Healthcare · Operations
Samso Industry Demo · Updated May 2026
Operations for Healthcare
Multi-site physician-group ops is the headline function - patient intake + insurance verification, prior auth + clinical documentation packaging, claims scrubbing + denial work, and records release across 312K LTM encounters. All extraction runs in HIPAA-aligned environments - BAA in place, PHI scoped to minimum-necessary fields, audit log on every prompt, no PHI in model fine-tuning data. Samso runs the back-office workflows that lets a 14-clinic group hit a 9.2% denial rate (target 6) and 96.8% extraction accuracy with leaner ops.
Function KPIs · how the operations org reads its own week
Hours reclaimed / week
148
Doc extraction accuracy
96.8%
Initial denial rate
9.2%
Prior auth turnaround
3.2 d
Weekly hours reclaimed by managed workflow - last 12 weeks with cumulative overlay
WEEKLY · HRS / WK · STACKED BY WORKFLOW · CUMULATIVE HOURS OVERLAY · MOCK DATA · HIPAA-ALIGNED
Revenue cycle workflows
Records + release of information
Twelve services · sized to healthcare
Each tile is what Samso runs in this function for a healthcare org.
What you get · every week & every month
Concrete deliverables, not just dashboards.
Deliverable
Weekly hours-reclaimed report
Every Monday: hours reclaimed by workflow (intake, prior auth, denial work, ROI) with backlog status, denial-rate delta, and SLA breaches flagged for ops leadership.
Deliverable
Daily denial work-list
Top denials by payer, CPT, and provider - root-caused, owner assigned, appeal-letter draft pre-attached where the patient + clinical record support overturn.
Deliverable
Monthly HIPAA + audit-log review
Access logs, BAA status, role-based PHI access drift, and minimum-necessary review - refreshed monthly for compliance lead and quarterly for the board.
Deliverable
Always-on internal RAG (PHI-free corpus)
Payer policies, prior-auth criteria, coding manuals, and clinical guidelines searchable with citations - staff get sourced answers, no PHI in the corpus.
Healthcare · Operations
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