[HPMOR]

This seems really interesting. I'm curious how this compares to fully automated EHRs similar to what Modernizing Medicine has built for Dermatology practices. Also there's a startup called DayDental which does RCM, for dental practices. Additionally, are you planning on integrating with large EHRs like Epic/Cerner, or is this for smaller EHRs like SimplePractice?

[ansong99]

I appreciate the interest! We love the efforts at the federal level and by other tech companies to modernize healthcare. We see AI agents as the next step in this evolution—where nearly all back-office needs can be productized into AI, enabling Cenote to provide every clinic with a best-in-class back-office team.

To your latter question, we’ve spoken with many hospital networks using Epic that would benefit significantly from our software. However, integrating with larger EHRs is notoriously labor-intensive, so for now, we’re prioritizing more accessible clinics.

[trollbridge]

Large hospital systems with EPIC can often get near-instant insurance approvals. Interestingly, they’ve done this without using AI.

A few examples are Cleveland Clinic which has instant approvals for a wide variety of specialties with most of the insurances they’re panelled on. For another example, OhioHealth had both instant approvals and instant copayment/deductible estimates at the point of service back in… 2013 (at least with Medical Mutual).

Back office workers are skilled workers who often know how to do things like navigate an insurer who denies things they shouldn’t be denying. How is an automated system going to do that?

[jermaustin1]

Same with my doctor/hospital system as well. They use Epic. I will request an appointment, and I know within a minute of clicking accept that insurance has accepted the appointment, and how much I will owe.

Only once did I not get approved (for a sleep study), so I called the doctor's office, and they got me approved within a couple more minutes after pushing something else, and I got a new estimate in my portal and via text letting me know it was covered.

If the insurance kicked back that appointment and some AI was responsible for getting it approved on the doctor end (AI is definitely used on the insurance end), who do I call?

I'm all for AI helping you out, possibly extracting useful information from paper forms, but we haven't used paper forms in a LONG time.

I'm not a doctor, but my wife is a Licensed Marriage and Family Therapist, and she's tried at my insistence to use some of the AI software for her practice, and it all falls flat to the point she will not try anymore and has sworn off AI completely. She doesn't use Siri, her browser blocks the google AI results, and most of her research is in her medical books anyway.

AI is the future, but today is the present.