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NC Medicaid Automation & Healthcare Operations

The practice operating system for modern medicine

A modular platform of patient-facing tools, provider workflows, and AI-powered automations — built for medical practices with or without an EHR. Reduce admin burden 30–50%, recover $50K+ per year, and run on systems your staff actually loves to use.

0%
No-show reduction
0+ hrs
Saved per week
$0K+
Revenue recovered/yr
0
Modules available
Practice Operations Center — Live view
LIVE
Appointments
26
↑ 3 above avg
Revenue today
$8.4K
↑ 12% WoW
Verified
94%
Automated
Appointment completion — past 7 days
M
T
W
T
F
S
S
Live activity
Insurance verified — 14 patients cleared
Auto
Claim denial appeal drafted — $340
AI
3 reminders queued for tomorrow 8 AM
Queue
New patient intake submitted — portal
Portal
The reality on the ground

The quiet operational tax on every practice

These aren't your fault — they're the result of systems that were never designed to work together. Here's what we fix.

1

Front desk drowning in phone calls

Staff spend hours each day on hold with insurers, manually confirming appointments, and answering the same 10 questions. No one has time for real patient service.

Typical cost:  10–15 hrs/week of front-desk time
2

No-shows eating your revenue

Without multi-touch reminders and confirmation loops, no-show rates creep to 15–25%. Every empty slot is lost revenue that doesn't come back.

Typical loss:  $40K–80K/year per provider
3

Check-in chaos at the counter

Paper forms, duplicate data entry, and awkward insurance conversations at the window create friction for patients and bottlenecks for staff — every single morning.

Typical wait:  15–25 min average check-in time
4

Providers flying blind on their day

No unified view of today's panel, prep notes, labs pending, or patients queued. Providers waste minutes per patient context-switching between tabs.

Typical hidden cost:  4–6 mins lost per encounter
5

Claim denials quietly piling up

Eligibility errors, missing auth, and coding mismatches trigger denials that no one has time to appeal. They age out and get written off.

Typical leakage:  5–9% of billable revenue
6

No EHR — or an EHR you can't use

Smaller practices operate on spreadsheets or legacy tools. Or they have an EHR so clunky staff bypass it, leaving data scattered across five systems.

We offer:  PracticeOS Lite as an EHR alternative
The platform

One operating system. Five layers. Any practice size.

Most "practice tech" is a collection of disconnected tools. We build something different: a modular operating system where every part — patient portal, kiosk, scheduler, automation — shares the same data, design, and security model.

Start with one module. Add the rest as you grow. Have no EHR yet? PracticeOS Lite can be your EHR. Have a legacy system? We integrate with athenahealth, eClinicalWorks, NextGen, and Epic.

Layer 1
Patient Experience
Portal, kiosk, AI receptionist — how patients interact with your practice
4 modules
Layer 2
Provider Workflow
Scheduler, provider portal, check-in queue — the tools your clinical team lives in
3 modules
Layer 3
Practice Operations
Practice Suite and PracticeOS Lite — the operational backbone (with or without an EHR)
2 modules
Layer 4
Automation Intelligence
Reminders, verification, CHW outreach, knowledge base — the invisible engine
4 modules
Layer 5
Services & Consulting
AI strategy, custom builds, forms, SOPs, training — human expertise on demand
4 services
The module library

Pick what you need. Ignore what you don't.

Every module is standalone. Every module is better together. Filter by layer, expand any card for details, and add to your proposal as you go.

Auto-ready
Patient Experience

Patient Portal

Secure, mobile-first portal where patients view their appointments, lab results, messages, forms, and balances — and book new visits themselves.

Book + rescheduleSecure messagingLab resultsOnline pay
Included capabilities
  • Self-service appointment booking with real-time availability
  • Secure portal messaging with provider routing and auto-triage
  • Lab result release with staff-review gate
  • Form completion and digital signature capture
  • Bill viewing and online payment acceptance
Auto-ready
Patient Experience

Check-In Kiosk

Lobby tablet or front-desk kiosk that lets patients self-check in, verify demographics, update insurance, sign forms, and pay copays in under 3 minutes.

Self check-inID / insurance captureCopay collectionTablet or desk
Included capabilities
  • Patient identification and demographic verification
  • Insurance card capture with live eligibility check
  • Consent, HIPAA, and custom form signing
  • Copay and balance collection at check-in
  • Handoff to staff queue when human assistance is needed
Auto
Patient Experience

AI Receptionist

Voice and chat AI that answers calls 24/7 — schedules appointments, handles common questions, routes urgent calls, and texts after-hours patients.

24/7 voiceWeb + SMS chatSchedulingHIPAA-compliant
Included capabilities
  • Inbound call handling with no voicemail, 24/7
  • Appointment booking and confirmation by voice
  • After-hours routing with urgent call escalation
  • Website and SMS chat on the same knowledge base
  • Full transcription and sentiment logging
Auto
Patient Experience

Appointment Reminders

Multi-touch SMS and email reminder sequences with two-way patient confirmation. Configurable by provider, appointment type, and payer.

72hr / 24hr / 2hr cadence2-way SMSEHR sync
Included capabilities
  • Configurable reminder cadence per appointment type
  • Two-way SMS confirmation with auto-update to EHR
  • No-show recovery sequence with reschedule link
  • Multi-language support (English + Spanish)
  • Full opt-out and consent compliance
Provider Workflow

Provider Scheduler

Unified scheduling view for providers, staff, and front desk. Drag-drop rescheduling, smart block templates, and capacity visibility across locations.

Multi-provider viewDrag-dropBlock templatesLocation support
Included capabilities
  • Unified day/week/month calendar across providers
  • Drag-and-drop reschedule with patient notification
  • Visit-type block templates and recurring availability
  • Capacity and utilization dashboards
  • Multi-location consolidated view
Provider Workflow

Provider Portal

Daily dashboard for providers: today's panel, patient prep notes, labs pending, patient messages, and task queue — all in one clean view.

Today's panelPrep notesMessagesTask queue
Included capabilities
  • Personal panel view with patient context and history
  • Pre-visit prep summary auto-generated from EHR data
  • Pending lab results and imaging to review
  • Inbound patient messages routed by triage
  • Task and to-do queue with priority sorting
Provider Workflow

Check-In Queue

Real-time staff view of everyone in the lobby, their check-in status, what they need, and which room is ready. Eliminates the clipboard and walkie-talkie.

Lobby viewRoom assignmentStatus flags
Included capabilities
  • Live queue of checked-in patients with wait time
  • Status flags: ready, needs ID, needs copay, needs attention
  • Room assignment and MA/nurse handoff
  • Provider-facing "up next" notifications
  • Audit log of flow times for optimization
Flagship
Practice Operations

Practice Suite

The full ecosystem bundled: portal, kiosk, queue, scheduler, provider portal, and automation — all sharing one data model, one login, and one support line.

All modulesUnified loginShared dataBest value
What's included
  • Every patient-facing and provider-facing module
  • Automation engine with 5+ pre-built workflows
  • Unified staff and provider SSO
  • Shared reporting and analytics layer
  • Dedicated implementation and optimization
No EHR needed
Practice Operations

PracticeOS Lite

A complete, EHR-alternative operating system for practices ready to skip the bloated legacy EHR. Everything you need to run a real practice on day one.

EHR-alternativeBundled suiteTurnkey
Standard (included)
  • Scheduling & calendar management
  • Patient records & chart notes
  • Charge capture & basic billing
  • Intake forms & e-consents
  • Internal task & messaging
  • Daily/weekly reporting dashboard
Optional add-ons
  • Patient Portal +module
  • Check-In Kiosk +module
  • AI Receptionist +module
  • Appointment Reminders +module
  • Insurance Verification +module
Best fit: Solo and 2–4 provider practices · Cash-pay, DPC, concierge · New practices launching without legacy baggage · Specialty (aesthetics, behavioral, chiropractic)
Auto
Automation

Insurance Verification

Automated pre-visit eligibility checks across every payer — NC Medicaid, Medicare, BCBS NC, commercial. Issues flagged to staff before the patient arrives.

Pre-visitAll payersIssue flagging
Coverage
  • NC Medicaid Standard and Tailored Plans
  • Medicare and Medicare Advantage
  • Blue Cross Blue Shield NC and commercial
  • Eligibility, copay, deductible, and auth flags
  • Daily exception reports for front desk review
Auto
Automation

Custom Workflow Automation

We map your highest-friction manual process and automate it end-to-end: intake routing, referrals, prior auth, lab follow-up, patient re-engagement.

Make.com poweredEHR-connectedFully managed
Typical workflows
  • New patient intake — form to chart in under 2 minutes
  • Referral routing with status tracking and follow-up
  • Prior authorization submission and monitoring
  • Lab result routing with abnormal flagging
  • Dormant patient re-engagement sequences
NC focused
Automation

CHW Network + Integration

Connect your practice to the NC Community Health Worker Association to reach Medicaid patients with SDOH barriers or Tailored Plan engagement benchmarks.

NC CHWA networkSDOH outreachTailored Plans
Included capabilities
  • NC CHW Association network introduction and onboarding
  • CHW activity tracker dashboard
  • Automated CHW contact triggering follow-up
  • Monthly CHW performance reporting
  • Specifically impactful for NC Medicaid Tailored Plans
AI
Automation

AI Knowledge Hub

Every policy, payer rule, procedure, and SOP searchable in plain English. Staff get instant answers with source citations — no more binder hunting.

Plain-English searchNC Medicaid pre-loadedSource citations
Included capabilities
  • Plain-English search across all practice documents
  • NC Medicaid and payer rules pre-loaded
  • Source citations on every answer for auditability
  • Auto-refresh as policies and rules update
  • Available on web, Slack, and staff terminals
Implementation

From first call to live, in under 3 months

No vaporware demos. No 6-month discovery. We assess, design, build, launch, and optimize — with your staff involved at every step.

1

Discovery

20-minute assessment call. We map your current workflows, pain points, and ROI potential.

Day 1
2

Assessment

Written ROI analysis, recommended modules, and implementation path delivered within 5 business days.

Week 1
3

Design

Module configuration, integration mapping, branding, and staff workflow walkthroughs signed off by your team.

Weeks 2–3
4

Build

Configure modules, wire in EHR and payer APIs, stand up automations, and prep training materials.

Weeks 4–8
5

Launch

Staff trained. Systems tested. Go-live day with a real human on-call for the first 72 hours.

Weeks 9–10
6

Optimize

Quarterly reviews, KPI tracking, new automations, and ongoing support. The platform gets better with time.

Month 3+
How the automation runs

From missed appointment to recovered revenue — automatically

A real workflow running for NC medical practices today. No manual steps. No staff intervention.

Step 1 — Trigger
Appointment booked in EHR
The moment a patient is scheduled in athenahealth, eClinicalWorks, NextGen, or Epic, the automation fires. Zero manual action required from your front desk.
EHR integration active
↓ instantly triggers
Step 2 — Verify
Insurance eligibility checked automatically
Before the patient even arrives, the system verifies their Medicaid, Medicare, BCBS NC, or commercial coverage. Issues are flagged to staff immediately — no surprises at check-in.
NC Medicaid + all payers
↓ 72 hrs before visit
Step 3 — Remind
Multi-touch reminders sent via SMS + email
Patients receive reminders at 72 hours, 24 hours, and 2 hours before their appointment. They confirm or cancel by reply — responses update the EHR automatically.
40–60% no-show reduction
↓ end of day if no-show
Step 4 — Recover
No-show triggers reschedule outreach + staff task
If a patient doesn't show, an apology SMS fires automatically with a reschedule link. A staff task is created in the EHR. The patient record is updated — all without a phone call.
AI-drafted outreach
↓ end-of-day report
Step 5 — Report
Daily summary delivered to your inbox
Every evening you receive a clean summary: appointments completed, no-shows, reminders sent, revenue recovered, verifications run. Full visibility with zero effort.
$50K+ recovered per year avg
Why practices choose us

We built this for healthcare — not for VCs

Six things we do that the big vendors won't.

NC Medicaid specialists

Our core differentiator. We know Tailored Plans, CHW benchmarks, SDOH requirements, and the specific quirks of every NC payer — because that's where we built our practice.

Truly modular — only pay for what you need

Not an all-or-nothing suite. Start with one module. Add as you grow. Remove anything that isn't working. You're in control of your stack, not locked into a contract.

Works with or without an EHR

Have athenahealth, eClinicalWorks, NextGen, or Epic? We integrate. No EHR and don't want to buy a giant one? PracticeOS Lite is your operational core. Same platform. Same team.

Real humans, not a support ticket system

Every engagement has a named implementation lead. You'll text us. We'll text back. No queues, no chatbots between you and the person who built your workflow.

HIPAA-first, not HIPAA-also

BAAs for every engagement. End-to-end encryption. Role-based access. SOC 2 hosting. We assume PHI is in every byte until proven otherwise — and design accordingly.

North Carolina-based

We're local. We know the market, the payers, the referral networks, and the specific operational challenges NC practices face. We've walked into these lobbies.

Security & compliance

HIPAA is the foundation, not the finish line

Every engagement begins with a signed BAA. Patient data protection is how we start, not what we layer on later.

BAAs Provided

Business Associate Agreements signed for every engagement before work begins.

End-to-End Encryption

All sensitive data encrypted in transit and at rest across every system we touch.

SOC 2 Hosting

Infrastructure on SOC 2 certified platforms with regular security audits.

Role-Based Access

Granular controls ensure staff see only what they need — principal, consultant, viewer roles.

PracticeOS plans

Your practice's operating system. Three tiers.

A complete platform built for NC Medicaid-focused practices. Start with the basics, grow into clinical AI. Every tier is full implementation, training, and support — no hidden fees.

Your first real EHR
Lite

PracticeOS Lite

A complete small-practice platform. No AI overhead, no usage-based pricing.

$399/mo
+ $1,500 setup
1–3 providers +$99/add'l provider Under $1M collections
What's included
Full EHR core NC Medicaid eligibility Tailored Plan coordination No-show predictor Waitlist engine IC Insights dashboard Kiosk + screeners Compliance suite Patient portal FHIR export + Benchmarking · audit logs · BAA tracker
Your practice's operating system
Command

PracticeOS Command

The full clinical and revenue intelligence suite. For practices serious about Medicaid VBC growth.

$1,799/mo
+ $5,000 setup
5+ providers +$449/add'l provider VBC-ready
What's included
Everything in Pro Ambient SOAP drafting Coding assistant (ICD-10 / CPT / E&M) HEDIS gap tracker Denial management kanban Event-driven webhooks Custom AI agent (1 build) 1 specialty extension + Priority support · 4-hr SLA · VBC reports
Not sure which tier fits?
Build a custom proposal — the scope meter will recommend the right package based on your practice size and the modules you pick.
Start a custom proposal
Individual services

No retainer? No problem.

Standalone flat-fee engagements. Start with one service, scale when ready.

10% bundle discount on 2+ services

AI Receptionist Setup

Voice + chat AI configured for your practice — HIPAA-compliant, handles scheduling, FAQs, after-hours routing, and appointment reminders 24/7.

From $800
Chat only $800 · Voice only $1,000 · Voice + Chat $1,500 · Hosting $250–400/mo

Workflow Automation Build

We map, design, and automate one specific practice workflow — intake, referral routing, lab results, prior auth, patient re-engagement, and more.

From $1,200
Simple $1,200 · Standard $2,000–3,000 · Complex quoted after discovery

Web App Development

Custom dashboards, portals, and tools built to your specifications. HIPAA-conscious, mobile-responsive. Source code owned by you.

From $3,000
Simple $3–6K · Medium $6–12K · Complex $12–25K · Hosting $200–500/mo

CHW Network + Integration

Connect with the NC Community Health Worker Association to reach Medicaid patients with high no-contact rates, SDOH barriers, or Tailored Plan engagement benchmarks.

From $500
Referral only $500–1,200 · Full integration setup $750–2,500 · Ongoing $150–500/mo

AI Strategy Consultation

Readiness assessment, opportunity mapping, and 12-month AI roadmap — a one-time engagement tailored to your payer mix and workflows.

From $600
Strategy session $600 · Full assessment + roadmap $1,500 · Hourly $175/hr

Forms, SOPs & Training

Practice-branded intake forms, Excel workbooks, SOPs, and HIPAA-focused AI staff workshops — standalone or bundled.

From $150
Single form $150 · Single SOP $250 · Half-day training $1,200 · Full-day $2,200
Bundle discount: Engage two or more individual services in the same quarter and receive a 10% discount. Clients who later enroll in a managed tier receive a $500 onboarding credit.
Interactive proposal builder

Configure your practice operating system.

Five quick steps. Select the modules you want, toggle on automation, and we'll send back a tailored proposal within 24 business hours. No pressure, no credit card, no commitment.

1
Practice
2
Solutions
3
Automation
4
Timeline
5
Review

Tell us about your practice

The basics help us size the right solution. Takes about 40 seconds.

Pick the modules you want

Select any combination. The scope meter on the right updates live and recommends the right engagement tier.

Add automation where it counts

Automation layers on AI-driven workflows — reminders, verifications, intake, HIPAA-compliant messaging. Toggle on anywhere you want it included.

Select at least one module in step 2 to see automation options.

A few last details

Tell us when you want to go live and what's getting in the way. We'll use it to scope the right path.

Review & submit

One more look before we deliver your proposal. You'll receive a tailored engagement summary within one business day.

Your proposal is on the way.

Thanks there — we got it. Expect a tailored engagement summary for your practice in your inbox within one business day. We'll also send a calendar link so you can grab a 20-min operations assessment whenever it's convenient.

Payers we build for

Built for NC's real payer mix.

Every workflow handles the coverage types NC practices actually see — from Medicaid Tailored Plans to commercial to self-pay.

NC Medicaid Standard Plans
NC Medicaid Tailored Plans
Medicare & Medicare Advantage
BCBS NC
Commercial & Marketplace
Self-pay & Sliding scale
Free & no obligation

Your 20-minute operations assessment is on us.

We'll walk your front-desk, scheduling, intake, and billing workflows and show you exactly where AI and automation would pay back in the first 90 days. Zero commitment. Actionable notes either way.

Raleigh-based · Serving medical practices across North Carolina · HIPAA-conscious by default