Boldr AI
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Healthcare operations AI consulting

Healthcare operations, sorted then automated.

Intake, prior authorization and the IVR: requests sorted and measured first, then automated with human approval.

Start a Value Discovery SprintSee how it works
100+
real calls typed before design
Human
approval on clinical decisions
Your
cloud account
Healthcare operations, sorted then automated.FaxPortalPDFCallSort byruleAuto-processedRouted with contextClinical reviewSort the work before you automate it

1The problem

Why referrals and prior authorizations move one by one

Referrals in every format.

Referrals arrive by fax, portal, PDF and phone, each laid out differently, so intake staff rekey every field by hand and patients wait for a first appointment.

An IVR that transfers twice.

The IVR cannot answer a coverage or appointment question, so it transfers callers to the front desk, then to billing, and each hand-off adds hold time.

Prior authorization one by one.

Each request is assembled by hand against that payer's rules, so simple, repeat cases queue behind complex ones and denials surface after the visit was scheduled.

2How it works

How Boldr AI sorts, measures and automates intake

  1. 1

    Sort

    Group by payer, service, documents.

  2. 2

    Measure

    Volume, denial rate, touch time.

  3. 3

    Automate

    Rules-based groups.

  4. 4

    Route

    The rest, with context.

3What you get

Where Boldr AI starts in healthcare operations

Process automation

We cut duplicate checks and re-keying out of intake first, then automate the referral and authorization groups whose rules are clear. Clinical decisions keep human approval.

Customer service agents

Agents answer the rules-based questions the IVR used to transfer and collect balances by risk and value. A tower traces each call to cause and cost.

Front office agents

A front office agent picks up patient calls 24/7 in English and Spanish, and staff start each morning with a logged summary of every call.

4Why Boldr AI

Why Boldr AI for healthcare operations leaders

  • Referrals are sorted before anything is automated.Boldr AI groups them by payer, service and documents.
  • Each group is measured first.Volume, denial rate and touch time decide which groups are worth automating.
  • Prior authorizations move in rules-based groups.Automation takes the groups with clear rules, and the rest reach staff with the context.
  • Callers get an answer on the first call.Customer service agents resolve the rules-based reasons the IVR used to transfer.
  • The front desk answers 24/7 in English and Spanish.A front office agent takes calls after hours and logs every one.
  • Results are reported in your systems.A baseline is measured with your people, and a control group runs wherever a pilot runs.

5Results

How Boldr AI will measure healthcare operations

Baseline firstMeasured with your people in the sprint.
Control groupWhere a pilot runs, a group that changes nothing.
Your numbersReported in your systems, not ours.

Next step

Scope your first intake sprint

Define the scope in minutes. We turn your answers into a focused Value Discovery Sprint.

Scope your sprint
in three questions.

Pick the capability. Your answers tell us where a Value Discovery Sprint would look first; a value consultant comes back with a proposed scope.

1What capability do you want to focus on?
2How much of the day goes to copying between systems?
3Do you know where your team's time actually goes?
4What happens to an exception?

Your readout

Your answers shape the scope.

A sprint would likely look first at:

  • Re-keying to remove
  • Capacity lost by half-hour
  • Exceptions without owner

A value consultant replies within one business day.

Questions

Is Boldr AI's healthcare work HIPAA compliant?

Yes. Boldr AI signs a business associate agreement and reviews compliance before any access to patient data. The specifics are confirmed in the sprint. Systems can run in your cloud account, with every agent action logged.

Does Boldr AI have a SOC 2 report?

Yes. Boldr AI holds a SOC 2 report and shares it under NDA during the sprint. Your compliance team can read it next to the business associate agreement before any access to patient data.