Orvera AI

Patient access, answered and resolved, on your existing stack.

For health systems and medical groups. Orvera runs the access center across voice, chat and digital, resolves the conversation on the systems you already run, and audits every one.

SOC 2 Type II, HIPAA Compliant, GDPR
Hear the calls
Why coverage decides it

A sample tells you what you believe is happening. A record tells you what did.

Every call into your access center is a PHI disclosure, and Section 1557 requires meaningful access in the patient's own language. Both are per-conversation obligations. Neither can be satisfied on average.

A quality program on a sample

1-3%of conversations reviewed
  • An estimate of your verification compliance rate, with a confidence interval
  • No way to say which conversation failed
  • A confidence interval too wide to put in front of an OCR inquiry
  • Coaching evidence, not the record an examiner asks for

Orvera

100%of conversations audited
  • The rate itself, plus the individual record behind it
  • Scored against your own verification and minimum-necessary standard
  • Human-handled and AI-handled conversations alike
  • Every score linked to the transcript that produced it
For providers

The access center, end to end.

Scheduling, registration, eligibility, the bill the patient called in about, and the audit trail underneath all of it.

  1. Reminder callRebooked
    Outcome
    Moved, not lost
    Booked on
    Same call
    Reminder placedT-48h
    New slot offeredLive
    Written to schedulingYes
    Released slot backfilled from the waitlist
    01

    Reminders that rebook on the call

    A scheduled appointment hits its reminder window and today the patient gets a one-way call or text. Orvera places the reminder, and when the patient wants to move it, rebooks against live availability in the scheduling module on the same call.

    • Moves no-show rate, the number one 2026 access priority
    • Rebooks inside the same conversation
    • Released slot backfilled from the waitlist
    • Written straight back to the scheduling module
  2. New patient schedulingBooked
    1
    Contact

    Identity, protocol, availability, booking

    Resolved inside one conversation rather than a callback.

    Identity verifiedPass
    Protocol appliedYours
    Searched across sitesLive
    Appointment and demographics written back to the EHR
    02

    New-patient scheduling, start to booked

    A new patient calls the access center for a first visit. Orvera verifies identity, applies your own scheduling protocol, searches live availability across providers and sites, books it, and writes the appointment and demographics back to the EHR.

    • Moves call abandonment against HFMA's under-5% goal
    • Your protocol, not a generic booking flow
    • Searches across providers and sites
    • Demographics written back to the EHR
  3. Patient-initiated billing callInbound only
    Call origin
    Patient called
    Outbound chase
    Not in scope
    Charge reconciledDone
    Plan payment appliedDone
    Explained in plain languageDone
    Payment plan set inside your own matrix
    03

    The bill question the patient called about

    A statement or an EOB arrives and the patient calls to ask what it means. Orvera pulls the account, reconciles the charge, the plan payment and the balance, explains it in plain language, and sets up a payment plan inside your own matrix.

    • Inbound and patient-initiated, never outbound balance chasing
    • Moves first-contact resolution on the largest call driver
    • Payment plan set inside your own matrix
    • Moves repeat contact on the same account
  4. Portal in-basketDigital
    Administrative, resolved end to endMost
    Clinical, routed to the right in-basketRest
    Scheduling and billingResolved
    Forms and recordsResolved
    ClinicalRouted
    Clinical messages routed with a written summary attached
    04

    Portal messages triaged before clinical staff see them

    MyChart message volume grew 18.56% in 2025 and the administrative share sits in a clinical in-basket. Orvera resolves the scheduling, billing, forms and records messages end to end, and routes anything clinical to the right in-basket with a written summary attached.

    • Moves clinical in-basket volume
    • Scheduling, billing, forms and records resolved end to end
    • Clinical routed, never answered
    • A written summary travels with the routed message
  5. LEP callNo bridge
    Interpreter bridge
    None needed
    Hold time
    None
    Conversation languagePatient's
    TranscriptBoth
    Offer and use loggedYes
    Every language event logged for Section 1557
    05

    The whole call in the patient's language

    An LEP patient calls and today the rep puts them on hold to bridge in a telephonic interpreter, which roughly doubles handle time. Orvera runs the entire access conversation in the patient's language with no bridge and no hold, transcribed in both.

    • Moves interpreter offer and use rate under Section 1557
    • No bridge, no hold
    • Transcribed in both languages
    • Every language event logged as a record
  6. Auto QA0% sampled
    100%
    Audited

    Verification checked on every disclosure

    A rate you can state, not one estimated from a handful.

    Identity and authorityScored
    Minimum necessaryScored
    Language accessScored
    Human and AI handled. Every score linked to its evidence
    06

    Verification checked on every call, not a sample

    Every access call is a PHI disclosure and today a QA analyst scores a handful per agent per month. Orvera audits 100% of conversations against your own identity verification and minimum-necessary standard, and reports the compliance rate per agent, queue and site.

    • A HIPAA verification rate you can state, not estimate
    • Human-handled and AI-handled conversations alike
    • Reported per agent, queue and site
    • Every score linked to its transcript evidence
Proof

Hear the calls

Real conversations from the access center and from the patients calling into it.

Appointment scheduling, inbound

Listen for how the visit type and the live calendar slot get settled inside one contact.

Pre-visit call ahead of an appointment

Listen for the registration and coverage detail captured before the day of the visit.

Appointment confirmation with the patient

Listen for the confirmation, and what happens when the patient wants to move the appointment.

Patient calling about a lab result

Listen for identity verification, and for where the conversation stops being administrative.

Patient-initiated balance inquiry, inbound

The patient placed this call. Listen for the plain-language explanation of what is owed and why.

Deployment lifecycle

AI agents are deployed through a structured lifecycle aligned to real contact center environments, not a switch you flip and hope.

01

Workflow creation

Your access protocols, scheduling rules, scripts and past interactions are turned into structured workflows the agent follows.

02

Testing and validation

Workflows are tested across real scenarios for accuracy, escalation handling and compliance before a single live call.

03

Controlled deployment

Agents go live through a defined process, monitored and connected to your EHR, telephony and ticketing.

04

Continuous improvement

Live performance feeds back into the workflows, sharpening resolution and compliance week over week.

Speed to value

From your access protocols to full production deployment.

3-6weeks

to full production deployment.

  • Your own scheduling and verification protocols mapped into executable logic
  • Tested and validated across scenarios before go-live
  • Deployed within your existing EHR, telephony and CCaaS

Timelines depend on workflow complexity and enterprise requirements.

Enterprise-ready

Approved-knowledge grounding, granular controls and full audit logs, across every channel. Every interaction comes with a complete report, transcript and summary.

Approved-knowledge grounding

Agents answer only from the sources you approve, no open-web guessing.

Verification on every disclosure

Identity, authority and minimum necessary, scored on 100% of conversations.

Full audit logs

A complete report, transcript and summary for every interaction.

Granular controls

Permissions, guardrails and policy, configured per channel and use case.

SOC 2 Type II
SOC 2 Type II
HIPAA Compliant
HIPAA Compliant
GDPR Compliant
GDPR Compliant
Also a health plan?

Member services runs on the same deployment.

Integrated systems that own a plan alongside the hospitals get the member line and the provider line from the same program, on the core administrative platform rather than the EHR.

See member services for health plans
Orvera AI
Get started

Start with one queue.

Bring your scheduling line, and Orvera builds it, deploys it and runs it inside 3 to 6 weeks, absorbing the deployment and implementation cost as a strategic partnership.

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