AI operating partner for healthcare
Healthcare operations, rebuilt around AI and run for you.
The AI operating partner for healthcare operators. We find where cost to serve, capacity and cash move, then build and run it.
Built inside healthcare operations for 15 years.
Healthcare
Healthcare IT, medical-supply, Medicare distribution, market access and provider operations.
Beyond healthcare
400+ clients across healthcare, finance and technology since 1971.
- Founded in New York
- 1971
- Founded in New York
Payers, providers and healthcare services companies
Healthcare services.
RCM, NEMT, FMOs, GPOs, medical-supply distribution, staffing and care management. Billing, intake, dispatch and order work that grows with every new contract.
Payers.
Regional plans, Medicaid managed care, D-SNPs, TPAs and PBMs. Claims, enrollment, prior auth and appeals queues that still run on hand work.
Providers.
Physician groups, FQHCs, ASCs, DSOs, home health, infusion and behavioral health. Referrals, denials and credentialing still worked by phone and fax.
How we come in
Step 1: Measure.
Where compliance approves it, we deploy Trace in one department, with written notice. Otherwise, transcripts, documents and system data, at the same fee.
Step 2: Map.
Six to eight weeks later: where the hours go, what to rebuild first, and what each is worth in measured hours.
Step 3: Decide.
Fixed fee, agreed before we start. You leave with a workflow map and a fixed-price proposal for the first build. No obligation to continue afterwards.
Step 4: Build, run, manage.
Rules-based automation first, AI for suitable unstructured work, people for judgment and accountability. Built inside your systems once you sign the proposal.
Medicare distribution, anonymized
Healthcare services
Commissions, HR and onboarding rebuilt while the business grew
A field marketing organization placing Medicare plans for 225,000+ lives through roughly 1,500 agents. Reliable Group rebuilt commissions, HR and onboarding around automation and AI, and gave agents a voice assistant for plan comparison and compliance. Sales capacity held and the business grew through the year, while the corporate team went from about 450 to under 200.
Grew, capacity held
One year: the business grew and sales capacity held. The corporate team went from about 450 to under 200.
One anonymized engagement in Medicare distribution. Not a promised outcome.
- Growth and sales capacityanonymized realized
What transfers: Commissions, HR and onboarding rebuilt with rules-based automation first, AI on documents and people on exceptions, the pattern behind most healthcare back offices.
What we build and run
Cash, capacity and audit readiness, built inside your business.
Rules-based automation comes first and moves routine work between systems. AI takes suitable unstructured work: it reads, drafts and classifies, and a person checks. People keep judgment and accountability: our teams in New York, Pune, Mumbai and Hyderabad, managed by us, in your entity or ours.
- Cash: billing, denials, reconciliation
- Capacity: intake, claims and enrollment queues
- Audit readiness: appeal and audit files
- Staff time: less re-keying across systems
Trace
Trace measures the work before we touch it.
Trace is our own measurement tool, and it measures the work, not the worker: which steps each task moves through and where the hours go, with written notice to staff. No audio, no passwords, no scoring of people. It runs in your own cloud account.
A fixed fee, agreed before we start. The number is in the proposal, not on the website, because it depends on the department and its systems. No obligation to continue afterwards.
In the cost lines of the departments we rebuild: labor, overtime and outside vendors, plus cash timing where billing and denials are in scope. Discovery prices each workflow in measured hours first. We quote no savings before we measure.
We start with one department and work inside the systems you already run. We do not replace your system of record, and we do no clinical work. Your team keeps working and keeps the decisions; we rebuild the hand work around them.
You decide whether to sign the build proposal; if not, the map is still yours. Your client-specific workflows, data and documentation are yours. Trace is Reliable Group software, licensed under the engagement; third-party tools keep their own license terms.
Where a department handles protected health information, we execute a business associate agreement before Trace is installed or any data is accessed. PHI is accessed only inside client-controlled systems by named individuals.
We are engineers, not a staffing vendor. The discovery team is US-led from New York. Where work still needs people, the team is managed by us, in your entity or ours, in the United States or in Pune, Mumbai and Hyderabad.
Deeper answers on scope, Trace and data handling sit with the discovery.
Discovery questionsNext step
See where the hours go in one department.
Tell us which department eats the most hours. We will say candidly whether measuring it is worth it.