Skip to content
← All solutionsFor value-based primary care

Extend a few clinicians across the whole panel.

In a value-based practice the math is brutal: a handful of clinicians, hundreds of patients each, and the ones who decline rarely call in. Family Guardian AI does the between-visit reaching out — every patient, on a regular cadence — and hands your clinicians a short, ranked list of who actually needs them. It extends your team. It does not replace it.

  • HIPAA-compliant
  • BAA-ready
  • CPT 99490-native
  • Transparent AI
Your panel

One clinician's morning

The whole panel was called. This is the part that needs a person.

AI prioritized
Arthur Bennett74 · CHFUrgent

Swelling in his ankles and short of breath lying down. Paged to you now, with the call summary attached.

Linda Nguyen66 · T2DMWorth a look

Out of test strips and skipping checks. In your review queue with the context ready.

Henry Cole80 · HTNRoutine

Doing well, taking everything as prescribed. Logged — no action needed from you.

Every workflow behind these calls was signed off by a supervising physician before it ran.
Illustrative · sample data
The between-visit gap

A few clinicians can't call a whole panel.

Value-based primary care lives or dies on keeping patients well between visits — but the people who could make those calls are the same people seeing patients all day. The result is a panel that only gets attention when someone shows up, and the quiet decliners slip through. The constraint isn't will; it's clinician hours.

Where the cost hides
  • Each clinician carries hundreds of patients — far more than anyone can check on by hand.
  • The patients most likely to decline are the least likely to call in first.
  • Time spent calling stable patients is time not spent on the ones who need it.
  • Adding clinicians is slow and expensive; the panel keeps growing anyway.

Every one of these is a chance to reach the patient first — before it becomes the expensive version of itself.

What it does for your practice

More reach per clinician, without more clinicians.

The AI does the part that doesn't need a clinician — the reaching out and the listening — so your clinicians spend their scarce hours where only they can.

Extends every clinician

One clinician's reach stretches across the whole panel. The regular check-in calls happen whether or not anyone had time that day — and your clinician's hours go to the patients who need judgment.

Surfaces only who needs you

Every patient gets called; only the few who are slipping reach your clinicians. The day starts with a short, ranked list instead of an impossible one — with the call's context already attached.

Never replaces the clinician

The AI never diagnoses, prescribes, or makes a clinical call. It reaches out, listens, and routes. Every clinical decision stays with your clinicians — that's the whole point.

How it works for you

The AI does the reaching out. You make the calls.

A clean division of labor: the AI handles the volume, your clinicians handle the judgment.

  1. 01

    It reaches every patient

    On a cadence you set, the AI checks in with the whole panel — the between-visit outreach your clinicians never have the hours to do one patient at a time.

  2. 02

    It routes, never decides

    Each call is triaged into urgent, worth-a-look, or routine. The AI moves the concern to the right place; it never makes a clinical judgment of its own.

  3. 03

    Your clinicians do what only they can

    They open the day to the handful of patients who need a person — and spend their scarce hours on care, not on dialing.

You bill. We document. For panel patients enrolled in chronic care management, each qualifying check-in is structured into the documentation Medicare asks for under CPT 99490, turning the outreach you already need into a supporting CCM revenue line. We generate the documentation, not the reimbursement — and whether a call qualifies depends on your practice meeting CMS requirements.

Clinicians stay in control

It extends your care team — it never replaces it.

No workflow runs with real patients until a supervising physician signs it off — enforced in the database.

Every clinical workflow the AI follows is content your supervising physician controls. None of it reaches a real patient until they sign it off. The AI does the reaching out and the listening; your clinicians make every clinical decision — it never diagnoses or prescribes.

  • Nothing runs unsignedA workflow can't be assigned to a real patient until a supervising physician signs it off — enforced in the database, not just in policy.
  • Your physician, your standardThe supervising clinician is on your side. You decide what the AI covers and where the line sits.
  • Urgent reaches a human, fastUrgent signs page a clinician right away; the worth-a-look ones land in a review queue; routine calls are logged and trended.

See it run on your panel. In twenty minutes.

A working walkthrough on your patient mix and your geography — the real product, not slides. We'll show the calls, the escalation path, and the CCM documentation your team would bill.

A real person replies — usually the same business day. No sales sequence, no obligation.