Emscale - An Intellectt Company
Regulated AI for Healthcare

AI-powered healthcare experiences.
Built for trust.

Voice, SMS, chat and portal — one AI agent runtime built for regulated healthcare workflows, with private-endpoint routing, zero PHI egress and full auditability.

Book a Healthcare AI DemoExplore NexusAI
A clinician reviewing patient vitals on a tablet and bedside monitor with a patient in a hospital room
4Connected Channels
0PHI Incidents*
LiveFortune-500 Healthcare
24/7AI-Powered Experiences
Healthcare contact center agents on headsets working across patient and provider systems
The Healthcare Challenge

Healthcare demand is growing.
Your contact center can’t keep up.

$13.50Median cost of a single agent-assisted contact
$1.84Self-service contact cost
60%Medical prior authorisations not fully electronic
$20BAnnual savings industry forgoes by keeping administrative transactions manual

Medicare Advantage insurers alone process 53M prior-authorization determinations in a single year.

The Entitlement Problem

One member.
Four callers.
Different answers.

Healthcare conversations depend on who is asking, what they are authorized to see, and which workflow they are trying to complete.

MemberBenefits • Claims • EOB
ProviderEligibility • Authorization
CaregiverAuthorized access
BrokerEnrollment • Group data
NexusAI
Policy Engine
Healthcare information & workflows
Member
Benefits • Claims • EOB
Provider
Eligibility • Authorization
Caregiver
Authorized access
Broker
Enrollment • Group data
NexusAI Policy Engine
Healthcare information & workflows
NexusAI for Healthcare

One AI agent.
Built around healthcare.

Conversational AI purpose-built for regulated healthcare workflows across voice, SMS, chat and portal.

The NexusAI agent connecting voice calls, SMS, web chat and the member portal in one runtime

Healthcare-Native

Eligibility, benefits, prior authorization, claims, denials, appeals and scheduling.

PHI-Safe

Private-endpoint routing and zero PHI egress to public model APIs.

Multi-Modal

One agent, one intent library, one context across voice, SMS, chat and portal.

Works With Your Stack

Epic, Oracle Health, HealthEdge, Salesforce Health Cloud and Availity.

Healthcare Workflows

AI that understands the work behind every healthcare conversation.

A clinician helping a health plan member review coverage on a digital healthcare portal tablet
Eligibility & Benefits

Know what's covered before the question becomes a call.

  • Coverage & eligibility
  • Benefits & copays
  • Deductibles & out-of-pocket
  • Network/provider search
  • Plan & enrollment
A doctor reviewing a prior authorization form with a patient beside a screen of medical records
Prior Authorization

Move complex authorization workflows forward.

1Authenticate
2Check status
3Identify missing information
4Route for review
5Document outcome
A member services agent on a headset helping a member with claim status, benefits and EOB questions
Claims & Member Services

Resolve common member questions without adding another queue.

  • Claim status
  • EOB questions
  • Denials
  • Appeals
  • ID cards
  • Appointments
  • Pharmacy
How NexusAI Works

One runtime across the healthcare ecosystem.

Channels
VoiceSMSWeb ChatMember Portal
NexusAI Runtime
Intent ClassifierMulti-turn ContextCross-channel MemoryPolicy EngineTool Orchestration
Healthcare Ecosystem
EpicOracle HealthHealthEdgeSalesforce Health CloudAvailityOptumServiceNow
Infrastructure
AzureAWS
Private-Endpoint RoutingZero PHI EgressFull Audit-Log Export
Security & Compliance

Built for regulated healthcare.

Private Endpoints

LLM routing

Zero PHI Egress

No member/patient data to public model APIs

Auditable

Every message, model call and action can be exported

Per-Party Access

Policy-controlled disclosure

PCI-DSS payment handlingTCPA + AI-disclosure ready
AICPA SOC 2 Type IIISO 27001 CertifiedGDPRHIPAA Compliant
Healthcare contact center agents on headsets working member support with a live NexusAI dashboard
Live in HealthcareFortune-500 HealthcareVoice + SMS + ChatZero PHI Incidents*

From healthcare AI concept
to production reality.

NexusAI is designed for real healthcare environments, with production-ready workflows, auditability and secure deployment architecture.

* Fortune-500 healthcare deployment and zero PHI incident figures are source-derived claims, pending legal/marketing review prior to final publication.

Ready for Healthcare AI?

Put AI on your heaviest healthcare queue.

See how NexusAI can handle prior authorization, eligibility and member workflows.

Book a Healthcare AI Demo