Your AI-Powered Clinical Workforce

Eliminate clinical burden.
Without compromising quality.

24/7
Patient Coverage
30%+
Cost Savings
2.5
Hours unlocked per day
Why hivemind

By clinical operators,
for clinical operators.

  1. White Glove DeliveryHigh-touch oversight on every engagement, including: custom solutions, timely responses, and comprehensive reporting.
  2. Clinically SophisticatedWe are AI-enabled, but human-led. Our team of dedicated, U.S.-licensed nurses review every case.
  3. Operator-Ledhivemind's founding team bring decades of experience in scaling health systems.
What We Do

Offload recurring clinical workflows.

Prior Authorization

AI-enabled prior authorization completion, submission, tracking, and denial handling.

See how it works →
AI-Enabled CompletionForm is completed within minutes, leveraging the patient chart
SubmissionAcross CMM, Availity, and all payer portals — including fax and phone as required
Tracking24/7 status tracking
Approved or Denied?
ApprovedCare ContinuesPatient proceeds as scheduled, info is shared with the care team
DeniedDenialsDenial reason is root-caused and an appeal is prepared

Provider Activation

Licensing, Credentialing, and Provider Directory.

  • State Licensing: Provider applications and renewals across all states.
  • Credentialing: Payer enrollment and provider verification from application to approval.
  • DEA Registration: DEA license applications and renewals.
  • CAQH Management: Build and maintain CAQH profiles.
  • Payer Enrollment: Enrollment and re-credentialing with payers, including Medicare/Medicaid.
  • Ongoing Monitoring: Track expirations, sanctions, and license renewals.
  • Provider Directory: Ensure NPI, address, and specialty data are consistent across directories.

Revenue Cycle Management

AI-enabled claims handling from intake to payment, including flagging and appealing denials.

See how it works →
Claim IntakeNew claims enter the workflow
AI Completes First PassClaims checked against payer-specific rules and determinations
Nurse ReviewEvery claim is reviewed by a nurse before submission — complex or high-risk claims are flagged for closer review
SubmissionClaims submitted to the payer for payment
TrackingClaim added to tracker for full visibility into current status
Paid or Denied?
PaidPayment PostedRevenue collected, claim closed
DeniedDenialsRoot cause identified and the underlying issue is fixed

24/7 Patient Coverage

Round-the-clock coverage that keeps care moving, including inbox triage when providers are away long-term.

  • Holistic Inbox Management: Review and address majority of cases in line with your workflows, and tee up the case with suggested responses for escalations, so your providers see an organized, up-to-date inbox when they log in.
  • Provider Satisfaction: Eliminate after-hours and on-call burden, helping prevent physician burnout and maximizing their time for patients.
  • Patient Retention: Shorten response times for patient messages and provide consistent communication between visits, helping patients feel supported when they need it most.
  • Patient Outreach: Telephonic and message-based scheduling, intake, and follow-ups… Learn more →

Pharmacy Outreach

Directly engage with pharmacists, including for controlled substance callbacks.

  • PA Follow-Up and Appeals: Chase pending authorizations, coordinate with payers and pharmacies, and prepare or submit appeals for denied requests.
  • Refill Requests: Work refill queues against your protocols, and route anything requiring clinical judgment to your team.
  • Controlled Substance Callbacks: Communicate directly with pharmacists conducting due diligence for controlled substances, and maintain a traceable record of every interaction
  • Supply Shortage Coordination: When medications are backordered or difficult to source, we coordinate with retail and specialty pharmacies to locate available inventory, identify… Learn more →

AI Output Validation

Clinically validate your AI outputs quickly, comprehensively, and at scale

  • Response Accuracy Review: We assess AI-generated responses against clinical guidelines, flagging errors, omissions, and safety protocols.
  • Specialty-Specific Validation: We are versed in specialty-specific standards, and account for the nuances and risk considerations unique to your field.
  • Edge Case Identification: We surface hallucinations and edge cases the model handles poorly, feeding structured findings back to improve performance.
  • Meaningful Sample Size: 24/7 availability allows us validate statistically significant sample sizes on your timeline, without relying on local physician availability.

Ready to eliminate clinical burden? Get in touch →

Where we operate

Global nurse coverage

Six countries, every major time zone.

FAQs

Where are your teams based?

Our nurses can be onshore, offshore, or a hybrid of both, depending on the needs of each client.

How are your teams trained?

hivemind nurses are trained on your specific care protocols, workflows, and patient experience standards. MD/DOs curate ongoing oral and written coaching, ensuring our teams remain best-in-class.

What services can hivemind handle?

We specialize in 24/7 prior auth, licensing and credentialing, inbox management, patient outreach, RCM, and pharmacy outreach. If it's a recurring administrative burden, we've likely seen it before. We also design bespoke solutions for non-standard use cases across the acuity spectrum. We integrate with your existing tech stack and EHR within days.

How long does onboarding take?

About four weeks. We start by learning your workflows, building a dedicated team around them, running a supervised ramp, and handing off to full production, with ongoing QA built in from day one. Our priority is getting it right the first time, which is why we invest upfront to define what success looks like across your priorities.

How does Hivemind protect patient data?

Patient data security is built into every layer of how we operate. In addition to mutually executed BAAs with every client, Hivemind follows HIPAA-compliant protocols and role based access controls. Data are encrypted and audit logs maintain a record of access. Employees access information through a secured U.S.-hosted network, ensuring data stays within a protected, compliant environment.

Let's talk about
your team.

What is eating up your time today? We recommend starting with your greatest pain point and expanding from there.