Operational Intelligence
Smarter operations — from bed management to revenue forecasting
AI optimizes hospital operations by predicting patient flow, automating insurance workflows, forecasting revenue, and triaging patient communications.
All Features
Every AI feature in Operational Intelligence.
AI-Powered Smart Scheduling
Predicts no-shows, optimizes doctor schedules, and suggests intelligent overbooking.
Impact: Reduce wait times by 30%
Insurance Pre-Authorization AI
Auto-generates pre-auth requests, checks coverage, and assembles supporting documentation.
Impact: Pre-auth in minutes, not hours
Claims Denial Prevention
AI reviews claims before submission — checks for common denial triggers and suggests corrections.
Impact: Reduce rejection rates by 30-40%
Revenue Forecasting & Analytics
AI-powered revenue prediction, department performance analysis, and seasonal trends.
Impact: Data-driven financial planning
WhatsApp AI Bot for Patients
AI-powered WhatsApp bot handles appointment booking, lab report queries, bill inquiries.
Impact: Handle 80% of patient queries automatically
Pharmacy Demand Forecasting
Predicts medicine demand based on seasonal patterns, patient load, and consumption history.
Impact: Reduce stockouts by 50%, expiry waste by 30%
Bed Management Optimizer
Predicts discharge timing, optimizes bed assignments, and coordinates housekeeping.
Impact: Improve bed turnover by 20%
Feature Deep-Dive
Detailed descriptions and benefits for each feature.
AI-Powered Smart Scheduling
Reduce wait times by 30%
HIMS analyzes historical appointment data to predict no-shows, and suggests optimal overbooking for each time slot. Doctor schedules are optimized based on actual consultation duration patterns, resulting in fewer idle slots and shorter wait times.
Key Benefits
- No-show prediction and smart overbooking
- Consultation duration-based scheduling
- Reduced patient wait times
- Increased doctor utilization
Insurance Pre-Authorization AI
Pre-auth in minutes, not hours
HIMS AI reads the patient's insurance policy terms, checks documentation requirements for specific procedures, assembles clinical evidence from records, and generates the pre-auth request automatically.
Key Benefits
- Auto-generated pre-auth requests
- Coverage requirement verification
- Supporting documentation assembly
- Powered by Claude for Healthcare
Claims Denial Prevention
Reduce rejection rates by 30-40%
Before any insurance claim is submitted, HIMS AI reviews it against common denial reasons: missing authorization, incorrect codes, documentation gaps, and policy exclusions. Issues are flagged with specific remediation suggestions.
Key Benefits
- Pre-submission claim review
- Common denial pattern detection
- Specific remediation suggestions
- 30-40% reduction in rejection rates
Revenue Forecasting & Analytics
Data-driven financial planning
HIMS AI analyzes years of billing data to forecast revenue trends, identify declining departments, and surface actionable insights. Natural language queries allow administrators to ask questions and receive AI-generated reports with charts.
Key Benefits
- Monthly/quarterly revenue forecasting
- Department performance benchmarking
- Seasonal pattern identification
- Natural language report generation
WhatsApp AI Bot for Patients
Handle 80% of patient queries automatically
The AI bot handles incoming patient queries via WhatsApp: appointment booking, lab report delivery, bill queries, doctor availability. Emergency keywords route to duty doctor immediately. Routine requests are handled automatically.
Key Benefits
- Automated appointment booking via WhatsApp
- Lab report delivery in plain language
- Bill and payment query handling
- Emergency message prioritization
- 80% automation rate for routine queries
Pharmacy Demand Forecasting
Reduce stockouts by 50%, expiry waste by 30%
AI analyzes historical medicine consumption, correlates with seasonal disease trends, current inpatient load, and scheduled surgeries to predict demand for the next 30/60/90 days. Generates recommended purchase orders balancing stockout prevention and expiry risk.
Key Benefits
- Seasonal demand prediction
- Smart purchase order generation
- 50% reduction in stockouts
- 30% reduction in expiry waste
- Works with existing HIMS data
Bed Management Optimizer
Improve bed turnover by 20%
AI analyzes patient trajectory data to predict discharge timing, enables proactive bed planning, and coordinates housekeeping for faster turnaround. Bed shortages can be anticipated days in advance.
Key Benefits
- Discharge timing prediction
- Proactive bed assignment planning
- Housekeeping coordination alerts
- 20% improvement in bed turnover
Benefits by Role
How Operational Intelligence helps different stakeholders.
Front Desk
- Smart scheduling reduces no-shows
- WhatsApp bot handles routine queries
- Reduced phone traffic
Billing Team
- AI pre-auth generation
- Claims denial prevention
- Revenue forecasting insights
Pharmacy
- Demand forecasting
- Smart purchase orders
- Reduced stockouts and expiry
Management
- Revenue analytics
- Operational insights
- Data-driven decisions
Frequently Asked Questions
How does the WhatsApp AI bot work?
HIMS integrates with WhatsApp Business API. The AI bot handles incoming patient queries — appointment booking, lab report queries, bill inquiries. Emergency messages are routed to the duty doctor immediately.
Can it predict medicine demand accurately?
The system analyzes historical consumption, seasonal patterns, current patient load, and scheduled procedures. Accuracy improves over time as the system learns from your hospital's specific patterns.
How does claims denial prevention work?
Before submitting any insurance claim, AI reviews it against a knowledge base of common denial reasons — missing codes, documentation gaps, authorization issues. Issues are flagged with specific remediation suggestions.
See Operational Intelligence in Action
Book a demo to explore how Operational Intelligence can transform your hospital operations.