Clinical AI that reaches a patient has to survive evaluation first.
You're putting agents into longitudinal care across millions of covered lives. actAVA is the factory underneath, where agents test against clinical rubrics before deployment, run with a clinician in the lead, and prove every action in an audit trail. Your protocols, your cloud, your model.
The demand is real. The failure rate is the problem.
61.5 million adults need behavioral health care, 40% of them live in a designated provider shortage area, and as many as half of the patients who start treatment disengage. That gap will never close on clinician headcount, which is why clinical AI companies exist. It also sets a brutal bar. Agents in longitudinal care have to perform on the thousandth interaction, not the first.
Complex U.S. healthcare workflows that frontier models fail on χ-BENCH.
Agents that stay successful when the same task repeats.
Tools across 21 healthcare applications, grounded in real managed care policy.
What you build around the model decides whether an agent is deployable.
The benchmark's lesson lands squarely on scaffolding. Systems access, policy adherence, workflow sequencing, and approval gates matter more than the model itself.
Read the χ-BENCH studyAgents that hold the thread between sessions need a harness that proves they can.
Evaluate before patients ever see it
Simulate agent behavior against your clinical rubrics, log every call and trajectory, and benchmark against χ-BENCH before anything reaches live care. Reviewed work feeds back into each agent, so behavior improves on evidence. HIPAA controls, access management, and audit logs apply to every action.
Explore KORAYour protocols, your cloud, your model
Operate CURA, frontier models, or both without rewriting a workflow. CURA comes tuned on your clinical protocols and your population inside your own cloud environment at lower cost per interaction, and stays yours, under your control. Swap models as the frontier moves.
Explore CURAClinical safety scaffolding, prebuilt
Crisis detection, consent validation, escalation routing, human-in-the-loop oversight, and audit logging ship as platform primitives, with EHR, claims, and FHIR integrations in the box. Extend them into your own programs instead of rebuilding safety infrastructure for every health system deal.
Explore the libraryOur behavioral health agent library, yours to extend
The clinical core covers between-session support, crisis detection, outcome measurement, and engagement, shipped as governed building blocks you extend with your own protocols. The rest, from intake through the full eligibility-to-payment cycle, becomes expansion surface for the health systems you serve. Every agent ships with HIPAA compliance, human approval gates, and full audit logging.
- Compliance
- HITL · Human in the loop
BH Eligibility-to-Payment Orchestrator
Runs the full 15-step BH revenue cycle—eligibility verification with carve-out cascade, CMS-0057 FHIR prior auth, parity-aware claim generation, denial appeals, and patient payment reconciliation—built specifically for BH coding and adjudication paths.
ABA Session-to-Billing Orchestrator
Runs the full ABA therapy session lifecycle—scheduling, data collection during the session, note generation against ABA-specific documentation standards, supervision validation, and clean billing with telehealth and concurrent-supervision code logic.
BH Intake-to-Matched-Provider Agent
Takes a patient from first contact through validated assessment, rules-based acuity triage, condition-weighted provider matching, confirmed appointment, and post-match engagement monitoring—with clinical safety gates at every step.
BH Predictive Engagement Agent
Scores BH appointment no-show risk, delivers tiered reminders calibrated to risk, handles cancellations and reschedules conversationally, and re-engages patients at risk of dropping out—routing clinical decisions to humans.
Between-Session Support Agent
Augments human therapy with evidence-based between-session conversational support (CBT, DBT, MI), monitors continuously for safety risks, and escalates crises to clinicians with zero delay. Never replaces a clinician—amplifies one.
BH Outcome Measurement Orchestrator
Runs the 9-step BH outcome measurement pipeline—active PHQ-9/GAD-7 administration, passive voice/language analysis from session recordings, predictive modeling on treatment response, and payer-ready measurement-based care reporting.
Multi-Source Crisis Detection Agent
Ingests session transcripts, patient messages, wearable data, and assessment scores to detect imminent risk of suicide, self-harm, or substance relapse—then coordinates appropriate clinical response with documented escalation paths.
BH Practice Compliance Agent
Continuously scans clinical notes, validates consent, monitors parity at the point of care, detects documentation deficiencies, and tracks remediation—keeping BH practices audit-ready without an in-house compliance army.
BH Workforce Optimization Agent
Runs an 11-step workforce optimization pipeline for BH provider organizations—credential monitoring, panel capacity tracking, demand forecasting, scheduling optimization, and burnout signal detection—with humans approving all clinician-impacting decisions.
ThoroughCare put agents in production without building the infrastructure to run them.
ThoroughCare builds care management software. When the team rebuilt enrollment as agent work, they chose actAVA over standing up their own agent infrastructure, and shipped with the same approval gates and audit trail every agent on this page carries. Their agents prioritize outreach by clinical risk, reach patients on the channels they answer, and keep a complete record of every action.
- less token burn per completed workflow
- 0x less token burn per completed workflow
- shorter enrollment cycle
- 0% shorter enrollment cycle
- enrollments per care manager
- 0x enrollments per care manager
“At ThoroughCare, we're committed to empowering care teams to deliver high-quality, patient-centered care. Our partnership with actAVA has been instrumental — reducing administrative burden, automating time-intensive processes, and enabling care teams to operate more efficiently and effectively.”
90-day value realization
Start quickly.
Plan your agent roadmap and digital workforce budget.
Build agents immediately with the actAVA team beside you.
Integrate your systems of record and launch from the prebuilt library.
Run safely.
Establish your AI policies, frameworks, and evaluation rubrics.
Evaluate agent performance, inspect behavior, and improve it.
Govern every agent and orchestrate them across your systems.
Grow intelligently.
Control model costs with real-time consumption monitoring.
Distribute agent resources as functions and demand shift.
Measure ROI for every agent on a configurable dashboard.
Behavioral health agents you can govern, prove, and own.
Every agent tests before it deploys, every action lands in the audit log, and the intelligence stays in your cloud, under your control. Tell us which program you're scaling and we'll show your first agent running inside the harness.