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Case Studies

Real systems. Real receipts.

01
Case study Pain medicine · Multi-location

From 15 minutes to 15 seconds. Rebuilding patient intake for a pain medicine practice.

How we replaced a multi-system manual workflow with one invisible, HIPAA-grade pipeline. And gave the front desk their day back.

15 min → 30 sec
Per new patient intake
5,000+
Patient records unified
100%
Field changes audited
0
New tools for staff to learn
The problem

A multi-location pain medicine practice was bleeding hours every day to manual data entry. Front-desk staff retyped iPad intake forms into the EMR by hand.

Patient data lived in three systems that disagreed with each other. Appointment reminders were ad-hoc. Lab results sat in inboxes. And every workaround quietly added HIPAA risk.

What we built

An integration platform sitting underneath their existing tools. Invisible to staff, doing the work of three admins.

  • Zero-touch intake
    iPad form to patient record to EMR chart to insurance coverage, in under 30 seconds.
  • Smart duplicate detection
    Returning patients get updated, not duplicated. Every change logged.
  • Two-way EMR sync
    Changes in the chart flow back to the database in seconds.
  • Automated appointment reminders
    Eligibility-checked SMS and email, seven days a week, with strict no-double-send guarantees.
  • Lab and follow-up note capture
    67,000+ historical drug screens and 25,000+ provider notes migrated and structured.
  • Full audit trail
    Every field change, every patient, timestamped and sourced.
The result

The front desk got their day back. Leadership got a daily ops report. The practice got a real-time, queryable foundation for everything that comes next, without anyone changing how they work.

What it touched
  • EHR integration
  • Multi-system sync
  • HIPAA architecture
  • Audit trail
  • Data migration
  • Eligibility verification
See how this could work for your practice
02
Case study Urine drug screening · Clinical reasoning

Every drug screen, read and assessed before you open the PDF.

How we replaced 120 hours a month of manual confirmation review with an AI clinical assessment your staff can actually trust.

120 hr → 40 hr
Monthly review workload
Same-day
Turnaround on every result
100%
Results assessed
<1 month
Payback period
The problem

A urine drug screening clinic was drowning in PDFs. Every confirmation result required a clinician to open the report, pull up the patient's prescribed meds, cross-reference their intake notes, rule out expected positives, and write a clinical comment.

Five to ten minutes per result, hundreds of times a month. Meanwhile, external facilities were calling for answers on reports nobody had opened yet.

What we built

An AI pipeline that does the reading and the reasoning, then hands staff a finished assessment to verify.

  • Auto-ingests every new PDF
    The moment it lands. No queue, no manual upload.
  • Extracts the full result panel
    Analytes, metabolites, validity markers. Structured, queryable.
  • Pulls patient medication context
    Prescribed meds, MAT regimens, self-reported use, intake history.
  • Reasons clinically
    Rules out expected positives (oxycodone for an oxycodone Rx, norbuprenorphine on Suboxone). Flags true unexpected findings (non-prescribed benzos, fentanyl in MAT, validity failures).
  • Writes the comment for staff
    Plain-English, chart-ready, with reasoning visible. Clinicians verify or override in seconds.
  • Lives where they already work
    Results land in the existing tracking sheet. No new tool to learn.

The AI is a partner, not a decision-maker. Staff own the call. They just start from a finished draft instead of a blank page.

The result

Same-day assessments on every result. Eighty hours of clinical time reclaimed every month. Consistent reasoning every time. Built entirely inside a BAA-covered environment. No PHI ever leaves it.

What it touched
  • Clinical AI reasoning
  • Document ingestion
  • MAT-aware logic
  • Chart-ready output
  • BAA-covered LLM
  • Human-in-the-loop
See how this could work for your practice

What would yours look like?

20 minutes on a call. We'll map the highest-leverage automation for your clinic and tell you what the numbers would probably look like.

Let's talk