Winsen
Solutions
FOR HEALTHCARE

Your practice runs on tribal knowledge. Make it a model instead.

A practice is not one job. The front desk, the billers, the office manager, the bookkeeper, and the credentialing coordinator all touch the same patient and never talk to each other. Winsen builds one living model of how your practice actually works, sourced from real activity, and puts an AI Employee on each team's busywork while every consequential call still waits for a human. Clinical judgment never leaves a licensed person.

See it work
TL;DRHealthcare runs on many teams, not one. Winsen gives each team an AI Employee that drafts, assembles, and stages the busywork, and your staff approves anything that touches a payer, a chart, or a patient.

Healthcare, team by team.

Every team in a practice gets an AI Employee on the busywork, and the clinical call always stays with the licensed human.

FRONT OFFICE

The new patient is ready before they sit down.

A referral hits the fax line at 7:42am, and by 8:00 the AI Intake Specialist has the demographics keyed into athenahealth, insurance verified against Availity, and a flag that the secondary plan needs a coordination of benefits call. Nobody retyped a superbill, so the front desk opens the day with a clean chart instead of a stack. The consent and HIPAA forms wait for a person to send.

Intake queue, Tuesday 8:04am
Ramirez, J., referral parsed from fax, demographics keyed to athenahealthintake done
Eligibility verified on Availity: Aetna PPO, copay $40, deductible metverified
Secondary plan needs a benefits call before the visit, script draftedneeds attention
Consent and HIPAA forms drafted, ready for the front desk to sendyour sign-off
Send itEdit
Powered by the AI Intake Specialist
REVENUE CYCLE

The prior auth that usually takes 9 days, drafted in an hour.

The AI Revenue Cycle Specialist assembled the prior auth for the lumbar MRI: pulled the failed conservative therapy notes, matched UnitedHealthcare's medical necessity criteria line by line, and wrote the packet so a biller reads it once and clicks submit. The same engine catches the denial pattern on CPT 97110 and drafts the appeal before the EOB cools off. It never submits a claim or an auth on its own.

Prior auth PA-44821, draft ready
MRI lumbar 72148, necessity criteria 6 of 6 met, each line sourced to a notedraft ready
Attached: 6 week PT notes, NSAID trial, exam findings, all pulled from the chartassembled
Appeal drafted for CLM-90213, CPT 97110 denied by Cigna, denial pattern flaggedappeal ready
Submit to the UnitedHealthcare portal, a biller signs before it firesneeds approval
Send itEdit
Powered by the AI Revenue Cycle Specialist
OPERATIONS

The 31% no-show panel and the recurring filing, both handled.

The AI Operations Specialist watched which slots actually no-show, found that Friday 4pm new patient visits bail at triple the rate, and proposes an overbook plus a reminder cadence that pulls the rate back under 12%. It also runs the recurring work nobody owns: the OSHA log, the CLIA reminder, the weekly schedule fill report, all on time. It only touches actions you have scoped, and anything off the runbook waits for the office manager.

Operations, Friday 9:00am
Friday 4pm new patient slots run 31% no-show, proposed overbook of 2your sign-off
48h and 2h reminder cadence drafted in Twilio, projected no-show 11.4%modeled
Weekly schedule fill and recall report assembled, sitting in your queueweekly status
CLIA certificate renews in 21 days, reminder drafted, filing is off the runbookneeds attention
Send itEdit
Powered by the AI Operations SpecialistSee the Operations workspace →
FINANCE

ERA posting, payer reconciliation, and a close on the first.

The AI Accountant posts the ERA overnight and reconciles what each payer actually paid against what was billed, so a $12,480 Cigna deposit matches to the claims it covers by the time the bookkeeper is up. It flags the underpayment on CPT 76700 against the contracted rate, with the fee schedule attached, and closes the month on the first instead of the second week of the next one. It will not move money over your limit without you.

Finance close, June 1
ERA $12,480 from Cigna posted and matched to 9 claims, books match to the centreconciled
Underpayment on 76700: paid $84 against contracted $118, fee schedule attachedvariance flag
Month closed, AR aging refreshed, every entry carries a source and a timestampperiod close
Vendor invoice $3,180 over your $1,500 limit, receipt attached, held for your yesover limit
Send itEdit
Powered by the AI AccountantSee the Finance workspace →
PEOPLE & HR

Credentialing and onboarding that does not stall on a signature.

The AI Credentialing Specialist tracks every provider's CAQH profile, license, DEA, and payer enrollments, and the day Dr. Patel's license sits 60 days from expiry it drafts the renewal packet and the re-attestation. When a new NP starts, it stages onboarding on day one and chases the credentialing paperwork so the provider can bill, not sit idle for 90 days. It schedules and chases, and the hire and the attestation are always a human signature.

Credentialing watch, this week
Dr. Patel state license expires in 58 days, renewal packet drafted, CAQH re-attest queuedneeds attention
NP Okafor onboarding staged for day one: I-9, badge, EHR access request draftedassembled
Aetna and BCBS enrollment forms filled from the CAQH profile, ready to submityour sign-off
DEA registration for Dr. Lee renewed and filed, confirmation logged with sourcecredential done
Send itEdit
Powered by the AI Credentialing SpecialistSee the People & HR workspace →
Built for Healthcare
the AI Revenue Cycle Specialist

Assembles prior auths against payer medical necessity criteria, drafts denial appeals from the chart, and keeps every billed code pointing back to the note it came from, then waits for a biller to submit.

Need one we haven't built yet?

We already built the Intake, Revenue Cycle, Operations, Accountant, and Credentialing employees for practices. Need one we have not built yet, say a Referral Coordinator who closes the loop on every outbound referral, or a Patient Recall Specialist for overdue follow-ups? Tell us the role and we will build it for your team. AI Employees are hired by role, so your roster grows with you.

Healthcare, in the product.

A real day of Healthcare work in Winsen, recreated from a live workspace.

Best on desktop

Experience the Healthcare workspace in the live demo.

It runs full-size. Drop your email and we'll send a one-click magic link to open it on your laptop.

You keep
  • The clinical judgment: every diagnosis, every level of care, every patient conversation stays with the people licensed to make it.
  • The final click on anything that touches a payer, a chart, or a patient. AI drafts, a human submits.
  • Ownership of the company brain and the records inside it. The substrate is open source and the data is yours, not a vendor's.
Winsen takes
  • The retyping: referrals into demographics, faxes into charts, EOBs into the ledger, the same name keyed four times across four teams.
  • The chasing: eligibility checks, benefits calls, prior auth packets, denial appeals, the credentialing renewal that lapses if nobody watches it.
  • The remembering: which payer wants which form, which slot no-shows, which note backs which code, which license expires when, held as a sourced model instead of in one nurse's head.

The stack, connected.

EpicathenahealthAvailityChange HealthcareDrChronoTwilio

One 6-provider practice put AI Employees on five teams at once: intake, billing, operations, finance, and credentialing. Prior auth turnaround went from 9 days to under 1, the clean claims rate climbed from 88% to 96% in a quarter, and new providers started billing in 30 days instead of 90. Zero claims, auths, or patient messages auto-sent, since every consequential action was approved by a human first.

FAQ

Questions, answered straight.

No dodging, no contact-sales-to-find-out.

Is this HIPAA compliant, and where does PHI actually live?+
Winsen runs under a BAA and the company brain is customer-owned, so PHI stays in your tenant, not pooled into a vendor model. The substrate is open source, so you can read exactly how access and audit logging work instead of taking our word for it.
Will an AI Employee submit a claim, send a patient message, or file a credentialing form on its own?+
No. Winsen is approval-first by design across every team. The intake, the auth, the appeal, the reminder, and the enrollment packet are all drafted and staged, then stopped for a person to sign off. Anything touching a payer, a chart, or a patient never fires without a human.
How do I trust a billed code or a verified benefit when an AI touched it?+
Every fact in the brain carries its source. A level 4 E/M points back to the exact note, a verified eligibility points back to the Availity response, and a posted ERA points back to the remittance. When a coder or an auditor asks why, the answer is a citation, not a guess.

Winsen, shaped for Healthcare.

Invite-only. Three months free when you're in.

Don't take our word for it

Work is better with Winsen.

Ask your favorite AI for a summary on Winsen. It opens with the question ready, so you get an honest read in one click.

Powered by winsen.ai/llms.txt