The AI operations layer
for your hospital.
Put a team of agents on yourintake.
Rach.Dev runs intake, triage, clinical documentation, scheduling, CPT/ICD-10-CM coding and ICU monitoring across the systems you already use — with a clinician in the loop on every clinical decision, and a full audit trail on every action.
What an agent team takes off your floor
Most of a hospital's load isn't clinical judgement — it's coordination, paperwork and chasing. Here's where agents own the busywork, mapped to how your hospital actually runs.
The Front Door
Every inquiry captured, qualified and routed — 24/7, in English or Spanish.
- Multi-channel intake (walk-in, phone, SMS, patient portal)
- Identity match & EHR record linkage
- Insurance eligibility & benefits verification
Triage & Safety
Severity scoring with explicit red-flag detection and instant escalation.
- Routes to ER, clinic or specialist by acuity
- Red-flag alerts page the on-call clinician
- Matches to the right available provider
Clinical Encounter
Pre-charting, ambient notes and cited references — the clinician decides.
- Charts pre-filled with history & meds
- Ambient note + e-prescription draft
- Drug-interaction checks on every order
Diagnostics
The full loop, with critical results escalated the moment they land.
- Order → collection → result → routing
- Critical-value alerts to the ordering provider
- Imaging via cleared partner systems
Care Coordination
Beds, referrals, discharge and the follow-up patients never get.
- Scheduling, bed / OR & referral orchestration
- Auto discharge summary + med reconciliation
- Reminders & adherence nudges (EN / ES)
Revenue & Coding
The fastest ROI for a CFO: catch every charge, clean every claim.
- CPT + ICD-10-CM coding from the note
- Charge capture & claim generation
- Prior-auth & denial-risk flags before submission
Back-Office & Workforce
Rosters, credentialing and the compliance paperwork no one wants to do.
- Schedules, rosters & PTO (HR self-serve)
- Joint Commission / incident / reportable-condition filing
- Patient feedback & complaint handling
Knowledge Layer
A role-aware assistant grounded only in your approved sources.
- Separate views for patient, clinician, staff
- Every answer cites its source
- Hard guardrails — never a diagnosis
Watch the team run a case
Pick a case and press play. Watch the agent team run it end to end — a clinician approves every clinical action.
Press Run the journey — or scroll in and watch it play automatically. Every clinical action waits for a clinician.
Seven specialists, one conductor
Each agent owns one job and hands the next a complete, structured context. Atlas routes the work, enforces the human-in-the-loop gates, and writes every action to an audit log.
Atlas is the orchestrator. It routes each case to the right specialist, carries shared patient context between them, pauses for clinician approval on every clinical action, and records a complete, timestamped audit trail.
Click Ava below — the full intake-to-billing workflow plays out automatically.
Triage & safety. Scores acuity, watches for red flags, and escalates straight to the on-call clinician — never sitting on a dangerous symptom.
Clinical scribe. Pre-charts the visit, drafts the ambient note and orders, and checks every prescription for interactions — leaving the clinician to decide, not type.
Draft only. The prescription is sent solely after a clinician signs.
Care coordination. Books visits, orders labs ahead, routes referrals and prescriptions, and keeps patients on track with reminders and adherence nudges.
Revenue & coding. Codes the encounter from the note in CPT and ICD-10-CM, captures every charge, and clears prior-auth and denial risk before the claim ever goes out.
The role-aware knowledge assistant. Answers patients, clinicians and staff from your approved sources only — every answer cited, and never a diagnosis.
Iris informs. It never diagnoses, prescribes or overrides a clinician.
The ICU Sentinel. Always on, reading the live signal stream for every monitored patient — flagging silent deterioration hours before it becomes a code, and staging the response for the care team.
Hope is advisory. It alerts and stages — a clinician decides and acts. Every alert is logged with the signal that triggered it.
Ava captures patient intake by voice, then hands a structured summary to 6 downstream agents — triage, documentation, coordination, billing, knowledge and ICU monitoring — each acting on the shared context, with Atlas orchestrating and a clinician approving every clinical action.
Ava starts the workflow.One layer over the systems you already run
Rach.Dev sits on top of your EHR and existing tools — orchestrating agents, enforcing governance, and keeping a clinician in the loop. No rip-and-replace.
Every clinical action — orders, prescriptions, admissions — pauses for a clinician to approve. Agents draft and stage; people decide.
HIPAA-aligned controls, minimum-necessary access, and a complete, timestamped audit trail on every action and every data touch.
Atlas routes each case to the right specialist, carries shared context between agents, and coordinates hand-offs end to end.
Bidirectional connectors to your EHR, telephony, clearinghouse and labs over the standards your systems already speak.
A knowledge layer that knows its limits
Iris answers patients, clinicians and staff from your approved sources only. Every answer is cited — and a clinical question is always handed to a clinician, never diagnosed.
Try a question
Hi, I'm Iris. Ask me about appointments, billing or your care instructions — I'll always cite my source.
A knowledge layer that knows its limits — questions and answers
- When is my next appointment?
- Your next visit is a diabetes follow-up with Dr. Priya Shah on Tuesday, June 17 at 9:40 AM. Please arrive 15 minutes early and bring your current medications. You can reschedule anytime from your patient portal or by replying here.
- ¿Cuánto voy a pagar por la visita?
- Según su plan, esta visita de seguimiento tiene un copago de $25, que se cobra al registrarse. Los análisis de laboratorio se facturan por separado a su seguro. Si necesita un estimado detallado, puedo conectarla con facturación.
- Is it safe to take my metformin with the new medication?
- That's a clinical question, so I won't advise on it myself. I've flagged your medication list and routed your question to a pharmacist and your care team, who will follow up. If you feel unwell, call 911 or go to the nearest ER.
Governance, not just guardrails
The controls that let a hospital actually deploy agents — enforced in the system, not promised on a slide.
Live audit log
A sample of what every action looks like on the record.
What changes when agents own the busywork
Directional outcomes our pilots target — validated on your own data, never assumed.
The problem, in numbers
- Physicians and their staff report prior authorization is a high or extremely high burden, completing dozens of authorizations per physician each week. — AMA, 2023 Prior Authorization Physician Survey
- For every hour of direct patient care, physicians spend roughly two additional hours on EHR and desk work during the clinic day. — Sinsky et al., Annals of Internal Medicine, 2016
- Administrative transactions cost the US healthcare system tens of billions a year, with large savings available from automating eligibility, prior auth and claims. — CAQH Index, 2023
Figures above are external benchmarks and pilot targets, not guarantees — we validate every number on your own data before you rely on it. Monitoring agents are advisory: they alert and stage, a clinician acts.
Start with one service line. Prove it. Then scale.
We stand up a single workflow on your existing EHR, show the audit trail and the outcomes, and expand only once your team trusts it.
Pick the highest-pain workflow — intake, prior auth or ICU monitoring — and we map it to your systems.
Agents run on your EHR with a clinician in the loop and a full audit trail, in weeks not quarters.
Review the outcomes on your own data, then roll the agent team out service line by service line.