Careforce offers AI‑driven virtual agents that automate care coordination tasks such as appointment scheduling, reminders, referral routing, outreach calls, transportation logistics, and Medicaid/Medicare redetermination across existing EHR and patient‑portal systems. By integrating via APIs and UI scrapes, the agents extract and normalize patient data, provide multilingual engagement, and deliver real‑time analytics, allowing health plans and provider networks to reduce administrative burden and focus on clinical care.
Funding
Funding not disclosed
Founders
Product
Problem
Healthcare organizations face growing administrative burdens, including manual appointment scheduling, outreach, referral management, and coverage redetermination, which strain staff capacity and lead to missed care and inefficiencies.
Solution
Careforce provides AI-driven virtual agents—Angelica (care coordinator) and David (data analyst)—that automate routine care operations across existing health IT systems. The agents connect to electronic health records, scheduling platforms, and other portals via API and UI integrations, extracting patient data, matching identities, and executing tasks such as appointment booking, reminder delivery, referral routing, pre‑ and post‑procedure calls, transportation coordination, and Medicaid/Medicare redetermination. Built-in multilingual communication supports over 30 languages, reducing language‑related gaps. Real‑time analytics and reporting keep care teams informed while the AI handles high‑volume outreach, allowing staff to focus on clinical care. The solution is delivered as a cloud service that scales with the organization’s workload.
Target Audience
Primary customers are health plans, payors, and provider networks—including FQHCs, CHCs, primary‑care, specialty clinics, and urgent‑care centers—that need to streamline care coordination and reduce administrative overhead.
Features
- Autonomous AI agents (Angelica and David) that perform scheduling, reminders, referral management, and outreach without human intervention
- Integration layer that pulls and pushes data via APIs and UI scrapes from all major EHR, scheduling, and patient portal systems
- Identity matching and data normalization across patient demographics, lab orders, prescriptions, and HEDIS metrics
- Multilingual communication engine supporting 33+ languages for patient engagement and education
- Automated Medicaid/Medicare redetermination and enrollment outreach to prevent coverage lapses
- Transportation orchestration module that coordinates patient travel logistics
- Real‑time operational dashboards and alerts for care teams to monitor workflow status
- Scalable cloud architecture that handles variable outreach volumes and provides ROI per workflow