The clinic that doesn’t drop anything

Every clinic runs on next steps. Reply to the enquiry. Send the form. Finish the note. Send the claim. Chase the result. Call the patient back. Most of those steps live in someone’s head, or in the 5 to 12 tools founders tell us a clinic runs on, and they get dropped where work passes from one person or system to another.

The breaks are in the middle

We read the descriptions of 33 clinic AI startups from the latest YC batches and a16z. By our count, 14 are built around a voice agent and 17 around insurance and billing. Each takes one stretch of the patient’s path, and only 5 ask a clinic to switch systems.

The trouble is that work breaks between the stretches. In one study of 103,737 referral scheduling attempts, only 34.8% ended in a documented completed appointment. Nobody in that chain did their own step badly. The step between them had no owner.

One word: follow-through

That is the job we took. Sovica holds the one patient record, works out what has to happen next for every patient, does it, and sends what needs a person to a named person, with the reason.

• The 9 pm enquiry is booked by morning.
• The patient arrives with forms signed.
• The note is finished before the next patient.
• The money comes in, from the patient or the insurer.
• The patient comes back on time.

You decide how far it goes

Some owners want the job gone. Others want to see every message first. Both are right, so the amount the AI does on its own is a dial, set per agent, and it’s yours. Medical questions always go to a clinician, whatever the dial says.

What we still have to prove

This is our reading of public data, not a finding from clinics. The biggest open question is whether a clinic will switch its whole system or add an agent to the one it has. We’ll publish what we learn. If you run a clinic, show us where your next steps get dropped.