Workflow

Patient-to-Payment

Patient inquiry. Fewer missed appointments. with agents, systems, and approvals wired into one flow.

EHRBillingCalendar
End-to-end flow

How Patient-to-Payment actually runs

Three deployment patterns, two demo businesses. fully populated Trigger → Context → Controller → Agent → Action → Approval → Dashboard.

Variant
Agent-only

Fully autonomous patient-to-payment. agent runs end-to-end inside policy. Humans see the dashboard, not the work.

Demo business
Vista Retail
Retail · Specialty retailer, 180 stores + DTC ecommerce.
Outcome
No-shows −32%, clean-claim rate 97%
TriggerPatient inquiry arrives in ehr at Vi…ContextController pulls live context from E…ControllerIntake Agent classifies the case, pi…AgentSpecialist agents (Intake Agent, Ins…ActionAgent confirms insurance, books the …ApprovalSkipped (in policy)DashboardOperators at Vista Retail watch a li…
Trigger → Context → Controller → Agent → Action → Approval → Dashboard
  • Trigger

    Patient inquiry arrives in ehr at Vista Retail.

  • Context

    Controller pulls live context from EHR + Billing. customer record, history, entitlements, balances, and current SLA state.

  • Controller

    Intake Agent classifies the case, picks the right play from the policy library, and dispatches the work.

  • Agent

    Specialist agents (Intake Agent, Insurance Agent, Billing Agent) execute in parallel. extracting fields, calling APIs, drafting responses, and writing back to ehr.

  • Action

    Agent confirms insurance, books the appointment, captures the encounter, and bills the claim.

  • Approval

    Anything over the clinical sign-off threshold pauses with a one-click approval card to the named human owner. everything else ships autonomously.

  • Dashboard

    Operators at Vista Retail watch a live board: volume, cycle time, exception rate, value captured, and per-agent confidence. drillable to the underlying ledger.

What's wired in

Systems, agents & approvals

Specialist agents
  • Intake Agent
  • Insurance Agent
  • Billing Agent
Systems wired in
  • EHR
  • Billing
  • Calendar
Human-in-the-loop approvals
  • Clinical sign-off
Value captured

What Patient-to-Payment returns to the business

Outcome 1
Fewer missed appointments
Outcome 2
Cleaner billing

Run Patient-to-Payment as an agent, not as a backlog.

We map the trigger, wire the systems, ship the agents, and put the dashboard on your wall. in four weeks.