. No transcription. No lag.
Epic, eClinicalWorks, Athenahealth, Kareo,
DrChrono
Prior authorization
Handles routine prior auth calls autonomously. Average practice: 12 staff hours/week on prior auth (AMA 2024). Evolve eliminates it.
All major payers
Claims status follow-up
Systematically follows up with payers, flags denials, updates billing system. 65% of denied claims are never resubmitted (HFMA).
Availity, Change Healthcare, Office Ally
Insurance eligibility
Real-time eligibility checks during the call - confirming coverage before the appointment is booked.
Availity, Change Healthcare
CRM auto-update
Creates or updates patient record after every call with outcome, notes, and next steps.
GoHighLevel, Salesforce, HubSpot
Hot transfer with context
Transfers to live staff instantly with full call summary delivered simultaneously.
Zero dead air. All verticals
INTEGRATION STACK
Epic, eClinicalWorks, Athenahealth, Kareo, DrChrono
Kareo Billing, AdvancedMD, Availity
Availity, Change Healthcare, Office Ally
GoHighLevel, Salesforce, HubSpot, Zoho
Google Calendar, Outlook 365, Calendly
Stripe, Square, PaySimple
Twilio, GoHighLevel SMS, RingCentral
5-10 business days standard go-live
AI-driven reminders reduce no-show rates by up to 70%. Evolve proactively calls patients before every appointment, automatically reschedules when a patient cannot attend, and fills vacant slots from a waitlist - all without staff involvement.
Prior auth automation handles routine prior auth calls with payers autonomously. Average practices spend 12 staff hours/week on prior authorization (AMA 2024). Evolve handles these calls at near-zero variable cost per request.
Yes. Evolve writes structured patient information directly into your EHR via API. Compatible: Epic, eClinicalWorks, Athenahealth, Kareo, Jane App, DrChrono. No transcription lag. No manual entry. No errors.
Yes. HIPAA certified, SOC2 Type II, GDPR compliant. BAA executed with every healthcare client during onboarding. A2P 10DLC registered for compliant outbound SMS.
"Evolve was built because the founder's wife runs a neurology practice and spent years watching her team drown in phone calls, missed appointments, and billing paperwork instead of caring for patients."
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Less than $50/day. HIPAA certified. BAA included. Live in 5-10 business days