AI Operations Suite

Your AI operations suite.

6 AI-powered modules purpose-built for your practice — integrating with your billing system, medical scheme switches, and existing workflows.

AI Claims Intelligence

Pre-validates ICD-10-ZA codes, NAPPI codes, and PMB benefits before claims hit Altron SwitchOn. Turns your 15-25% first-pass rejection rate into under 5%.

R1.8M/month recovered

WhatsApp Patient Router

One WhatsApp number for your practice. AI routes patients to the nearest location based on service needed and real-time availability.

24/7 access, 60% fewer calls

Network Financial Dashboard

Real-time P&L across all practice locations. Revenue tracking, debtor aging, and eRA reconciliation — replacing fragmented Excel reporting.

R840K/month saved

Smart Booking Engine

AI manages your calendars across all locations. Patients book via WhatsApp or online, no-shows are predicted and prevented with automated reminders.

40% fewer no-shows

POPIA Compliance Engine

Automated consent tracking (s18-s72 POPIA), HPCSA Booklet 10 alignment, audit logging, and breach detection across all locations.

100% audit-ready

Capitation Analytics

Real-time monitoring of Prime Cure per-member-per-month spend vs capitation rates. Fee-for-service vs capitation comparison with actuarial-grade reporting.

R660K/month early detection

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Verticals

Built for every corner of healthcare.

Dentists

Private Practice Suite

WhatsApp AI receptionist with dental FAQ
6-month recall automation
Invisalign & whitening follow-ups
Deposit enforcement for implants/cosmetic
Post-treatment review requests
Waitlist fill for cancellations
35%fewer no-shows on average

Radiology

Imaging Ops Suite

Referral intake router (email/WhatsApp/web)
Structured job card creation
Automated prep instructions (contrast/fasting)
Missing info requests to referring docs
Report delivery confirmation
Urgent findings escalation workflow
60%faster referral processing

Spas & Wellness

Wellness Edition

Treatment rebooking reminders
Package expiry nudges
Membership renewal automation
Seasonal promo campaign blasts
WhatsApp booking + gift vouchers
Client retention scoring
28%increase in rebookings

Hospitals

Enterprise Suite

Multi-department triage bots
Patient queue & flow updates
Complaint routing & resolution
Staff SOP assistant
Bulk patient communications
Executive KPI dashboards
40%reduction in call volume
How It Works

From fragmented to unified.

Five AI modules that transform Netcare Primary Healthcare operations — from claims to compliance.

01

WhatsApp Patient Router

Patients message one WhatsApp number. AI identifies the service needed, finds the nearest Medicross with availability, and routes them — GP, dental, optometry, pharmacy.

WhatsApp Patient Router
02

AI Claims Pre-Validation

Before every claim hits Altron SwitchOn, our AI validates ICD-10-ZA codes, NAPPI codes, and PMB benefit limits. 75% of rejectable claims caught before submission.

AI Claims Pre-Validation
03

Smart Booking Engine

AI manages calendars across 568 practitioners. Patients book via WhatsApp or online. No-show prediction with automated reminders reduces missed appointments by 40%.

Smart Booking Engine
04

Network Financial Dashboard

Real-time divisional P&L across 88 clinics. Revenue by region, EBITDA tracking, debtor aging, claims analytics — replacing fragmented Excel reporting.

Network Financial Dashboard
05

Compliance Automation

POPIA consent tracking, HPCSA Booklet 10 alignment, audit logging, and breach detection — automated across all 88 clinics in 8 provinces.

Compliance Automation

Readytotransformyournetworkwith
AI intelligence?

88 clinics. R33M+ in addressable claims. 50% faster processing. One command center for your entire primary healthcare network.