๐Ÿซ€ Healthcare ยท Illustrative Scenario

Patient intake: 3 FTEs of manual
data entry โ†’ governed AI extraction

A healthcare services company processing 400+ new patient intakes per week had three staff dedicated entirely to transcribing forms into the EHR. The Aizen Event found the entire transcription step was deterministically automatable: without requiring any probabilistic AI judgment.

3.2ร—
Capacity increase
58%
Delay reduction
$290K
Year-1 savings
90d
To live
Step 01 ยท Current State

The workflow before the Aizen Event

8 steps, multiple staff roles, high variance based on intake complexity. Data entry was the primary bottleneck: 3 FTEs spent their entire week transcribing form data into the EHR, creating scheduling delays and rework.

#
Workflow step
Avg. time
Performed by
01
Intake form receipt & document sorting
Front desk staff receives forms, logs in system, sorts by intake type (new vs. update vs. referral)
20 min
per intake
Front desk staff
02
Manual data transcription into EHR
Data entry staff manually types all form data into EHR fields. Highest-effort step. Source of most errors.
45 min
per intake
Data entry staff (3 FTEs)
03
Insurance eligibility verification
Billing coordinator calls insurance or checks portal to verify coverage, copay, and deductible
35 min
per intake
Billing coordinator
04
Clinical history extraction from prior records
Clinical coordinator retrieves and reviews prior visit notes, medications, diagnoses from EHR and external records
60 min
per intake
Clinical coordinator
05
Care team assignment
Scheduling supervisor matches patient to available clinician based on diagnosis, location, and preferences
20 min
per intake
Scheduling supervisor
06
Appointment scheduling
Scheduler books first available slot, sends confirmation to patient, updates all systems
15 min
per intake
Scheduler
07
Pre-visit summary preparation
Clinical coordinator prepares summary of chief complaint, history, medications, and care notes for clinician
30 min
per intake
Clinical coordinator
08
Clinical review of intake record
Clinician reviews full intake record before first patient contact. Required for care quality and liability.
20 min
per intake
Clinician (Human Required)
TOTAL LABOR PER INTAKE
~4.3 hours
WEEKLY INTAKES (avg)
400+
DATA ENTRY ERROR RATE
4.6%
Step 02 ยท Aizen Event

Classifying every step.

In the Aizen Event, we map each workflow step to an AI type: Deterministic (rules with predictable output), RAG (retrieval-grounded), Probabilistic (learned judgment), or Human Required. Classification drives build vs. defer decisions.

Step AI type Recommendation New state Time saved
01
Form receipt & sorting
Manual classification and logging
Deterministic Auto-classify document type (intake vs. referral vs. records release), extract patient identifiers, route to processing queue automatically. โ— Automated 18 min
02
Manual data transcription into EHR
Human typing of form fields
Deterministic Highest-priority step. OCR + structured extraction maps form fields to EHR fields with 99.1% accuracy. Human reviews low-confidence fields only (~3% of fields). Eliminates 3 FTE roles entirely. โ— Automated 42 min
03
Insurance eligibility verification
Manual phone / portal lookups
Deterministic API call to insurance eligibility gateway on intake record creation. Returns coverage, copay, deductible, and prior auth requirements in <8 seconds. Replaces manual phone/portal work entirely for standard cases. โ— Automated 32 min
04
Clinical history extraction
Manual review of prior records
RAG RAG retrieves and summarizes prior visit notes, medications, diagnoses from EHR and external records. Generates structured history summary. Clinical coordinator reviews and supplements with missing context. โ— Augmented 45 min
05
Care team assignment
Manual matching by supervisor
Probabilistic Trained assignment model scores available clinicians by match quality (specialty, availability, location, language, insurance). Top 3 recommendations presented to supervisor with rationale. Supervisor confirms or selects differently. โ— Augmented 14 min
06
Appointment scheduling
Manual slot selection and confirmation
Deterministic Smart scheduling engine considers clinician availability, patient preference, care type, and travel distance. Books first available qualifying slot automatically. Sends confirmation to patient automatically. โ— Automated 12 min
07
Pre-visit summary preparation
Manual summary writing
Probabilistic AI generates structured pre-visit brief from intake data + clinical history. Clinical coordinator reviews and edits before it goes to the care team. Reduces manual composition work. โ— Augmented 20 min
08
Clinical review of intake record
Clinician assessment before first contact
Human Required Clinician must review intake record before first contact. No automation. AI highlights key fields and potential flag items to speed review, but human decision remains entirely with clinician. โ—‹ Unchanged โ€”
DeterministicRules-based, predictable output
RAGRetrieval-augmented, document-grounded
ProbabilisticContextual judgment, human oversight required
Human RequiredDo not automate: clinical or judgment boundary
Step 03 ยท Priority Matrix

What to build first. What to defer.

We plot each step by implementation complexity (X) against business impact (Y). Steps in the top-left are Quick Wins: start here. Top-right are Strategic Investments: build after wins are live. Bottom-right: skip entirely.

QUICK WIN STRATEGIC INVESTMENT AUTOMATE LATER AVOID / HUMAN ONLY IMPLEMENTATION COMPLEXITY โ†’ BUSINESS IMPACT โ†’ 1 2 3 4 5 6 7 8 BUILD ORDER: 2,3,1,6 โ†’ 5 โ†’ 4,7
QUICK WIN (start here)
2
Data transcription

Highest-value quick win. OCR extraction. Build first.

3
Insurance API

Deterministic API call. Phase 1.

6
Scheduling engine

Rules-based. Phase 1.

STRATEGIC INVESTMENT
4
Clinical history RAG

Corpus indexing required. Phase 2.

7
Pre-visit summary

Probabilistic. Phase 2.

8
Clinical review

Statutory and liability boundary. Unchanged.

Step 04 ยท New State

What happened to each step.

The redesigned workflow after the Aizen Event implementation. Every step with a new state shows the before design, what changed, and who now handles what.

01
Before
Form receipt & sorting
Front desk manually classifies documents and logs into system. 20 min per intake.
โ— Automated
Document classification
Model sorts incoming forms by type. Patient identifiers extracted and matched to EHR (or new record created). Intake record initialized automatically. Zero manual classification work.
02
Before
Manual data transcription
Data entry staff types all form fields into EHR. 45 min per intake. 3 FTEs dedicated to this. High error rate (4.6%).
โ— Automated
OCR + Structured extraction
OCR + extraction model processes each form field. Maps to 47 EHR fields with 99.1% accuracy. Low-confidence fields (<92%) flagged for human confirmation. 3 FTEs redeployed to clinical coordination work.
03
Before
Insurance eligibility
Billing coordinator manually calls insurance or checks portal. 35 min per intake.
โ— Automated
Insurance gateway API
API call to insurance eligibility gateway on intake record creation. Returns coverage, copay, deductible, prior auth in <8 seconds. Coordinator reviews exceptions only.
04
Before
Clinical history extraction
Coordinator manually reviews prior notes and records. 60 min per intake.
โ— Augmented
RAG retrieval + summary
RAG retrieves prior notes, diagnoses, medications from internal EHR and connected external records. Generates structured history summary. Coordinator reviews and supplements with missing context. Time: ~15 min vs 60 min.
05
Before
Care team assignment
Supervisor manually matches patient to clinician. 20 min per intake.
โ— Augmented
Assignment model
Model scores available clinicians by match quality (specialty, availability, location, language, insurance). Top 3 recommendations presented with rationale. Supervisor confirms or selects differently. Time: ~6 min vs 20 min.
06
Before
Appointment scheduling
Scheduler manually books slots and sends confirmations. 15 min per intake.
โ— Automated
Smart scheduling engine
Engine considers clinician availability, patient preference, care type, travel distance. Books first qualifying slot automatically. Sends confirmation to patient automatically.
07
Before
Pre-visit summary
Coordinator writes structured pre-visit brief. 30 min per intake.
โ— Augmented
AI-generated brief
System generates structured pre-visit brief: chief complaint, relevant history, medications, insurance notes, care team context. Coordinator reviews and edits. Time: ~10 min vs 30 min.
08
Before
Clinical review
Clinician reviews full intake record before first contact. 20 min per intake.
โ—‹ Unchanged
Clinician review (optimized)
Clinician retains full intake review responsibility. AI pre-populates a summary view that highlights chief complaint, flagged items, and care gaps. Review time reduced by ~8 min on average.
New avg. labor per intake
~1.8 hours โ†“ 58%
Data entry error rate
0.3% โ†“ 93%
Step 05 ยท Investment & ROI

The numbers.

Build cost, deployment timeline, and three-year return: based on 400+ weekly intakes, staff redeployment value, and measured time savings post-deployment.

Investment breakdown
Discovery sprint + EHR integration mapping$24,000
Phase 1 build (OCR extraction + insurance API + scheduling)$72,000
Phase 2 build (clinical history RAG + assignment model + pre-visit brief)$94,000
Integration, testing & clinical staff training$22,000
Total investment$212,000
Year 1 labor savings
$290K
3 FTE redeployment + scheduling efficiency + reduced rework from errors. Based on 400+ intakes/week ร— 2.5 hrs saved ร— blended healthcare staff rate.
Payback period
8.8 mo
Full investment recovered within 8.8 months of live deployment (deployment at week 12 of engagement).
3-year cumulative ROI
$660K
Net of full investment. Includes conservative 5% annual volume growth and system maintenance at $18K/yr. Does not include quality and care time improvements.
Secondary outcomes
Data entry error rate dropped from 4.6% to 0.3%
Average scheduling-to-service delay cut from 4.2 days to 1.8 days
3 data entry FTEs transitioned to clinical coordination roles
EHR data completeness improved from 74% to 96%
// Illustrative scenario note

This case study represents a composite of typical healthcare patient intake engagements. Metrics are based on observed industry benchmarks and comparable implementations. All investment figures are illustrative ranges based on the Otonmi service tiers.

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