Better care. Better margins. Better mornings.

Karmaflow is an autonomous AI workforce platform built for healthcare. Practices and health systems use it to deploy AI agents that handle non-clinical operational work end-to-end — patient calls and messages around the clock, intake and triage routing, recall outreach, prior authorisation chasing, referral coordination, internal staff knowledge access, and end-of-day operational review.

The agents reason through unstructured situations — an upset patient calling to cancel, a vendor dispute spanning three deliveries, a longitudinal patient pattern across five visits — work that rules-based tools, existing PMS, and EMR features can't handle. Your clinical staff stays focused on patient care; the platform handles the operational layer that surrounds it.

Karmaflow operates across primary care, specialty care, health systems, pharmacies, labs, imaging centres, home health, and life sciences research organisations.

PMS and EMR platforms automate what's been pre-defined as a rule. They send appointment reminders on a schedule, generate recall lists, post real-time claims to OHIP, RAMQ, MSP, Medicare, Medicaid, and private payers, and trigger reorder POs at min/max thresholds. That's table stakes in 2026.

Karmaflow is the autonomous workforce that operates above and around those rules — handling the cases no rule was written for. Your PMS reorders inventory; a Karmaflow agent notices a vendor has shorted three deliveries this quarter and drafts the supplier dispute. Your EMR generates a recall list; a Karmaflow agent has the actual conversation with the patient who replies “I'd like to come in but I'm slammed until October.”

Karmaflow doesn't replace your existing systems. It reads from them, writes to them, and does the reasoning-based work they were never designed to do.

It depends on the agent and the integration depth, but the first agents go live faster than most healthcare buyers expect.

Same day to under a week — first phase. Patient-facing administrative agents (answering calls, capturing intake, booking, recall outreach across SMS, voice, and email) and staff-facing knowledge agents (your institutional handbook, made askable) can be live within hours to a few days. These are the highest-value, lowest-risk starting points and require no hardware, no IT project, and no waiting on a vendor's API.

One to four weeks — second phase. Deeper operational agents — care coordination, prior authorisation chasing, financial intelligence, longitudinal patient review — typically deploy in two to four weeks once your team has lived with the first phase and decided where to expand.

Four to twelve weeks — selective phase three. Some integrations require last-mile setup: bespoke hardware, on-site managed services, or supervised integration with legacy systems through our Human Interface feature. These require manual approval from Karmaflow's deployment team and are scoped per-practice.

The principle is gradual, deliberate adoption — not a big-bang rollout. Most practices stay on the first phase for weeks before deciding what to add next.

For nearly every healthcare practice, we recommend two starting agents — both low-risk, high-impact, and requiring no integration into your clinical systems on day one:

Patient-facing administrative agent (24/7). Answers inbound calls and messages around the clock. Handles general administrative questions (hours, location, insurance accepted, appointment availability). Books, reschedules, and confirms appointments. Captures intake information. Routes urgent or clinical situations to the right human with full context. This agent alone solves the weekend voicemail backlog problem most practices live with.

Staff knowledge agent. Reads your existing policies, protocols, vendor lists, credentialing requirements, payer rules, and clinical guidelines once. After that, your team asks plain-language questions and gets grounded answers with citations. Stops the “ask Sarah, she'll know” dependency, accelerates new-hire onboarding, and frees senior staff from being unofficial helpdesks.

Most practices run these two agents for two to four weeks before adding more. That deliberate pace builds team trust and gives the platform time to learn your specific patterns before scope expands.

Karmaflow is built on a defence-in-depth security posture purpose-fit for regulated healthcare environments across multiple jurisdictions:

• AES-256 encryption in transit and at rest, per-tenant data isolation, and PII / PHI redaction in intermediate processing.
• United States: HIPAA support with Business Associate Agreements (BAAs) available for healthcare tenants. SOC 2 Type II audit in progress.
• Canada: PIPEDA-aligned data handling for federal jurisdiction; PHIPA-configurable controls for Ontario healthcare deployments; provincial privacy framework support across Alberta (HIA), British Columbia (PIPA), Quebec (Loi 25), and other provinces.
• Identity Lock on sensitive actions. Anything involving PHI release, prescription changes, or payment processing requires verified identity at the point of execution — not just at session login. No agent acts on your authority without your approval being on file.
• Unified audit ledger. Every agent decision, read, and write is logged, replayable, and exportable. Defensible in audit.
• Channel compliance for outbound communications: TCPA (US), CAN-SPAM (US), CASL (Canada), with consent and quiet-hours enforced automatically.

For practices in the UK, Australia, and EU markets, equivalent frameworks (UK GDPR, Australian Privacy Act, EU GDPR) are configurable as tenant policies. If your organisation has specific compliance requirements beyond these baselines — state-level US requirements, organisational controls, payer-specific clauses — they're configurable, not feature requests.

Yes — and this is where Karmaflow does something different from most AI vendors.

Most platforms require an API or formal integration. We support those when they exist. For the systems that don't have APIs, or where the API doesn't expose the workflows we need to operate, our iHuman Interface feature lets agents drive the software the way your staff does — opening the application, navigating the menus, entering the information, confirming the action. Same screens, same workflow, no integration build, no IT project, no waiting on a vendor.

Practices use Karmaflow alongside the systems they already run, including:

• United States: Epic, Cerner (Oracle Health), athenahealth, NextGen Healthcare, eClinicalWorks, AdvancedMD, DrChrono, Practice Fusion, Kareo, Allscripts (Veradigm), Greenway, ModMed.
• Canada: OSCAR EMR, Accuro, TELUS PS Suite, Practice Solutions (formerly Wolf), Med Access (TELUS), Healthquest, AvaroEMR, Indivica, MOIS.
• Cross-border and specialty: Cliniko, Jane App, ClinicAid, Tebra, SimplePractice, NueMD, OD Link.
• Pharmacy systems: Kroll, Nexxsys, Fillware, McKesson Pharmacy Systems, PrescribeIT, ProPharm, BestRx.

Some Human Interface deployments — particularly those involving on-premise legacy systems or proprietary hardware — require additional setup and supervised configuration. These require manual approval from Karmaflow's deployment team and are scoped per-practice.

This is the question every healthcare buyer should ask, and the honest answer is: agents are configured to know what they don't know and to stop cleanly when they reach that point.

Every agent operates inside guardrails defined by your practice — what kinds of decisions it can make, what kinds of conversations it can hold, what triggers escalation to a human. When a situation falls outside those guardrails, the agent doesn't guess. It routes to the right person on your team with the full context attached: the conversation history, the relevant patient record, the agent's own reasoning trace, and a recommendation for what action might be appropriate.

In operational terms, your team gets fewer interruptions but better-prepared ones. Instead of picking up a voicemail with no context, your clinical lead receives a brief that says “Patient called at 11pm describing symptoms consistent with possible cardiac event. I declined to provide guidance and routed her to the nearest ER. Her chart is open. Please follow up tomorrow.”

Every escalation, every decision, every action is logged in the audit ledger, replayable end-to-end. If something goes wrong, you can reconstruct exactly what happened and why — defensible in malpractice review, regulatory audit, or internal quality assurance.

Pricing scales with usage — conversation volume, executed actions, model consumption, and the depth of integrations required. Phase-one deployments (patient-facing administrative agent and staff knowledge agent) typically start in a predictable monthly range that's affordable for practices of any size, from a single-physician clinic to a multi-site health system.

Pilots run two to four weeks against success criteria you define together with our team — first-contact resolution rate, after-hours capture rate, recall conversion, prior authorisation cycle time, staff time recovered. The pilot is structured so the value case is proven on your patient data, your call volume, and your operational reality before you commit to a full rollout.

Discovery calls are straightforward. We share specific numbers tied to your practice size and the agents you want to start with. We don't share generic pricing decks because every healthcare deployment looks different.