Healthcare · Custom AI DevelopmentCustom AI development for practices, clinics & healthcare groups
Scheduling apps and patient portals each do one thing. Your operation needs them to work as one. That’s what custom AI development delivers — HIPAA-aware, end to end.
Point solutions for scheduling, intake, and billing rarely talk to each other. A practice’s workflow spans patient intake, the EHR, scheduling, the revenue cycle, and patient communication — and the gaps between those tools are where time and revenue leak.
Nexum builds custom, HIPAA-aware AI systems for healthcare — patient intake, scheduling, and revenue-cycle workflows that integrate with Epic, athenahealth, and your practice systems. A self-hosted option (OpenClaw) gives you full data sovereignty. Administrative and operational only — never clinical decisions. Delivered in 6-8 weeks at a fixed price from $12,500.
Every build is scoped to your practice during a free diagnosis. These are the custom AI systems healthcare groups most often ask us to build — all administrative, none clinical.
01
Patient intake & scheduling automation
Handles multi-channel intake, captures insurance and eligibility details, schedules and reschedules appointments, and runs reminder sequences that cut no-shows — writing everything back to your EHR or practice management system.
What it delivers
Multi-channel patient intake
Insurance & eligibility capture
Scheduling & rescheduling
No-show reduction reminders
Write-back to EHR / PM
Built on / integrates
Epic
athenahealth
eClinicalWorks
Twilio
02
Revenue-cycle & claims support
Runs eligibility checks, supports coding with structured prompts, prepares and scrubs claims, manages denial workflows, and follows up on accounts receivable — tightening the revenue cycle without adding billing staff.
What it delivers
Eligibility verification
Coding support prompts
Claim preparation & scrubbing
Denial-management workflows
AR follow-up
Built on / integrates
athenahealth
Availity
Clearinghouses
Epic
03
Patient communication & care-coordination ops
Automates appointment reminders, pre-visit instructions, post-visit follow-up, recall campaigns, and review requests — strictly administrative, with escalation to staff whenever a message needs a human.
What it delivers
Appointment reminders
Pre-visit instructions
Post-visit follow-up
Recall campaigns
Review requests + escalation
Built on / integrates
Epic
athenahealth
Secure SMS / email
Patient portal
04
Document & records processing (HIPAA-aware)
Reads and routes referrals, faxes, records requests, and prior-authorization paperwork; extracts the key fields; and files them into the right system — with a self-hosted deployment option that keeps PHI inside your environment.
What it delivers
Referral & fax processing
Records-request handling
Prior-auth paperwork extraction
Routing to the right system
Self-hosted option for PHI
Built on / integrates
OpenClaw (self-hosted)
Epic
athenahealth
OCR
HOW WE BUILD IT
From audit to production in 6-8 weeks
Fixed price confirmed before any build begins. Your team keeps operating normally throughout.
Weeks 1-2
Audit & architecture
We map your operation, the systems involved, and the exact workflows to automate, then design the system architecture and confirm a fixed price before any build begins.
Weeks 3-6
Build & integration
We build the AI logic and integrate it with your existing tools and data sources. Your team keeps operating normally throughout — no disruption.
Weeks 6-7
Testing & onboarding
We test every scenario against real data and walk your team through what the AI handles and what escalates to them. No technical training required.
Weeks 7-8+
Go-live & maintenance
The system goes live with documentation, a handover walkthrough, and a 30-day support window. Ongoing partnership keeps it optimized as you grow.
Every healthcare build is administrative and operational only — never clinical decision-making. Systems are designed to be HIPAA-aware, and for full data sovereignty the build can be deployed self-hosted via OpenClaw, keeping protected health information inside your own environment.
FREQUENTLY ASKED QUESTIONS
Custom AI development, specifically
Ready to build custom AI for your practice?
Book a free 30-minute diagnosis. We’ll scope the build, map the integrations and compliance path, and quote a fixed price before any work begins.