AI in healthcare has moved from being a futuristic idea to a game-changer. It’s transforming the way healthcare providers interact with patients, making processes more efficient, reducing administrative tasks, and ultimately improving care. These advancements are more than just a passing trend; they’re becoming essential for a healthcare system that’s more responsive, efficient, and patient-focused.
Let’s look at the numbers:
- 90% of healthcare organizations are now investing in AI to improve efficiency (Accenture).
- 67% of patients prefer automated scheduling over phone calls (McKinsey).
We’ve all experienced the frustration of endless hold music or struggling to find an available appointment slot, and that’s why many healthcare businesses have started adopting AI call bots, like Infinitus. These bots handle key tasks, from scheduling and reminders (reducing no-shows by 50%) to managing prescription refills and insurance queries, thereby saving staff time and providing 24/7 support for patients, even outside business hours.
As Oliver Kharraz, CEO of Zocdoc, said, “The next stage of medical technology could incorporate ‘superhuman’ augmentative artificial intelligence”.
In this blog, we’ll walk you through the key elements of building an AI healthcare call bot, as our years of experience in healthcare tech have shown us how AI can significantly improve patient communication and reduce administrative workload. We’ve successfully developed call bots for numerous clients, handling everything from patient scheduling and reminders to answering common queries. Using this expertise, IdeaUhser is here to help you create a tailored AI solution that not only streamlines operations but also enhances the overall patient experience.
Overview of the Infinitus AI Call Bot
The Infinitus is designed to simplify complex phone calls in healthcare. It automates tasks like insurance verification, prior authorizations, and benefit checks by using AI agents that can communicate with patients, payors, and providers.
Here’s how it works,
Voice AI Agents and Copilots
Infinitus deploys AI agents (call bots) and copilots that handle calls on behalf of healthcare organizations. These agents can navigate phone systems, filter out noise, and engage in real-time conversations with humans.
Multi-Model, Multimodal AI System
The system uses a combination of AI models to manage various tasks. Fast models handle simple queries, while larger language models tackle complex conversations, ensuring consistent and accurate communication.
Hallucination-Free, Trust-Based Architecture
To avoid errors, Infinitus features a “hallucination-free” design. It relies on verified actions, real-time knowledge graphs, and an AI review layer to ensure accuracy, all while maintaining compliance with regulations like HIPAA and SOC 2.
Real-Time and Post-Call Human Oversight
Infinitus includes human oversight to monitor calls, especially for complex issues. This ensures that critical healthcare information remains accurate and meets regulatory standards throughout every interaction.
A Perfect Time to Invest in Developing an AI Healthcare Call Bot
According to GrandViewResearch, the US conversational AI healthcare market is projected to reach $6.4 billion by 2025, with a strong growth rate driven by the increasing use of AI-powered call bots. These tools are reshaping how healthcare providers engage with patients, simplifying administrative tasks, and reducing operational costs. With more providers adopting AI in their workflows, these technologies are improving both patient experiences and service delivery.
Source: GrandViewResearch
AI healthcare call bots are becoming integral in handling high volumes of patient inquiries, offering 24/7 support, and automating essential tasks like appointment scheduling and reminders. By taking over repetitive tasks, these bots free up human staff to focus on more complex cases, leading to quicker, more efficient patient interactions. This not only boosts patient satisfaction but also enhances the overall efficiency of healthcare operations.
Hospitals and health apps are also rapidly integrating AI call bots into their systems. Major healthcare providers, such as Highmark Health and Hackensack Meridian Health, have adopted AI agents for call center automation and nurse support.
Apps like Ada Health and Florence use AI to help with symptom checking and medication reminders, reaching millions of users globally and offering continuous support outside traditional clinical environments.
As the shift toward telemedicine grows, healthcare providers are looking for reliable, scalable solutions to manage patient interactions efficiently, creating a significant market opportunity.
Companies like Babylon Health and Gyant are already capitalizing on this trend. Babylon Health, with its virtual consultations and AI chatbots, generated over $30 million in revenue, while Gyant’s automated patient engagement platform earned $20 million in 2022.
These examples show the immense market potential for AI healthcare solutions, making it a great time to launch a platform that meets the increasing demand for efficient, digital healthcare services.
The Business Model of Infinitus
Infinitus operates as a B2B SaaS company, automating high-volume healthcare phone calls using advanced voice AI technology. Its platform is designed for healthcare providers, payors, and large enterprises, focusing on streamlining back-office tasks like insurance verification, prior authorizations, and patient engagement.
Usage-Based Pricing
Instead of traditional subscription models, Infinitus charges clients based on usage metrics such as the number of calls automated or the minutes of conversation handled. This pricing model ensures that clients pay according to the actual value they receive, making it easier for healthcare organizations to measure the return on investment.
Enterprise Contracts
Infinitus secures long-term, high-value contracts with major healthcare organizations. With 44% of the Fortune 50 among its clients, Infinitus serves more than 125,000 healthcare providers, automating complex calls across a network of over 1,400 payors. This large-scale reach helps the company maintain a solid and diversified revenue stream.
Platform Integration Fees
Infinitus generates additional revenue through platform integration services. As healthcare organizations have unique systems in place, Infinitus offers customized setup and integration with systems like Electronic Health Records and CRM tools, ensuring seamless communication across their operations.
Value-Added Services
For larger enterprise clients, Infinitus provides premium services, including advanced analytics, compliance features (SOC 2, HIPAA), and human-in-the-loop oversight. These services add extra value, helping healthcare organizations meet regulatory requirements while gaining deeper insights into their operations.
Key Operational and Financial Metrics
- Scale: Infinitus has automated over 100 million minutes of healthcare conversations and completed more than 5 million calls.
- Customer Impact: Clients see an average ROI of around 50%, with data accuracy improving by 10% compared to human callers.
- Market Penetration: The company supports 44% of the Fortune 50 and serves over 125,000 healthcare providers.
- Efficiency: By using Infinitus, healthcare providers have saved nearly 75 million minutes of back-office time, cutting administrative costs and speeding up patient care.
Funding and Financial Performance
Leading tech investors and founders backed Infinitus, though exact funding details and valuation are not disclosed.
- Recognition: The company was named one of Fast Company’s “World’s Most Innovative Companies of 2025,” showcasing its influence in the healthcare space.
- Financial Performance: While revenue figures are not publicly available, the company’s growth, large client base, and operational success suggest strong financial health and continued expansion.
Top Features to Include in an AI Healthcare Call Bot Like Infinitus
After developing numerous AI healthcare call bots, we’ve figured out what features truly resonate with users. From our experience, we’ve seen which elements make a real difference in improving the user experience and driving engagement in this type of app.
1. Free-form Speech/Text Input
Users appreciate the freedom to speak or type naturally. The ability to understand various phrasing, slang, and even emotional cues makes the interaction feel much more personal and effortless. It helps users communicate in a way that’s comfortable for them.
2. Contextual Awareness
Our bots excel at remembering previous conversations, which allows for smooth, multi-turn dialogues. Users don’t need to repeat themselves, and the bot can maintain context across interactions. This continuity makes the experience feel more natural and efficient.
3. Intent Recognition
Identifying user intent is essential, especially when requests are phrased indirectly. Whether it’s checking benefits or scheduling appointments, the bot can understand and accurately address the user’s needs. This feature keeps the experience intuitive and frictionless.
4. Outbound Calling/Messaging
Users love when the bot takes initiative, whether it’s sending reminders, follow-ups, or alerts about upcoming appointments or medications. This proactive approach saves users from needing to initiate every interaction, making it more convenient and valuable.
5. Appointment Management
Users enjoy how easy it is to book, reschedule, or cancel appointments through simple commands like “Book me with Dr. Smith next Tuesday.” This feature eliminates the need for calls or navigating complicated systems, streamlining a typically time-consuming process.
6. Prescription Refills/Reminders
Managing prescriptions is effortless with automated refill requests and timely reminders. Users appreciate the convenience of not having to remember to reorder or take their medication, which helps improve adherence to their treatment plans.
7. Benefit Verification and Claims Status
Being able to quickly check insurance benefits or the status of claims is a big hit among users. The bot can provide real-time updates, saving users from long calls with insurance representatives and offering transparency in their coverage.
8. Symptom Assessment and Triage
Users value being able to describe their symptoms and receive guidance on what to do next, whether it’s seeing a doctor or simply resting at home. While not a replacement for a professional diagnosis, this feature provides helpful direction for users seeking immediate advice.
9. Location and Service Finder
Finding nearby clinics, pharmacies, or specialists is one of the most appreciated features. Users enjoy how easy it is to locate services when they need them the most, making healthcare more accessible and less stressful.
10. Multilingual Support
Offering multiple language options is essential for reaching diverse user groups. Multilingual support breaks down language barriers, making healthcare more accessible to everyone, regardless of their native language.
11. Seamless Hand-off to Human Agents
If the bot encounters a complex issue or the user requests a human, the seamless transition to a live agent is crucial. It ensures users don’t have to start over and that their issue is resolved quickly and efficiently.
12. Patient Feedback Collection
The ability to collect patient feedback after each interaction helps improve service and user satisfaction. Whether through surveys or casual conversation, this feedback is valuable for the continuous improvement of the app.
13. Automated Data Gathering
The bot’s ability to collect necessary information, like contact or insurance details, saves time for both users and healthcare providers. This automation streamlines administrative tasks, allowing staff to focus on more critical issues.
Development Steps for an AI Healthcare Call Bot Like Infinitus
We focus on creating AI healthcare call bots that streamline processes and boost efficiency for our clients. Our bots handle tasks like patient interactions, insurance verifications, and prior authorizations, freeing up resources and improving workflows. Here’s how we build a custom AI call bot designed specifically for your needs:
1. Identify the Use Case and Requirements
We begin by understanding your specific needs, identifying the healthcare problems you want to solve, such as insurance verification, patient engagement, or prior authorization. We collaborate with your team to gather insights and ensure we address the most critical areas. We also make sure that we comply with all relevant regulatory standards like HIPAA to safeguard patient data.
2. Define the AI Bot’s Scope
Next, we define the core functionalities your AI call bot will support. Whether it’s voice recognition, health risk assessments, or data integration, we clarify the essential features. We also decide whether the bot will handle inbound or outbound calls and determine the level of complexity required for the conversations, ensuring it meets your exact requirements.
3. Select the Core Technologies
We carefully select the right technologies to power your AI bot, including NLP for understanding conversations, speech recognition (ASR) to convert speech to text, and speech synthesis for generating natural-sounding responses. We choose the best conversational AI platform, such as Dialogflow or Rasa, to ensure scalability and precision.
4. Develop Voice Interaction Design
We map out a conversational flow tailored to your specific use case, ensuring the AI bot can handle a variety of healthcare-related queries. The bot will engage users in dynamic, context-aware conversations, adapting responses based on intent and user input, creating a seamless experience for your patients and healthcare providers.
5. Build and Train the Speech Recognition Model
We train a custom Speech-to-Text model using large healthcare datasets, ensuring that it accurately processes medical terms, insurance jargon, and patient-specific language. This model is fine-tuned to handle noisy environments and diverse accents, improving over time to provide better performance.
6. Train the NLP Model for Healthcare Use Cases
We develop or fine-tune NLP models that are optimized for healthcare interactions. These models understand medical terminology, insurance language, and patient needs, allowing the bot to handle multi-turn conversations with context retention, making every interaction more efficient and personalized.
7. Develop the Backend Logic and Integration Capabilities
Our team sets up robust backend systems to process healthcare data, manage patient records, and handle insurance claims. We ensure seamless integration with your existing healthcare systems, such as Electronic Health Records and insurance databases, to enable real-time access to critical information.
8. Design and Implement Compliance Features
Compliance is a top priority. We ensure your AI call bot meets all healthcare regulations, including HIPAA and GDPR, to protect patient data. We implement encryption for secure data transmission and add features like secure authentication and detailed logging to guarantee full compliance.
9. Test the AI Bot for Accuracy and Real-World Scenarios
We thoroughly test the bot across various real-world scenarios to ensure it handles insurance verifications, patient appointments, and health risk assessments with precision. Rigorous unit and integration tests are performed to validate its robustness, and we refine the system through iterative testing and client feedback.
10. Optimize the User Experience
We focus on creating an intuitive and natural user experience. The bot’s conversational flow is optimized for ease of use, ensuring that patients and healthcare professionals find the interaction seamless. In cases where the bot cannot handle a query, we incorporate fail-safes that escalate to a human agent, ensuring no patient or provider is left without assistance.
11. Deploy, Monitor, and Improve
Once the bot is ready, we deploy it in a controlled environment to monitor performance and ensure it operates smoothly. We track key metrics like accuracy, user satisfaction, and call completion times. Based on these insights, we continuously fine-tune the system, ensuring it evolves to meet the growing needs of your healthcare operations.
Cost of Developing an AI Healthcare Call Bot Like Infinitus
We take a practical, cost-conscious approach when developing AI healthcare call bots, ensuring our clients get the best value without compromising on quality. Our goal is to create efficient, effective solutions that meet your needs while staying within budget.
I. Research & Discovery Phase (5% – 10% of total cost)
Activity | Cost Range | Breakdown |
Define limited use cases | $500 – $10,000 | Project Manager/Business Analyst (20-40 hours @ $25-$50/hour) |
Basic competitor analysis | Minimal research tools/software | |
Preliminary compliance assessment | HIPAA basics (not in-depth legal counsel) | |
Technology stack selection | Lean open-source and affordable cloud services |
II. UI/UX Design (5% – 10% of total cost)
Activity | Cost Range | Breakdown |
Create conversational flow diagrams | $500 – $10,000 | UI/UX Designer (20-40 hours @ $25-$50/hour) |
Design basic voice prompts & responses | Basic design tools | |
Minimal visual design (if needed) | Web-based interface or admin setup |
III. Front-end Development (5% – 15% of total cost)
Activity | Cost Range | Breakdown |
Develop web-based interface | $500 – $15,000 | Front-end Developer (20-60 hours @ $25-$50/hour) |
Integration with ASR/TTS services | Basic frameworks (React, Vue, Angular) or HTML/CSS/JS |
IV. Back-end Development (15% – 30% of total cost)
Activity | Cost Range | Breakdown |
Core logic for NLP models, ASR/TTS | $1,500 – $30,000 | Backend Developer (60-120 hours @ $25-$50/hour) |
API endpoints for communication | Python/Node.js, lightweight database (SQLite, PostgreSQL) | |
Integration with simple APIs | Cloud services (AWS Lambda, Google Cloud Functions) | |
Basic user authentication | Minimal cloud integrations |
V. App Features (AI & Core Functionality) (30% – 50% of total cost)
Activity | Cost Range | Breakdown |
NLP/ NLU | $3,000 – $25,000 | Integrate open-source NLP frameworks (e.g., Rasa), fine-tuning with small datasets |
ASR/TTS Integration | $1,000 – $5,000 | Google Cloud Speech-to-Text, Amazon Polly |
Dialogue Management | $2,000 – $10,000 | Simple, linear conversation flows with rule-based responses |
Knowledge Base | $1,000 – $5,000 | Simple FAQ-based knowledge base (JSON or database) |
Human Handoff (Basic) | $500 – $2,000 | Mechanism for call transfer to human agent |
VI. Testing & Quality Assurance (QA) (10% – 15% of total cost)
Activity | Cost Range | Breakdown |
Manual testing of conversation flows | $1,000 – $15,000 | QA Engineer (40-80 hours @ $25-$50/hour) |
Testing intent recognition | Small set of test phrases, basic integration testing | |
Security checks for PHI (basic) | Cloud provider’s security (not a full security audit) | |
User Acceptance Testing (UAT) | Very small group of internal users for testing |
VII. Deployment & Infrastructure (5% – 10% of total cost)
Activity | Cost Range | Breakdown |
Cloud hosting setup | $500 – $10,000 | DevOps Engineer (20-40 hours @ $25-$50/hour) |
CI/CD pipeline setup | Free tiers/lowest cost options for cloud services (AWS, GCP, Azure) | |
Minimal monitoring and logging | Initial setup for infrastructure | |
Ongoing Costs (monthly) | $50 – $500+ | Cloud service fees for compute, storage, ASR/TTS, database usage |
VIII. Project Management (5% – 10% of total cost)
Activity | Cost Range | Breakdown |
Coordination, communication, and timeline management | $500 – $10,000 | Project Manager (20-40 hours @ $25-$50/hour) |
Please note that this is an estimate, with costs typically ranging from $10,000 to $100,000, depending on the project’s complexity. For a more accurate quote tailored to your specific needs, we offer free consultations to help you understand the best approach and pricing.
Factors Affecting the Cost of Developing an AI Healthcare Call Bot
Developing an AI healthcare call bot involves many factors that directly influence the cost. Unlike typical software, healthcare AI requires specialized components that make the process more complex and expensive, especially for systems like Infinitus.
Proprietary Datasets
Infinitus likely uses a vast, specialized dataset to handle complex healthcare tasks. Building or acquiring such datasets, tailored specifically for healthcare calls, can run into the millions of dollars.
Medical Data Annotation
Annotating healthcare data is far more costly than general data labeling. For instance, medical text annotation demands expertise, and acquiring large, high-quality annotated datasets for tasks like benefit verification can cost tens to hundreds of thousands, or even millions.
Payer-Specific Rules and APIs
Automating processes like benefit verification and prior authorization requires integrations with numerous payer systems, each with its unique rules and APIs. This ongoing effort is expensive, requiring consistent updates and management.
Multi-Model and Multimodal AI
To ensure high accuracy, multiple AI models are often combined, and these models must process data from various inputs, such as speech and text. The complexity of handling these different modalities significantly increases the development cost.
Human-in-the-Loop for Continuous Learning
Infinitus uses human oversight for continuous feedback and improvements, ensuring the AI system adapts over time. This requires a dedicated team and incurs ongoing operational costs.
How AI Powers Next-Gen Healthcare Call Bots Like Infinitus?
Healthcare professionals spend a lot of time on administrative tasks, which reduces the time available for patient care. AI-powered call bots like Infinitus help by understanding patient questions and providing personalized responses, freeing up staff to focus more on caring for patients. Let’s understand this in detail,
1. NLP: Making Conversations Feel Human
When patients reach out with questions like, “Does my Aetna plan cover Ozempic for Type 2 diabetes, and what are the prior authorization requirements?” an AI system like Infinitus doesn’t just perform keyword searches. It’s designed to understand the full context of the question, including the intent and urgency behind it.
Here’s how Infinitus handles these complex queries:
Intent Recognition
The AI first determines what the patient wants to know. Is it a question about insurance coverage? Claims? Or approval requirements? Understanding the intent is the first crucial step in providing an accurate response.
Entity Extraction
Next, the AI identifies key pieces of information in the query, such as:
- The insurance provider (e.g., Aetna)
- The medication (e.g., Ozempic)
- The patient’s condition (e.g., Type 2 diabetes)
Sentiment Analysis
In addition to identifying facts, the AI can detect the tone of the conversation. For example, if the patient seems frustrated or confused, the bot can prioritize that query and escalate it if needed.
For example, Infinitus uses advanced NLP models such as BERT and LLaMA, which are trained on millions of healthcare-related dialogues. These models can pick up on the subtle language of the healthcare industry, including medical jargon and specific insurance terminology.
Multimodal Input Handling
Not all conversations happen through text. Infinitus is equipped to handle various input forms, including voice calls, text chats, and even documents:
- Voice calls are transcribed using speech-to-text technology with an added layer of accent recognition to ensure accurate processing.
- Text chats are processed with context-aware NLP that can understand shorthand terms commonly used by patients and providers (e.g., “PA for Ozempic?”).
- Uploaded documents are scanned for relevant data, such as prior authorization forms or insurance policies.
2. Machine Learning: Tailoring Responses for Each Patient
Unlike traditional, rule-based bots that rely solely on pre-programmed responses, AI healthcare assistants like Infinitus leverage machine learning to learn and adapt over time. This allows them to provide tailored responses based on the patient’s specific needs and history.
Here’s how this personalization works:
Dynamic Knowledge Graph Integration:
- The bot integrates real-time updates from various healthcare providers to ensure it always has the most up-to-date information, such as changes in prior authorization requirements or formularies.
- It also considers patient-specific factors, like the deductible status, medication history, and specific insurance plan details, to provide the most relevant guidance.
Example: If a patient asks, “What’s my copay for Mounjaro?” the bot doesn’t just give a generic response. It cross-references:
- The patient’s specific insurance plan.
- Their current deductible status.
- The drug’s tier on the insurance formulary (whether it’s a specialty or generic medication).
Predictive Assistance
Infinitus doesn’t just answer questions, it anticipates the next steps in the process. For example, if a patient asks about the coverage of a medication, the bot might follow up with, “Would you like help submitting a prior authorization request?”
Continuous Improvement via Reinforcement Learning
As patients interact with the system, the AI learns from each conversation, improving its ability to provide more accurate and timely responses over time. If a user corrects the bot (e.g., “No, I meant UHC, not Aetna”), the AI adjusts its understanding in real-time.
3. Seamless Integration with Healthcare Systems
For healthcare call bots to truly be effective, they need to integrate with existing healthcare systems to retrieve accurate, real-time data. Infinitus is built to work with a wide range of healthcare technologies, enabling it to access and process information from multiple sources simultaneously.
System | How AI Connects |
EHR/EMR (e.g., Epic, Cerner) | Retrieves patient records, medications, and diagnoses via FHIR APIs. |
Payer Portals (e.g., Aetna, UHC) | Checks real-time eligibility, formulary lists, and authorization requirements. |
Pharmacy Systems (e.g., Surescripts) | Validates prescription alternatives, drug interactions, and insurance coverage. |
CRM (e.g., Salesforce Health Cloud) | Logs patient interactions for follow-ups and audits. |
Example: Let’s say the bot is processing a prior authorization request. It will:
- Retrieve patient records from the Electronic Health Record (EHR) system like Epic.
- Validate the patient’s coverage details via the payer portal (e.g., Aetna’s API).
- Auto-fill necessary CMS-1500 forms using the patient’s data for submission.
4. Security & Compliance: Safeguarding Sensitive Health Data
The healthcare industry deals with some of the most sensitive data imaginable, which means security is paramount. AI healthcare bots like Infinitus are designed to meet strict privacy and compliance standards, such as HIPAA and GDPR, to protect patient information.
Here’s how they ensure privacy:
Data Protection:
- End-to-End Encryption: All data, including voice and text conversations, are encrypted using AES-256 to ensure that patient information remains secure during transmission.
- Temporary Data Storage: Patient health information (PHI) is stored only for the duration of processing and is deleted immediately afterward.
- Anonymized Training Data: AI models are trained on de-identified data, ensuring patient privacy is never compromised during the learning process.
Access Controls:
- The system uses role-based permissions to control who can access specific patient data (e.g., front-desk staff versus doctors).
- Multi-factor authentication ensures that only authorized personnel can access sensitive admin settings.
Audit Trails: Every action performed by the AI is tracked and logged, providing an immutable record that ensures compliance and accountability.
The Future of AI Healthcare Bots
The future of AI in healthcare is promising, and we’re just scratching the surface. Some exciting developments on the horizon include:
- Voice Cloning: Imagine a more personalized interaction where the AI can mimic a specific voice, making the conversation feel even more human-like.
- Predictive Denials Management: AI could proactively identify at-risk claims before they’re submitted to insurers, reducing denials and ensuring faster reimbursements.
- AI-Human Handoff: For more complex or sensitive cases, the AI could seamlessly transfer the conversation to a human agent, ensuring a smooth and efficient experience for the patient.
Overcoming Key Challenges in Developing an AI Healthcare Call Bot
Building an AI-powered healthcare call bot, such as Infinitus, presents unique challenges due to the complexity of healthcare. These challenges go beyond technology and are shaped by strict regulations, patient privacy concerns, and the need for accurate medical communication.
Here’s a quick look at the hurdles and how we overcome them to create effective and reliable AI systems for healthcare providers and patients.
1. Handling Complex, Contextual Medical Conversations
Healthcare conversations are rarely straightforward. Patients often need to discuss a variety of issues during a single interaction, such as insurance eligibility, prescription refills, appointment scheduling, and claims inquiries. The difficulty arises when these conversations span multiple exchanges, causing traditional chatbots to lose track of context and frustrate users.
Solution
- We tackle this by using advanced NLP models like GPT-4 and BERT-Med, specifically trained on healthcare data, to understand medical terminology and retain context throughout a conversation.
- We also employ dialog state tracking to help the bot remember and manage complex interactions.
For structured queries, such as “What’s my deductible?”, we use rule-based systems, while open-ended questions, like “Can you help me with a medication refill?”, are handled by our generative AI. This hybrid approach ensures both efficiency and natural conversation flow.
2. Ensuring HIPAA Compliance in AI Voice & Text Processing
Given the sensitive nature of healthcare data, ensuring compliance with HIPAA and similar regulations is a significant hurdle. Many off-the-shelf AI solutions do not meet these privacy standards, posing a risk to patient data security and confidentiality.
Solution
- To solve this, we only work with HIPAA-compliant cloud providers like AWS GovCloud and Azure HIPAA BAA, ensuring that all patient information is processed within a secure environment.
- We also anonymize and de-identify patient data before it’s used in any AI processing, minimizing privacy risks.
- End-to-end encryption is implemented for voice calls and chat logs, guaranteeing that data remains protected at all stages of the interaction.
3. Accurate Speech Recognition for Medical Terminology
Medical terminology is inherently complex, and the typical vocabulary used by healthcare professionals and patients can include very specific terms. On top of that, background noise in healthcare settings, whether it’s a busy clinic or hospital, can make it even harder for speech recognition systems to understand what’s being said, further compounded by regional accents.
Solution
- To address this, we develop custom Automatic Speech Recognition models that are trained specifically on medical call datasets. These models are tailored to recognize complex medical terminology, ensuring the bot can transcribe conversations accurately.
- We also use acoustic models optimized for noisy environments to handle the challenges posed by background noise.
- Additionally, our NLP models are fine-tuned with medical coding standards like SNOMED CT, ICD-10, and RxNorm, ensuring accurate recognition of medical terms.
4. Handling Edge Cases & Escalations to Human Agents
AI-powered bots can misinterpret critical situations, such as a patient mentioning symptoms of a heart attack or expressing emotional distress. In these cases, a human response is necessary, either because of the urgency of the situation or due to the need for empathetic communication.
Solution
- To manage these edge cases, we incorporate sentiment analysis into the system. This enables the bot to detect when a conversation turns urgent or emotionally charged.
- For instance, if a patient mentions chest pain or shows signs of distress, the AI can quickly escalate the conversation to a human agent.
We also use confidence scoring to assess the bot’s certainty level. If the AI’s confidence in its response is below a certain threshold (e.g., 90%), it automatically routes the interaction to a live agent. Additionally, we implement predefined escalation protocols for emergencies, ensuring that critical queries are prioritized and addressed immediately by human experts.
A Recent AI Healthcare Breakthrough: Key Lessons for Healthcare Call Bots
Alan, a French digital health insurer, recently introduced Mo, an AI chatbot designed to support 680,000 members with their medical inquiries. What sets Mo apart is its ability to provide tailored, accurate advice while creating a more personalized, human-like interaction. Instead of just spitting out generic answers, Mo listens to users’ concerns and adapts its responses accordingly.
Source: TechCrunch
What We Can Learn from Mo’s Approach?
Mo’s success highlights the importance of personalization and trust in healthcare AI. By adapting to individual needs and offering thoughtful responses, Mo builds a sense of reassurance for users. This is a valuable lesson for developing AI healthcare bots like Infinitus, ensuring they provide not just reliable information but a safe and empathetic experience.
1. AI + Human Validation = Trust & Accuracy
Pure AI chatbots can sometimes provide inaccurate or false medical information, which undermines trust. Alan tackled this issue by having AI draft responses, but with a doctor verifying each one within 15 minutes. This ensures that no unchecked AI answers are sent out, and every response is medically validated before reaching the patient.
What We Can Learn and Apply:
- We should implement human-in-the-loop workflows to ensure that complex or sensitive cases are always escalated to a healthcare professional.
- We can use confidence scoring to flag AI responses with low certainty for further review by medical experts.
- We need to train AI on verified, authoritative medical datasets, ensuring it learns from trusted sources rather than unverified public data.
2. Let Users Choose: AI or Human?
Some patients are wary of AI, particularly when it comes to sensitive health matters. Forcing AI-only interactions can create frustration and hinder adoption. Alan addressed this by making Mo optional; users can easily skip the AI and speak with a human doctor if needed. This approach allows AI to handle routine queries while freeing up doctors for more complex cases.
What We Can Learn and Apply:
- We can add a “Talk to a human” option at any point in the conversation, giving users the freedom to switch to a doctor whenever they feel necessary.
- We should route high-risk queries (like chest pain or mental health concerns) directly to human healthcare providers, ensuring that patients receive the appropriate care.
- We can track opt-out rates to assess user comfort and make improvements to AI interactions, helping us fine-tune the system for better user experience.
3. AI as a “Conversation Optimizer”
Patients often have difficulty phrasing medical questions, which can lead to misunderstandings or incorrect answers. Alan’s solution with Mo is to rephrase patient queries for clarity before providing an answer. This ensures clearer communication, helping users ask the right questions and paving the way for more accurate responses when a doctor is involved.
What We Can Learn and Apply:
- We can leverage NLP intent refinement (e.g., “Are you asking about side effects or dosage?”) to help patients articulate their queries more accurately.
- We can train AI to ask clarifying follow-up questions before it provides an answer, helping to ensure that responses are accurate and contextually relevant.
- We should deploy symptom checkers or structured input forms to guide patients through a series of questions, ensuring we capture the correct information before engaging with a healthcare provider.
Conclusion
AI healthcare call bots are transforming patient interactions, making communication more efficient while ensuring privacy and compliance. If you’re looking to build a similar solution, Ideausher is here to help. Contact us for a free consultation, and we’ll guide you through the process to bring your idea to life.
Looking to Develop an AI Healthcare Call Bot Like Infinitus?
At Idea Usher, we partner with healthcare providers, insurers, and tech innovators to create AI healthcare call bots that revolutionize patient interactions. Our solutions automate tasks like appointment scheduling, insurance inquiries, and claims processing, helping to improve patient experiences, streamline healthcare workflows, and reduce operational costs, just like Infinitus.
Why Choose Us?
- 500,000+ Hours of Expertise – Our team, including former engineers from top tech companies, has extensive experience in developing scalable AI solutions for leading organizations.
- HIPAA-Compliant AI – We ensure that our solutions are secure, healthcare-ready, and integrate seamlessly with NLP, voice recognition, and EHR systems.
- End-to-End Development – From designing conversational AI to deployment and ensuring full compliance, we support every step of the process.
See our latest projects to see how we’re transforming healthcare communication with AI!
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FAQs
A1: To develop an AI healthcare call bot, you first need to define its core functions, whether it’s for appointment scheduling, insurance inquiries, or patient support. Then, choose the right AI technologies such as NLP for understanding medical queries and speech recognition for voice interactions. Integration with existing healthcare systems, like EHR, is also essential. Finally, ensure HIPAA compliance to protect patient privacy and data security.
A2: The cost of developing an AI healthcare call bot can vary widely depending on the complexity of the bot, the features required, and the level of customization. Factors like integration with healthcare systems, AI model training, and ongoing maintenance can impact the overall cost. Generally, the more sophisticated and tailored the bot, the higher the investment.
A3: AI healthcare call bots typically offer features like appointment scheduling, prescription refills, insurance eligibility checks, and claims status inquiries. They also have advanced NLP for understanding medical terminology and sentiment analysis for detecting distress. Integration with healthcare systems allows them to access patient records securely and provide personalized responses.
A4: Healthcare call bots can generate revenue by reducing operational costs through automation, handling high volumes of inquiries, and improving efficiency. They can also be monetized through subscription models for healthcare providers or licensing fees for third-party applications. Additionally, data insights generated from patient interactions can be valuable for healthcare organizations, further driving revenue opportunities.