AI AGENT
Identify patients not seen in 6-12+ months. Conduct personalized outreach campaigns. Schedule follow-up visits.
The agent continuously cross-references your attributed patient panel against claims data, EHR encounter records, and payer rosters to surface patients who have fallen out of care. It then risk-stratifies each patient by their "Value at Risk" — quantifying the potential cost impact if they remain unseen — and orchestrates targeted outreach campaigns prioritized by clinical urgency and financial impact.
Automatically monitors your entire attributed patient panel against claims and EHR encounter data in real time. Identifies patients not seen within configurable timeframes — 6 months, 12 months, 18+ months — and flags new patients falling into overdue status daily, so no one slips through the cracks.
Goes beyond simple time-based sorting. The agent calculates each patient's "Value at Risk" — combining clinical risk scores, chronic condition burden, open care gaps, attribution status, and historical utilization patterns to identify patients most likely to incur high costs or adverse outcomes if they remain disengaged from care.
Delivers tailored, HIPAA-compliant messages via SMS, automated voice calls, direct mail, and patient portal messaging. Each communication references the patient's specific care history, provider relationships, and overdue services — driving significantly higher response rates compared to generic outreach. Intelligent escalation sequences adapt channel and frequency based on engagement signals.
When a patient responds, the agent seamlessly transitions into scheduling mode — finding available appointment slots in your EHR, booking the visit, sending confirmations, and managing rescheduling requests. Post-appointment, it tracks re-engagement rates, schedules follow-ups, and reports on panel retention metrics to measure campaign effectiveness.
Every patient lost to disengagement represents lost revenue, worsening health outcomes, and rising downstream costs. See how the Patients Not Seen Outreach Agent can help your organization recapture patients, protect panel attribution, and improve population health outcomes.
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