The clinical decision stays with the physician; agents carry prior authorisation, intake and scheduling.
In hospitals and health groups most time goes to documents, forms and phone calls: payer prior authorisation, patient intake, appointment changes. Aginies takes that operational load with agents connected to the HIS, payer portals and communication channels; every clinical decision stays with physicians and nurses, and patient data never leaves the institution.
In Healthcare, Aginies offers 4 live agent scenarios and 3 solution packages: Patient journey coordinator: appointment, preparation, approval and results, Prior authorization, Patient intake and triage, Appointment scheduling and no-show reduction, Call centre quality monitoring; solutions: Voice AI for claims intake, Healthcare operations & clinical guidance, KVKK / GDPR personal data protection. The blockers on the way to production are Prior-authorisation delay, Intake and triage load, No-shows, Data sensitivity; on the compliance side 3 requirements (including Special-category health data stays inside the institution; models on-prem, no external dependency) are part of the deployment.
Prior-authorisation delay
Payer rules are scattered; collecting documents and writing rationale takes hours per case.
Intake and triage load
Symptoms are taken by phone, transcribed into forms, then asked again.
No-shows
No-show rates are high; freed slots are not refilled.
Data sensitivity
Health data is special-category; cloud assistants do not pass the compliance team.
Three starting points; each measurable in a short pilot on existing systems.
- 01agent scenarioPatient journey coordinator: appointment, preparation, approval and results →
Scheduling and preparation carry no clinical decision; a fast start with no-show rate measured immediately.
- 02agent scenarioPrior authorization →
Insurer pre-approval is document-heavy and rule-based; it shortens reimbursement time.
- 03agent scenarioPatient intake and triage →
Intake and pre-assessment run with nurse approval; it organises the emergency load.
Agents you can watch live for this sector
Patient journey coordinator: appointment, preparation, approval and results
The patient writes or calls; appointment, preparation instructions, insurer pre-approval and result notice come together in one coordinator.
Prior authorization
Payer rules searched, clinical evidence gathered and the packet ready to submit within minutes of the order.
Patient intake and triage
The patient types or talks; intake and urgency scoring take seconds, and a nurse always makes the final call.
Appointment scheduling and no-show reduction
High no-show-risk patients are reached on WhatsApp in advance; freed slots are refilled from the waiting list.
Call centre quality monitoring
Every call scored against the rubric, not a sample; compliance breaches and coaching flags ready by morning.
Derived from the 4 scenarios in the sector: supervisors, specialist agents, Hub model families and systems touched.
Summed from the simulation definitions of the sector scenarios; recalculated for your scale in the discovery session.
- Special-category health data stays inside the institution; models on-prem, no external dependency
- Every step of clinical nature under physician or nurse approval
- Masking, access logging and audit trail aligned with privacy and health regulation
- Personal health-data regulation and special-category data: health data inside the hospital perimeter, access by role and purpose, every access logged
- Ministry hospital-information and national health-record integration rules: the agent acts through the HIS and keeps no separate data copy
- Clinical decisions with the physician: the agent prepares, queries and organises; physician approval card when in doubt
On-prem in the hospital data centre; models inside, no external connection. For hospital groups, a dedicated tenant in the group data centre.
Approval rulesHuman-approval thresholds of the sector scenarios.
- Patient journey coordinator: appointment, preparation, approval and resultsDrug interaction, suspected contraindication or extra test need → physician approval
- Prior authorizationSurgical procedure or cost > 25,000 TL → utilisation management nurse approval
- Patient intake and triageA triage nurse confirms the urgency level on every case; "emergency" cases are directed to 112 immediately
| No-show rate | 30–40% lower |
| Pre-approval completion time | From days to hours |
| Call-centre average handling time | 35% shorter |
Target ranges from comparable deployments; baseline and target are fixed together in the first week of the pilot.
Time to move from experimenting with AI to transforming with it.
In a 30-minute discovery session we take your 2–3 priority business problems, show a live demo of a similar scenario, and draft a roadmap that starts with the Value layer.
- Your 2–3 priority problems
- Live demo of a similar scenario
- Roadmap starting with value analysis