Absolutely. All our clients are in the U.S., and we currently operate in New York, New Jersey, Florida, Texas, Illinois, Arkansas, and Puerto Rico. Our clients include physician practices, hospitals, and extensive primary care groups. We provide a full suite of services to help coordinate care and manage patients efficiently, mainly through automation that reduces manual work.
In Florida, for example, we work with Sanitas Health, one of the largest healthcare organizations in the U.S. and South America. Sanitas processes about 50,000 referrals a month across 27 primary care centers statewide. In Puerto Rico, we support MCS (Medical Card System), the second-largest payer, by managing their 24/7 nursing line to assist with symptom checks, triage, and care navigation.
We also support independent physician associations (IPAs), which are still essential despite consolidation in primary care. We help them with gap closure and risk management—key priorities for their success.
Beyond analytics, we’ve ventured into AI development with five models in collaboration with hospitals. These include:
- Malnutrition Detection: Often overlooked, especially during hospital stays. We use data beyond traditional bedside screenings to identify risks and prevent readmissions.
- Suicide Prevention: We monitor 36 data features using machine learning and natural language processing to assess suicide risk.
- Clinical Deterioration Detection: For emergency patients, we track lab results every few hours to detect deterioration and send alerts to clinicians.
- Fall Risk and Risk Scoring: In primary care, we review ICD codes, discharge notes, and documentation to catch coding gaps and missed complex cases. This practice gives a 360° patient view, especially for those treated across multiple centers, helping in risk-based contracts.
A major success story is with Sanitas. They faced inefficiencies in their referral process. Previously, it took at least 10–12 minutes per referral: post-visit, staff would manually request pre-authorization, contact the patient, and find a provider. We automated this entire flow. Now, we instantly receive visit data, generate the pre-authorization, identify the nearest in-network provider, and notify both the patient and specialist via mobile. Once the visit is complete, consultation notes are shared with Sanitas providers, ensuring seamless care. This closed-loop system improves efficiency and care continuity.