Your practice loses
20+ hours a week
to work that was never medicine.

Audit · Build · Manage

Intake, scheduling, reminders, recall, follow-up, documentation — the administrative load that buries your front desk. We build and run the automations that take it off their plate, wrapped around the PMS and EHR you already use.

Medical-only HIPAA-aware Built by operators

The hidden productivity crisis

Modern medical clinics are drowning in work that doesn’t require a clinician.

Four numbers that summarize how bad the admin load has gotten in the last five years.

0

portal messages per hour of patient-facing clinical care — most routine, most landing in an already-full inbox.

JAMA Network Open, 2024
0

of clinics still do patient intake by hand — 15–20 minutes of staff time per patient.

2025 industry surveys
0

of referrals ever reach a completed appointment. The rest quietly leak to another practice.

PMC referral analysis
0

of adults over 35 get all recommended preventive care — the recall calls never get made.

CDC

Why this is so hard to fix internally

Your team isn’t slow. The volume is impossible.

Every patient encounter triggers scheduling, documentation, billing, insurance verification, referral management, prescription handling, and follow-up coordination. Multiply across three providers and that’s 60 to 75 patient journeys flowing through your front desk every single day. No human team can hold all of that in their head.

“What I didn’t expect was how much admin work there is. Charting, insurance verification, lab coordination, patient messages… it just keeps piling up and some days it feels like I’m doing more paperwork than actual medicine.”

— Physician opening a private practice, r/PrivatePracticeDocs, early 2026

There’s a fix for this — and it’s specifically designed around how medical practices actually work.

Meet ANOXIS

We build the AI automations your practice needs but doesn’t have the engineering team to build.

We install them silently, manage them in the background, and send you a monthly report showing what ran and what we recovered. You keep working. Your staff doesn’t touch it.

Medical-only — we don’t spread across verticals Wraps around your existing PMS/EHR HIPAA-aware by default

What we take off your plate

Six administrative jobs. We run all of them.

Every practice runs the same administrative lifecycle around each patient. We automate all six stages of it — then tune which one leads for your specialty. This isn’t billing software. It’s the repetitive, non-clinical work your front desk does all day.

01

Intake & Onboarding

Patients complete intake before they arrive, and the data writes itself into your PMS and EHR. Coverage is checked overnight — so the front desk stops re-typing and stops calling.

02

Scheduling & No-Shows

Risk-scored reminders, waitlist backfill, and the complex recurring slots your specialty needs — so the schedule stays full without anyone working the phones.

03

Recall & Reactivation

A nightly scan finds everyone due or overdue and reaches them on the channel they answer, with a booking link attached. The recall list stops growing.

04

Documentation & Data Entry

Notes, portal replies, and visit summaries get drafted for your team to approve. Enter a patient’s data once and it syncs everywhere — no more typing it into four systems.

05

Follow-Up & Referrals

Every referral, lab result, and post-visit follow-up is tracked and escalated until it closes — and the referring provider gets looped back in automatically.

06

Oversight & Reporting

We monitor and patch all of it, and send one monthly report: hours returned, what ran, what’s next. Your staff never has to become an automation team.

How it works

Five stages. Fourteen days to the first deliverable.

We engage the same way for every client, whether you need one workflow fixed or your whole operation automated. Nothing starts without the audit.

01

Audit

14 days. No obligation.

We walk your intake, billing, scheduling, and charting workflows with your team. You leave with a prioritized list of gaps ranked by hours recovered and dollars saved — whether you hire us or not.

02

Design

HIPAA-aware automations around your existing stack.

We design automations that integrate with your current PMS, EHR, and billing systems. No rip-and-replace. The automation wraps around what you already run.

03

Deploy

Installed silently. Your team keeps working.

We deploy in parallel with your current process so nothing breaks. Staff gradually stops doing the manual version as the automation takes over — no big-bang cutover, no training marathons.

04

Manage

We monitor, tune, and patch. Your staff never touches it.

Automations break. Payer APIs change. New fields appear. We handle all of it — you get a monthly report showing what ran, what broke, what recovered, and what’s next.

05

Compound

Each workflow makes the next one cheaper.

Once one workflow is live, the next one uses the same data pipes, integrations, and trust layer. The fifth automation practically builds itself. Compounding returns is the point.

Who we serve

Six medical sub-specialties. One playbook, tuned for each.

Click a specialty to see the specific pains we hear most often. Every one of these has a deep-dive page with the full breakdown.

Your front desk loses 8 hours a week to hold music and recall calls.

Dental practices still verify eligibility and run hygiene recall by phone. For a 25–40 patient day, that’s half a front-desk role consumed by work software should handle.

  • 18–20% no-show rate quietly costing $40–60K a year
  • Hygiene recall compliance stuck under 50%
  • Patient intake still re-typed into the PMS by hand, 15+ minutes each
See the full dental deep dive →

Your providers are charting at 10pm because session notes can’t wait.

Psychiatry documentation averages 15–20 minutes per 45-minute session. Multiply across a full day and your providers are charting 90 minutes after their last patient leaves.

  • Recurring appointments and reschedules all coordinated by hand
  • 20–30% no-show rate, higher than general medical
  • 42 CFR Part 2 enforcement tightening in February 2026
See the full psychiatry deep dive →

17 portal messages per hour of clinical care. Most lands in an already-burning inbox.

Since 2020, patient portal volume has climbed 157%. Family medicine is at the high end of the EHR burden because of sheer breadth — pediatrics through geriatrics, acute and chronic, preventive and referral.

  • Only 8% of adults 35+ get all recommended preventive care
  • Only 50% of specialist referrals actually complete
  • 20–35% annual turnover in front-desk roles
See the full family medicine deep dive →

You’re running two businesses under one roof. Your PMS only supports one.

Medical dermatology bills to insurance. Cosmetic procedures are self-pay. Product sales are retail. Most PMS systems treat them all the same — missed charges, slow consults, and cosmetic packages that never convert.

  • Cosmetic consult-to-procedure conversion stuck around 48%
  • Skin-check recalls and cosmetic follow-ups that never get made
  • New patient wait times running 4–8 weeks
See the full dermatology deep dive →

Your patient check-in takes 16 minutes. The visit itself might be 12.

Walk-in check-ins, phone triage, insurance verification, and patient flow management all hit your front desk simultaneously during peaks. Patients see the queue and leave.

  • Providers spend 37% of encounter time on the EMR
  • Duplicate records piling up faster than anyone can verify them
  • Self-pay price transparency is now a regulatory requirement
See the full urgent care deep dive →

Only 34.8% of your referrals actually complete. At $5K–$50K each, do the math.

Orthopedics runs on referrals, imaging, prior auths, and multi-step surgical journeys. Every dropped referral is revenue walking to a competitor, and every prior auth delay is a patient in pain.

  • MRI, surgery, and DME approvals stuck 5–14 days while staff sit on hold
  • 50% of referring PCPs never get a follow-up note back
  • Surgical scheduling run on spreadsheets across a months-long journey
See the full orthopedics deep dive →

The middle ground

Enterprise is too expensive. Zapier is too dumb.

Every practice we talk to has looked at both. Here’s why neither fits, and why we exist.

Enterprise PMS/EHR
Athena, NextGen, Epic
Generic automation
Zapier, Make, n8n DIY
ANOXIS
Healthcare-specific
HIPAA-aware by default
Priced for 10–100 employee practices — (six figures)
Custom workflow design — (rigid) DIY only Fully managed
Requires your IT team Yes Yes No
AI-native workflow design

Pricing

Start free. Pay for what actually moves the number.

Every engagement starts with the 14-day audit. After that, you pick the tier that matches how much you want to own yourself.

Most popular starting point

14-Day Workflow Audit

Map your gaps before you buy anything.

Free with discovery call
  • Live walk-through of your current workflows
  • Prioritized list of automation gaps ranked by hours saved and dollars recovered
  • Before/after impact model with specific dollar and hour numbers
  • Implementation roadmap — no obligation to proceed
Book a Discovery Call

Book a 30-minute walk-through of your workflow.

We show you exactly where the hours are leaking. You leave with a prioritized gap list whether you hire us or not. Fourteen days. No obligation.

Book a Discovery Call
HIPAA-aware Medical-only Built by operators