Select
Your inbox sorted and prioritised, with a daily digest and protected focus blocks. No custom routing.
See pricing →The administrative load is the part of the day nobody scheduled. We build and run an assistant that detects PHI and keeps it inside the compliant path, tracks referrals and prior authorisations to closure, and hands you back the hours the paperwork was taking.
Nobody went into practice to chase a payer for the third time about an authorisation that was approved in the first place. But somebody has to, and it is usually the person who can least afford the hour.
Referrals arrive and stall. Prior authorisations get denied on a technicality with an appeal window nobody is counting. Payer threads go quiet and stay quiet until someone notices. Credentialing turns up as an emergency because it was filed under admin instead of deadline.
And every one of those threads may carry protected health information, which rules out most of the tools that would otherwise help.
All of it is work that has to happen, on a schedule somebody else set.
This configuration exists before your first onboarding session. Discovery tunes it to your payers, your referral network and your people — it doesn't start from a blank page.
Protected health information is identified on arrival rather than after it has already moved through the stack.
Held inside the HIPAA-ready configuration, under documented retention, deletion and encryption rules per data type.
The referring practice is identified and recorded, and the enclosed records are matched to the referral.
Routed to scheduling with the source logged, so referral source performance is something you can actually report on.
Authorisation requests, approvals and denial notices are separated from general payer mail and read for dates.
Tracked with the appeal window flagged, routed to billing, and chased if it goes quiet.
Open threads with each payer are aged rather than forgotten once they drop below the fold.
Surfaced when a payer stops responding, with the aging reported in the format you manage by.
Renewal dates, CME requirements and credentialing paperwork are treated as hard deadlines, not admin.
Escalated well before it lapses, not on the week it expires.
Distinct handling rules for patient, payer, vendor and clinical correspondence, because they aren't the same problem.
Each category routed under its own rules, with only what genuinely needs you reaching you.
PHI detection and routing requires the Regulated Practice Layer — the compliant path is what makes the rest of this safe to run. On Custom Reserve the whole map becomes yours: your payers, your referral sources, your escalation thresholds, documented during discovery.
Chris Barbieri ran a national medical supply operation under HIPAA, and personally built the patient intake and records systems it ran on.
Not advised on them. Built them, inside a regulated operation, with his own money on the line if they went wrong. The intake tooling he built cut that team's workload by 30% and very nearly eliminated the errors that used to slip through.
Automation projects in healthcare don't fail because the technology doesn't work. They fail because someone built something that didn't match how the practice actually runs, or quietly broke a process that was working fine. That's the failure mode we design against first.
A BAA is executed before anything touches protected health information, and the configuration behind it is documented rather than asserted: retention, deletion and encryption rules written per data type, with audit logging behind them.
Every vendor in the chain is vetted for how it handles retention before it goes into the stack, and you get a written data flow map showing exactly where information travels and what is kept at each hop.
Available on Reserve and Custom ReserveThe system drafts. You approve. There is no mode where it decides on its own to answer a client, respond to a partner, or send anything at all on your behalf. We don't offer that, and we're not planning to.
The industry configuration described above is part of a Custom Reserve build. Select and Reserve run the same engine without the custom process work.
Your inbox sorted and prioritised, with a daily digest and protected focus blocks. No custom routing.
See pricing →Adds replies drafted in your voice, VIP routing, scheduling and meeting capture. The Regulated Practice Layer is available here as an add-on.
See pricing →The full industry configuration: custom escalation, routing, process flows and reporting, built from a documented map of your operation.
See pricing →A short worksheet for finding where referrals stall inside your practice — from the moment one arrives to the moment the referring physician hears back. It's the first thing we map during a healthcare discovery, and it's useful whether or not you ever work with us.
We'll look at how mail, referrals and follow-ups actually move through your practice right now, and tell you honestly whether this makes sense for you and which plan fits. If it doesn't make sense, we'll say so.