Patient Voice Agents
H

Hyro

Conversational AI agent platform for health systems and payers, covering the call center, website, text messaging and mobile apps. Agents handle appointment scheduling and management, provider and location search, prescription refill requests and status updates, frequently asked questions answered from sources the health system approves, MyChart password resets and IT help desk requests, handing complex calls to staff. Care Intelligence reports on the conversations, and Proactive Px runs outbound campaigns, including ACA and Medicaid coverage renewal outreach.

The architecture pairs a knowledge graph built from each customer's own data with smaller task-specific models and large language models from OpenAI, Gemini and others, with fallback between providers. Listed on Epic's Showroom, with integrations to Oracle, athenahealth, eClinicalWorks, Salesforce and the major contact center platforms, and since August 2026 a ServiceNow partnership for IT service desk tickets. Named customers include Tampa General Hospital, Intermountain Health, Baptist Health, Inova, Prisma Health and Hackensack Meridian Health; the company reports serving 2,500 hospitals, clinics and facilities.

Founded 2018 by Israel Krush and Rom Cohen and based in New York; $95 million raised, including a $45 million round in October 2025 led by Healthier Capital with Bon Secours Mercy Health, a customer, and ServiceNow Ventures participating.

AI Health Index verifiedSeptember 23, 2026
Compare Hyro with other vendors
Founded
2018
Headquarters
New York, New York
Website
www.hyro.ai
Categories
patient-facing-voice-agents, healthcare-admin-automation
Indexed Products
AI Agents, Call Center Automation, Care Intelligence, Proactive Px, Epic integration (Epic Showroom), ServiceNow Store app (IT service desk)
Buyer Segments
Large IDN, Academic Medical Center, Community Health System
Assessment

Capability Axes

An AI Health Index grade measures what a buyer can verify from public sources on the date shown. It is not a rating of how good the product is. A vendor can build an excellent system and grade low on an axis because it publishes nothing an outsider can check. How grades read

AI Capability
AA on AI CentralityThe artificial intelligence is the product. Remove the model and there is nothing left to sell.
Vendor Published

The AI agents are the product. Scheduling, prescription refill requests, provider search, frequently asked questions, password resets and IT help desk requests are each handled by conversational agents across the call center, website, text and mobile apps, and the Care Intelligence reporting layer is built from the records those conversations leave.

The chief technology officer's August 2026 account describes the stack: semantic parsing mapped against a knowledge graph built from each health system's own data since 2019, scheduling broken into seven smaller models with one job each, and large language models from OpenAI, Gemini and others used inside that design with fallback between them. With the models removed, what remains is a set of integrations and a reporting screen with nothing to report on.

BB on Autonomy and Oversight ModelThe oversight structure is described and one part is missing, commonly the threshold at which the system stops or what happens after it is wrong.
Vendor Published

The agents act on their own for scheduling, prescription refill requests, provider search, password resets and questions answered from sources the health system defines, and hand complex calls to staff. The oversight structure is described: the customer defines and restricts the knowledge sources an agent may draw on, each conversation can be unpacked to show which sources produced each response, and every conversation is recorded for review.

The missing part is the threshold at which an agent stops and transfers to a person, and what it does when a caller raises a clinical question. The responsible AI page says the design will 'eliminate' hallucinations and misleading responses by restricting data sources.

That claim concerns what the agent adds, and the per conversation source trace is the mechanism that lets a reviewer catch an addition; the company's own figures ('10x Less Hallucinations', a 96 percent accuracy rate) concede that errors remain, so it is no promise that the output is always right. The home page also promises to handle unlimited calls and messages at full capacity, which sets the scope an escalation rule has to cover.

BB on Model and Technology TransparencyThe approach or the suppliers are named without the version and update discipline behind them. Naming a supplier is the entry to this band both here and on Model Supply Chain Disclosure, which ask different questions of the same disclosure: who receives the data, and what produces the output.
Vendor Published

The approach and the suppliers are named; the version and update discipline is not. The company describes a knowledge graph built from each customer's website, provider directory and records, semantic parsing in use since 2019, and, for scheduling, seven focused models that each receive only the context their step needs, with foundation models from OpenAI, Gemini and others inside that design.

It also says its own models are trained on the ways real patients ask for care, drawn from interactions handled over several years. What a buyer cannot establish is which model version produced a given answer or when the system changed. The same account says a call switches foundation model provider when one times out, so the model behind an answer can change mid-conversation without notice.

BB on Model Supply Chain DisclosureSubstantial partial disclosure, or a chain that is structurally short: an in house build, a cleared model that cannot be quietly swapped, or a deployment where the transfer does not occur at all. Naming the model provider exits the band below into this one; the axis rises from here on the completeness of the party list and on the terms that govern data once it arrives.
Vendor Published

The model layer is named. The chief technology officer writes that the stack uses OpenAI, Gemini 'and others', with fallback between vendors so a call can move from one to another without the caller noticing. The contact center and platform partners in the call path are named on the integrations page: Cisco, Five9, Genesys, NICE and Twilio for telephony and messaging, plus Salesforce, ServiceNow and the record systems, though these are often the customer's own systems rather than the vendor's suppliers.

What is missing is the full list. 'And others' leaves the model providers open, the speech recognition and synthesis providers are not named, and there is no subprocessor list or statement of the retention and training terms that govern patient data once it reaches OpenAI or Gemini.

BB on Clinical and Operational EvidenceNamed deployments with dated outcome figures and enough method to test them, or published research short of independent validation.
Vendor Published

Named deployments carry outcome figures, each linked to a case study. Tampa General Hospital is tied to a 56 percent fall in daily call abandonment and a 58 percent fall in wait times; Prisma Health to more than $300,000 in annual savings and an 80 percent chat resolution rate in its first year; Overlake to 90 percent chat resolution; Inova to 338,000 automated calls, around 4,000 staff hours a month and an 8.8 times return; Baptist Health to close to $1 million in savings; and Weill Cornell Medicine to 47 percent more appointments booked online.

Intermountain Health and Hackensack Meridian Health are also named, and the company reports serving 2,500 hospitals, clinics and facilities, which is scale of use rather than evidence of benefit. The headline figures (an automation rate above 85 percent, 5.5 times return within six months, 35 percent lower operating costs) carry no source, method or denominator, and none of the results is independently evaluated.

BB on AI Safety and PHI StewardshipCategorical commitments are published, such as no training on customer data, without the retention schedule behind them.
Vendor Published

The training position is stated, and it runs toward use: the chief technology officer writes that the company's models are trained on the ways real patients ask for care, knowledge that lives in the interactions it has handled for years. The privacy policy adds that anonymized or de-identified information may be used and shared without restriction, for example to improve the services, and that an internal retention policy prevents perpetual retention, with no periods given.

By design the customer defines and restricts the knowledge sources an agent may use, and each foundation model step receives only the context it needs. Missing: whether conversations are de-identified before they train anything, what reaches OpenAI, Gemini and the other providers and whether they keep it, and retention windows for call audio and transcripts.

Regulatory and Compliance
CC on HIPAA and BAA PostureA status is stated but not supported: compliance is claimed, or business associate status stated, without the underlying document, including where the only privacy notice published covers the website rather than the service that handles patients. The mirror case grades here as well: a substantive privacy document that reaches the service, with no statement of business associate status anywhere and no scope position taken. One of the two elements the band above asks for is present, which is a grade below it and not a grade at the floor.
Vendor Published

HIPAA compliance is claimed across the company's material, and nothing behind the claim is published. The responsible AI page lists 'HIPAA-compliant sources of information', the site footer carries a HIPAA Secured seal, and the Epic Showroom listing and the August 2026 ServiceNow announcement both describe 'fully HIPAA-compliant' agents. None of it states business associate status or says a business associate agreement is offered.

The privacy policy reaches the platform and its end users, including patients who reach a health system through the agents, but says nothing about protected health information and places consents and legal compliance on the customer.

BB on Security Certifications and Trust CenterA recognized certification is named in the vendor own material without the artifact, or with a scope or renewal question the buyer has to raise. A recognized certification here is an audit of how the vendor operates security, such as SOC 2, HITRUST or ISO/IEC 27001. A certification has a scope and a clock, and both are part of this grade. A certification the vendor attaches to its data center, hosting facility or cloud provider, rather than presenting as its own, is the host's and does not count here.
Vendor Published

The company presents a SOC 2 attestation as its own: its responsible AI page states 'SOC II Compliant', and the site footer carries the AICPA SOC logo beside a HIPAA Secured seal from HIPAA Secure Now and a GDPR badge. The SOC logo is the generic AICPA mark, so the report type, its period and the scope it covers are not stated and are the buyer's first questions; a Type I report tests control design at a point in time, a Type II tests operation over a period.

The HIPAA seal is a compliance program vendor's mark, not an audit of how security is operated. There is no trust center, security page, penetration testing statement or subprocessor list on the site, and the privacy policy says the company cannot guarantee information will not be compromised. The responsible AI page's promise of 'air-tight locks on patient privacy and system security' is an assurance, not a control.

CC on FDA and Regulatory StatusNo device claim is made and the product is scoped accordingly. Most administrative and operational products sit here and are not penalized for it, because this axis grades the appropriateness of the positioning rather than possession of a clearance.
Vendor Published

No device claim is made, and the core work is administrative: scheduling, prescription refill requests and status updates, provider and location search, password resets and questions answered from sources the health system approves. The boundary questions sit at the edges. The integrations page pairs the agents with Infermedica's symptom checker to offer 'personalized health assessments'; the assessment in that pairing is Infermedica's own product.

Physician search promises to 'match patients to the right point of care', and the October 2025 funding announcement names clinical AI agents as a development area. No regulatory position is stated anywhere, and no page describes what an agent says when a caller describes symptoms or asks a medication question.

DD on AI Governance and Bias DisclosureNothing published on how model behavior is governed or tested. Multilingual operation with no subgroup performance sits here when the vendor markets recognition quality as a strength, because a caller the system failed to understand leaves no complaint and no record.
Vendor Published

Multilingual operation is sold as the answer for community health centers ('Expand access for your community with multilingual AI'), and nothing is published on how the agents perform by language, accent or caller group. A caller the system fails to understand leaves no complaint and no record, so that silence is the central gap.

What is published is policy and product design: a responsible AI page built on three pillars (explainability, control and compliance), the ability to trace each response to its sources, customer control over which sources the agents use, and three figures (a 96 percent accuracy rate, '10x Less Hallucinations' and '78% More Resolutions') with no method, baseline, sample or period. No governance body, evaluation process or AI management system certification is described.

CC on AI Liability and RecourseMechanisms exist that let someone challenge an output, such as audit trails, source traceability or review before commit, with nothing standing behind the output and no route for the harmed party.
Vendor Published

Mechanisms exist to challenge an output, and nothing stands behind it. Each conversation can be unpacked to show which knowledge sources produced a response, so a health system can trace a wrong answer to its cause and correct the source; every conversation is recorded, and the chief technology officer says the company can show a health system exactly what happened on a specific call.

No warranty, remedy or service credit attached to the output is described, and the published figures (a 96 percent accuracy rate and '10x Less Hallucinations') carry no method or denominator, so neither can be tested. A patient given a slot that does not exist, or whose refill request went nowhere, has no route against the vendor described anywhere on the site.

Integration and Deployment
AA on EHR and Interoperability DepthNamed bidirectional integrations with major record systems, verifiable in marketplace listings or integration documentation, with evidence the connection runs in production.
Vendor Published

The Epic integration is bidirectional and verifiable in Epic's own marketplace. Hyro is listed on Epic's Showroom, where the listing describes appointment scheduling and management, prescription refills, MyChart password resets and provider and location searches, and the home page describes using Epic's APIs for patient record identification, scheduling management and prescription support: reading the record and writing to it.

Named Epic customers are live, Tampa General Hospital among them. Beyond Epic, the integrations page names Oracle for real time patient data, athenahealth, eClinicalWorks, Kyruus Health for provider search and scheduling, Salesforce Health Cloud with a two-way sync, the Cisco, Five9, Genesys, NICE and Twilio contact center platforms, and, from August 2026, ServiceNow, where an app on the ServiceNow Store creates IT service desk tickets from voice requests. The integrations outside Epic are named without the same marketplace evidence.

CC on Deployment Model and Data ResidencyA single hosted option with location implied rather than committed.
Vendor Published

A hosted service that layers over the health system's existing phone, web and record systems; no customer-hosted option is described, and location is implied rather than committed. The privacy policy allows personal data to be transferred to the company's local or foreign subsidiaries and affiliates for storage or processing, and to service providers in other countries.

The chief technology officer describes failover across foundation model vendors and across regions ('if a region goes down, we route around it'), so processing can move between providers and locations during a call. No hosting provider, region, residency commitment or tenant isolation model is published.

Commercial
CC on Commercial TransparencyNo price is published and the posture is discoverable: a buyer can establish how the product is sold and what drives the cost before contacting the vendor. Most of the index sits here.
Vendor Published

No price, rate card or unit of charge is published, and the product is sold through a demo. What is public is the shape of the offer: the modules (AI agents, call center automation, Care Intelligence reporting and Proactive Px outbound campaigns), the skills sold within them (scheduling, prescription refill requests, provider search, frequently asked questions, IT help desk, site search and ACA and Medicaid coverage outreach), and the buyers they are packaged for: health systems, federally qualified health centers, children's hospitals and payers. A public return on investment calculator estimates time and cost savings, and the home page claims a 5.5 times return within six months, but neither shows what the product costs.

BB on Setting and Specialty CoverageCoverage is named with validation behind part of it.
Vendor Published

Its work is healthcare administration automation, centered on patient access in the health system call center and website: appointment scheduling and management, provider and location search, prescription refill requests, MyChart password resets and, since August 2026, IT service desk tickets created from voice requests through ServiceNow.

Coverage is organized by organization and channel rather than specialty: health systems, federally qualified health centers (sold on multilingual access), children's hospitals and payers (member and agent experience), across calls, websites, text and mobile apps, with an outbound line for ACA and Medicaid coverage renewal outreach.

Validation sits behind the health system part, with named deployments at Tampa General Hospital, Prisma Health, Inova, Baptist Health and others; the home page names no customer for the children's hospital, community health center or payer lines. No specialty-specific scheduling capability is described.

Tracked Since Listing

Product updates

Material product, regulatory, evidence and commercial changes at Hyro, each verified against a live source and tagged to the capability axis it bears on. Funding rounds and awards are not product changes and are not logged.

Aug 25, 2026Model / architecture

Hyro published a breakdown of the architecture behind its patient scheduling agent, disclosing that it orchestrates seven distinct smaller models rather than driving the workflow from one large language model. Individual models are dedicated to isolated jobs such as extracting date and time constraints from what the patient said, querying slot availability, and answering general questions. The design deliberately trades the flexibility of a single large prompt for narrower components whose failures are easier to localize.

Bears on: Model and Technology TransparencySource
Aug 5, 2026EHR / interoperability

Hyro has launched a new integration with ServiceNow to deliver voice and digital self-service capabilities for health systems. The integration connects Hyro's conversational AI agents with ServiceNow's workflow management to automate administrative tasks and patient interactions.

Bears on: EHR and Interoperability DepthSource
Our read on these updates →Tracked since Aug 2026
Alternatives

Alternatives to Hyro

Vendors in the same categories as Hyro whose graded profiles look most alike, with a line on what each product does.

Similar is not the same, so check that each one does the job you need. No vendor pays for placement.

AI voice agents for patient access and revenue cycle calls.

ActiumHealth is the healthcare patient communication product of Syllable, which acquired it in March 2024 and runs it as a division.

Artera, formerly WELL Health (a US company unrelated to Canada's WELL Health Technologies), sells a patient communication platform, Artera Harmony, with AI agents across voice, text, email and web.

Hello Patient (Patient Engagement Technologies, Inc.) sells AI agents, led by an assistant called Mia, that handle patient conversations by voice, text and web chat, inbound and outbound…

AI agent platform, sold across industries, with a long-standing healthcare line answering the main line and access center for health systems.

CareCloud stratusAI is the AI phone product of CareCloud, a New Jersey healthcare IT company that sells EHR, practice management and revenue cycle software and services to medical practices…

Ordered by how closely the graded profiles match across the fifteen axes, inside the same categories. See how each axis is graded in the methodology.

Comparisons

Compared With

Each comparison carries a written verdict, the buyer conditions that favor each vendor, and a graded side by side. Pairs that cross a category boundary are grouped separately, and their verdicts state where the boundary sits rather than manufacturing a head to head.

Head to head

Vendors the index assesses as direct competitors to Hyro for the same buyer.

Adjacent comparisons

Products a buyer researches alongside Hyro that do a different job: a different category, a different layer of the stack, or a specialist scope. These pages exist to settle whether the comparison is real before it settles which one to pick.

Commercial

Pricing

Vendor-published figures are labeled as such. Figures labeled “Estimated” are derived from third-party sources and have not been confirmed by the vendor.

Entry Price Pricing Basis BAA Tier Implementation Source
Contact the vendor
Not published; sold through a demo, packaged by module and by buyer type — — Vendor Published

No rate card, price or unit of charge is published. The product is sold through a demo, packaged by module (AI agents, call center automation, Care Intelligence, Proactive Px) and by buyer (health systems, federally qualified health centers, children's hospitals, payers). A public return on investment calculator estimates time and cost savings but does not show what the product costs. Ask for the unit of charge, implementation fees and how price scales with call volume.