Patient Voice Agents

Intiveo is a patient engagement platform built specifically for dental and oral surgery practices, and it enters this index alongside Overjet, Pearl and DayDream, which cover dental imaging and revenue cycle. Where those three apply models to radiographs and claims, Intiveo works on the communication layer: two way messaging, recall reminders, appointment confirmations, waitlist management, referrals, chat, surveys, reputation management and integrated voice. The scale is real within its niche. More than 3,000 dental practices across North America, the platform used in 85 percent of dental schools in North America, and a customer base spanning solo practices, multi location groups and dental service organisations. Integrations include practice management systems, with an open source dental system named specifically, and voice built on a commercial cloud communications provider rather than in house. The artificial intelligence is very new and deliberately narrow. Veo, announced 25 June 2026, is described as a growing network of capabilities with two shipping at launch. Suggestions recommends chat templates matching a patient conversation during business hours, with staff free to send, customise or dismiss the suggestion. Responses lets a practice configure automatic replies to common inquiries outside business hours, covering new patient intake questions, office location and parking. Both are logistics and messaging rather than anything clinical, and the company frames the whole programme around control, transparency and configurability, with its chief executive explicitly acknowledging that practices are hesitant and are not looking for technology that removes the human element. The most interesting thing on this record is not the product. In July 2026 the company published a benchmark study drawn from communication and engagement data across more than 2,500 practices between March 2025 and February 2026, segmented by practice size, and the figures are specific enough to be useful to competitors as well as customers: confirmation rates steady at 77 percent industrywide with text driving about two thirds of confirmations, voice growing from 2 percent of channel mix in 2025 to more than 7 percent in 2026, referral conversion to completed treatment at 16.1 percent for solo practices against 23.7 percent for multi location and 25.5 percent for enterprise groups, and practices using the waitlist feature recovering an average of 2,773 appointments a month. Publishing operational benchmarks at that granularity, including numbers that make small practices look worse than large ones, is rare in this index. Founded and headquartered in Vancouver, British Columbia, led by chief executive and co founder Josh DeVries. The company states successful completion of a service organisation control type 2 audit. Two things a reader should weigh. Veo is two months old at the time of this assessment and neither capability has any published performance figure. And the platform's own benchmark report is drawn from its customer base, so it describes the behaviour of practices using this software rather than the market as a whole.

Kyruus Health is the incumbent in patient access and the only vendor in this part of the index that sells the same platform to both sides of the market. Where Loyal Health serves provider organisations and RadiantGraph serves payers, Kyruus does both, which is the direct result of an acquisition strategy rather than a product decision. The foundation is provider data rather than conversation. The platform maintains a single authoritative source of provider information across a network, ingesting, curating and cleansing records from multiple systems, then distributing that data outward to health system websites, scheduling systems, search engines, listings, record systems and payer directories. Everything else depends on it: a matching engine cannot route a patient to the right clinician if the underlying data on specialty, insurance, language, location and availability is wrong, and provider directory inaccuracy is both a chronic operational problem and a regulated one for health plans. The commercial products sit on top as named modules covering listings management, provider search, patient self scheduling with direct record system integration, and digital intake, payment and check in, alongside published application programming interfaces for search, availability and scheduling. The artificial intelligence claims are concentrated in three places and are more specific than most in this category. Data quality monitoring identifies inaccurate or outdated provider records across a directory. Patient to provider matching connects a person to an appropriate clinician on specialty, location, insurance, language and availability rather than on a keyword. And conversational search, launched for health plans, replaces filter and jargon driven directory navigation with natural language, with the company's own chief product officer framing complex filters and clinical jargon as the barrier being removed. Predictive access analytics identifying where access barriers exist across a network are also described. Scale is the strongest fact on the record and predates the current artificial intelligence positioning by years. Public statements have described 600 hospitals and more than a quarter of a million providers, 70 health systems and 100 health plan brands after the payer acquisition, and more than 80 million health plan members reached through the acquired payer business. Named health system customers include Intermountain Health. Record system integrations are named for Epic, Oracle Health, MEDITECH and athenahealth. Founded in 2010 in Boston by Graham Gardner and Julie Yoo, with roughly $196M raised across ten rounds from Highland Capital Partners, Venrock, Francisco Partners, Providence Ventures, Cambia Health Solutions, UPMC Enterprises and Salesforce Ventures. The company acquired HealthSparq from Cambia in 2021, opening the health plan business, and Epion Health in 2022, adding digital patient engagement and intake. Kyruus Health was itself acquired by RevSpring in September 2025, and the brand continues to trade under its own name, which is why it is enrolled. Two things a reader should weigh. The platform is now three companies joined together and nothing published describes how far the underlying technology has actually been unified, so a buyer should establish which module carries which heritage. And the artificial intelligence is real but sits on the data layer rather than in front of the patient, so this is a matching and directory business with models inside it rather than a conversational product.

RadiantGraph sits on the payer side of the engagement problem, which distinguishes it from every other record in this part of the index. Clearstep, Keona Health and Loyal Health all sell to providers and wait for a patient to arrive. This platform sells to health plans and health services organisations and goes outward, deciding which members to contact, about what, through which channel, and then placing the call itself. The architecture is two layers and both are model driven. The personalisation layer ingests member data from the customer's own infrastructure, with integrations to Amazon Web Services, Google Cloud, Snowflake and Databricks, and builds per person models that determine who to engage and how. The company stated it was processing personalisation models for more than 3.5 million people at its Series A. On top of that sits AI Voice Studio, launched in June 2025, which runs automated omnichannel outbound calling campaigns using conversational agents rather than recorded messages or live agents. Named use cases span pharmacy operations, Medicare and individual plan onboarding, preventative care outreach, benefit utilisation, chronic disease management, member education, adherence support and care navigation, with client programmes covering substance use, mental health, chronic conditions and musculoskeletal care. The evidence is the strongest thing on this record and it is unusual for a company this size. A study conducted with Oshi Health, a virtual first gastrointestinal specialty clinic, ran over seven weeks with nearly 8,800 members across three journey stages in the fourth quarter of 2025, and was published in a peer reviewed paper presented at the 2026 International Conference on Artificial Intelligence in Medicine in Ottawa, appearing in Lecture Notes in Artificial Intelligence with a citable identifier. Reported results include appointment completion up 3.4 times overall and 24.7 times among members who had created an account without scheduling, a 9 times increase in outbound call volume against human agents, roughly 75 hours of staff time saved per 1,000 contacts, and no safety incidents or escalations identified. Very few vendors in this index take a deployment to a peer reviewed venue at all. The security posture is equally unusual. The company states HITRUST certification alongside service organisation control type 2 and health privacy statute compliance. HITRUST is the most demanding of the three, it incorporates the others, and it is expensive enough that a company of roughly 21 employees holding it is a deliberate choice rather than a box ticked. Founded and launched in September 2023 in San Francisco by Anmol Madan, an MIT doctorate holder who previously co founded and led Ginger and served as chief data scientist at Livongo and Teladoc. Roughly $19.1M raised across a $5M seed and an $11M Series A led by M13 with True Ventures and XYZ Ventures, and an angel list drawn from the executive ranks of Transcarent, Livongo, LiveRamp and Harris Health. One thing a reader should weigh. The published study is a collaboration between the vendor and its own customer rather than independent work, and its headline figures are multiples without stated absolute baselines, so the effect direction is well evidenced and its magnitude is not independently checkable.

Loyal Health is enrolled under the acquired vendor test rather than in spite of it. Clarify Health completed its acquisition of Loyal Health Holdings on 4 June 2026, and the brand demonstrably survives: the acquirer's own announcement markets the Care Activation Platform under the Loyal name, loyalhealth.com continues to operate as a distinct commercial surface, and health system partnerships continue to be signed under the Loyal name. A brand still sold under its own name is admitted, and the acquisition is documented here so a buyer searching for Loyal finds out what happened to it. The company sits further toward marketing than anything else in this part of the index, and that is the honest framing rather than a criticism. Where Keona Health and Clearstep are built around clinical triage protocols, Loyal is built around getting a patient to choose a health system, find the right doctor and book. The platform covers provider data management across more than 80,000 provider and location profiles, intelligent care search, real time scheduling, online listings, reputation and reviews management, a healthcare customer relationship management layer, and conversational chat. The centre of gravity is patient acquisition and retention, and the clinical work the chat does is triage in service of routing rather than triage as the product. The conversational product has the longest history. Guide, launched as a hybrid live and artificial intelligence chat solution, was described at the time as backed by a custom built neural network, and joined the Epic App Orchard in 2018 to book appointments directly into underlying scheduling systems from inside a chat conversation. That is early for direct scheduling from chat and it remains the capability that distinguishes this from a website widget. During the pandemic the same chat carried a risk assessment tool used to direct patients toward telehealth or in person care, which is the closest this platform comes to acuity work. Scale is the strongest fact on the record and it is corroborated from the customer side. Every one of LifePoint Health's more than 80 hospitals uses the chat and live chat solution for scheduling and triage functions under a five year partnership, and Northwestern Medicine and UCLA Health have been named among more than 30 hospital systems. The acquirer states the platform powers millions of patient searches and real time scheduling transactions annually. Founded in 2015 in Atlanta by a team led by Chad Mallory, with Brian Gresh as president through the growth years. A $12.5M Series A led by Concord Health Partners closed in 2020, followed by a Series B. The company publishes a service organisation control type 2 compliance claim and a health privacy statute compliance statement on its own site, which is more than most records in this category offer. Two things a reader should weigh. The acquisition is recent enough that how much of this survives as a distinct product is genuinely unsettled, and the acquirer's framing points toward integration into a combined intelligence and activation platform rather than indefinite independence. And the artificial intelligence description has not visibly moved since the custom built neural network language of the late 2010s, so what runs the conversation today is not established by anything published.

Keona Health is the closest thing in this index to Clearstep's opposite number, and the two make a useful pair. Both route patients using the same family of licensed telephone triage protocols. Clearstep puts a patient in front of them directly. Keona puts a nurse or a call centre agent in front of them, and only recently began letting a model take the call instead. The company qualifies for this index on the newer half of that sentence, and the older half is what it actually sells. CareDesk, previously Health Desk, is a healthcare customer relationship management and patient access platform built for contact centre work: intelligent call routing, adaptive queues, scheduling, prescription refills, referral management, health information calls and care management, unified across phone, text, email, chat and web. Underneath the triage module sits Schmitt Thompson Clinical Content, licensed rather than written, covering more than 600 adult and paediatric topics, reviewed annually by a panel including triage nurses, call centre medical directors, primary care and emergency physicians, and used in the great majority of North American medical triage call centres. Practices can add their own protocols alongside it. The artificial intelligence arrived on top of that architecture. Kara is an assistant that handles repetitive calls autonomously around the clock and transfers to staff with full context when a situation needs a person. CareDesk Flo is the phone agent, described as using intent checks and fallback logic as guardrails, with uncertain cases handed to a human and edge cases flagged for nurse review. This is a 15 year old protocol engine with a voice layer on it, which is a different proposition from a model native product and should be understood as one. The safety design is the strongest part of the record. Escalation levels are defined and triggered by risk thresholds, running to on call physician contact, home care, urgent follow up or emergency referral. Protocols adapt to age, comorbidities, medications and a practice's own standard operating procedures. Every triage decision generates structured documentation aligned to the clinical reasoning pathway, explicitly to make the decision defensible afterwards, and supervisors get visibility into protocol adherence. Telephone triage doctrine including the duty to warn is built into the workflow rather than left to the nurse. A spin out of the University of North Carolina at Chapel Hill, still headquartered there, founded around 2010 and grown deliberately small at roughly 23 employees. It began on a $450,000 grant from the National Institutes of Health and has raised about $10.1M in total, with Riverside Acceleration Capital named as an investor. Founder accounts differ across sources: the university's own 2014 announcement credits Oakkar Oakkar, now chief executive, with professor Javed Mostafa, while company and database sources name Oakkar Oakkar with Stephen Dean, now chief operating officer. Integration is claimed in real time with Epic, Cerner, Allscripts, athenahealth and Greenway, writing encounter notes back to the chart, and the platform is hosted on Microsoft Azure. One thing a reader should weigh. The safety architecture is unusually well described and the performance claims around it are not verifiable, including a claim of independent audits showing better than 95 percent alignment with human decisions that names no auditor.

Clearstep sits upstream of the clinical inbox rather than inside it. Where Affineon, Droxi and Elaborate work the messages once they have arrived, Clearstep tries to stop a share of them arriving at all, by meeting the patient at the point of first symptom and routing them to a care setting before a call or a portal message is generated. The product is a conversational triage and navigation layer. A patient describes a symptom in free text, natural language processing interprets it, the system asks the clinically relevant follow up questions, determines acuity and urgency, and routes to an endpoint, with the company claiming completion in under five minutes and roughly ten fewer questions than competing tools. Around that sit intake, insurance verification, scheduling handoff, referral routing and care navigation, so the output is a booked appointment rather than a recommendation. A separate capacity optimisation suite covers predictive demand and load balancing. Deployment channels include a website widget, a patient portal embed, SMS follow up after visits, voice, and augmentation of an existing nurse or administrative call centre. The clinical logic is licensed rather than invented, and the company names its source, which is unusual. Triage content derives from the Schmitt protocols, the telephone triage standard authored by Dr Barton Schmitt and used in most nurse call centres in the United States, and Clearstep claims to be the only chat based self triage tool built on that content. That matters more than a technical credential would, because it means the acuity determination rests on protocols a nurse reviewer already knows, and the models supply the interface and the routing rather than the clinical judgement. The customer roster is the strongest signal on this record and is disproportionate to the company's size. Named organisations include Ochsner Health, Mount Sinai, Tufts Medicine, Novant Health, HCA, CVS Health, Duly Health and Care, and the Defense Health Agency. Ochsner has described the deployment in some operational detail through its own clinical leadership. Founded in 2018 in Chicago by Adeel Malik, previously an Accenture healthcare consultant, and Bilal Naved, an MD PhD trained at Northwestern. Funding totals are reported inconsistently across sources, at roughly $7M in one database and roughly $17.4M in another, and headcount is reported at 29. One thing a reader should hold in mind when comparing grades. Several axes here sit at the floor, and in every case that reflects an absence of published disclosure rather than a finding about the product. The company's public surface is a marketing site with a privacy policy and terms of use and no security page, trust centre, certification claim, pricing or model documentation. For a vendor whose software tells patients whether to go to an emergency department, that gap is itself the most consequential fact on the record.

Electronic Caregiver puts an animated character in an older adult's living room and asks it to do the work a care visit would. Addison Care is a three dimensional avatar running on a tablet, combining conversational speech with real time vitals capture from connected devices, medication management, cognitive engagement exercises, emergency response and escalation into the company's own telecare operation. The avatar is the deliberate design choice: the company spent years arguing that a face and a conversation drive adherence in a way a voice assistant or a portal does not. The underlying stack is described in unusual breadth, spanning augmented reality interfaces, conversational speech, machine learning, visual sensing, biomechanical analytics developed with a state university's health and aging laboratories, record system integration and the connected hardware itself. Large language model integration is explicit, with the platform stated to be integrated with OpenAI's ChatGPT, which is a base model disclosure almost no vendor in this index provides. The commercial position rests on reimbursement rather than on a licence fee. Addison Care launched in June 2025 shipping to Medicare patients under established remote patient monitoring and chronic care management codes, beginning with four clinical locations and a large Alaskan primary care group serving rural patients hours from emergency care. Other routes include a New Mexico developmental disability waiver programme for remote support technology, Medicaid, commercial cover and private pay, alongside national payer taxonomy approvals. More than 100 pilot deployments are claimed across multiple verticals, and a home care franchise partnership markets a hybrid model combining in person visits with continuous virtual care. The company is not only software. It operates a full telecare function with nursing and clinical support, round the clock emergency response, physician on demand, national device fulfilment and device lifecycle management. Its own chief executive frames that operational depth rather than the artificial intelligence as the real barrier to entry, which is an honest description of what the business is. Based in Las Cruces, New Mexico, previously trading as SameDay Security, led by founder Anthony Dohrmann. Roughly 42.5 million dollars was raised in a round with a warrant exercise, following 35 million dollars in private equity in 2019. Outcome figures circulate in partner directories, including a 47 percent readmission reduction and a 70 percent expansion of inpatient capacity through hospital at home, with no method, sample or site attached. No pricing, security attestation or trust centre was located.

Aiberry runs a bot administered interview and scores mental health from how a person answers it. A digital animated assistant called Botberry asks open questions, the person replies in their own words on camera, and an ensemble of machine learning models reads text, audio and video together to produce a depression risk score, symptom level insight across mood, concentration and energy, and a transcript of every response. The design intent is to replace the multiple choice self rating form, where a person picks the answer that best describes them, with something closer to a conversation. Two products are sold. Digital MindCare is anonymous and login free, aimed at schools, employers and community health organisations, and collects no account or identified health record. Smart MindCare, also presented as SmartAI MindCare, is the account based clinical product where personal and health information is collected and results land in a portal for a clinician. Four buyer settings are named: corrections, corporate wellness, behavioral health and recovery, and higher education. The evidence position rests on a single peer reviewed study, and it needs reading carefully. The paper appeared in the Journal of Affective Disorders in 2024, led from the University of Texas at Austin with the Georgetown University Medical Center and the University of Arizona, covering nearly 400 participants aged 18 to 74 who completed both a Botberry interview and a gold standard depression questionnaire. It reported performance comparable to the questionnaire and found no evidence of bias by gender, age or race. Press coverage presents this as an independent university validation. The paper's own declarations state that it was funded by Aiberry, that two authors are employed by Aiberry including the author credited with conceptualisation, methodology, formal analysis and supervision, and that a third is an Aiberry research coordinator. The disclosure is properly made in the journal. The framing built around it in press material is what diverges. A second currency problem sits beside it. The company research page still links a preprint rather than the published paper, so a reader following the vendor's own citation lands on the unreviewed version of work that has since cleared review. Based in Seattle and led by co chief executives Linda Chung and Johan Bjorklund with founding scientist Newton Howard. An 8 million dollar seed round led by Confluence Capital Group with Ascension AI participating was announced in March 2023. Named collaborators include Georgetown University, the University of Arizona and Advocate Aurora Health. Disclosure outside the clinical study is thin, and a buyer should expect to establish most of it privately. A dedicated pass located no security page, no external security attestation, no trust center, no named record system integration, no hosting or data residency statement, and no pricing of any kind. The company news feed has not been updated since 2023 and no funding round after the 2023 seed was located, so commercial trajectory cannot be established from public material in either direction.

Virtual care collaboration platform repositioned around agentic artificial intelligence, sold as ThinkAndor. Founded 2018 in Orlando, Florida. Microsoft's venture arm took an investment position in 2020 and the two work closely on the underlying model technology. The platform is organised around five pillars of virtual health: virtual visits, virtual hospital, virtual patient monitoring and care management, virtual team collaboration, and virtual community collaboration. In practice that spans device agnostic virtual rounding, virtual nursing and virtual sitting, remote specialty consults including tele stroke, tele psychiatry and tele intensive care, smart room deployments, digital front door agents and conversational patient interaction. The company describes generative capability for ambient sensing and conversational documentation, pulling patient and clinical context out of source systems into the virtual encounter and pushing recommended tasks back into the record. Third party validation is the strongest part of this record and is unusually well quantified. ThinkAndor was rated 2026 Best in KLAS for virtual care platforms in the non record system category, with a published score of 95.9 out of 100, which the company states is 15.7 points above the overall average and 15.1 points above the virtual care platform average. Black Book has rated it the highest scoring virtual care platform in the same category for three consecutive years, and Frost and Sullivan recognised it in 2025 for acute care virtual health. Two national group purchasing agreements are in place, with Vizient from February 2025 and Premier from February 2026. Scale is stated at more than 70,000 providers and more than 500 hospitals across the United States, Canada and the United Kingdom. Named deployments include Sentara Health across twelve hospitals from November 2025, Providence, and the National Institutes of Health Clinical Center. Published outcome claims are vendor stated and are not backed by any study located in this pass: ten to twelve minutes saved per visit, a 35 percent reduction in call abandonment, reduced call centre utilisation, and a 47 percent reduction in readmissions attributed to intelligent orchestration of patient care. The readmission figure in particular is a substantial clinical claim carrying no published evidence, and should be treated as marketing until a source is produced. One sourcing note. The clearest statement of the underlying model technology, that the Microsoft relationship optimises virtual interactions using that company's partnered large language models, appears on a third party health system marketplace listing rather than in the company's own material, and is recorded on that basis.

Vite Clinic is an artificial intelligence phone receptionist sold exclusively to clinics in Switzerland. It answers routine patient calls around the clock, books and changes appointments through the clinic practice management system, and transfers medical, urgent and sensitive calls to clinic staff under rules the clinic sets. It supports Switzerland's four national languages, Swiss German and a stated 40 plus languages in total, and reports answered calls, transfers and outcome mix through a dashboard. The clinic keeps its existing phone number and forwards calls to the service, and controls what share of forwarded traffic the assistant answers. The service is operated by Benjamin Crozat EI, a sole proprietorship registered in France (SIREN 750 497 570, Nice), hosted with Infomaniak in Switzerland, and it publishes a price of CHF 200 per 100 calls after onboarding. NO DEPLOYED CLINIC IS EVIDENCED. The vendor's own trust page, last reviewed 27 July 2026, describes launch checks that occur before patient calls begin and lists production controls that still require launch evidence, and no named clinic customer, deployment figure or completed practice management connector was located in public sources. Grades on evidence, integration depth, security and governance record that absence and are expected to move once deployments exist. The record was opened after the company submitted itself for consideration through the index contact form; it was screened on the same public methodology as any other candidate and no favourable treatment was applied.

Syllable answers the main line and the access centre for large health systems, across voice, text, chat and web. Its reference deployment is Houston Methodist, which put the system in front of every incoming call, answering and routing 100 percent of them before expanding into further use cases over time. The agents take scheduling calls in natural language and book, confirm, reschedule or cancel within the same conversation, writing directly into the source record or practice management system rather than leaving a task in a queue for someone to reconcile afterwards. Prebuilt connectors cover Epic, Oracle Health, MEDITECH and athenahealth, and the platform sits alongside existing contact centre telephony over standard telephony interconnect rather than replacing it, which matters for an enterprise that has already bought a contact centre platform. Scope extends past inbound scheduling into refills, frequently asked questions with context aware warm transfers, inbound and outbound referral scheduling, outstanding balance outreach, clinic level routing, and billing workflows including payment processing and automated balance verification through custom interfaces. Commercially it is the most legible product in this category. Independent 2026 comparisons report an enterprise rate of 3.60 dollars an hour and a trial tier at no cost, and describe the company's pricing page as documenting usage scenarios together with the third party pass through costs of speech recognition, speech synthesis and telephony, which those comparisons characterise as more transparent than its competitors. The same independent reviews note two cautions. Public buyer feedback is thin, so there is little peer review to draw on. And implementation effort is substantial, since escalation policy, routing logic and quality assurance have to be owned by the customer rather than delivered by the vendor.

mPulse reaches health plan members at very large scale and uses models to decide which members to reach. Based in Los Angeles, backed by PSG and previously trading as mPulse Mobile, it describes itself as a health experience and insights company and reports more than four billion consumer touchpoints a year across more than 450 healthcare organisations, including over 50 of the 60 largest health plans and 80 percent of top rated Medicare Advantage plans. It was named a Strong Performer in the Forrester Wave for customer experience platforms in healthcare in the first quarter of 2026, and reported year on year revenue and profitability growth in the same quarter. The platform combines two way conversational artificial intelligence and natural language processing with predictive analytics and omnichannel delivery across text, voice, web, portals and print. A member who texts asking for help finding a doctor receives a provider directory link without a person intervening, and campaigns can hand off to a live agent mid conversation. Real time integration with Epic scheduling supports appointment workflows. Much of the current shape came from acquisition. HealthTrio and Decision Point Healthcare Solutions were bought in December 2023, adding member portals and member experience analytics, and Clarity Software Solutions followed in August 2025, contributing cross channel communication and data from 150 million member communications. Use cases centre on the measures that determine health plan revenue: medication adherence for Star Ratings, preventive screening and quality measure gap closure, member acquisition and retention, and access to care. A published case study describes a Medicare Advantage plan using predictive analytics to identify both the members most likely to rate the plan poorly on the federal experience survey and the members most likely to respond positively to outreach, then targeting calls, mailers and issue resolution accordingly. It reports that members who received outreach disenrolled at 2.7 times a lower rate, that roughly 186 members were retained, worth more than 1.1 million dollars over three years, and a return of 776 percent by the third year.

Relatient runs patient access at scale: its Dash platform serves more than 50,000 providers and over 150 million appointments a year, and it won Best in KLAS in 2024 for patient self scheduling and engagement software. It is based in Atlanta. The platform combines online self scheduling, centralised call centre scheduling, automated messaging and a voice agent, all sitting on one rules engine that encodes each provider's scheduling preferences and constraints. Dash Voice AI answers calls, books, cancels, reschedules and confirms appointments with what the company describes as zero staff intervention, and posts updates back to the record or practice management system in real time. A caller can either complete the booking on the phone or be sent a secure text link to finish online. The design argument worth understanding is that the voice agent uses the same rules engine as the human schedulers. Its constraint comes from configuration rather than from model behaviour, so it cannot book something a human scheduler would not, which is a different kind of safety property from the confidence thresholds most voice vendors describe. In July 2026 the company extended the agent beyond scheduling into clinical request automation. It now captures a patient's clinical, medication or billing request during the call and creates an actionable task for the right care team inside existing workflow tools, replacing the cycle of listening to voicemail, transcribing and entering the task by hand. Integration spans the major record and practice management systems, including Epic, Oracle Health, athenahealth, NextGen, Veradigm and ModMed, through application interfaces and health data standards. The company states HITRUST, SOC 2 and HIPAA compliance with single sign on. Named customers include Raleigh Orthopaedic, Western New York Dermatology, and Complete Health, which is reported to generate more than 60,000 self scheduled appointments a month.

Phreesia is the incumbent of patient intake. Founded around 2005 by chief executive Chaim Indig, listed on the New York Stock Exchange since 2019 and employing roughly 1,550 people, it reported 4,514 client organisations and more than 180 million patient visits enabled in 2025, both figures disclosed in securities filings rather than in marketing. The platform spans check in, appointment readiness, clinical and administrative data capture, consent, eligibility verification, time of service collection and patient payment, extended by the acquisition of the patient financing business AccessOne. It holds what independent analysis describes as the broadest record system connector library in its category, including an Epic listing, and publishes an unusually complete compliance position: HITRUST r2, SOC 2 Type 2 and PCI DSS Level 1. Artificial intelligence arrived recently and the company is candid that it is not the centre of the business. Phreesia VoiceAI, launched in September 2025, answers the practice telephone: refill requests with medication and pharmacy captured, balance enquiries and payments, medical records requests routed to the right team or release of information partner, clinical questions captured and triaged, and referral handling. Separately the company describes applying artificial intelligence internally to reduce reliance on manual and outsourced work, which it presents to investors as a source of margin expansion. Its chief executive has said publicly that artificial intelligence is a tool rather than the story. The third revenue line is the one a reader should understand. Network Solutions uses what the company calls the engagement window during intake to deliver messaging funded by life sciences companies, government bodies and advocacy organisations directly to patients. In March 2026 Phreesia reported its first year of positive net income and simultaneously cut fiscal 2027 revenue guidance to between 510 and 520 million dollars, citing reduced visibility into pharmaceutical spending; the shares fell sharply and securities class actions were filed in Delaware in May 2026 concerning that guidance. That is investor litigation about disclosure, not about the product.

Fabric sells what it calls a care enablement system: conversational intake, triage, routing and treatment across virtual and in person care, sold to health systems, health plans and employers. It was founded in 2021 as Florence by Aniq Rahman, is based in New York, and rebranded to Fabric in 2024. The company is a roll up and that is the most important thing to understand about it. Five acquisitions in under three years assembled the product: Zipnosis, an asynchronous virtual care platform bought from Bright Health in April 2023; GYANT, a conversational artificial intelligence and patient engagement company bought all cash in January 2024, whose co founder Stefan Behrens became chief strategy officer; MeMD, bought from Walmart, which added payer and employer distribution; and TeamHealth Virtual Care, which added a 50 state clinical network of actual clinicians. Anyone searching for Zipnosis, GYANT or MeMD as separate companies is looking at brands that now sit inside this one. The product is organised as three suites covering in person care, virtual care and engagement, with a layer the company calls Hybrid AI that pairs conversational models with physician authored clinical logic and customisable decision trees. It raised a 60 million dollar Series A in February 2024 led by General Catalyst with Thrive Capital, GV, Salesforce Ventures, Vast Ventures, BoxGroup and Atento Capital, taking total funding past 80 million dollars. Named customers include OSF HealthCare, MUSC Health, Luminis Health and Intermountain, and the company stated coverage of more than 100 million lives as of September 2024. Published operational claims include clinicians working two to ten times faster depending on setting and a 15 percent reduction in call centre volume, and the acquired asynchronous product was described as automating 99 percent of administrative work with low acuity conditions treated in 89 seconds.

Medsender is a New York based healthcare workflow automation company whose product reads the documents and phone calls arriving at a medical practice and files what it finds into the electronic health record. It began in 2014 as a HIPAA compliant digital fax service and the automation layer came later, which is still visible in the product shape: fax transport, document editing, electronic signature and storage sit underneath, and the artificial intelligence is sold on top of them in named tiers. The platform has four parts. Fax automation reads each inbound fax, titles it, categorises it, tags it and uploads it to the correct patient chart, with new chart creation where none exists. Referral management classifies and routes inbound referrals into a dedicated workflow before a coordinator touches them, and reports status back to the referring provider. The AI Medical Assistant, branded MAIRA, answers inbound patient calls, schedules appointments, handles routine questions and produces recordings, transcripts and call summaries. A developer fax interface exposes the same extraction to other health technology companies through typed software development kits, webhooks and sandbox access. Integration is the strongest published surface for a company of this size. Named ambulatory electronic health record connections include athenahealth, eClinicalWorks, ModMed, NextGen, Practice Fusion and Ezderm, and an integration guide is published. The company raised a 5 million dollar Series A led by Ballast Point Ventures, announced January 2025, and is led by co chief executives Zain Qayyum, who founded it, and Salman Haque. Sources disagree on the founding year: company registries record 2014 while the founder dates it to 2015 in interviews. Extraction accuracy is claimed at 99 percent, but the figure appears as a customer testimonial in marketing copy rather than as a measured result, with no test set, denominator, document mix or independent validation. No model is named or described anywhere in public material.

Luma Health, founded in 2015 in San Francisco by Adnan Iqbal, Aditya Bansod and Tashfeen Ekram, sells what it now calls an operational artificial intelligence platform for health system patient access. The company states it works with more than 550 health systems, hospitals and clinic networks, has served more than 30 million patients, and integrates with more than 80 record and practice management systems. It raised 160 million dollars through a 130 million dollar Series C led by FTV Capital in November 2021, with Texas Medical Center and DocuSign Ventures among strategic investors. No later round was located. The artificial intelligence core is Spark, announced in 2024 and described as multi model and zero retention, and the company names the providers behind it, including models from OpenAI, Anthropic and Deepgram, fine tuned for healthcare. The patient facing voice product is Navigator, an agentic concierge that answers inbound calls in multiple languages, verifies a caller's identity, lists and confirms appointments, cancels directly in the record system and handles prescription refill requests. Its engineering lead describes the design plainly as several cooperating agents, each a model with a prompt and a set of tools, one verifying identity, another listing appointments, another cancelling. Alongside Navigator sit Fax Transform for inbound document processing, LumaPay for point of service payments, eligibility checking, self scheduling, waitlists and, from August 2026, Patient Pipeline, which converts advertising spend into booked appointments for organisations running Epic. The company reported deployment of artificial intelligence workflows at more than 50 health systems and more than 2 million hours of staff time saved during 2025, and says a 2026 release will extend the conversational agent to proactive outbound follow up driven by record data, visit notes and prescriptions. Integration is built in house rather than bought, spanning Oracle Health, Epic, eClinicalWorks, MEDITECH, athenahealth, NextGen and Greenway Health, with inaugural membership of the MEDITECH alliance programme and validated integration status with Oracle. Chief product and technology officer Marcelo Oliveira. Research and development centres in the United States, Brazil and Europe.

Parlance Corporation, founded in 1996 and based in Woburn, Massachusetts, sells conversational voice artificial intelligence for the health system telephone: the switchboard, the patient access contact centre and the clinic front desk. Its speech lineage runs back to research at BBN Technologies, now part of Raytheon. The company states it serves more than 400 health system brands across the United States, Canada and the United Kingdom, has answered more than 1.9 billion patient calls, and sustains a rate above six calls per second. Named customers include HCA Healthcare, running it across more than 75 hospitals with over 70 percent of calls handled automatically, UW Medicine at close to 4 million calls a year, and Virtua Health, which doubled annual call volume from 200,000 to 400,000 without adding contact centre staff. Providence Health, NYU Langone Health, Banner Health, Baptist Health, Keck Medicine of USC, Arkansas Children's, Tufts Medical Center, UC San Diego Health and Hendrick Health are also named. Callers speak naturally instead of navigating a menu. The system routes across departments and locations, answers common questions, books and manages appointments against live schedules, reports prescription and referral status, and hands complex calls to a human agent with context already populated on the desktop. Patient room directory routing runs on HL7 feeds. The July 2026 Parlance 12 release added semantic routing, which passes an unresolved caller intent to a large language model rather than dropping the caller straight to an operator, alongside improved first pass recognition and a modernised synthesised voice. Delivery is a fully managed service: the vendor hosts, monitors, tunes and updates the platform while the health system sets scheduling guidelines and escalation rules. Parlance was acquired by Volaris Group in 2024 and is a wholly owned subsidiary of Constellation Software, a Toronto listed acquirer operating a stated buy and hold strategy across more than 1,100 software businesses. Chief executive Scott D'Entremont.

Weave, based in Lehi, Utah and listed on the New York Stock Exchange under the ticker WEAV, sells a patient communications, engagement and payments platform to small and medium healthcare practices, serving roughly 40,000 customer locations concentrated in dental and optometry with medical, veterinary and multi location enterprise practices alongside. The original business combined a practice telephone system with texting, digital forms, payment collection and review management, and the artificial intelligence has arrived on top of that distribution position rather than underneath it. In May 2026 the company launched an omnichannel AI Receptionist built with Google Cloud's Gemini Enterprise Agent Platform, which handles patient interactions across voice and text, preserves context so a patient starting on the phone and continuing by message never repeats themselves, routes conversations, and transitions to staff inside one workflow. A July 2026 release expanded that receptionist, added automated digital insurance capture and introduced stronger authentication for enterprise customers, with the company's own operating lead stating that larger customers are asking for more visibility into how the artificial intelligence performs. Authorised integrations with practice management systems drive scheduling, insurance eligibility verification and payment collection. Notably for this index, Weave names the model platform underneath its agent, which most vendors in this segment do not.

TeleVox is a long established healthcare patient engagement and communication business that built its reputation on automated telephone appointment reminders and now sells an omnichannel platform covering text, voice, email and physical mail. Its Enterprise Edition positions itself as unifying the channels that otherwise reach a patient separately from the call centre, the record system and the customer relationship system. The artificial intelligence sits in a named product layer rather than across the whole platform: Engage, described as powered by conversational artificial intelligence, handles inbound and outbound patient communication with conversational responses, self service appointment management, bill pay and prescription refills, and hands off to live chat when the conversation exceeds it. The ownership history is worth reading carefully. TeleVox Software was acquired by West Corporation in March 2007 in a deal valued at around 128 million dollars. West was renamed Intrado, then taken private by Apollo Global Management in October 2017 at an enterprise value of roughly 5.2 billion dollars, and later became West Technology Group. In February 2024 that owner appointed banks to explore a sale of TeleVox specifically. No completed sale was located, and current material from a sibling brand indicates TeleVox remains inside West Technology Group: Mosaicx states that its president leads WestCX, a unified platform overseeing the Mosaicx and TeleVox brands, with that executive joining in 2025. So TeleVox appears to have been retained and grouped with a sibling conversational artificial intelligence product rather than divested, though no announcement confirming the outcome of the 2024 process was found.

Switchboard, MD is an Atlanta company founded in 2022 that triages, routes and resolves the high volume patient communication arriving at a healthcare organisation across the portal inbox, live calls, voicemail, fax, text, email and web forms. It began with a specific problem its founder had personally: Dr Blake Anderson, a practising internal medicine physician at Emory Healthcare and previously chief health informatics officer at the Atlanta Veterans Affairs facility, applied a computer science background to build a language model that triages patient messages inside the medical record and routes each one to the correct inbox, removing roughly 40 percent of the messages that had been reaching clinicians. Those results at Emory were published in the New England Journal of Medicine artificial intelligence journal in 2025, which is the only peer reviewed publication located for any vendor across two contact centre source lists. The platform now adds conversational voice handling, multi agent orchestration, autonomous scheduling for high volume visit types, appointment reminders, wayfinding, and referral capture that classifies an inbound referral, creates or updates the patient record, routes it to a provider and drives booking. Models summarise, classify, prioritise, flag clinical urgency and assess caller sentiment. It is deployable on premise or in the cloud, states that the customer's data remains the customer's, and describes the platform as HIPAA compliant and certified to SOC 2 Type 2. It joined the athenahealth marketplace as a solution partner in July 2026. Named customers include Kirby Medical Center, a critical access hospital in Illinois, and Georgia Vision Institute.

ActiumHealth is the healthcare branded patient communication product of Syllable, a Mountain View company that purchased it in March 2024 and now runs it as a division. The name has outlasted both an ownership change and a product change, which is the first thing a buyer should understand about it. It began in 2017 as SymphonyRM under founder Michael Linnert, a patient relationship intelligence product built on the argument that record system data was underused for identifying who needed outreach, and raised roughly 36.5 million dollars across a 10 million dollar Series A in 2019 and a 25 million dollar Series B in May 2021 led by TT Capital Partners with Adams Street. Under Syllable the product described is generative communication automation rather than predictive outreach intelligence, and the company reports more than 70 million calls handled with roughly 70 percent resolved without a person, across inbound and outbound voice, text message, chat and email, in several languages including Spanish and Mandarin. Houston Methodist is named publicly as a reference with a stated staffing capacity gain. Agents identify a caller, find the right provider or department, check availability and confirm appointments, take prescription refill requests into the clinical workflow, and escalate out of scope requests to a human operator with the full conversation context attached so the patient does not repeat themselves. Escalation routing changes by time of day, with urgent clinical questions going to the on call provider after hours while scheduling and refill requests queue for the next business day. A quality monitoring layer launched in October 2025 analyses the calls the agents themselves handle and flags problematic interactions for intervention. Integration with the dominant electronic health record vendor is published as a named product surface. The wider position is worth watching: through 2026 the parent has repositioned as a general purpose agentic voice platform with published gateway services for language models, speech recognition and speech synthesis, a self service sign up and a public showcase spanning home services, mortgage, retail commerce and automotive alongside healthcare. Chief operating officer Carter Dunn. John Voigt was appointed executive vice president for growth and strategy in September 2025.

Flexbone builds artificial intelligence agents for the back office of outpatient healthcare, deliberately aimed at the organisations large vendors skip. Its strategic argument is stated plainly: the great majority of outpatient facilities do not run Epic or Cerner, the best funded competitors have built for Epic, and the rest of the market is left to systems nobody integrates with. Flexbone's answer is multi modal agents rather than interfaces. Voice agents answer and place calls for scheduling, triage, post operative follow up and payer follow up, navigating payer phone menus and holding on the line. Browser agents log into practice systems and payer portals the way a member of staff does, verifying eligibility across more than 25 portals and submitting prior authorisations where no interface exists. Document agents ingest denial letters, classify the cause against the encounter and republish corrected claims to clearinghouses. Voice Room, the product named on this list, plugs into an existing telephone system and analyses every call rather than the small sample manual quality review reaches, producing sentiment, compliance monitoring and automated scoring. Named system targets include Tebra and an ambulatory surgery centre platform. The company publishes entry pricing, begins engagements with a no cost operational audit, and embeds forward deployed engineers during implementation.

Attuned Intelligence, based in Orlando under co founder and chief executive Domenic Donato, emerged from stealth in October 2025 with 13 million dollars in seed funding led by Radical Ventures and Threshold Ventures. It answers the main telephone line of a hospital or health system with voice artificial intelligence, and states that it resolves up to 70 percent of interactions without a person. The distinguishing claim is architectural rather than functional: every call is described as running on a stack of several specialised agents working together, some parsing what the caller means and others enforcing safety policy and escalation rules, with operations leaders given real time visibility into how each decision was made. Deployment is published as a staged path, forwarding the main line and going live within days, then setting escalation rules, then integrating with the record system over subsequent weeks for scheduling, messaging and records access. The reference deployment is Lowell Community Health Center, a safety net provider serving 40,000 patients a year, live in ten days and now answering every call to its main line around the clock across multiple languages, covering everything from emergencies and medication questions to billing and records. Another health system is described as taking nearly 50,000 calls a week. The company states it is onboarding multiple hospitals per week.

Attune, based in Chicago and publicly launched in January 2026 under chief executive Matt Coughlin, sells Agentic Voice, an autonomous voice system that holds telephone conversations with patients and health plan members on the organisation's behalf. Rather than following a fixed script, the agent is described as pursuing a goal across multiple steps: identifying a gap in a care plan, placing an outbound call, checking a live schedule, booking an appointment and confirming it, without a person in the loop. It reads and writes through interfaces and webhooks, escalates to staff with the full conversational context attached, retries on failure, and reports sentiment rather than only call metrics. It also navigates phone trees and holds on the line, which extends its use to calls the organisation makes outward as well as inward. The case the company puts forward is a health plan that used the agent to work through its entire Medicare member population completing health risk assessments. Note for readers of this list: despite appearing on a source list of agent assistants, this product does not assist a human agent, it replaces one, which is why it sits with the patient facing voice agents. The company is roughly six months into public operation and much of what this index grades is not yet published.

Infermedica, founded in Poland and operating globally, builds clinical triage that guides a patient from an undifferentiated symptom to the right level of care. Its Medical Guidance Platform runs a dynamic question and answer flow over a physician curated knowledge base covering roughly a thousand symptoms and conditions, with a probabilistic inference engine that computes likely causes and urgency and chooses which question to ask next, and a continuous validation process testing the engine against clinical vignettes. Machine learning is used in controlled feedback loops to refine the model against real clinical outcomes rather than as the primary reasoning mechanism, a characterisation that appears both in the company's own material and in the integration documentation of a major cloud partner. Modules cover patient self triage, pre visit intake, and a nurse triage assistant, delivered through modular interfaces that embed into websites, applications, portals and call centres in 24 languages. The regulatory position is the strongest in its segment: the platform is certified as a Class IIb medical device under the European medical device regulation and registered with the United Kingdom regulator, alongside ISO 13485:2016 for medical device quality management, ISO 27001:2022 for information security, and a SOC 2 Type 2 report. It states deployments with ministries of health and national health systems across more than 30 countries.

Infinitus points voice artificial intelligence in the opposite direction from most of this index. Its agents do not answer patients calling a clinic. They call insurers and pharmacy benefit managers on a provider's behalf, navigate the automated menus, wait through the hold queues and hold a conversation with the representative who eventually answers. It is the specific administrative bottleneck almost no other vendor attacks directly. The work is the traffic standing between a prescription and a patient receiving it: verifying medical and pharmacy benefits, checking whether a treatment requires prior authorisation and whether one is on file, following up on appeals and formulary exceptions, checking claim status, retrieving explanation of benefit documents, and periodically reverifying eligibility for bridge programmes. Structured results are written back to the provider system rather than left in a call log. Two modes are offered: agents complete calls end to end, and a copilot called FastTrack initiates the call and hands a human staff member a live representative, skipping the menu system and the hold. Anything ambiguous routes to a human reviewer before finalisation. The distinguishing asset is a knowledge graph of payer specific behaviour assembled from millions of prior calls, so the agent knows which questions to ask each individual insurer rather than following a generic script. That is what makes automated payer calls tractable at all, given every payer runs a different phone tree and asks for different information. The company further states the graph lets an agent recognise when a representative gives incorrect information and push back in the conversation, correcting the error in real time. Founded in 2019 in San Francisco by Ankit Jain, chief executive and previously at Google, and Shyam Rajagopalan. Funding is reported inconsistently across sources and both accounts are recorded rather than reconciled: one gives roughly $103M across three rounds from investors including Andreessen Horowitz, ARCH Venture Partners, Atlas Venture, GV, Pfizer Venture Investments, RA Capital, SR One and Bill Gates, while another cites GV and Kleiner Perkins with a $51.5M Series C in October 2024. Scale is stated at more than 100 million minutes of healthcare conversation, over five million conversations and support for more than 125,000 providers, with the company claiming to power payer facing conversations for 44 percent of the Fortune 50. Reported performance includes calls completed faster than manual work with up to 10 percent greater data accuracy and a typical 50 percent return. The company states HIPAA and service organisation control attestations. The platform broadened considerably through 2025 and 2026: a Salesforce partnership announced in June 2025 allowing agents to be invoked from Health Cloud, Life Sciences Cloud and Agentforce, an agentic suite for health plan member services in February 2026, Infinitus Studio, a healthcare specific no code agent builder, in April 2026, and Lens, a conversation review engine covering both agent led and human led interactions, in May 2026, alongside a healthcare focused model context protocol server for agent interoperability. Positioned deliberately as a phone automation and agent layer inside the access stack rather than as an electronic prior authorisation network, a hub administrator or a case management platform.

Patient access platform embedding AI agents and unified patient context into healthcare contact centers, integrating bidirectionally with EHR and CCaaS systems so agents see live patient data and outcomes write back to the record. Covers scheduling, billing, referrals, nurse triage, pharmacy refill, transfer center, and operator console workflows, with AI agents handling inbound and outbound interactions alongside human staff. Founded 2005 and healthcare focused throughout, with a proprietary framework that extracts EHR decision logic as the platform's foundation.

Conversational AI platform whose agents handle inbound and outbound patient communication across voice, text, and web chat: answering calls, booking appointments, running new patient intake, answering insurance questions, taking refill requests, following up after visits, and handling recall and billing outreach. Built for multi location medical groups and outpatient specialty practices, integrating with EHR, practice management, and CRM systems. HIPAA compliant and SOC 2 Type 2 certified.

Physician supervised virtual care company delivering asynchronous care through chat and voice messaging. Medical AI gathers context and provides initial evidence based guidance, and a board certified physician from an in house medical group licensed across all fifty states joins the conversation when diagnosis, prescription, or referral is required. Behind the interface sits a purpose built clinician cockpit and a self developed EMR designed for asynchronous care. Sold to payers, employers, and health systems as a front door to care.

Japanese health technology company whose AI symptom checker generates a personalized report on possible causes from a roughly three minute adaptive questionnaire. The algorithm is built on a stated corpus of more than 50,000 peer reviewed publications, supervised by a panel of over 50 physicians, and refined through feedback from a reported 1,700 healthcare provider organizations. Distinct from most consumer symptom checkers in publishing a preprint accuracy study rather than asserting accuracy.

AI patient billing and revenue cycle platform focused on the patient responsibility portion of provider revenue, which the company notes has risen from roughly 5 percent of provider revenue in 2010 to about 20 percent today and is projected toward 30 percent by decade end. Billie is the AI billing agent, engaging patients across chat, text, email, and voice to answer billing questions, explain what is owed, and take payment, with the company stating it handles the majority of cases and staff step in for exceptions. The platform covers intelligent statements, personalized outreach, payment plans, card on file, autopay, and refunds, plus an eligibility and benefits agent. Positioning is deliberately complementary rather than displacing: the company frames the EHR as the system of record and itself as the system of action on top of it. Integrated with more than 20 leading EHRs via API or FHIR, with a bidirectional Epic integration listed in Connection Hub on the Epic Showroom as of July 2026. Reported footprint is more than 3,000 healthcare facilities with over $1 billion in patient payments processed. Customer reported results include collections increases in the 75 to 300 percent range and average days to collect as low as 12.6. Holds HIPAA, SOC 2 Type 2, PCI DSS, and HITRUST i1 compliance. Backed by Sapphire Ventures and Y Combinator; CEO and co-founder Levon Brutyan.

Voice AI care management for health plans and at risk providers, originating in vocal biomarker research for detecting depression and anxiety and now productized as Sage, an AI care manager. The distinguishing technical claim is the Empathy Engine, patented vocal biomarker technology trained on millions of live clinical patient calls, which reads emotional state from voice in real time rather than only transcribing words, and adapts tone and approach accordingly. Sage conducts inbound and outbound member calls covering health risk assessments, post discharge follow up, risk profiling, care gap closure, program enrollment, medication reminders, and triage, and is positioned explicitly as added staffing capacity rather than a chatbot, reserving clinicians for complex high touch interventions. Integrations include Salesforce Health Cloud and, through an April 2026 partnership with HealthEdge, the Care Solutions suite drawing on GuidingCare member data and returning outcomes to the platform. Company reported figures, which it acknowledges are not independently audited, include roughly 60 percent reduction in administrative tasks, 6x faster program enrollment, and 4x return on investment. Named customers per the company website include UnitedHealth Group, Aetna, Duke Health, and Highmark. Founded 2017 by CEO Mainul Mondal; approximately $75 million raised including a $45 million round in June 2025 co-led by Salesforce, Khosla Ventures, and CVS Health Ventures.

Health benefits navigation and care platform for self insured employers and health plans, indexed for its AI navigation layer with the surrounding care services as context. WayFinding is a generative AI experience launched in 2024 and scaled through 2025, combining benefits navigation, clinical guidance, and care access in one interface, delivering tailored recommendations from a member's own history so a member can determine what is covered, what it will cost, and where to go. Agentic capabilities were added in January 2026. The company completed a $621 million merger with Accolade in April 2025, taking the formerly NASDAQ listed company private and combining WayFinding and the Cancer Care, Surgery Care, Weight Health, and pharmacy benefit experiences with Accolade's health advocacy, expert medical opinion, virtual primary care, and its True Health Actions platform, which draws on employer data, health plan data, and electronic health records for targeted guidance. The combined organization reports serving more than 20 million members across more than 1,700 employer and health plan clients. Buyers should be clear that this is a hybrid: a substantial share of what is delivered is human advocacy, virtual clinical care, and second opinion services rather than AI. A $126 million Series D in May 2024 was raised specifically to build AI capability. Led by Glen Tullman.

Indexed for the AI capabilities inside the Doctolib platform rather than for the platform itself, which is context under this index's product scoping rule, and the first non US vendor treated this way. Doctolib is the dominant digital health infrastructure provider across France, Germany, and Italy, spanning appointment booking, practice management, and clinical records. Its ambient documentation capability, the Consultation Assistant, is built on technology from the June 2024 acquisition of Typeless, an EPFL and Idiap Research Institute spin off specializing in AI speech recognition, and uses large language models to convert spoken doctor patient dialogue into structured medical text including clinical notes and doctor letters. In November 2025 the company launched an all in one practice management product incorporating three AI assistants, including a telephone assistant that answers calls around the clock, categorizes inquiries, and transfers appointment bookings directly into the Doctolib system; the company reports practices can save up to ten hours per week on administrative tasks. That product launched for general practitioners, pediatricians, and gynecologists with additional specialties planned. The strategic significance is distribution: ambient documentation delivered inside the appointment and record workflow a practice already uses, which is a different competitive position from standalone scribes such as Nabla or Abridge. Note that European regulators treat ambient scribes as software as a medical device, with the UK MHRA classifying them accordingly, so regulatory posture differs from the US market.

Patient financial experience platform for hospitals, health systems, and physician groups, covering the part of revenue cycle the patient actually experiences: the bill. Cedar Intelligence is the AI decision engine personalizing billing journeys across channels, and Kora is the voice agent, launched April 2025 and developed with Twilio, trained on the company's proprietary billing data rather than a general model. Kora resolves common billing inquiries on first contact, explaining charges, identifying payment options, and connecting patients to financial assistance, with sentiment and tone detection, multiple language support including Spanish, and escalation to a live agent with full context when human judgment is required. One year in, the company reports Kora has handled nearly 400,000 patient calls across ten provider organizations spanning Epic and Cerner health systems, physician staffing groups, and large specialty groups, with Gastro Health alone accounting for more than 60,000 calls since September 2025. Kora Outbound extends the agent to proactive engagement of harder to reach patients. The company reports its platform data foundation exceeds one billion patient interactions. Its own published research is unusually pointed for a vendor: 40 percent of collectible dollars on its platform now come from uninsured patients, up 54 percent in three years, and it argues that billing experiences designed for financially stable patients are failing those under the greatest strain.

Healthcare data and agentic artificial intelligence platform, described by the company as an agentic cloud for healthcare, built in three stages: data connectivity integrating major electronic health record systems with payer claims, pharmacy, laboratory, remote monitoring and social determinants sources; applications on top of that data; and autonomous agents on top of those. Gravity is the underlying data and intelligence platform, described as continuously trained on real world healthcare data including claims denials and edge cases, which the company argues gives each new agent institutional context at launch. Sara is the assistant line spanning insights, care management and clinical documentation through Sara Scribe. Named agent products now include Provider Copilot with pre visit summary and ambient scribing, an agentic access centre, and Flow Auth for prior authorisation automation. The product estate has widened considerably through five acquisitions. Humbi AI added actuarial intelligence, Cured added a healthcare native customer relationship platform, Pharmacy Quality Solutions added pharmacy quality, Story Health arrived in September 2025 bringing continuous specialty care delivered by live health coaches working alongside agents with remote biometric monitoring, and CaduceusHealth was acquired in May 2026, a revenue cycle management services provider whose United States based team serves nearly 4,000 providers and manages five billion dollars in gross patient charges annually. That last acquisition extended the Flow suite into full stack revenue cycle operations for ambulatory care. On the payer side, Galaxy is the risk adjustment and analytics platform, joined by a Galaxy utilisation management product for health plans. Independent validation is the strongest in this index and is current. In the 2026 Best in KLAS awards the company took the top score in three categories: Gravity at 93.2 for data analytics platform for providers against a market average of 83.9, Galaxy at 90.5 for data analytics platform for payers against an average of 87.2, and Cured at 90.1 for customer relationship management platforms, its third consecutive win in that category. Scores derive from validated interviews with customers rather than vendor submissions. Infrastructure partnerships are named rather than implied, spanning a multi year strategic collaboration with Amazon Web Services, validated partner status with Databricks, and a partnership with Snowflake. A joint centre of excellence with a services firm and an alliance in the United Arab Emirates announced in April 2026 extend delivery capacity and international reach. Customers include Kaiser Permanente, Ascension and Trinity Health, with six of the top 10 United States health systems reported, alongside Carina Health Network covering more than 1.5 million Coloradans, a five year engagement with Community Care of North Carolina, and a virtual heart failure programme with Allina Health Minneapolis Heart Institute. Founded 2014, headquartered in San Francisco, 675 million dollars raised including a 275 million dollar Series F, with Kaiser Permanente and Banner Health among investors while also being customers. Two things a reader should weigh. The Centers for Medicare and Medicaid Services accepted the company's application under Story Health Partners for the Advancing Chronic Care with Effective, Scalable Solutions model, positioning it to participate at the programme's July 2026 launch across both cardio kidney metabolic tracks. Taken together with a revenue cycle services acquisition and a coaching based care model, the company is moving from selling software to health systems toward operating care and delivering services with people. That is the shape this index screens out when it constitutes the whole business, and it does not here, because the platform remains licensable on its own terms. It is a direction worth watching rather than a finding. And no pricing of any kind was located.

Conversational AI agent platform built for healthcare since inception rather than adapted to it, spanning call centers, websites, SMS, and mobile apps. The architecture is deliberately hybrid: large language models combined with a proprietary conversational engine, small language models tuned for healthcare, and knowledge graphs purpose built for the domain, which the company positions as more controllable than a general model alone. Agents integrate through API into EHRs and CRMs to complete tasks autonomously, including registration, routing, scheduling, and prescription refills, with contextual transfer to a live human when needed, and all interactions captured in a Patient Intelligence Dashboard. The company reports resolving up to 85 percent of routine patient interactions, deployment across more than 45 to 50 US health systems, and over 30 million patients engaging with its agents. Named clients include Intermountain Health, Baptist Health, Hackensack Meridian Health, and Bon Secours Mercy Health, which also invested. Founded 2018 by Israel Krush and Rom Cohen as a Cornell Tech spinout with offices in New York and Tel Aviv; $95 million raised in total including a $45 million round in October 2025 led by Healthier Capital with ServiceNow Ventures participating. Named to Fierce Healthcare's Fierce 15 for 2026.

AI agent platform for healthcare operations, spanning patient access, revenue cycle, and care operations rather than a single workflow. Agents automate patient intake and registration, appointment scheduling, insurance eligibility verification, prior authorization, denial management, patient payment estimates, referral processing, and post visit follow up, each running a defined workflow end to end. Flow Builder is a no code interface that lets an organization's own IT and non technical staff build, train, and deploy agents, which places it alongside Bunkerhill and XCaliber as a build your own platform rather than a fixed product set. Integration is unusually pragmatic and is the stated differentiator: the company uses whichever method reaches the field, including APIs, RPA, and HL7, reading and writing structured and unstructured data across Epic, Oracle Health, MEDITECH, athenahealth, and payer portals. Named health system deployments include Intermountain, Trinity Health, and MUSC. Published customer results include a health system reaching 64 percent voice containment with roughly $360,000 annual savings, and an insurance FAQ voice assistant answering all inbound calls at a stated $4 saving per call. Backed by Greylock and ICONIQ Growth.

Hub of conversational AI agents for hospitals, operating across three orchestrated layers: triggers, where agents identify clinical gaps and risks from health assessments, prescriptions, and diagnostic findings; navigation, where agents qualify patients and guide care journeys; and revenue, where pending care is converted into booked services. Patients calling or messaging reach conversational AI with no menu and no IVR, and the agent accesses the real schedule to resolve the request end to end. After a visit an agent reads the medical record, identifies prescribed exams and consultations that were never booked, and proactively offers scheduling over WhatsApp, recapturing care that would otherwise be lost to follow up. Other agents confirm appointments with preparation guidance to reduce no shows. WhatsApp as the primary channel reflects the market: the company serves hospitals in Brazil and Mexico and is scaling across Latin America, which makes it one of the few vendors in this index built for a non US care and communication context. Stated customers include Dasa, the largest diagnostics network in Latin America, and Rede D'Or, the largest private hospital chain in Brazil, alongside a public health system deployment in Sao Paulo, with reach stated at more than five million lives. Founded by physician Joao Vitor Innecco, who has said the company was prompted by his grandmother's late breast cancer diagnosis. Raised a R$8 million pre seed round led by Afya with angel participation from figures associated with Sirio Libanes and Amil, and is supported by the Mayo Clinic accelerator and NVIDIA Inception while preparing a United States expansion.

AI native operating system for behavioral health clinics, combining a set of named AI workers with an integrated EHR, CRM, and revenue cycle management in one platform. Sarah, the admissions coordinator, answers inbound calls, texts, and faxes around the clock and verifies insurance in real time, with more than 100,000 patients booked reported. Emma, the clinical assistant, generates ICD-10 and CPT coded session notes within about 30 seconds and is reported to have supported more than 3 million patient sessions. Eric handles coding, claim scrubbing, submission, and denial management. Laura manages between visit engagement. The fully integrated platform launched April 2026, partners with athenahealth through the athenaOne Marketplace, and reports clinics booking 30 percent more patients with clinicians saving more than two hours daily, across hundreds of mid to large behavioral health clinics. Behavioral health operations are a distinct problem from general practice, and the specialization is the point. Backed by Y Combinator, Precursor Ventures, Pioneer Fund, Rebel Fund, and Expansion Venture Capital.

Patient communications platform with AI virtual agents across voice, text, and web, formerly WELL Health. Not to be confused with ArteraAI, a separate prostate cancer AI company at artera.ai. The Harmony platform coordinates agentic AI across the patient journey with staff able to take over at any point and full conversation history retained, covering self scheduling, intake, forms, referrals, and billing questions. Flows Agents apply natural language understanding to automate multi step patient conversations, and AI Co-Pilots assist staff with translation, message shortening, and conversation summaries. The company reports more than 1,000 provider organizations including specialty groups, federally qualified health centers, large IDNs, and federal agencies, roughly 2 billion communications annually across 109 languages, and engagement with 100 million patients a year. Artera Government Solutions serves the Department of Veterans Affairs, Department of Defense, and Indian Health Service sites. In May 2026 the company introduced an AI services model pairing the platform with its own build teams. Raised a $65 million growth round in December 2025.

AI voice agents for patient access and revenue cycle telephony. The distinguishing capability is direction: alongside patient facing calls for scheduling, intake, and billing questions, the agents call payers directly, navigating IVR trees, waiting on hold, and speaking with representatives to obtain benefits and prior authorization details when electronic eligibility transactions return incomplete data, then writing structured results back to the EHR or practice management system. Every call is automatically reviewed by AI for accuracy and compliance rather than by manual audit. The vendor reports reaching more than 150,000 healthcare providers and cites roughly three week implementation. Founded 2023; raised a $30 million Series A led by Andreessen Horowitz in 2026, following a $5 million seed.

Conversational AI for healthcare operations, indexed here for the HealthAI product line: voice, text, email, and chat agents that handle patient scheduling, reminders, refills, billing questions, and intake, booking directly into the EHR and handing off to staff when needed. The vendor reports 95 percent of patient inquiries handled without human intervention, support for more than 50 languages, and HIPAA and SOC 2 Type II compliance. The company's property management business is out of scope for this index.

Safety focused patient facing voice agents for non diagnostic clinical work: post discharge follow up, medication adherence, preoperative instructions, chronic care check ins, and screening outreach, conducted by voice and text in more than 20 languages. Built on the Polaris constellation architecture, in which specialist support agents for privacy, checklists, and medication safety back the primary conversation agent and can end a non compliant conversation. Agents are barred from diagnosis and prescribing, escalate to humans when clinical judgment is required, and pass a certification pipeline that includes simulated call testing by thousands of nurses and physicians. More than 300 prebuilt agents across 25 specialties; the company reports over 115 million clinical patient interactions and 50 plus health system, payer, and pharma partners.

Specialty specific AI voice agents for the patient journey: scheduling, intake, triage and routing, referrals, medication refills, document processing, and payments, writing directly to the EHR in real time across more than 20 systems including native Epic and athenahealth integration. The platform is marketed as Assort OS, built on the Synapse proprietary model and trained on a reported 62,000 care protocols and 1.6 million decision pathways across more than 22 specialties. Patient interaction volume is vendor reported and varies across the company's own materials, cited as 180 million on its Crunchbase profile and 190 million elsewhere; trade coverage in October 2025 cited 42 million, so the figure is growing and should be read as directional. Agents include configurable stop logic that triggers a warm handoff when identity cannot be confirmed, required details are missing, or a patient signals clinical urgency.