
Automatic Calling System — IVR Communication
Automation
Project Summary
The Automatic Calling System is a custom-built web application designed to automate outbound call operations for medical offices. It simplifies the traditionally manual process of reaching out to insurance providers to collect, verify, and document patient insurance details. By
integrating Twilio's IVR (Interactive Voice Response) capabilities, the system acts as an intelligent communication assistant — reducing administrative workload and expediting insurance verification processes.
Challenges
The project came with several operational and technical challenges:
- Automating outbound call operations to multiple insurance companies while maintaining compliance.
- Capturing and recording responses from automated and human interactions.
- Dynamically generating call scripts and queries based on patient and insurance data.
- Providing a user-friendly interface for medical office staff to track call statuses and responses.
- Ensuring data security and HIPAA compliance throughout the communication and data logging process.
Our Solution
Combining our domain experience in Healthcare workflow automation and expertise in communication APIs, we developed a robust and scalable solution tailored to streamline the insurance verification workflow.
Key Functional Features Delivered:
-
Automated Outbound Calling System:Leveraged Twilio API to initiate and manage outbound calls to insurance companies with IVR capabilities.
-
Custom Call Flow Scripting:Calls dynamically construct their script based on patient-specific insurance details retrieved via the platform.
Technology Stack
- Backend Framework: Flask
- Communication API: Twilio
- Data Processing: Pandas
- AI/NLP Integration: GPT-4
Business Impact
- Reduced insurance verification turnaround time by automating call operations
- Minimized administrative workload, freeing up staff for higher-value tasks
- Improved accuracy and consistency in collecting insurance information
- Enabled real-time tracking and logging of insurance verification calls
- Enhanced patient experience by expediting their claim and coverage confirmations
Our Domain Expertise
With our proven track record in Healthcare communication systems and workflow
automation, we effectively delivered a solution that not only automates outbound communications but also integrates AI-powered response management for a smarter, faster, and more compliant healthcare operation.
-
Call Tracking Dashboard:A user-friendly interface for medical office staff to view call history, current call status, and logged responses.
-
Data Handling & Integration:Employed Pandas for efficient data processing and manipulation of patient insurance records.
-
Smart Response Management:Incorporated GPT-4 to parse and interpret IVR and human responses, enhancing response classification and decision-making.
-
Secure Data Logging:Ensured all communications and patient data are securely logged and managed, adhering to healthcare data protection regulations.
Deliverables
- Fully functional Automated Calling Web Application
- Twilio IVR integration for dynamic call flows
- Patient-specific call scripting engine
- Call tracking and response management dashboard
- Data processing and reporting modules
- Compliance-focused data security implementation
