We help make timely appropriate care happen

Reduce administrative burden and improve member experience with one intelligent AI access platform.

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Description

One Agent. Many Skills. Real Access.

PatientGenie completes real coordination tasks on behalf of your contact centers, nurses, care teams, and members — across voice, text, inbound, and outbound channels.

Built for health plans

Custom Workflows. Plan Guardrails. Effortless Scale.

  • Frictionless Member Experience

    Meet members where they are with seamless voice and text continuity.

  • Lower Call Center Dependency

    Automate scheduling, outreach, and follow-up so staff can focus on high-value interactions.

  • Automated Plan Compliance

    Automatically close care gaps, assign PCPs, and boost Star Ratings — no manual work required.

  • Network-Aware Navigation

    Route members only to in-network, authorized providers, reducing out-of-network costs.

  • Real-Time Actionable Insights

    Dashboards provide instant visibility into member engagement and program performance.

  • Rapid, Low-Lift Deployment

    Simple to launch and designed to fit into existing systems without disrupting workflows.

An AI Access Platform
Built for Accuracy and Scale

A member‑centric AI platform that streamlines access, cuts administrative burden, and connects plans, providers, and members in one seamless experience.

Unified, Member-Centric AI Agent

Meet Gennie, our intelligent AI agent designed to be truly member-centric. Context-aware and persistent, she remembers every interaction, so each call is additive — not a net-new conversation. With many specialized skills, Gennie automates scheduling, provider matching, outreach, and follow-up, reducing manual workload while delivering seamless, personalized access.

Omnichannel Orchestration

Engage members across voice, text, inbound, and outbound channels in a single, seamless experience. Members can start in one channel and finish in another without losing context.

Workflow Engine

Plan-custom rulesets, escalation logic, and compliance safeguards built in. From care gap outreach to PCP assignments, the platform automates complex workflows so your teams can focus on high-value interactions.

Data Intelligence

Secure pipelines that process member history, plan policies, and provider network characteristics. This ensures every action is accurate, auditable, and aligned with both plan compliance and member needs.

Actionable Dashboards

Real-time visibility into outcomes, agent performance, and campaign metrics. Turn access workflows into measurable impact and give your teams the data they need to optimize operations.

HIPAA-Ready Security

Enterprise-grade protection with audit-ready compliance. Every interaction is encrypted, logged, and fully aligned with healthcare privacy and security requirements.

Built to Fit Your Ecosystem

PatientGenie integrates seamlessly into your current systems, workflows, and priorities.

  • Works alongside contact centers, nurse lines, and outreach teams

  • API-based integration with CRMs, call systems, and analytics tools

  • Plan-custom workflows with zero need for IT rebuilds

  • Compliant, secure, and scalable

What People Are Saying

Deploy Your First Agent in Weeks

Access isn’t just a feature. It’s a system. Let’s rebuild it together.

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