Built for Healthcare

AI Teammates for Healthcare Operations

Reduce administrative burden, accelerate prior authorizations, and improve patient experience across clinical documentation, revenue cycle, and care coordination.

Trusted by healthcare leaders at:
Health SystemsMedical GroupsSpecialty PracticesPayer Organizations

Your AI Healthcare Team

Deploy specialized AI teammates that handle high-volume administrative and clinical support tasks. Each teammate integrates with your existing EHR, practice management, and revenue cycle systems.

Prior Authorization & Utilization Management

Automates prior auth submission, status tracking, appeal generation, and payer communication to reduce delays and denials.

40 days to pilot

Automates prior auth submission, status tracking, appeal generation, and payer communication to reduce delays and denials.

KPIs Improved
Approval time
−65%
Denial rate
−40%
Staff time saved
75%
Systems Integrated
Epic / Cerner / Allscripts CoverMyMeds / Surescripts Payer Portals Practice Management Systems Fax / Email / eFax
Deployment
40 days to pilot

Discovery → Configuration → Pilot → Scale

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Medical Coding & Clinical Documentation

Suggests ICD-10, CPT, and HCPCS codes from clinical notes, flags documentation gaps, and ensures compliance with coding guidelines.

45 days to pilot

Suggests ICD-10, CPT, and HCPCS codes from clinical notes, flags documentation gaps, and ensures compliance with coding guidelines.

KPIs Improved
Coding time
−70%
Coding accuracy
98.5%
Revenue capture
+12%
Systems Integrated
Epic / Cerner / MEDITECH 3M / Optum360 Encoders Dragon Medical / Nuance Revenue Cycle Systems CDI Platforms
Deployment
45 days to pilot

Discovery → Configuration → Pilot → Scale

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Patient Access & Scheduling

Handles appointment scheduling, insurance verification, registration, and pre-visit preparation through automated phone, text, and web channels.

35 days to pilot

Handles appointment scheduling, insurance verification, registration, and pre-visit preparation through automated phone, text, and web channels.

KPIs Improved
Call wait time
−80%
No-show rate
−35%
Patient satisfaction
4.7/5
Systems Integrated
Practice Management Systems Epic MyChart / Patient Portals Eligibility Verification APIs SMS / Voice / Web Chat Reminder Systems
Deployment
35 days to pilot

Discovery → Configuration → Pilot → Scale

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Claims & Denial Management

Processes claim submissions, tracks payments, identifies denials, generates appeals, and manages accounts receivable workflows.

50 days to pilot

Processes claim submissions, tracks payments, identifies denials, generates appeals, and manages accounts receivable workflows.

KPIs Improved
Days in A/R
−45%
Clean claim rate
96%
Collection rate
+18%
Systems Integrated
Revenue Cycle Platforms Clearinghouses (Change, Availity) EHR Billing Modules Payer Portals & EDI Collections Systems
Deployment
50 days to pilot

Discovery → Configuration → Pilot → Scale

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Care Coordination & Patient Engagement

Manages care transitions, medication adherence, chronic disease monitoring, and patient outreach with automated follow-ups and risk stratification.

55 days to pilot

Manages care transitions, medication adherence, chronic disease monitoring, and patient outreach with automated follow-ups and risk stratification.

KPIs Improved
Patient engagement
+65%
Readmission rate
−30%
Quality measures
+22%
Systems Integrated
EHR / Care Management Platforms SMS / Email / Voice Remote Patient Monitoring Health Information Exchanges Population Health Tools
Deployment
55 days to pilot

Discovery → Configuration → Pilot → Scale

Deploy This Teammate

Why This Beats Offshore Staff & BPO

A side-by-side look at what changes when AI replaces outsourced healthcare operations.

Traditional BPO / Offshore
SphereIQ AI Teammates
Cost
$25–55/hr per FTE. Long-term contracts. Hidden fees for training, turnover, and quality issues.
Flat subscription. No per-transaction fees. Cancel anytime. ROI visible in 30 days.
Speed
3–6 month ramp. Training delays. Time zone gaps slow resolution. Shift handoffs create errors.
30–60 day pilots. Works 24/7 with no handoffs. Instant scale during volume spikes.
Scalability
Hiring lags demand by weeks. Costs increase linearly with volume. Turnover disrupts workflows.
Instant capacity. Handle 10x volume spikes without adding headcount or delays.
Compliance & HIPAA
Offshore access risks. Manual audit trails. Hard to enforce consistent policy adherence.
HIPAA compliant. Full audit trail. Data never leaves your region. Role-based access control.
Knowledge Retention
Lost during turnover (40–60% annual attrition). Training costs repeat endlessly.
Zero attrition. Learns continuously. Every case improves future performance.
Quality & Accuracy
Variable quality. Manual QA sampling. Errors from fatigue, training gaps, communication barriers.
Consistent 95%+ accuracy. Automatic quality checks. Learns from corrections immediately.
Limited Availability

30-Day Healthcare Ops AI Pilot

Deploy one AI teammate on real production data. See measurable results before committing.

Fixed Scope

One AI teammate, one workflow, clear boundaries. No scope creep.

Fixed Price

Transparent pricing with no hidden fees or surprise overages.

Clear Success Metrics

Pre-defined KPIs with weekly dashboards so you see ROI from day one.