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AI Workflow Automation for Oncology & Infusion

Every day between referral andfirst infusion costs your patient. We automate the days away.

Custom AI automation for oncology practices and infusion centers, records, benefits, prior auth, chairs, and calls, with clinical judgment always in clinicians' hands.

Referral in
Records chronologized
Benefits & auth
Chair scheduled
First infusion
Hoursto organize a new patient's records, not weeks
Per-regimenprior auth tracked by payer, drug & cycle
24/7every call answered, clinical calls escalated
100%HIPAA-first: BAA, encryption, audit logs

The problem

The treatment is ready. The workflow is the wait.

New-patient records arrive as a thousand-page pile. Benefits investigations and drug prior auths crawl. Chairs sit empty when labs aren't done. And every one of those days is a day the patient waits:

1,000+pages of outside records behind many new consults
Days–weeksof benefits investigation and prior auth before treatment

…while staff work the phones and the oncologist waits on paper.

Records arrive as a pile

Outside charts reviewed page by page before the consult, or worse, during it.

Auth per drug, per cycle

Payer rules differ by J-code and regimen; a missed re-auth means an unpaid infusion.

Chairs sit empty

No-shows and not-ready patients (labs, pre-meds, rides) waste the scarcest asset you have.

Benefits maze

Medical vs. pharmacy benefit, buy-and-bill, site-of-care rules, investigated by phone, slowly.

Calls without triage

Scheduling calls and clinical calls land in the same queue, both wait.

One platform

Every step of the journey, automated on one platform

Referral & Records

Intake triage · Chron chronologies · review queue

Benefits & Auth

270/271 · benefit type · per-regimen auth

Chair Scheduling

Regimen-aware · nurse ratios · rebalancing

Patient Access

24/7 agent · pre-infusion readiness

Analytics

Time-to-treat · utilization · referrers

Module 01 · Referral intake & record chronologies

The oncologist opens the consult already knowing the history

Hoursfrom records received to a reviewable, cited chronology
Days savedon time-to-first-appointment, the metric that matters
100% citedevery timeline entry links back to its source page
  • Referral capture & urgency triageFax and portal referrals extracted and prioritized, urgent diagnoses flagged for expedited scheduling.
  • Records requested & chasedOutside-records requests generated and followed up automatically; inbound records matched to the right patient.
  • Simz Chron chronologiesThousands of pages OCR'd and organized into a cited treatment timeline: diagnoses, pathology, imaging, prior lines of therapy, labs.
  • Discrepancy & gap flagsConflicting reports and gaps in treatment surfaced proactively, with page-level citations back to the source.
  • Ask the chart anythingNatural-language queries over the analyzed record, instant, sourced answers during tumor board or consult prep.

Module 02 · Benefits & prior authorization

No chair gets booked without coverage behind it

Eligibility, benefit type, and authorization status are verified and tracked continuously, by payer, drug, and regimen, so financial surprises don't reach the patient or the chair.

EVERY CASE ROUTES ITSELF INTO A WORKFLOW STATE:

Benefits Pending
Auth Required
Ready to Treat
Re-auth Due
Denied – Appeal
Assistance Pending

Per-regimen auth rules

A maintained payer/J-code/regimen table tracks what needs authorization and when, including re-auth on cycle and dose changes.

Expiration & cycle alerts

Auth windows watched against the treatment calendar; approaching lapses flagged before an infusion lands outside coverage.

Financial assistance built in

Copay-assistance and foundation paperwork assembled and chased automatically, with staff alerted only when a program pushes back.

Module 03 · Chairs, readiness & the phones

Full chairs, ready patients, and a phone line that triages itself

01
Chair-smart scheduling

Simz Shift matches chair time to regimen duration and nurse ratios, across sites, with automatic rebalancing.

02
Pre-infusion readiness checks

Day-before verification: labs resulted, pre-meds confirmed, transportation arranged, not-ready patients caught early.

03
24/7 answering with hard boundaries

Scheduling, directions, and prep questions handled by AI; symptom and clinical calls escalate to your nurse line immediately, always.

04
Backfill, not blank chairs

Cancellations trigger waitlist outreach automatically, the chair gets a patient, not a gap.

ALSO HANDLES

Locations, parking & hours · what to bring · infusion-day expectations · insurance participation · reschedules, from your approved content only.

SAFETY BY DESIGN

No clinical advice, triage, or results, ever. Symptom keywords escalate instantly per your protocols. Every call recorded, transcribed & QC-scored.

Module 04 · Analytics & growth

The numbers your physicians and your CFO both watch

OPERATIONS
  • Time-to-treatmentReferral → consult → first infusion, by referrer and diagnosis, the clinical metric that wins referrals.
  • Chair utilizationUtilization by site, day, and hour; no-show and not-ready rates; backfill recovery.
  • Auth turnaroundAuthorization cycle times by payer, the bottleneck report that changes payer conversations.
REFERRAL NETWORK
  • Referrer intelligenceTop, growing, declining, and lost referring physicians on a normalized registry.
  • Referrer status loopsConsult-complete and treatment-start updates delivered back to referrers automatically.
  • Leadership viewsRole-based dashboards for physicians, operations, and finance, live, not month-end.

Everything we automate

Oncology & Infusion: the full automation menu

Every engagement is scoped to your operation, start with the module that hurts most, and expand on the same platform, the same BAA, and the same HIPAA framework.

Referral intake & triage

Referrals captured from fax and portal, extracted, and prioritized, urgent cases flagged so time-to-first-appointment shrinks.

New-patient record chronologies

Simz Chron turns thousands of pages of outside records into a cited treatment timeline, ready for the oncologist before the consult.

Benefits investigation

Real-time eligibility plus medical-vs-pharmacy benefit checks per drug, the buy-and-bill groundwork done before scheduling.

Prior auth tracking

Auth requirements tracked by payer, J-code & regimen; expirations and cycle changes flagged before a chair is booked without coverage.

Chair & infusion scheduling

Chair time matched to regimen duration and nurse ratios, powered by Simz Shift, with multi-site rebalancing when plans change.

Pre-infusion readiness

Day-before checks: labs resulted, pre-meds confirmed, ride arranged, patients who aren't ready get caught before the chair sits empty.

24/7 AI phone agent

Scheduling, directions, prep questions handled around the clock, symptom or clinical calls immediately escalated to your nurse line, never answered by AI.

Financial assistance workflows

Copay-assistance and foundation enrollment documents collected and chased automatically, easing financial toxicity without adding staff.

Referral & chair analytics

Time-to-first-visit, chair utilization, auth turnaround, and referring-physician trends, live, not month-end.

Why we're confident

This engine is already running in production

We built this exact engine, fax intake, AI extraction, real-time eligibility, auth tracking, 24/7 phone agent, and analytics, for a multi-site medical imaging group. Oncology runs the same workflow, with higher stakes on every day saved:

Powered by Simz Conversational, Simz Shift, and Simz Chron, with custom development for everything else.

  • AI intake pipeline live at pilot sites in weeks, not quarters
  • Real-time eligibility driving verified workflow routing
  • Per-order authorization tracking with expiration alerts
  • 24/7 phone coverage with strict clinical escalation paths
  • Records intelligence (Simz Chron) built for chronologies

Free oncology workflow audit

Thirty minutes with your operations lead. We map your workflow, quantify what each manual touch costs, and hand you a phased automation roadmap, whether or not you build it with us.

No pitch deck. No obligation. Just a map of your busywork.