Healthcare
HIPAA-Conscious AI Automation
Transform healthcare operations with intelligent automation—patient triage, clinical documentation, and workflow optimization—all built with HIPAA compliance at the core.
Our Healthcare Solutions
HIPAA-compliant AI solutions designed for providers, payers, and health tech companies.
Patient Triage & Screening
AI-powered chatbots and screening tools assess symptoms, schedule appointments, and route patients to appropriate care—24/7 availability.
- Symptom assessment
- Appointment scheduling
- Care navigation
- Multi-language support
Clinical Documentation Automation
Convert clinical conversations into structured notes. Ambient AI scribes capture encounters and auto-populate EHR fields—giving clinicians hours back.
- Ambient clinical intelligence
- EHR integration
- ICD-10/CPT coding
- Quality measure capture
Prior Authorization Automation
Eliminate the prior auth bottleneck with AI that reads clinical notes, checks coverage, and submits requests—reducing wait times from days to hours.
- Automated eligibility checks
- Intelligent form filling
- Status tracking
- Appeal management
Compliance & Quality Monitoring
Automate quality measure reporting, risk adjustment coding, and compliance monitoring. Identify gaps in care proactively.
- HEDIS/STAR measures
- Risk adjustment (HCC)
- Chart review automation
- Quality gap closure
Use Cases
Health Systems & Hospitals
Optimize clinical workflows, reduce administrative burden, and improve patient throughput.
Ambulatory Practices
Automate documentation, scheduling, and billing—so clinicians can focus on patient care.
Health Plans & Payers
Streamline prior auth, claims processing, and member engagement with intelligent automation.
Telehealth Platforms
Enhance virtual care with AI triage, clinical decision support, and automated follow-ups.
Digital Health Startups
Build AI-powered features faster—patient engagement, care coordination, and outcomes tracking.
Medical Billing Companies
Automate coding, charge capture, and claim submission with AI-powered RCM solutions.
Why Choose Sophware for Healthcare?
HIPAA Compliance Built-In
Every solution is designed with PHI protection, encryption, audit logging, and BAA support from day one.
Healthcare Domain Expertise
We understand clinical workflows, reimbursement models, and the complexities of healthcare IT integration.
Rapid Implementation
POC in 4-6 weeks. Production deployment in 2-3 months. Start seeing ROI quickly without disrupting operations.
Ready to Transform Healthcare Operations?
Schedule a consultation to explore how AI can improve care delivery and reduce administrative burden.