AI Workforce for Health Systems
Inpatient and Ambulatory Care
Use Cases
Meet Your AI Voice Agent Team
Scheduling calls pile up while access teams are trying to help patients in front of them. Benefits, authorizations, and claims keep revenue cycle staff on hold with payers. Ava's agents take on those repeatable conversations across hospitals and ambulatory clinics, then return the result or route exceptions to staff. Each workflow follows your approved rules and connects with Epic or another EHR when the integration supports it.
01Appointment SchedulingBooks, reschedules, and cancels visits
Description
Ava finds the right visit type, provider, location, and available time. She can collect missing scheduling details on the call and update the visit when approved EHR access supports it.
Impact
- More requests become booked visits
- Less scheduling work for access staff
Recording
Sample recording is being prepared.
02Inbound Billing QuestionsExplains balances and routes disputes
Description
Ava answers questions using approved account information, explains the next payment step, and hands disputed or complex balances to billing staff with context.
Impact
- Fewer routine billing callbacks
- Clearer answers for patients
Recording
Sample recording is being prepared.
03Patient Balance ReminderFollows up on outstanding balances
Description
Ava contacts patients about an outstanding balance, answers approved questions, and directs them to the health system's secure payment flow.
Impact
- More consistent balance outreach
- Less manual follow-up for staff
Recording
Sample recording is being prepared.
04Appointment ReminderConfirms visits and handles changes
Description
Ava reaches patients before their visit, records confirmations, and helps move an appointment if the original time no longer works.
Impact
- More confirmed visits
- Fewer manual reminder calls
Recording
Sample recording is being prepared.
05SwitchboardAnswers and routes inbound calls
Description
Ava answers common hospital and department questions, identifies what the caller needs, and routes calls that need a person to the right team.
Impact
- Fewer routine transfers for operators
- Callers reach the right team sooner
Recording
Sample recording is being prepared.
06Benefit VerificationChecks coverage and plan details
Description
When portal information is incomplete, Ava calls the payer to confirm the benefits needed for the planned visit and returns the details to the access team.
Impact
- Coverage questions resolved sooner
- Less payer hold time for staff
Recording
Sample recording is being prepared.
07Prior AuthorizationChecks requirements and pending requests
Description
Ava asks the payer whether authorization is required, follows an open request, and records the status or next action for the responsible team.
Impact
- Pending requests get a clear next step
- Fewer manual status calls
Recording
Sample recording is being prepared.
08Claim Follow-UpFinds out what is holding a claim
Description
Ava calls the payer for claim status, documents the reason for a delay, and returns the next action to the billing team.
Impact
- Stalled claims get a documented next step
- Less staff time on status calls
Recording
Sample recording is being prepared.
09Denial Follow-UpGets the details needed to act
Description
Ava contacts the payer to clarify a denial, captures the information needed for review, and sends the case to the team responsible for resubmission or appeal.
Impact
- Denials reach the right team with context
- Less time spent gathering payer details
Recording
Sample recording is being prepared.
Lower the cost of routine calls. Free staff for harder work.
Ava handles scheduling, benefits, authorizations, and claim follow-up so your teams can focus on patients and complex cases.