Use Case 1
MBC Assessment Administration
Trigger: Active treatment patient on assessment cadence
1.Determine cadence by treatment phase (new start, stable, remission)
2.Send patient in-app or SMS prompt in preferred language
3.Re-prompt at T+2 and T+5 if incomplete
4.Write results to EHR
5.Update trajectory model
6.Surface low-completion providers to quality lead
✓
MBC moves from a checkbox at intake to an actually-used clinical tool.
Use Case 2
Non-Response Detection & Clinical Brief
Trigger: Patient meets non-response criteria (clinical threshold + duration)
1.Flag against meaningful-response thresholds (≥25% reduction by week 6 per evidence)
2.Pull active PHQ-9/GAD-7 trajectory plot
3.Run passive language analysis on session recordings (with consent)
4.Compare to outcomes database for similar patient profiles
5.Generate clinical brief for treating clinician and clinical director
6.Surface treatment plan review queue
✓
Treatment plans get reviewed weeks earlier when something isn't working.
Use Case 3
Payer-Ready VBC Reporting
Trigger: Contract reporting deadline
1.Pull attributed members per contract
2.Calculate HEDIS-aligned BH measures (DRR, FUH, IET, AMM, FUA)
3.Cross-validate measure logic against current HEDIS technical specs
4.Aggregate to PHI-free contract-mandated format
5.Generate submission package and internal executive summary
6.Route to medical director for attestation before external submission
✓
Quarterly MBC reports produced in hours instead of weeks, with medical director sign-off documented.
Integrations
Validated Assessments (PHQ-9, GAD-7, PCL-5, AUDIT, others)
Session Recording & Voice/Language Analysis
EHR Write-Back (Epic, Cerner, TheraNest, SimplePractice)
HEDIS Measure Library (NCQA)
Payer Submission Portals
Approval Workflow (RequestApproval)
Industries
healthcare
See It In Action
A sample conversation with this agent
Schedule the PHQ-9 for everyone in our active depression cohort this week.
Pulling active depression diagnoses—342 patients. Scheduling cadence per evidence-based MBC guidance: weekly for new starts (last 6 weeks of treatment), biweekly for stable maintenance, monthly for remission tracking. Sending each patient an in-app prompt in their preferred language, with reminders at T+2 days and T+5 days if incomplete. Tracking completion rates by provider, surfacing providers below 80% completion to your quality lead. Results write back to the EHR and feed the trajectory model.
Show me patients whose treatment response is stalling.
Predictive model flagged 34 patients. Criteria: 6+ weeks in treatment, PHQ-9 or GAD-7 reduction <25% from baseline (the meaningful-response threshold per Cochrane review), and passive language analysis from session recordings showing flat or worsening valence trajectory. Top 5 most stalled: detailed clinical brief generated for each—diagnosis, current treatment, trajectory plot, what's worked for similar patients in our outcomes database. Routing to clinical director for treatment plan review. Recommendations are clinical decisions; the agent doesn't change plans.
Generate the Q1 MBC report for our Magellan VBC contract.
Pulling all attributed Magellan members—1,847. Calculating contract-mandated measures: depression remission at 12 months (HEDIS DRR), follow-up after ED visit for mental illness (FUH 7-day and 30-day), initiation and engagement of SUD treatment (IET). Cross-checking measure logic against current HEDIS technical specs. Aggregating to PHI-free format required by the contract. Generating the submission package and the internal executive summary. Routing to your medical director for attestation before external submission—I don't release payer reports without sign-off.