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Three kinds of agent. One retrieval.

A planner model decides, per provider, the fastest path to a record and dispatches the right agent: voice, browser, or the assembly model that reads everything at the end.

call · Riverside Family Practice · +1 (802) ···· 4412Live
read · fax_0199-2210 · Dr. Okafor · 3 pagesModel
PROGRESS NOTEOkafor Family Medicine · Fax

Patient: Marie Bouchard   DOB: 02/09/1984

Date of visit: 03/14/2019. Pt presents 6 wks post L4-L5 discectomy. Reports improvement in radicular pain.

Allergies: Penicillin (rash). Current meds: Atorvastatin 20 mg daily, ibuprofen PRN.

Plan: PT 2x/wk, f/u 6 wks. Consider MRI if sx persist

— J. Okafor, MD
PatientMarie Bouchard0.99
DOB1984-02-090.98
Encounter2019-03-14 · Post-op follow-up0.97
ProcedureDiscectomy L4-L5 SNOMED 801460020.94
AllergyPenicillin · rash RxNorm 79800.96
MedicationAtorvastatin 20 mg QD RxNorm 6173120.95
PlanMRI if symptoms persist handwritten · human review0.71
0/7 fieldsScanning…
assemble · marie_b · 5 sourcesModel
Epic · Discharge summary
athena · 12 encounters
Cigna · 31 claims
Portal · MRI report
Fax · Paper chart (OCR)
AllergiesPenicillinEpic · athena
Active medsAtorvastatin 20mgathena · Cigna
Surgery date2019-03-14 2019-03-04Fax vs Epic · resolved
ImagingMRI lumbar, no acute findingsPortal
GapsDermatology 2022 · re-requestedauto

How the agents divide the work

ChannelWhen we use itTypical timeShare of sources
Direct API / networkProvider is on Epic, athena, Oracle Health or a national exchange2–30 seconds~58%
Browser agentProvider has a patient portal but no usable API2–6 minutes~19%
Voice agentSmall practice, no portal, or portal login requires a call4–12 minutes plus provider turnaround~17%
Fax intake + OCRProvider insists on fax, or records are paper onlyMinutes to days, provider-dependent~6%
Every channel is disclosed to the provider. Voice agents identify themselves as automated in their first sentence, and every session, call and decision is stored with the retrieval for audit.

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