Symptomloop provides an AI‑driven triage platform that replaces existing chatbot endpoints and generates a structured, evidence‑based reasoning trace for each patient interaction. The system extracts symptoms, maps them to ICD‑10 and CPT codes, and produces audit‑ready documentation that meets payer requirements, enabling immediate billing and compliance verification for telemedicine and digital health providers.
Funding
Funding not disclosed
Founders
Product
Problem
Healthcare providers often rely on chatbot triage tools that generate unstructured, opaque responses, making it difficult to meet payer documentation requirements and to justify billing for virtual visits. This lack of audit‑ready clinical reasoning can lead to claim denials, compliance risks, and inefficient revenue cycle management.
Solution
Symptomloop offers an AI‑driven health triage platform that can be dropped in to replace existing chatbot endpoints while preserving the same user experience. For each patient interaction, the system extracts symptoms, retrieves relevant evidence‑based guidelines, and constructs a step‑by‑step reasoning trace. The output includes structured ICD and CPT codes along with justification that aligns with payer policies, making the conversation immediately billable and audit‑ready. All reasoning steps are recorded and stored, enabling compliance reviews and streamlined revenue cycle management without additional manual documentation.
Target Audience
Primary customers are digital health platforms, telemedicine providers, and health systems that use conversational triage tools and need compliant, billable documentation for virtual encounters.
Features
- Drop‑in integration that replaces current chatbot endpoints while keeping the existing UI
- Real‑time generation of a traceable reasoning path linked to clinical evidence and guidelines
- Automatic mapping of extracted symptoms to ICD‑10 and CPT codes with accompanying justification
- Audit‑ready logs of each reasoning step for compliance verification and payer review
- Structured output formatted for direct ingestion into revenue cycle management and insurer systems