Back to Solutions
// solutions / ai call center · healthcare

Agentic voice routing for provider groups & payers

Replace IVR mazes with conversational AI agents that triage, route, schedule, and document — all with HIPAA-aware logging, human escalation paths, and EHR/PMS integrations.

Price$2,000 setup · $1,000/month managed

Engineering for ai call center · healthcare

We build voice-first AI call centers on Twilio, AWS Connect, or your existing telephony stack. Custom-trained on your intake flows, payer mix, and clinical specialties — with humans-in-the-loop where it matters.

  • Voice AI agents (OpenAI Realtime, ElevenLabs, Deepgram)
  • Intelligent call routing & skills-based queueing
  • Patient intake triage and symptom collection
  • Eligibility & benefits verification (270/271)
  • Appointment scheduling into Epic / athena / Elation
  • Prior authorization status lookup
  • Refill request handling
  • Call summarization → EHR note draft
  • HIPAA-aligned recording, redaction & audit logs
// outcomes

What teams get

Shorter hold times

AI handles tier-1 calls 24/7; humans get the complex cases.

Cleaner intake data

Structured capture replaces freeform notes.

Lower cost per call

Deflect routine calls without sacrificing patient experience.

// common use cases

Where we plug in

  • Patient appointment scheduling
  • Eligibility & benefits hotline
  • Refill request triage
  • After-hours nurse triage routing
  • Payer member services
  • Specialty referral intake
// agentic voice routing for provider groups & payers faq

Frequently asked questions

What does NextGen build for agentic voice routing for provider groups & payers?
We build voice-first AI call centers on Twilio, AWS Connect, or your existing telephony stack. Custom-trained on your intake flows, payer mix, and clinical specialties — with humans-in-the-loop where it matters. Typical scope covers voice ai agents (openai realtime, elevenlabs, deepgram), intelligent call routing & skills-based queueing, patient intake triage and symptom collection, eligibility & benefits verification (270/271) — delivered by senior U.S.-based engineers who stay on the engagement through production and handover.
Which agentic voice routing for provider groups & payers projects are the best fit?
The strongest fits are patient appointment scheduling, eligibility & benefits hotline, refill request triage. If the work touches regulated data, legacy integrations, or a delivery deadline you can't miss, that's exactly where an embedded senior pod pays for itself.
How quickly can a team start?
Most engagements begin within 7-14 days of the scoping call. We pre-vet engineers by domain, so you get someone who has shipped comparable systems instead of a generalist learning on your budget.
How is the engagement priced?
Indicative pricing for this scope is $2,000 setup · $1,000/month managed. Fixed-scope builds are quoted after a short discovery and architecture sprint; dedicated pods run on transparent monthly rates.
Is delivery onshore?
Yes. Delivery is 100% U.S.-based on Eastern-time hours, with senior leadership in the NYC metro available for on-site working sessions, architecture reviews, and stakeholder demos.
// let's build something

Start your project request

Tell us what you're building — engineering capacity, AI, QA, cloud, or a fixed-scope software engagement. Our NYC team responds within one business day.

// what to expect
  • Response within 1 business day
  • 30-minute discovery conversation
  • Recommended engagement model & pricing
  • NYC-focused — in-person available
Start Project Request

Inbound sales only. All form information is encrypted in transit.