Healthcare • Insurance • Operations-heavy businesses
We understand the transformation.Then we build it.
We come into your business, learn how the work actually happens, find where AI creates value, redesign the workflow, build the AI workers and integrate them into the systems you already run — until the new way of working is live in production.
Strategy firms hand you a deck. Software firms build what you already specified. We do both halves and stay accountable for the result — engineers who spent fifteen years on the claims and decision systems inside national carriers.
The bottleneck is not your people. It is how the work moves.
The phone rings while someone is checking a fax. The referral sits in a queue for three days. The patient who never got a call back books somewhere else. The eligibility check gets skipped because the schedule is full.
Nobody is doing this badly. There is simply more coming in than there are people.
Every one of those steps is work that arrives as a phone call, a fax, an email or a PDF — and every one of them is work an AI worker can carry, end to end, with your people handling the judgment calls.
Meet the workers.
Each one does a single job, inside the systems you already run. Each one shows its work. And each one knows what it is not allowed to decide.
Intake Worker
Answers the phone and reads the fax. Captures every request, day or night.
- Today
- Referrals sit in a queue until someone has time to open them.
- With the worker
- Every request is captured, structured and routed within minutes of arriving.
It does not make clinical or coverage judgments. Anything ambiguous goes to your review queue with the reason attached.
Scheduling Worker
Books, confirms and reschedules. Fills the gaps that cancellations leave behind.
- Today
- Phone tag over several days, and open slots that never get filled.
- With the worker
- Offered, booked and confirmed in one conversation, against your real availability.
It does not override your scheduling rules or double-book to hit a number. Your rules stay your rules.
Follow-up Worker
Chases missing records, reminds patients, and closes the loop on open items.
- Today
- The follow-up that nobody had time for, and the no-show that followed.
- With the worker
- Every open item chased on a schedule, with a record of each attempt.
It does not keep calling forever. After the attempts you set, it hands the case to a person.
Eligibility Worker
Verifies coverage before the visit instead of after it.
- Today
- Coverage discovered at the desk, or worse, at the point of billing.
- With the worker
- Checked ahead of time, with the result written back to your system.
It does not decide coverage. It checks, flags what it found, and documents where the answer came from.
Not every business needs all four, and the first one is never chosen for you. We start with the workflow that is costing you the most, and we tell you honestly if the answer is that you do not need us for it.
We work across industries because the bottleneck is the same one.
Healthcare, insurance, property management — different words, identical shape. Work arrives. Someone reads it, keys it in, checks another system, makes a judgment call, schedules something, and chases a missing piece. That is where the cost, the delay and the lost revenue live. We have rebuilt it in three industries.
| Stage | Healthcare | Insurance | Property |
|---|---|---|---|
| Trigger | Referral, new patient | Claim, renewal, quote | Work order, tenant request |
| Arrives as | Fax, portal, PDF, phone | Call, email, PDF | Call, email, photo |
| Understand | Patient, payer, referrer, reason | Insured, loss, policy | Unit, issue, urgency |
| Validate | Eligibility, completeness | Policy in force, coverage | Lease terms, vendor coverage |
| Decide | Specialty, priority, provider | Severity, adjuster, path | Trade, priority, vendor |
| Act | Book the appointment | Assign the adjuster | Dispatch the vendor |
| Follow up | Records, reminders | Documents, updates | Status, completion |
| Close | Write back to the EHR | Write back to the AMS | Write back to the PM system |
Same building blocks. Different vocabulary. That is why your second workflow costs less than your first.
We do not automate broken processes.
Understand the business. Map the ecosystem. Transform one high-value workflow first.
Every workflow is connected. Before we automate anything, we map the people, systems and decisions around it — including what happens downstream when it goes wrong. Then we transform one workflow, prove the outcome, and expand from there.
Map
How the work actually happens, and what it touches.
Not the process document. The real thing: who touches it, what they open, where they wait, what they re-key, which exceptions eat the day, and what breaks downstream when it goes wrong.
Current-state map, plus a volume and cost baseline in your own numbers.
Redesign
What should change before anything is automated.
What gets eliminated, what gets simplified, what an AI worker takes over, and what stays with your people. Sometimes the answer is that the process itself was the problem.
Target workflow, with the human decision points named and justified.
Build
Production systems, not pilots.
Workers, integrations into your system of record, and a review queue for anything the worker is not sure about. Fixed scope, fixed price, a date.
One workflow live, with your team trained on the review queue.
Run
We are still here after go-live.
Monitoring, exception handling, continuous improvement, and a live view of what the workflow is doing right now, measured against the baseline we took in Map. Anyone can hand over a system. Few will stand behind the number.
A live view you can open any day, plus a monthly outcome report against your original baseline.
Scale
The next workflow costs less than the first.
The integration is built, the components exist, and we already know your business. This is where a single workflow becomes an operation that runs differently.
A roadmap grounded in results you have already seen, not projections.
Inside the systems you already use
We integrate with your EHR, practice management, agency or property system. You are not migrating anything, and you are not learning a new platform.
A person reviews the exceptions
Anything the worker is not confident about goes to a review queue with the reason attached. Your team stays in control of the judgment calls.
Stop after any stage
A map with a real cost baseline is worth having even if you never build anything. You are never committed to the next stage to get value from this one.
How we prove it worked.
Most AI results you read are unverifiable, and you already know it. So here is our method instead of our adjectives. We take a baseline in the first week, before anything is built. We measure the same things every month afterwards. You see both numbers, including the ones that did not move.
Requests captured
How many inbound requests arrive, and how many were still waiting at the end of the day. Measured before we build, and every month after.
Time to first response
From the moment a request arrives to the moment something happens to it. Usually the number that moves first, and the one your customers feel.
Completed without a person
The share of requests that went end to end untouched, and the share that went to review. Both matter. A worker that escalates everything has not helped you.
Hours returned to your team
Measured against the baseline volumes and handling times we recorded in week one, not estimated from a vendor benchmark.
You do not wait for us to tell you.
These numbers are not a slide we bring to a quarterly review. They live in a dashboard you can open any day, showing what the workflow is doing now and how that compares to the baseline we took in week one. When we report monthly, we are reading from the same view you already have.
Talk to someone who has done it
We would rather put you on a call with an operator who has run one of our workers than show you a number you cannot check. Reference calls are available on request, in your industry where we have one.
Where we have built this
Referral intake and scheduling in healthcare. Claim and renewal intake in insurance. Work order intake in commercial property. Fifteen years before that on the claims and decision systems inside national carriers.
Why nimbus180 exists.
I spent fifteen years building the systems that run inside national insurers and large healthcare organizations — claims, eligibility, decisioning, the machinery underneath the business.
That work almost always struggled for the same reason. Strategy, architecture and engineering sat in different rooms, and the roadmap never survived contact with the build. nimbus180 exists to keep them in one room — and to put that engineering to work where it has never been affordable: the practice, the agency, the property office where the work still arrives as a phone call and a stack of paper.
- Discovery and process redesign
- Solution architecture
- Production engineering
- Operating it after go-live
The same people who map your workflow are the ones who build it and the ones who answer the phone when something goes wrong at eight in the morning.
Bring us one workflow.
We’ll understand everything around it.
Show us the process that eats your team’s day. In one week we will show you exactly what an AI worker would take over, what stays with your people, and what it costs to build.
If the honest answer is that the workflow is not worth automating yet, we will tell you that, and you will still have the map and the numbers.
Workflow Snapshot
Credited in full against your build.
- A map of how the workflow actually runs today
- Your real volumes, handling times and cost baseline
- What to eliminate, what a worker takes over, what stays human
- An ROI model built from your numbers, not our benchmarks
- A fixed-price quote to build it
Build one workflow, fixed price, live in four to eight weeks. Then a monthly fee to run it, monitor it, handle the exceptions and report against your baseline. No long contract to start.
Start with one workflow.
Tell us what is backing up. A referral queue, a phone line nobody can keep up with, renewals chased by hand, work orders arriving six different ways. We will come back with whether it is a good candidate and what a Snapshot would cover.
The first conversation is about your workflow and your volumes, not our capabilities.
If AI is not the right tool for this workflow yet, we will say so on the call.
HIPAA-aware handling, a record of every decision a worker makes, and a person reviewing anything uncertain.
Book a Workflow Snapshot
One week, fixed price, credited against your build.