01 · The clinical operating system for complex care

EnhancedDx

Move your clinic from manual coordination to orchestrated care.

Grounded in clinical evidence and works with any EHR, to make complex care, manageable.

Built by clinicians who lived the problem
HIPAA aligned
US privacy
GDPR aligned
EU privacy
ISO 13485 certified
Medical devices
HL7 FHIR R4
Native
02 · The problem

Healthcare has hit the limit of what human coordination alone can do.

70+
Logins per shift

EMR, RCM, lab, imaging, portal, fax, pharmacy, billing, messaging.

4.2 hrs
Time on EHR tasks

Per clinician, per 12-hour shift.

$1.6T
Admin spend

30% of total US healthcare spend goes to admin, not care.

Sources: US CMS, Commonwealth Fund.

03 · Where do you sit?

Two clinics. Same patients. Different workloads.

Clinic A

Reception triages everything. Coordinators chase. Doctors doing admin.

Marketing generates enquiries. Reception triages everything, good calls and bad. Coordinators chase forms, tests, and results. Doctors lose fifteen minutes before every consultation making sense of outside records, and another fifteen after on coding and insurance. Billing waits on hold to confirm eligibility. No one can compare sites across the network because each runs a different stack.

Clinic B

Charts ready. Notes drafted. Coding suggested. Denials near zero.

An AI concierge handles routine enquiries around the clock and routes anyone who needs a human to the right human. Referrals from other providers are smooth. Charts are ready before the consultation. Notes are drafted in real time. ICD-10 codes are suggested for confirmation. Care plans are easy to maintain. Superbills are accurate, denials are near zero, billing teams are happy. Patients feel cared for. Staff stay.

04 · By role

Everyone working in synchrony.

Specialist AI agents for every member of the team.

CEO

Lead a clinic that grows without breaking.

CEOs use this to attract more patients and grow capacity without growing headcount, and to see the whole organisation in one place.

  • Attract more patients and convert them faster, with a funnel you can see end to end.
  • Differentiate on patient experience, not just success rates.
  • Compare performance across sites and drive group-wide improvement.
  • Make decisions on a single source of truth, not stitched-together reports.
COO

Operations that run themselves.

COOs use this to standardise workflows across every site and free their teams from administrative drag.

  • Standardise pathways across sites without losing local nuance.
  • Spot bottlenecks before they reach patients.
  • Add capacity before you add headcount.
  • Bring SOPs to life as living, auditable workflows.
CFO

Billing made easy.

CFOs use this to recover lost revenue from billing errors, denials and uncollected co-pays, and to forecast cash with confidence.

  • Automated insurance eligibility checks. No more queue time on the phone.
  • Accurate superbills. Claim denials near zero.
  • Quantify the gain against your existing KPIs from day one.
  • No big upfront licence. Each phase funds the next.
Doctor

We do the admin, you focus on patient care.

Doctors use this to reclaim consultation time and stop carrying admin home in the evenings.

  • Old records read and summarised before the consult.
  • Notes drafted in real time. ICD-10 and CPT codes suggested for confirmation.
  • Justifications drafted for insurance coverage.
  • e-Faxes and inbound documents triaged into the chart.
  • Workflows grounded in 300+ clinical guidelines, with explainable reasoning.
Nurse

The assistant that makes nursing easy.

Nurses use this to spend more time at the bedside and less time chasing paperwork.

  • Medication coaching and patient education tailored to the prescription.
  • Treatment plans explained to patients in plain language, in any language.
  • Routine clinical queries answered, with escalation when judgement is needed.
  • Monitoring results triaged for review. You see the ones that need you.
Patient Coordinator

No more chasing. Patients arrive ready.

Coordinators use this to stop chasing patients. Every visit starts with the right paperwork, the right consent, the right plan.

  • Pre-consult: forms, consents, eligibility checks, mandatory assessments and triage, completed before the appointment.
  • Post-consult: next-step orchestration, including any tests required to keep the patient moving.
  • Handoffs between teams tracked, with active-patient binding so work cannot land on the wrong record.
  • Drafts patient communications. You review and send.
Marketing and Patient Acquisition

See the funnel end to end. Stop guessing where leads drop.

Marketing teams use this to know which campaigns produce real cycles, not just leads.

  • Lead-to-conversion attribution joined to the clinical record.
  • Omni-channel inbox for web, email, phone and messaging.
  • Multilingual patient engagement out of the box.
Reception and Front Desk

All patient's calls, emails and queries answered easily.

Front desks use this to answer every call, in every language, around the clock, without burning out the team.

  • Multilingual voice AI that speaks naturally in any language.
  • Handles the 80% of calls and emails that are repeat queries.
  • Sends emails on your behalf, automatically.
  • Smart routing for the calls that need a human.
IT Team

Plugs into your stack. Doesn't replace it.

IT teams use this to add orchestration on top of the EHR, RCM, and patient portal without ripping anything out.

  • FHIR R4 native. Standards-based integration with any EHR, lab, RCM, or imaging system.
  • SSO and role-based access, with full audit logs of every action.
  • Step-up authentication on consequential actions. Every order signed.
  • HIPAA aligned, GDPR aligned, ISO 13485 certified — auditable from day one.
  • Sandbox in our environment before anything touches production.
Patient

A calm guide through every step.

Patients use this to feel guided through a journey that usually feels overwhelming, alone and confusing.

  • Front-line concierge over phone and email. Booking and reminders.
  • Onboarding, task checks and reminders, all in one place.
  • Treatment companion for out-of-hours questions. Speak to a human when needed.
  • Medication coach with personalised answers, grounded in your prescription.
CEO

Lead a clinic that grows without breaking.

CEOs use this to attract more patients and grow capacity without growing headcount, and to see the whole organisation in one place.

COO

Operations that run themselves.

COOs use this to standardise workflows across every site and free their teams from administrative drag.

CFO

Billing made easy.

CFOs use this to recover lost revenue from billing errors, denials and uncollected co-pays, and to forecast cash with confidence.

Doctor

We do the admin, you focus on patient care.

Doctors use this to reclaim consultation time and stop carrying extra admin.

Nurse

The assistant that makes nursing easy.

Nurses use this to spend more time at the bedside and less time chasing paperwork.

Patient Coordinator

No more chasing. Patients arrive ready.

Coordinators use this to stop chasing patients. Every visit starts with the right paperwork, the right consent, the right plan.

Marketing

See the funnel end to end. Stop guessing where leads drop.

Marketing teams use this to know which campaigns produce real cycles, not just leads.

Reception

All patient's calls, emails and queries answered easily.

Front desks use this to answer every call, in every language, around the clock, without burning out the team.

IT Team

Plugs into your stack. Doesn't replace it.

IT teams use this to add orchestration on top of the EHR, RCM, and patient portal without ripping anything out.

Patient

A calm guide through every step.

Patients use this to feel guided through a journey that usually feels overwhelming, alone and confusing.

05 · How we keep you safe

The platform principles, by design.

Your data is safe.

ISO 13485 certified. HIPAA and GDPR aligned. Your EMR stays the source of truth. Your data stays yours. Cloud or self-hosted.

It is not a black box.

Every recommendation is supported by explanatory AI. Every reasoning chain is visible. Every guideline is cited. Clinicians can audit any decision.

It does not take your role.

It works in the background. Intuitive without needing to master the underlying code. AI drafts. Humans commit. Every consequential action requires step-up authentication.

Integrations & Data Standards

Works with the systems you already use
Clinical and EHR Data
  • HL7 V2
  • FHIR
  • SFTP
  • SMART-on-FHIR
  • CDS Hooks
  • FHIRcast
Payor and Compliance
  • FHIR CMS 9115
  • BulkFHIR
Identity and Authentication
  • OAuth2
  • Basic Auth
Binary / Media
  • Video
  • PDF
  • Images
Scheduling and Payments
  • Payment APIs
  • iCalendar
  • Webhooks
Clinical Databases
  • Medications
  • NPPES NPI Registry
  • ICD-10/11
Documents and Forms
  • CMS 1500
  • Superbill
1st Party Integration
  • EPIC
  • Health Gorilla
  • Labcorp / Quest

Don't see yours? FHIR-native means we can integrate with anything that exposes a clinical or operational API.

06 · How it works

How it works.

01

Discovery

We map your patient pathway. Identify bottlenecks. Quantify each automation opportunity against your existing KPIs.

02

Flow builder

We prototype agents and workflows in our no-code Flow Builder. You see them work in a sandbox before anything touches production.

03

Validation

We test in your real environment, with your staff in control. Sign-off gate before any rollout.

04

Go Live

We go live and fine-tune in the live system. We measure the gain against the baseline we set in Discovery.

05

Scale

Each validated phase funds the next. No big-bang rollouts.

Ready when you are

Book your discovery call today.

Let's map your patient pathway and create your bespoke workflow.

Book a call

Pilots typically run 6 to 8 weeks. Most clinics see ROI by week 12. Implementation handled by our team.

07 · See us speak

Built by a team who lived the problem.

TEDx · Andreia Trigo

Will AI Fix Healthcare or Break It?

A founder's account of the journey from patient, to nurse, to building the platform that EnhancedDx is today.

08 · Who we are
Andreia Trigo and Frank Sullivan, co-founders of EnhancedDx

Andreia Trigo, BSc MSc RN

CEO and Clinical Director

Spent 3 years being diagnosed with infertility across multiple specialties before training as a nurse. 20+ years of clinical experience. Watched the system fail patients and clinicians from both sides of the chart.

Frank Sullivan, FRSA

CTO and Co-Founder

Spent 15+ years building cloud and data integration systems. Was struck that healthcare was making life-changing decisions across systems that did not communicate.

Board Advisors
Kristof Kunzmann
Kristof KunzmannNon-Exec · Former CFO, IVI
Dr Carol Lynn Curchoe
Dr Carol Lynn CurchoeHigh Complexity Lab Director · Multi-site US
Kaj Rydman
Kaj RydmanFormer CFO and President · California Cryobank
Rafael Fraile Guedón
Rafael Fraile GuedónFormer CEO Spain · Eugin
Dr Salomé Lopez Garrido
Dr Salomé Lopez GarridoCEO · Nuuma Genetics
Fionnuala Patterson
Fionnuala PattersonSaMD and regulatory affairs
09 · Common questions

Questions clinics ask before they get started.

What is EnhancedDx?

EnhancedDx is a Clinical Operating System for complex care. It orchestrates the work that today is done by clinicians and staff logging into 70+ systems per shift — patient triage, chart preparation, clinical note drafting, code suggestions, order signing, and revenue cycle posting — into one auditable workflow.

Does EnhancedDx replace my EHR?

No. EnhancedDx is EHR-agnostic and integrates with any EHR via HL7 FHIR R4. It sits as a layer of orchestration above your existing EHR, RCM, lab, imaging, and patient portal systems, so you keep your systems of record.

Is EnhancedDx HIPAA compliant?

EnhancedDx is HIPAA aligned for US privacy and GDPR aligned for EU privacy. Our medical-device processes are ISO 13485 certified. The platform is designed to be auditable: every suggestion is cited, every order is signed with step-up authentication, and every action is logged.

How long does implementation take?

Pilots typically run 6 to 8 weeks. Most clinics see ROI by week 12. Implementation is handled by our team and we measure the gain against the baseline we set in Discovery before each phase goes live.

Is this AI? Will it make decisions for my clinicians?

EnhancedDx uses AI for orchestration and drafting, never for unilateral clinical decisions. It is not a black box: every recommendation cites its source, and clinicians retain final sign-off on notes, codes, and orders. The platform is designed to remove administrative burden, not to replace clinical judgment.

What kind of clinics is EnhancedDx built for?

EnhancedDx is built for clinics handling complex, longitudinal care — fertility, oncology, chronic disease management, multi-specialty coordination, and any setting where patient pathways span multiple systems and visits. Each role on your team — clinicians, billing, coordinators, nursing, marketing, concierge — gets a workflow designed for them.

How is EnhancedDx different from AI scribes or generic automation tools?

AI scribes capture the conversation in the room. Automation tools handle one task at a time. EnhancedDx is the operating system that connects them: it prepares the chart before the consult, drafts the note and codes during, posts the superbill after, and keeps the entire patient pathway visible to every role. It is built around the patient ledger, not the individual task.

Join us in making complex care manageable.

No commitment beyond the conversation. Let's see if it's a fit.

Book a call