AI Call Agent

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.
Measurable impact.
The hospital network reduced front-desk call volume, eliminated scheduling backlogs, and improved patient satisfaction — all while maintaining HIPAA compliance.
Ultra-low latency voice pipeline keeps conversations natural — patients never wait for the AI to think.
Most appointment bookings, reschedules, and reminders handled end-to-end without human transfer.
Round-the-clock scheduling coverage eliminates missed calls and after-hours voicemail backlogs.
Cardiology, orthopedics, pediatrics, and more — unified scheduling across the hospital network.
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.
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.

Real-time speech processing

Live patient database sync
Call flows in action.
From inbound intake to confirmed appointment — every step handled by voice AI with full hospital system integration.

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

Patient Records
HIPAA-compliant lookup of patient history, prior visits, prescriptions, and allergies — surfaced contextually during the call for personalized care.
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.
How we built it.
Voice Ingress
GoTo and RingCentral SIP trunks stream audio through LiveKit for real-time transcription with speaker diarization and noise cancellation.
AI Orchestration
Node.js agents query US EHR APIs and MongoDB patient records, check scheduling systems, and generate natural responses via Gemini.
Deploy & Scale
RingCentral-integrated voice services on AWS with auto-scaling, HIPAA-compliant logging, and failover routing for 99.9% uptime.
Have a high-stakes product to ship?
Tell us what you're building. We'll come back within 12 hours with a clear plan and technical roadmap.