Healthcare execution infrastructure

Automate the last mile inside legacy healthcare systems.

OpenAdapt fits RCM vendors, healthcare BPOs, automation teams, and vertical-software companies that already have structured input and business logic but still need a repeated write through a GUI. Demonstrate that last-mile step and OpenAdapt compiles it into a locally executable program with explicit identity, effect, policy, and halt semantics.

Keep document processing, eligibility, routing, and business rules in the systems that already do them well. Use supported APIs wherever possible, then give OpenAdapt the final UI-only write and verify its effect against an independent source of truth.

Citrix-delivered applications

OpenAdapt runs beside Citrix Workspace on a customer-controlled machine. It observes the remote application, checks the patient or record and workflow state, then clicks and types through the same interface as an operator. Nothing needs to be installed inside the remote Citrix session.

Customer result

Recovering missed billables with automated RVU audits

OpenAdapt automated the repetitive EMR navigation and programmatic reconciliation behind Dr. Abrich’s monthly RVU audits, then produced a review workbook and a ready-to-send recovery email.

Dr. Victor Abrich, MD
Board-certified electrophysiologist
MercyOne Waterloo Heart Care

Read the case study

≈$75,000

recovered billables per year

Several hours

of manual audit work saved each month

Review-ready

analysis workbook and recovery email generated

Real application footage

See the workflow in OpenEMR, then compare the same loop across industries

The captured demonstration and compiled replay stay visually consistent across the site. Select Lending or Insurance to compare the same governed pattern in another real application.

OpenAdaptObservingStep 1 of 33ResolveActVerifyObserving the applicationOpenEMRBrowserLocal runtimeStandard profile0:00Independent system check (Tier 1)0 model callsExternal network activity observed
0:00 / 0:00

Guided view synchronized to the exact retained runtime timeline; raw footage remains unchanged.

  1. 1
    DemonstrateCapture the task and its evidence.
  2. 2
    ExecuteReplay the compiled workflow locally.
  3. 3
    Verify or haltProve the effect, or stop for review.

Keep sensitive execution inside your boundary

Original recordings stay local. Managed execution only accepts an approved sanitized copy that passes the destination policy. Live observations can contain PHI again, so workflows involving PHI, private systems, desktop applications, RDP, or Citrix run on a customer-controlled machine. For RDP and Citrix, that runner operates the existing remote client from outside the session rather than requiring access to the remote server.

The wrong-patient defense

Require identity evidence before a consequential write.

Wrong-record writes are a critical automation risk. For a step configured with patient identity evidence, OpenAdapt halts when it cannot verify that the live record matches the demonstrated target. The public safety gallery shows the exact look-alike record cases behind this defense.

See the wrong-patient defense →Review the runtime safety model →

Where the execution layer fits

  • Write approved output from an existing intake, RCM, or operations pipeline into the remaining browser-only form.
  • Prefer supported APIs for reads and writes, then use governed GUI replay only where the target exposes no suitable integration path.
  • Check the intended business effect independently, retain an illustrated run report, and halt on ambiguous identity or unverifiable outcome.

Put one last-mile workflow into production

Bring one repeated workflow, its application and version, monthly volume, common exceptions, and independent success oracle. We'll map the deployment boundary, shadow run, and supervised production rollout.

Qualify one workflow