Model patient access AI on both sides of the ledger: cost avoided and slots filled.
Built for patient access, revenue cycle and digital leaders at health systems. Containment and AHT on the cost side, no-show recovery on the revenue side.
Your inputs
Benchmarks show typical enterprise ranges — override every field with your own numbers.
Scheduling, reminders, referrals, balance and general enquiries
Benchmark: 80k–500k for a multi-hospital system
Benchmark: $5.50–$9.50
Clinical intents always escalate to staff
Benchmark: 30–55%
From agent assist, EHR context and auto-summary
Benchmark: 8–18%
Benchmark: 500k–4M
Benchmark: 8–18% across ambulatory specialties
Proactive reminders, rescheduling and waitlist backfill
Benchmark: 10–22%
Use contribution, not gross charges, to keep finance onside
Benchmark: $80–$220 ambulatory
Voice and digital AI, EHR integration, HIPAA governance and change management
Benchmark: $500k–$1.5M
Access cost avoided plus contribution margin recovered from filled appointments.
Directional estimate. Contained calls carry $0.55 of AI run cost, and recovered visits are valued at contribution margin rather than gross charges.
Three-scenario view
Finance reviewers expect a range. These scenarios flex adoption and implementation cost around the model you entered.
Slower adoption, higher integration effort
Your inputs as entered
Strong sponsorship, clean data, phased scale-up
How enterprise leaders use this model
- Why do health systems start with patient access?
- Access is the highest-volume, lowest-clinical-risk contact surface: scheduling, reminders, referrals, balance and directions. It produces measurable revenue impact through filled slots, not only cost savings.
- How is no-show reduction valued?
- Each avoided no-show recovers the contribution margin of a slot that would otherwise go unused. This model uses contribution per visit rather than gross charges, which keeps the case defensible with finance.
- Is voice AI appropriate for clinical questions?
- No. Automation should be scoped to administrative intents with clear escalation to staff for anything clinical, and every interaction must run inside a HIPAA-aligned, auditable configuration.
- What containment rate is realistic for patient access?
- Health systems typically reach 30–55% containment on administrative intents within a year, with scheduling and reminders driving most of the volume.