ManageCare
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AI Scheduler

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AI Prior Auth Agent

AI Referral Coordinator

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By Outcome

Reduce Scheduling Delays

Increase Patient Throughput

Reduce Referral Leakage

Automate Admin Tasks

Overview

How the Platform Works

AI Agents in Healthcare

EMR Integrations

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ManageCare

AI-native platform that orchestrates the entire patient journey. From referral to survivorship.

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PlatformAI EmployeesHow It WorksIntegrationsPricing
SolutionsReduce Scheduling DelaysIncrease Patient ThroughputReduce Referral LeakageAutomate Admin Tasks
Use CasesOncologyMulti-SpecialtyHealth Systems (ACO)All Specialties
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Solutions for Every Healthcare Workflow

Not bolt-on fixes. Ground-up solutions designed for the hardest problems in healthcare administration.

Intelligent Scheduling

Scheduling as clinical intelligence, not calendar management

The Problem

Healthcare scheduling requires orchestrating 6+ complex dimensions simultaneously — inter-appointment dependencies, dynamic resources, physician preferences, clinical decisions, insurance, and protocol-driven cycles. Legacy schedulers are appointment books, not clinical tools.

The Solution

ManageCare's six interconnected AI engines solve scheduling as a multi-constraint optimization problem. Decision Support, Predictive Analytics, Slot Recommendation, Configuration, Intelligent Waitlist, and Smart Reminders work in concert.

Results

85% reduction in scheduling time

80%+ resource utilization (from 62%)

40% no-show reduction

60% self-scheduling rate

65% less manual work

$1.8M annual savings per location

How It Works

Learn
Automate
Scale

Intelligent Waitlist Resolution

Every open slot is revenue recovered

The Problem

Unfilled appointment slots represent the single largest source of lost revenue in healthcare. Cancellations, no-shows, and scheduling gaps leave chairs empty while patients wait weeks for availability. Manual phone trees are slow, and by the time staff reach a waitlisted patient, the slot is gone.

The Solution

ManageCare's AI continuously monitors your schedule for open slots and instantly matches them against waitlisted patients based on clinical compatibility, appointment chain requirements, insurance, and patient preferences. Outreach happens in seconds — not hours — via the patient's preferred channel.

Results

95%+ slot fill rate for cancellations

<30 seconds from cancellation to patient contact

Chain-aware matching (labs → consult → infusion)

Predictive no-show pre-filling before slots open

Priority-based queuing by clinical urgency

30%+ capacity recovered from unused slots

How It Works

Monitor
Match
Fill

Referral Management

Zero referrals lost. 3-minute processing.

The Problem

Referrals arrive via fax, email, EHR, and phone. Each requires manual data entry, insurance verification, specialist matching, and scheduling. Most practices lose 15-30% of referrals in the process.

The Solution

AI-powered OCR extraction, automatic patient matching against your master patient index, real-time insurance verification, and intelligent routing to the right specialist. Complete lifecycle tracking ensures zero leakage.

Results

3-minute referral to first contact

100% referral tracking and accountability

Zero referrals lost in process

Automated insurance verification

Intelligent specialist matching

Complete audit trail per referral

How It Works

Ingest
Verify
Route

Complex Care Management

AI makes 5 minutes of human review worth 25 minutes of manual work

The Problem

CCM and PCM programs require 20-30 minutes of documented human clinical staff time per patient per month. Without AI, a coordinator manages 15-20 patients. The math doesn't scale.

The Solution

AI conducts structured check-ins, scores symptoms, drafts care plans, and assembles billing packets. Clinical staff spends 5-10 minutes reviewing AI summaries. Same coordinator manages 60-80 patients. All CMS-compliant.

Results

4x coordinator throughput

$8,220/month per 100 patients (PCM)

Up to $523/patient/month stacked

100% CMS-compliant billing

Audit-ready by design

$3.14M annual revenue at 500 patients

How It Works

AI Check-in
Staff Review
Bill

Patient Engagement

24/7 conversational AI with full clinical context

The Problem

Patients call with questions. Staff spend hours on hold, callbacks, and message relay. Prep instructions are forgotten. Appointment changes create cascading confusion.

The Solution

Sandy AI — your practice's conversational intelligence — communicates via voice, SMS, and app. Sandy knows the entire patient journey: treatment history, medications, allergies, lab results, appointments, and physician orders.

Results

24/7 patient availability

<1 minute response time

100% context awareness

35% no-show reduction via smart reminders

Proactive prep instructions

Multi-channel communication (voice, SMS, app)

How It Works

Connect
Understand
Act

Value-Based Care

Unlock $500K+ in annual revenue already in your patient panel

The Problem

CMS now reimburses for between-visit care across 9 distinct programs. Most practices capture zero of this revenue because they lack the infrastructure to identify eligible patients, manage workflows, and assemble compliant billing.

The Solution

ManageCare identifies eligible patients, manages consent workflows, automates AI check-ins, routes staff reviews, and assembles audit-ready billing packets. 9 programs: PCM, CCM, RPM, BHI, RTM, PIN, CHI, APCM, TCM.

Results

$523/patient/month maximum stack

$627K/year at 100 patients

$3.14M/year at 500 patients

9 CMS programs automated

90-day revenue activation

Net positive ROI in 4 months

How It Works

Identify
Enroll
Revenue

Document Ingestion & Intelligence

Every document becomes actionable data in seconds

The Problem

Clinical documents arrive in every format — faxes, PDFs, scanned images, HL7 messages. Staff manually extract data, enter it into systems, and route to the right person. It's slow, error-prone, and expensive.

The Solution

AI processes multi-format documents in under a minute. Clinical NLP extracts diagnoses, medications, lab values, and procedures. Data routes automatically to the correct workflow — referral, scheduling, care management, or chart.

Results

99% extraction accuracy

<1 minute processing time

20+ document types supported

Automatic workflow routing

Duplicate detection and deduplication

Complete audit trail

How It Works

Ingest
Extract
Route

Pre-Appointment Intelligence

Physicians never start from a blank page

The Problem

Physicians see 25-30 patients/day. There is no systematic way to capture evidence, review symptom trends, or prepare documentation before the visit. Revenue is left on the table.

The Solution

AI agents monitor patients between visits — symptom check-ins, lab trends, PRO scores. Before each visit, AI generates a Pre-Visit Intelligence Brief with trends, flags, draft documentation, and billing recommendations (including Modifier -25).

Results

$60-$150 per captured Modifier -25 event

100+ opportunities per physician per month

Zero blank-page encounters

AI-drafted EMR documentation

Audit-ready evidence trail

2-week symptom trend visibility

How It Works

Monitor
Flag
Brief

Inter-Practice Coordination

Unified context across every provider and system

The Problem

Patients see multiple specialists, each with their own EMR. No one has the complete picture. When treatment changes in one system, others don't know.

The Solution

ManageCare's unified patient database aggregates data from 20+ EMR systems via HL7, FHIR, CCD/C-CDA, and X12 EDI. Master Patient Index maintains a single source of truth. When one workflow changes, every dependent workflow adapts.

Results

20+ EMR integrations

Single patient view across all systems

Real-time cross-system synchronization

Master Patient Index

Automatic workflow cascading

One patient, one platform, one truth

How It Works

Connect
Unify
Orchestrate

Survivorship Planning

Zero patients lost to follow-up

The Problem

After active treatment ends, patients transition to surveillance. Without systematic tracking, patients fall through the cracks. Missed follow-ups can mean missed recurrences.

The Solution

Automated surveillance scheduling per ASCO guidelines, long-term symptom monitoring, late-effect screening, and care gap identification. Every patient has a survivorship care plan with automated milestone tracking.

Results

Zero patients lost to follow-up

100% surveillance compliance

95% care gap closure rate

ASCO-guideline care plans

Automated screening reminders

Late-effect monitoring

How It Works

Plan
Track
Engage

SDOH & Community Health

Address the barriers that derail treatment

The Problem

Social determinants — transportation, food insecurity, housing, language barriers — cause missed appointments, treatment delays, and worse outcomes. Most practices don't systematically screen.

The Solution

AI screens every patient for SDOH barriers, connects them to community resources, coordinates transportation, and manages CHI (Community Health Integration) billing. $88/month per qualifying patient.

Results

$88/month CHI revenue per patient

100% patient SDOH screening

73% barrier resolution rate

Community resource matching

Transportation coordination

Language accommodation

How It Works

Screen
Connect
Resolve

See Which Solutions Fit Your Practice

Every practice is different. Let us show you exactly which workflows will benefit most from AI — and the ROI you can expect.

Book a Demo