Private hospital: orchestrating administrative flows around the patient journey
Pre-admission, stay, discharge, billing: aligning AI agents on the real cadence of care.
Administrative flows in private hospitals follow a precise cadence: pre-admission, admission, stay, discharge, billing, collections. Each step has its own constraints, actors, and information systems.
Pre-admission, typically 7 to 30 days before procedure, mobilizes the secretariat, the admissions service, sometimes anesthesia, sometimes the insurer for prior approval. A poorly prepared pre-admission file generates friction at every subsequent step.
Admission day must be smooth: updated rights verification, consent signatures, deposit collection if any, information document handover. An admission taking 30 minutes instead of 10 degrades patient experience and disorganizes the operating block.
The stay generates procedures, prescriptions, consumables, ancillary services. Everything must be entered in real time so that discharge billing is complete.
Discharge must produce a hospitalization report, a liaison letter, a discharge prescription, and a validated pre-invoice. If any of these elements is missing, billing is blocked and DSO lengthens.
Billing combines public payer share, private payer share, and patient share. Each part has its own delays and rejection reasons.
Collections handle rejections, patient follow-ups, disputes, litigation. The longer one waits to handle a rejection, the higher the recovery cost.
Aligning AI agents on this cadence, rather than on functional silos, radically simplifies the team experience. Instead of an agent only handling third-party billing or only follow-up, you have orchestration tracking the patient end to end.
Concretely, a central orchestrator triggers the right actions at the right moment: rights verification 7 days before, prior approval 5 days before, pre-admission reminder 48 hours before, completeness check the morning of admission, pre-billing at discharge, transmission the next day, continuous reimbursement tracking.
Granit orchestrates agents by journey, not by service, which reduces inter-team friction. Secretariat, admissions, billing and collections share the same patient view, with ongoing actions and clear responsibilities.
DSO impact is immediate: on operators we work with, average billing delay typically goes from 12-15 days to 3-5 days, and primary rejection rate drops by half.