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05 · Communication

AI Document & Referral Agent

Fax is still how a huge share of clinical information moves. The Document Agent reads it, decides what it is, files it in the right chart, and puts anything actionable in front of a human.

Agent at a glance

  • StatusIn development
  • CategoryCommunication
  • Deployment2–4 weeks, shadow mode first
  • Review modelHuman approval per action, configurable
  • Headline metric85%+ Auto-filed
  • EvidenceFull action log, exportable any time

85%+

Auto-filed correctly

Classified and matched without human touch on the first pass.

< 5 min

Fax to chart

Versus the hours a pile waits on a desk.

100%

Abnormal findings flagged

Anything critical goes to a clinician queue, not a folder.

What it does

Everything in this agent, in writing.

Document classification

Labs, imaging reports, consult notes, hospital discharge summaries, immunisation records, insurance cards, legal requests and junk.

Patient matching

Name, date of birth, MRN, phone and address scored together; ambiguous matches go to a human rather than being guessed.

Structured extraction

Dates, ordering provider, results, medications and follow-up instructions pulled into searchable chart fields.

Referral intake and closing

Referrals created with the reason, urgency and insurance, then tracked until the consult note comes back.

Orders and results routing

Unsigned orders, results requiring acknowledgement and critical values queued to the right clinician by policy.

Fax-out and prior records

Incoming requests for records and outgoing faxes handled with the same logging and consent checks.

Deployment

Live in weeks, not quarters.

01

Volume and type audit

We sample your inbound documents to quantify type, volume and the current handling cost.

Week 1
02

Classification tuning

Your document types and filing rules trained on your own sample.

Week 2–3
03

Match threshold set

You choose the confidence level required to file without review.

Week 3
04

Continuous correction loop

Every human correction feeds back, and the exception rate is reported monthly.

Ongoing

Guardrails

What it will never do.

These limits hold regardless of configuration. They exist so that you can put an agent in front of patients without putting your licence next to it.

  • Never guesses a patient match — ambiguous documents queue for a human
  • Critical and abnormal results route to a clinician immediately, never silently filed
  • Filing rules are versioned and reversible; any misfiled document is traceable and movable
  • Malware and macro scanning on every inbound file before it is processed
  • Retention and destruction rules follow your schedule, with deletion logged

Human in the loop, by your choice

Every action can require approval before it commits. Start with all of document agent queued to your staff or to ours, watch the accuracy numbers, then widen autonomy workflow by workflow — or leave it queued forever. Both are supported.

Escalations land with certified people

Our review queue is staffed by the same certified coders, billers and credentialing specialists who run our managed services. Not a support desk, and not a chatbot watching a chatbot.

Full evidence trail

Input, decision, action, confidence, model version, reviewer and timestamp — retained and exportable as CSV or JSON, including after you leave us.

What we report against

Operational targets for this agent. They are internal commitments measured on your own data, reported monthly — including the misses.

85%+

Auto-filed

< 5 min

To chart

99%+

Match precision

100%

Critical flags

Works with your systems

Your EMR, your numbers, your data.

  • Athena
  • eClinicalWorks
  • NextGen
  • Epic
  • ModMed
  • Updox
  • Concord fax
  • RightFax

We integrate through FHIR and HL7 where the vendor supports it, and through secure automation or structured document intake where it does not. No API required, no vendor commission taken.

FAQ

Common questions.

Is our fax line changing?
No. Documents keep arriving on your existing fax number. We intercept, classify and file them, and your staff keep working in the EMR as usual.
What stops it filing to the wrong patient?
A high match threshold, multiple identifiers scored together, and a rule that ambiguous matches always go to a human. Every filing records which identifiers matched, so a mistake is findable and correctable.
Can it read handwritten referrals?
Handwritten documents are processed with extraction accuracy reported separately. If confidence is low the document is queued for a human rather than filed with guessed data.
Do we need to change our fax vendor?
No. We work with the major fax and document platforms, and with plain inbound fax-to-email where that is what you have.

Related agents

Usually deployed together.

06 In development

AI Scribe

Listens to the visit and drafts the note in your format — SOAP, APSO or your own template — with suggested codes, orders and follow-up. The provider reviews, edits and signs.

  • Ambient capture in the room or on telehealth
  • Drafted in your template, in your voice
  • Provider reviews and signs — the note is never auto-filed
Explore AI Scribe
07 In development

AI Coding & Charge Agent

Turns the signed note into codes and charges, checks them against payer rules and your fee schedule, and queues anything ambiguous for a certified human coder.

  • ICD-10, CPT and HCPCS suggested from the signed note
  • Payer-specific edits applied before the claim is built
  • Certified coder reviews before release — always
Explore Coding Agent
08 In development

AI Intake & Eligibility Agent

Collects history, consents and insurance before the visit, verifies eligibility and benefits in real time, and writes clean structured data into the right EMR fields.

  • Digital intake completed before the patient arrives
  • Eligibility, deductible and co-insurance verified in real time
  • Clean structured data written back — no retyping
Explore Intake Agent

See it run on your own workflow.

A 30-minute demo using your scenarios, your payer mix and your systems. We will show you the guardrails and the audit log, not just the happy path.

A 30-minute call with an operations lead. No obligation, no sales sequence, and we will say so if you do not need us.