AI Workflow Automation for Radiology
Radiology runs on workflows. We make them run themselves.
Custom AI automation for imaging groups, from the fax queue to the schedule to the credentialing file, built around your RIS/PACS, clearinghouse, and phone system.
The problem
Imaging orders arrive by fax. Everything after that is manual.
Faxes, PDFs, and e-referrals land in shared folders. Staff open, read, rename, verify, and route every one by hand, then pick up the phone. The cost shows up everywhere:
…before counting expired authorizations, scheduling delay, and referral leakage.
Opened, read, renamed, checked, and filed by hand, labor scales 1:1 with volume.
Authorization numbers and expirations tracked by eye, lapses mean unpaid exams.
After-hours and overflow scheduling calls are lost, and patients call a competitor.
No live view of top, declining, and lost referrers until the volume is already gone.
Manual outreach lists, unconfirmed appointments, and schedulers doing intake instead of scheduling.
One platform
Every step of the journey, automated on one platform
Capture · extract · name · dedup · review queue
Real-time 270/271 · auth rules · expiration alerts
24/7 AI phone agent · outreach · reminders
Pre-visit forms · risk scoring · DICOM SR
Volume · scheduling lag · referrer intelligence
From fax pile to filed, verified order data, hands-free
- Continuous captureShared folders and fax queues monitored around the clock, PDFs, TIFFs, fax images, e-referrals.
- AI field extraction with confidence scoringPatient, DOB, provider, group, insurance, exam, ICD-10/CPT, priority, auth number & expiration, every field scored.
- Automatic naming & filingEvery document renamed to your convention and filed to your folder taxonomy, no naming drift.
- Duplicate & revision detectionExact and near-duplicates caught automatically; revised orders linked to the original encounter.
- Human review queueAnything below the confidence threshold routes to staff for a fast verify-and-correct, nothing is auto-filed on an uncertain read.
Module 02 · Eligibility & authorization
Verified coverage the moment an order arrives, not days later
A live clearinghouse integration (EDI 270/271) checks every order on arrival, on schedules, and on demand, so workflow routing reflects the payer's actual response, not what the fax says.
EVERY ORDER ROUTES ITSELF INTO A WORKFLOW STATE:
Payer auth-rules engine
A maintained payer/plan/CPT table determines when prior authorization is actually required, by payer and exam type.
Expiration tracking
Auth numbers and expiration dates extracted and watched; approaching lapses flagged, lapsed orders moved to Expired automatically.
One-click closure
Staff mark Scheduled or Patient Declined in one click, closing the loop and feeding the scheduling analytics.
Module 03 · 24/7 AI phone agent
Every scheduling call answered. Coverage verified before transfer.
Natural conversation; automated-assistant and recording disclosure on every call.
Name, DOB, carrier, member ID, ordering provider, exam needed.
Coverage confirmed through the live 270/271 engine while the caller is on the line.
Business hours: transfer to a scheduler with a verified summary. After hours: a structured callback task, nothing lost to voicemail.
Locations, hours, parking & directions · exam prep and fasting instructions · insurance participation · rescheduling · general practice questions, all from your approved content.
No clinical advice or exam results, ever. Urgent or distressed callers escalate immediately to your staff paths. Unconfident calls transfer, never improvise. Every call recorded, transcribed & QC-scored.
Module 04 · Beyond the order
Clinical intake, referral intelligence, and the back office
- Automated outreach & remindersDaily ready-to-schedule campaigns, prep instructions, and confirmation sequences that cut no-shows.
- Pre-visit intake & risk scoringDigital questionnaires with AI chat and voice before arrival, including Tyrer-Cuzick breast cancer risk scoring delivered as DICOM SR.
- Staff schedulingRadiologist and tech schedules honoring credentials, rest rules, and PTO, with multi-site rebalancing.
- Referring-physician intelligenceTop, growing, declining, and lost referrers on a normalized provider registry, live.
- Operational dashboardsVolume by modality and physician, scheduling lag, payer mix, and phone-agent performance.
- Credentialing automationLicenses, DEA, certs, payer enrollment, CAQH, and privileging tracked, no radiologist sidelined by paperwork.
Everything we automate
Radiology & Imaging: 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.
AI order intake
Faxes, PDFs & e-referrals captured, read, named, and filed, with duplicate detection and a human review queue for anything uncertain.
Eligibility & authorization
Real-time insurance verification (EDI 270/271) as orders arrive, payer auth-requirement rules, and expiration alerts before authorizations lapse.
24/7 AI phone agent
Answers scheduling lines day and night, collects intake, verifies coverage in-call, and warm-transfers verified patients to your schedulers.
Patient outreach & reminders
Daily ready-to-schedule text campaigns, prep instructions, and no-show-cutting confirmation sequences, automatic and logged.
Workflow routing
Every order sorted automatically: Waiting for Auth, Ready to Schedule, Info Needed, Ineligible, Duplicate, Expired, one-click status updates.
Pre-visit intake & risk scoring
Digital questionnaires by text, email, or AI voice before arrival, including Tyrer-Cuzick breast cancer risk scoring delivered as DICOM SR.
Credentialing automation
License, DEA & cert expiration tracking, payer enrollment follow-up, CAQH re-attestation, and privileging packet assembly.
Referral analytics
Live dashboards: volume by modality and referrer, scheduling lag, payer mix, and top, growing, declining & lost referral sources.
Staff scheduling
AI-generated radiologist and tech schedules honoring credentials, rest rules, and PTO, with automatic multi-site coverage rebalancing.
Why we're confident
This engine is already running in production
This platform is live today with a multi-site radiology group in Southern California: a phased engagement covering AI order intake, patient access and eligibility, pre-visit risk assessment, and credentialing, on one MSA, one BAA, one HIPAA framework.
Powered by Simz Conversational, Simz Shift, and Simz Chron, with custom development for everything else.
- AI intake pipeline live at pilot sites in 6–8 weeks
- Real-time 270/271 eligibility driving workflow routing
- 24/7 AI phone agent with in-call verification
- Pre-visit mammography risk assessment (Tyrer-Cuzick → DICOM SR)
- Credentialing automation across payers and facilities
Free radiology 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.