Nephrology OS

Charts prepped, referrals managed, every patient call answered

AI employees built for nephrology groups. They prepare each patient's chart before the visit, take referrals from fax to first appointment, and answer patient calls around the clock. Everything is written back to your EHR, and your clinicians keep the judgment.

of front-office work automated
Up to 60%
of staff time back a year
1,500 hrs
of revenue at risk protected a year
$218K

Modeled for a four-physician nephrology group. How we model it

Example

Chart ready before the visit

  • Recent labs eGFR, creatinine, potassium, UACR
  • Referral and visit notes Attached
  • Coverage for the visit date Active
  • Prior authorization Expires in 12 days, flagged for staff

Written to your EHR before the patient arrives.

What nephrology groups ask for first

Chart preparation and referral management, handled

The two jobs that take the most staff time in a nephrology clinic, done by AI employees and written to your EHR.

Chart preparation Available today

Every chart ready before the patient walks in

Today Staff pull labs, notes and coverage by hand the day before, or the morning of.

Before each visit

  1. Recent labs pulled into the chart: eGFR, creatinine, potassium and UACR
  2. Referral letters and the last visit's notes attached
  3. Coverage checked for the visit date
  4. Open items flagged for staff, such as a missing lab or an expiring authorization

The nephrologist opens a complete chart. Results are gathered, never interpreted.

Up to 15 min of prep saved per visit

Automatic referral management Beta

From faxed referral to first visit, automatically

Today Faxes sit in a tray and get keyed by hand, and missing records turn up the week of the visit.

When a referral arrives

  1. Fax or eFax read the moment it arrives
  2. Checked against your intake list: recent eGFR and creatinine, notes, insurance
  3. Missing records requested from the referring office the same day
  4. Patient contacted and the first visit booked inside your rules
  5. Referring office updated once the visit is on the calendar

Status, records and the appointment land in your EHR. Staff see only the referrals that need a person. Meet the Referrer

Up to 70% of referral work handled

The Nephrology OS, end to end

What changes with our nephrology specialist AI

Live workflows first, then the ones in beta. Each agent takes the repetitive part of one job and hands anything clinical or unusual to your team.

AI employee Today With EigenH AI Handled by AI Revenue at risk / yr
Scheduler Available today 01 Every call Appointment Agent Today Calls missed mid-morning and after hours. With EigenH AI Every call answered 24/7; visits booked inside your rules. Handled by AI ~80% Revenue at risk / yr ~$101,700
Recaller Available today 02 Recurring care Follow-up Agent Today Staff chase the same patients by phone. With EigenH AI Outreach on a cadence; recurring visits rebooked automatically. Handled by AI ~75% Revenue at risk / yr ~$33,900
Verifier Available today 03 Coverage checked Insurance Agent Today Coverage verified once at intake, then rechecked by hand as plans change. With EigenH AI Eligibility checked before each visit; changes and gaps sent to staff. Handled by AI ~50% Revenue at risk / yr ~$13,600
Referrer Beta 04 Referral in Referral Agent Today Faxes keyed by hand; missing records found late. With EigenH AI Referrals read on arrival; missing records requested the same day. Handled by AI ~70% Revenue at risk / yr ~$39,100
Authorizer Beta 05 Authorization Prior Auth Agent Today Every packet built from scratch. With EigenH AI Packets assembled for staff; expiring approvals flagged early. Handled by AI ~50% Revenue at risk / yr ~$15,600
Nourisher Beta 06 Nutrition Nutrition Agent Today Dietitian referrals wait in a queue. With EigenH AI Dietitian visits scheduled; diet questions routed to your care team. Handled by AI ~60% Revenue at risk / yr ~$14,100
repetitive work automated
50–60%
staff time returned a year
~1,500 hrs
revenue at risk protected a year
~$218,000

Estimates for an illustrative four-physician nephrology group, not a guarantee of results. Actual results depend on your volumes and are confirmed before go-live.

Assumptions

Inputs: $135.61 per established-patient visit (CPT 99214, CY 2026 Medicare national non-facility rate, CMS); 250 working days. Scheduler: 40 inbound calls a day, 3 booking calls missed a day. Recaller: 5 recurring visits slipping a week. Verifier: 60 visits a day; 2 visits a week lost to a coverage problem found after the visit (modeled assumption). Referrer: 60 referrals a month, 10% never seen, 4 visits each in year one; published research finds about half of specialty referrals are never completed (Weiner et al.), so 10% is conservative. Authorizer: 2 lapsed authorizations a month at about $650 each (modeled assumption). Nourisher: 8 unscheduled dietitian visits a month at $146.96 each (four 15-minute units of CPT 97802, CMS). Handled by AI shares, the 50–60% and the staff hours are our estimates. Revenue at risk is revenue exposed to these gaps today.

Sources: CMS 2026 fee schedule Weiner et al. 2010

For practice owners

What it is worth to a four-physician group

Revenue exposed today to missed calls, slipped visits, lost referrals, eligibility denials and lapsed authorizations, by AI employee.

$218,000 revenue at risk protected a year

Bring last month's call, referral and recall volumes to a demo and we rerun the model with your figures. How we model it

  • Scheduler Appointment Agent Available today

    $101,700

  • Referrer Referral Agent Beta

    $39,100

  • Recaller Follow-up Agent Available today

    $33,900

  • Authorizer Prior Auth Agent Beta

    $15,600

  • Nourisher Nutrition Agent Beta

    $14,100

  • Verifier Insurance Agent Available today

    $13,600

Built for nephrology

Set up for kidney care, not adapted from primary care.

Primary care often verifies coverage once and books a visit or two a year. Kidney care does neither, because the disease progresses and takes the schedule and the insurance with it.

Cadence

A visit every few weeks, for years

Recurring nephrology visits, lab draws between them, medication changes and the calls each one generates. The Recaller is built for that rhythm.

Coverage

The plan changes underneath you

Patients can move from commercial coverage toward Medicare as kidney disease progresses, often holding more than one plan at once. The Verifier checks before each visit, not just once at intake.

Transitions

Every stage creates new work

Monitoring, modality education, vascular access planning, a transplant referral that starts and stalls. Each transition means new scheduling, a new authorization and a new insurance question.

Nutrition

Diet is part of the treatment

Dietitian visits are part of kidney care, and they slip when nobody books them. The Nourisher keeps them on the calendar and sends every diet question to your care team.

For nephrologists

AI employees do the administrative work. Your clinicians keep the judgment.

Kidney care is exactly the setting where an over-confident agent would do damage, so the boundary is a design constraint rather than a disclaimer.

Urgent calls go straight to your team

Anything urgent, clinical, or outside the approved workflow routes to staff immediately, with the transcript and the context attached.

Staff see exceptions, not a queue

Every call ends with intent, outcome, transcript, and next step. The point is a short list of things that genuinely need a person, not a longer dashboard.

No clinical decisions, by design

Chart prep gathers results; it does not read them. The AI employees do not judge medical necessity, interpret a lab, or weigh in on modality. Those belong to your clinicians.

Where we are today

What is live and what is in beta.

Live workflows run today. Beta workflows are set up with your team during onboarding.

Live

Live for nephrology groups

  • Chart preparation before every visit: labs, notes, coverage and open items.
  • Scheduler Calls answered around the clock; visits booked inside rules your team approves.
  • Recaller Recurring visits and follow-up worked on a cadence.
  • Verifier Eligibility checked ahead of every visit.
Beta

Configured with your team

Each beta workflow is set up with your team during onboarding and refined as it runs.

  • Referrer Automatic referral management: intake, missing records and first-visit scheduling.
  • Authorizer Prior-auth paperwork and status tracking. Your team reviews and submits every request.
  • Nourisher Dietitian-visit scheduling with education your dietitian approves.

Everything is written back to your EHR.

Every appointment, update and call outcome lands in the system your team already works in, so nobody retypes what an AI employee did.

  • Visit rebooked
  • Eligibility checked
  • Referral logged
  • Call outcome saved

Read more

Kidney care operations, in detail.

In kidney care a missed call is rarely a lost new patient. It is a recurring visit that slips, or a referral that never books. Here is a simple model, with every assumption stated, for estimating what unanswered phones cost a nephrology practice.

5 min read

Questions nephrology groups ask

See all questions
What is the EigenH AI Nephrology OS?

It is our platform set up for nephrology: AI employees that run the repetitive work around each kidney patient, from automatic referral management and chart preparation to eligibility, prior-auth paperwork, calls and scheduling, recurring recall and dietitian visits. Every outcome is written back to your EHR.

Does EigenH AI prepare charts before visits?

Yes. Before each visit it pulls recent labs such as eGFR, creatinine, potassium and UACR into the chart, attaches referral letters and the last visit's notes, checks coverage for the visit date, and flags open items for staff. It gathers results and never interprets them.

How does automatic referral management work?

The Referrer (beta) reads each faxed or eFaxed referral when it arrives, checks it against your intake requirements, requests missing records from the referring office the same day, and hands the patient to the Scheduler to book the first visit. Status, records and the appointment are written back to your EHR, and the referring office is updated.

How is it different from a general AI answering service?

An answering service takes calls. The Nephrology OS covers the whole patient journey, and each workflow is built for kidney care: recurring visits on a cadence, referrals that arrive without labs, coverage that changes as the disease progresses, and dietitian visits that are part of treatment. It is set up with your team by people who know nephrology.

Which AI employees are live today?

Chart preparation, the Scheduler (calls and booking), the Recaller (recall and follow-up) and the Verifier (eligibility) are live. The Referrer, Authorizer and Nourisher are in beta and are configured with your team during onboarding.

Where do the figures on this page come from?

They are estimates for an illustrative four-physician nephrology group. Visit values come from the CY 2026 Medicare Physician Fee Schedule and the referral input from published research; the other volumes are modeled assumptions, and we never use vendor data. Every input and source is listed under the workflow table on this page. In a demo we rerun the model with your own volumes, and the numbers are confirmed before go-live.

Does it write back to our EHR?

Yes. Every appointment, update, and call outcome is written back to your EHR, so nobody retypes what an agent did.

How are after-hours calls from kidney patients handled?

Routine requests such as rescheduling are completed within your rules. Anything clinical, including possible symptoms of high potassium, goes straight to your on-call path; the agents do not triage. See after-hours calls in kidney care.

Can it help with missed dialysis treatments and no-shows?

The Recaller sends approved reminders and makes rescheduling easy, and every response is recorded for staff. Our post on cutting dialysis no-shows explains the approach and its limits.

Does the Authorizer submit prior authorizations?

No. The Authorizer (beta) gathers what a request needs and tracks payer status; your team reviews and submits every request.

Run your nephrology operations on one system.

Walk through one patient end to end, from the referral to the recurring visit, and see what your team reviews at each step.