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Proactive system · running

Your next critical patient is already in your database.

Arbol finds them first. It reads the charts and claims you already have, works out who is slipping through — and calls them.

On the EHR you already useNo data migrationPrenatalCardiovascular riskKidneyDiabetesClinical rules your physicians sign off onConsent, HIPAA and role-based access

Reactive waits. Proactive goes looking.

The phone line, the IVR and the schedule serve whoever calls in. But the patient who costs you the most is the one who never calls.

76.1%

of 2023 US births had prenatal care starting in the first trimester — the second straight year it fell. The rest started late, or never.

Source: CDC · NCHS, 2023 births

1 in 3

adults aged 45–75 are not up to date on colorectal screening. The gap is not capacity — it is contact.

Source: NHIS 2023 · 67.4% up to date

9 in 10

adults with chronic kidney disease do not know they have it. Medicare paid $52.3B for end-stage kidney disease in one year. Detecting late is the bill.

Source: NIDDK · USRDS

The system

One system. Three layers.

From the raw data to the booked appointment — with nobody pulling a spreadsheet at midnight.

01

The brain

Reads what you already have — charts, claims, registries — and finds the open care gaps across your whole panel.

Prenatal · wk 11 · no first visit94
Hypertension · 58 · 14 months, no labs87
Type 2 diabetes · 49 · A1c overdue71

02

The governance

Decides who gets contacted, when, on which channel and how many times. The patient relationship is governed — or it is paid for.

Critical gap foundreach today, by phone
Stable and controlled2 touches a year — not 6
No answer on the callretry by text
Read what the system records →

03

The agents

They call. They text. They book. Reach 5,000 people in a week without growing the front desk.

Good morning — I'm calling from your clinic. Your first prenatal visit is still open. Can I get you in this week?
Yes — could it be Thursday?
Booked · Thursday 8:40 a.m.

Live

This is an ordinary Tuesday.

Every gap the brain finds takes the same path: it gets ranked, contacted and booked. On its own.

Gaps found today
1,284
Outreach started
412
Appointments booked
233

Simulation with illustrative data — no real patient information.

Prenatal · 27 · week 11

Detected

No first prenatal visit

Hypertension · 58

Prioritized

14 months with no visit and no labs

Type 2 diabetes · 49

Contacted

A1c overdue by 7 months

Woman · 52

Appointment booked

Mammogram open since 2024

The predictive model

It doesn't guess. It calculates.

Clinical rules your physicians approve, plus a model that learns from your own panel: age, history, time since the last visit, labs past due.

Kidney progression

Reach this week
  • 58 · hypertensive since 2019
  • No creatinine in 14 months
  • 2 follow-ups missed
Search priority87

Late prenatal start

Contact this week
  • Positive test in your own lab
  • No appointment booked
  • Estimated week: 9
Search priority64

Cardiovascular risk

Schedule a visit
  • 46 · borderline BMI and blood pressure
  • Last visit: 11 months ago
  • Screening due this year
Search priority41

The model does not diagnose: it ranks who to look for first. The diagnosis always belongs to the clinician.

Maria. 41. Family history. Three years since her last visit.

The system found her on a Tuesday at 9:14.

By Thursday she had an appointment.

How the outreach actually runs

To start

You don't need anything new.

You were already required to keep the data. What is missing is that it does some work.

No data migration

The system reads the chart and the claims where they already live. Your EHR stays exactly where it is.

Your clinical rules

Every rule in the brain is approved by your clinicians. Nothing fires without criteria you signed off on.

Privacy by design

HIPAA-aligned handling under a signed BAA, role-based access and consent checks before any outbound dial.

Start with one cohort

Prenatal or cardiovascular risk first. Narrow start, clear numbers, and it grows from there.

The patient you don't go looking for gets treated later, and for more

Book 30 minutes: you leave with one cohort scoped and a number for what finding them late is costing you today.

No data migration · Flat monthly fee in USD · Live in one cohort