Most AI consulting is a workshop, a slide deck and an invoice. This is closer to plumbing. We find the leaks, fix the biggest ones for a fixed price, then stay on to keep them fixed.
Why anyone needs us at all
Your vendors own the boxes. We work the seams.
Phone system
Calls, voicemail and texts
seam
Practice software
The calendar and the chart
seam
Insurance
Eligibility, claims and denials
seam
Billing
Balances, payments and unpaid invoices
Each vendor owns one box and stops at its edge. Your practice management company will make scheduling smarter. Nobody is going to make your phone system talk to your billing company, because no vendor owns both. At every seam above, a person carries the information across by hand.
We work the seams
The three phases
Audit, build, stay.
01
We audit
Two weeks watching how the work really moves. You get a written plan with dollar figures on it, and you keep it whether or not you hire us.
02
We build
Fixed price, three to six weeks. It connects to the software you already run. Staff are trained during the build, not on go-live day.
03
We stay
We watch it, fix what drifts, add one new thing each quarter. Cancel any month on thirty days' notice.
Phase one, in detail
What two weeks actually looks like
Days 1–2
We watch
Two hours with you, then two more with whoever really runs the front desk. They know where every workaround is, and almost nobody thinks to ask them.
Days 3–5
We test it ourselves
We phone your office like a customer would. We fill in your forms. We time how long things take, and note every place somebody retypes information a computer already had.
Days 6–9
We price it
Each leak gets a dollar figure against it: hours at your real loaded cost, plus revenue nobody is collecting. Then a build cost and a payback period beside each one.
Days 10–14
We hand it over and walk you through it
A written plan, ranked, with the privacy and data-handling answers included. An hour on a call going through it. Then it is yours to do whatever you like with.
$2,500 · Two weeks, start to finish
You keep the plan either way
There is no lock-in and no exclusivity. Take the plan to your existing IT company, a freelancer, or your own software vendor. We hand over every file and answer their questions. Either the audit is worth its price on its own or it is not worth selling.
Two hours with you, two more with whoever runs the front desk
We phone your office like a patient and write down what happened
Every place someone retypes what a computer already had
A ranked list of fixes, with a dollar figure on each
Phase two
What we build
Almost everything we ship is one of these three, adapted to whatever systems you run. If your problem is genuinely something else, the audit says so and we quote it separately.
from $9,800
Front Desk
Nobody has to answer the phone anymore.
Picks up every call and text at any hour. Books, reschedules, cancels, and handles the twenty questions your staff field all day. Hands over the moment a call needs a person.
Answers every call, including after hours and during the lunch rush
Books and reschedules straight into your practice management system
Answers insurance, hours, location, pricing and prep questions
Texts back missed calls within seconds
Puts anything urgent or clinical straight through to a person
Sends you a daily transcript of everything it said
Live in 3–4 weeks
from $14,500
Intake & Records
The paperwork fills itself in.
What a patient writes on a form arrives in the chart with nobody retyping it. Insurance checked before they walk in. A one-page summary on the provider's screen that morning.
Digital intake forms that land in the chart, not in a PDF pile
Insurance eligibility checked and flagged before the visit
Referral letters, scans and faxes read and filed automatically
A one-page pre-visit summary for the provider
Flags missing information while there's still time to fix it
Live in 4–6 weeks
from $16,500
Revenue & Recall
The money you have already earned, collected.
Accepted treatment nobody booked. Patients who stopped coming. Denials nobody appealed. This works all three lists every week, politely, at a fixed monthly cost.
Works your unscheduled treatment list every week
Reactivates patients who haven't been in for 12+ months
Triages claim denials and drafts the appeal
Chases outstanding balances in a tone you have approved
Reports what it recovered, in dollars, every month
Live in 4–6 weeks
Phase three
The Care Plan
$1,200 – $3,800per month
How it stays useful. We watch it, tune it when it drifts, retrain it when your hours or providers change, and build something new each quarter.
Month to month, on thirty days' notice. If it stops earning its keep you should cancel, and I would rather you did that than quietly resent the invoice every month.
We read what it says and watch what it does
Monthly report: what it handled, what it escalated, what it recovered
Unlimited tuning as your hours, providers and services change
Your staff can text us, and a person answers
One new automation built every quarter, included
Annual privacy and access review
Boundaries
What we don't do
Worth reading before you book anything. Half of choosing a firm is finding out what they will refuse to do.
We don't sell you software
We do not resell anything and we take no vendor commissions. If an off-the-shelf tool solves your problem for $80 a month, the audit names that tool and you keep the rest of your money. It happens more often than you would expect.
We don't sell hours
Retainers reward taking longer. Every price on this site is fixed and agreed before anything starts, so we are paid to finish rather than to linger.
We don't do strategy decks
What you get at the end of the audit is a working plan with prices attached, not forty slides about the future of artificial intelligence. Hand it to any competent developer and they can build from it.
We don't touch clinical judgement
Everything we build sits on the administrative side. Scheduling, intake, verification, paperwork, billing follow-up and communication. Anything clinical goes to a licensed person, and that line is written into the scope of every engagement.
The questions everyone asks
Is this HIPAA compliant?
It has to be, or we don't build it. We sign a BAA before anything starts. Patient information only ever passes through systems covered by one, so nothing gets pasted into a consumer chatbot. Every build comes with a one-page data map: what information goes where, who can see it, how long it is kept. If a vendor will not sign a BAA, we do not use that vendor.
My software company says they already have AI. Why do I need you?
Sometimes you genuinely don't, and the audit will say so. It is the cheapest outcome available to you and you should hear it from us. Software vendors build for their average customer and their features work inside their own product. Your expensive problem usually sits in the gap between four different systems. A gap starts where one vendor stops, so no vendor owns it.
What happens when it says something wrong to a patient?
It is built so that it cannot. You write and approve the script before go-live, and it only says things you have signed off. Anything clinical, urgent or unfamiliar goes to a person within seconds. You get a transcript of every conversation. If you dislike a sentence we change it the same day.
My staff is going to hate this.
They hate it when it lands on them without warning. We bring the front desk in during the build, not on go-live day, and we start with the tasks they already complain about: the retyping, the hold queue, the same five questions forty times a week. What usually happens is the front desk ends up defending it, because the boring half of the job disappears and the half they actually like gets easier.
Are you going to replace my people?
No, and I would be wary of anyone selling you that. What happens in practice is your existing team stops doing work a computer should have been doing, and the next hire never becomes necessary. It shows up as a hire you did not make. Your payroll this quarter looks the same, and you should know that going in.
We're not a dental or medical practice.
That is fine. Healthcare is where we go deepest, because the paperwork is heaviest and the rules are strictest there. The same work applies to law firms, property managers, home services and clinics of every kind. Same audit, same fixed prices.
What if we hate it?
The audit is refundable if it cannot find three times its cost in recoverable time and revenue. Builds are fixed price, so you know the number before anything starts. Support is month to month on thirty days' notice. There is no long contract anywhere in this.
How long until we see anything?
Two weeks to the plan. Another three to six to get the first thing running properly. Front Desk is usually answering calls within a month of signing, because it does not need access to clinical records before it starts earning.
Two weeks from now you could have the plan.
The audit is $2,500. Refundable if it cannot pay for itself three times over, and the fee comes off anything you go on to build.