The Platform

One coordination layer.
Every patient workflow.

1stDay.ai is not a chatbot. It's an operational AI coordination platform — purpose-built for healthcare — that orchestrates every patient interaction from first contact through post-encounter follow-up.

Explore the Architecture →

Five layers. One coordinated system.

Built healthcare-native — HIPAA-compliant, SOC 2 path, multi-tenant, with audit-grade logging at every layer. Not a horizontal platform adapted for healthcare. Built for it from the ground up.

L5

Analytics & Operational Intelligence

Real-time ops dashboards · ROI instrumentation · FTE savings

Always on
L4

EHR & System Integrations

Epic · Cerner · athena · payer rules · HL7/FHIR/APIs

Pre-built
L3

Healthcare Workflow Engine

Specialty-aware: scheduling · refills · prior auth · referrals

Configurable
L2

AI Orchestration Layer

Multi-agent routing · governance · human-in-the-loop · memory

Governed
L1

Communication Layer

Voice · chat · SMS · portal · email — inbound & outbound

All channels

Analytics & Operational Intelligence

Know exactly what 1stDay is worth to your organization, updated in real time. Every call deflected, every admin hour recovered, every no-show prevented — surfaced in a dashboard your operations team can act on immediately.

Real-time call deflection rate tracking
FTE savings dashboard (hours/week recovered)
Revenue impact: no-shows prevented, recall recovered
Intent-level breakdowns — see exactly what AI is handling
Weekly ROI reporting delivered to your inbox
Bi-weekly business success cadence with 1stDay team

One patient identity across every channel.

Whether a patient calls, texts, chats, or messages through the portal — 1stDay recognizes them, remembers context from every prior interaction, and routes to the right workflow automatically.

🎙️

Voice AI

Handles inbound calls 24/7. Triage intent, verify identity, route to the right action — or escalate to staff with full context. No hold times. No dropped calls.

After-hours call coverage
Natural language intent routing
Live agent escalation with transcript
HIPAA-grade call recording & logging
💬

SMS & Outbound Messaging

Proactive patient outreach at scale — appointment reminders, recall campaigns, care gap notifications, and payment nudges sent when patients are most likely to respond.

Appointment reminders & confirmations
Recall & care gap campaigns
Two-way conversational SMS
Opt-out management & compliance
🤖

Web Chat & AI Agent

An intelligent chat layer on your website and patient-facing surfaces — answering questions, booking appointments, and collecting pre-visit information without staff involvement.

24/7 self-service scheduling
FAQ & clinical protocol Q&A
Pre-intake data collection
Seamless escalation to staff chat
🏥

Patient Portal

Automate the administrative side of portal interactions — forms, eligibility, pre-visit prep — so patients arrive ready and staff aren't chasing paperwork the morning of the appointment.

Digital intake & consent forms
Insurance eligibility verification
Pre-visit checklist automation
Post-visit follow-up routing

Six administrative workflows.
All running on one platform.

Today these run as six different tools with six vendor relationships and six data silos. With 1stDay, they run as one coordinated system — same platform, same patient identity, compounding ROI over time.

📞

Patient Access & Communication

Voice, chat, SMS — inbound automation, after-hours coverage, and intelligent intent routing. Every patient interaction captured, categorized, and resolved.

60–80% call deflection · 24/7 access
📅

Scheduling & Intake

Self-service booking, real-time eligibility checks, digital pre-visit forms, and waitlist management — from the first touchpoint through the waiting room.

30%+ no-show reduction · faster fill rates
📋

Prior Authorization

Automated prior auth submission, real-time status tracking, and denial follow-up workflows. The most automatable — and most wasteful — category in revenue cycle.

Attacking $25B+ in industry waste
🔗

Referrals & Care Coordination

Closed-loop referral management, transition follow-through, and post-acute outreach. Prevent the 20–40% of referrals that leak today from becoming lost revenue.

20–40% referral leakage recovered
💳

Revenue Cycle & Billing

Statement questions, payment plan setup, denial follow-up, and financial assistance routing — automated conversations that recover patient A/R without staff time.

Up to 30% of patient A/R recovered
📣

Patient Outreach & Recall

Gap-in-care campaigns, HRA outreach, chronic disease recall, and reactivation programs — automated and personalized at a scale no staffing model can match.

Higher capture vs. manual · fraction of FTE cost

One patient call. The entire workflow handled.

From the moment a patient reaches out, 1stDay handles intent, action, escalation, documentation, and reporting — automatically.

Step 01

Patient reaches out

Any channel — voice, SMS, chat, or portal — triggers the same AI layer. One patient identity across all touchpoints.

Voice · SMS · Chat · Portal
Step 02

AI triage

Intent recognition identifies what the patient needs: schedule, refill, referral, billing, or urgent clinical need.

Intent + identity + urgency
Step 03

Workflow execution

The right workflow fires automatically — booking, refill processing, prior auth submission, or patient education — without staff intervention.

EHR-integrated execution
Step 04

Human escalation

Clinical questions and out-of-scope requests route to the right staff member with full conversation context. Never a dead end for patients.

Always-on safety net
Step 05

Documentation

Every interaction writes back to the EHR with a structured audit trail. Compliance isn't a feature — it's the default.

EHR notes · audit trail
Step 06

Analytics

Your ROI dashboard updates live — call deflection, FTE savings, revenue recovered, patient satisfaction signals.

Real-time ROI dashboard

Live and effective in under 30 days.

A 2-4 week free pilot. A structured evaluation. Then a clear path to value. No big-bang IT project. No clinician retraining. No risk.

Step 01

Demo & POV

Working demo + pilot scoping with your actual call volume

Step 02

Sign LOI

Define intents, success criteria, and go-live requirements

Step 03

Setup

1–2 weeks. EHR + phone integration. You provide access; we do the build.

Step 05

Go-Live

ROI + risk review, then production cutover with full support

Step 06

Scale

Expand to additional workflows: prior auth, referrals, billing

Start with a free pilot.

Every engagement starts with a free pilot, dedicated business success coaching, and a live ROI dashboard from day one.

🚀

Free 2-4 week pilot — no commitment required. We'll run your actual call volume through the platform for 2-4 weeks, report deflection rates and projected ROI weekly, and let the numbers make the case.

Start My Pilot

Works with your existing stack.

Pre-built connectors for the EHRs, phone systems, and practice management tools you already use. 1stDay complements your infrastructure — it doesn't replace it.

EHR

Epic

HL7 / FHIR API integration, bidirectional write-back

EHR

Oracle Cerner

Pre-built connector, scheduling & clinical data sync

EHR

athenahealth

API-native integration, full scheduling automation

EHR

Tebra (Kareo)

Ambulatory-focused integration, billing & scheduling

EHR

eClinicalWorks

HL7 interface, patient outreach integration

Standard

HL7 / FHIR

Standards-based integration for any compliant EHR

Phone

VoIP / Telephony

Compatible with existing practice phone numbers

Revenue Cycle

RCM Platforms

Billing system integrations for A/R automation

Payer

Insurance Verification

Real-time eligibility checks across major payers

Ready to see it in your practice?

30-minute working demo. Your call volume. Your workflows. Real ROI numbers before the call ends.

Request a Demo →