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/ai-call-bot-hospital — Voice AI

AI Call Agent

Client
Regional Hospital Network
Timeframe
12 weeks · 2025
Role
Full-stack AI Engineering
Outcome
85% call automation rate
AI Call Agent for Hospital Appointments
/the_stack

Built for voice at scale.

A real-time voice pipeline connecting GoTo and RingCentral telephony, LiveKit streams, Gemini reasoning, and US EHR APIs — engineered for sub-150ms round-trip latency.

LiveKit
Real-time voice & WebRTC
Gemini
Conversational reasoning
GoTo
Telephony & call routing
Node.js
Orchestration layer
MongoDB
Patient records store
EHR API
US patient database API
AWS
HIPAA-ready cloud
RingCentral
Enterprise phone system
/the_roi

Measurable impact.

The hospital network reduced front-desk call volume, eliminated scheduling backlogs, and improved patient satisfaction — all while maintaining HIPAA compliance.

<150ms
Response latency

Ultra-low latency voice pipeline keeps conversations natural — patients never wait for the AI to think.

85%
Calls self-resolved

Most appointment bookings, reschedules, and reminders handled end-to-end without human transfer.

24/7
Always available

Round-the-clock scheduling coverage eliminates missed calls and after-hours voicemail backlogs.

12+
Departments integrated

Cardiology, orthopedics, pediatrics, and more — unified scheduling across the hospital network.

/the_problem

Overwhelmed scheduling lines.

Hospital front desks field hundreds of appointment calls daily. Hold times stretch past 20 minutes, staff burn out on repetitive booking tasks, and after-hours callers hit voicemail with no way to schedule until morning.

/the_solution

Intelligent voice automation.

We built an AI call agent that answers every line instantly, looks up patient records in real time, checks doctor availability across departments, and books appointments — all through natural conversation with sub-150ms response times.

AI voice call processing
01 — Voice Pipeline

Real-time speech processing

EHR patient database integration
02 — Integration

Live patient database sync

/interface

Call flows in action.

From inbound intake to confirmed appointment — every step handled by voice AI with full hospital system integration.

Inbound Intake
Flow 01

Inbound Intake

Patients call the hospital line and speak naturally. The AI agent identifies intent, verifies identity, and routes to the right department — no IVR maze.

Live Scheduling
Flow 02

Live Scheduling

The agent queries live doctor availability, suggests optimal slots, confirms insurance, and books directly into the hospital scheduling system.

Live Scheduling
Patient Records
Flow 03

Patient Records

HIPAA-compliant lookup of patient history, prior visits, prescriptions, and allergies — surfaced contextually during the call for personalized care.

Patient Records
/intelligence

Core capabilities.

A multi-layered AI system designed for healthcare-grade reliability, security, and conversational accuracy.

Patient DB Lookup

Real-time access to patient history, allergies, and prior visits during every call.

Smart Scheduling

Cross-department availability checks with insurance validation and conflict detection.

Ultra-low Latency

Sub-150ms voice round-trip via streaming STT, cached context, and edge inference.

HIPAA Compliant

End-to-end encryption, audit logging, and PHI handling aligned with healthcare standards.

Sentiment Detection

Detects patient distress or urgency and escalates to a live nurse or doctor instantly.

Multi-language

Supports 20+ languages for diverse patient populations with accent-adaptive STT.

/the_workflow

How we built it.

01
STEP_01

Voice Ingress

GoTo and RingCentral SIP trunks stream audio through LiveKit for real-time transcription with speaker diarization and noise cancellation.

02
STEP_02

AI Orchestration

Node.js agents query US EHR APIs and MongoDB patient records, check scheduling systems, and generate natural responses via Gemini.

03
STEP_03

Deploy & Scale

RingCentral-integrated voice services on AWS with auto-scaling, HIPAA-compliant logging, and failover routing for 99.9% uptime.

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