# sycana AI

> AI-native medical referral intelligence, clinical triage, and automated scheduling for gastroenterology and specialty healthcare practices.

sycana AI automates the entire referral intake workflow—from inbound fax ingestion through to EHR scheduling. It extracts clinical data from unstructured documents, scores urgency on a 1–10 scale, flags missing documents for automated fax-back requests, checks insurance eligibility, and passes structured appointment data directly into EHRs like Epic via SMART on FHIR.

## What It Does

- Ingests referrals from fax (Telnyx), PDF upload, or referring physician portal
- Extracts patient demographics, ICD-10 diagnoses, CPT procedure codes, insurance IDs, and provider NPIs using AI
- Scores clinical urgency (1–10) and complexity with source-cited reasoning
- Matches referrals to the right provider based on specialty, subspecialty, and availability
- Flags missing clinical documents (labs, imaging, pathology) and drafts automated fax-back requests
- Runs real-time insurance eligibility checks and prior authorization tracking
- Provides a full scheduler workstation with booking readiness indicators and waitlist management
- Sends SMS appointment confirmations and reminders with two-way messaging and opt-out compliance
- Connects to Epic natively via SMART on FHIR R4; supports all other EHRs via structured PDF/SOAP export

## What It Is Not

sycana AI is not an EHR replacement. It is a referral intelligence layer that sits alongside existing EHR systems and eliminates the unstructured manual intake work.

## Core Solutions

- [Receiving Clinic Workstation](https://sycana.com/solutions/receiving-clinic): Prioritized triage workstation, doctor matching, waitlist backfill, and booking readiness indicators.
- [Referring Clinic Portal](https://sycana.com/solutions/referring-clinic): Direct digital referral submission, real-time outbound referral tracking, and closed-loop communication without phone or fax.
- [Patient Experience Portal](https://sycana.com/solutions/patient): Mobile-friendly portal for referral status tracking, appointment prep, insurance estimates, and two-way messaging.
- [Medical Directors & Clinical Triage](https://sycana.com/solutions/clinical): Source-cited clinical extraction, urgency triage (1-10 scale), prior auth tracking, and complexity scoring.
- [Executive & Financial ROI](https://sycana.com/solutions/executives): Referral leakage recovery, conversion rate analytics, waitlist backfill revenue, and SLA tracking.
- [IT, Security & Architecture](https://sycana.com/solutions/it-security): Zero on-prem footprint, role-based PHI redaction, SMART on FHIR Epic integration, and BAA compliance.

## Security & Compliance

- [Security & Trust Center](https://sycana.com/security): Defense-in-depth architecture, SOC 2-aligned controls, AES-256 encryption at rest, TLS 1.2+ in transit, and 6-year AWS Glacier audit logs.
- [Privacy Policy](https://sycana.com/privacy): HIPAA Business Associate compliance, US data residency, and sub-processor commitments.
- [Terms of Service](https://sycana.com/terms): Enterprise terms of service for receiving clinics, referring clinics, and patients.

## Extended Documentation & Tools

- [Full Technical Reference (llms-full.txt)](https://sycana.com/llms-full.txt): Complete technical architecture, EHR integration details, FHIR mappings, and system FAQ.
- [Semantic Machine Reference (ai.html)](https://sycana.com/ai.html): Single-page semantic HTML documentation for AI ingestion.
- [Sycana DeID Desktop Tool](https://sycana.com/tools/deid): Local-only offline PHI de-identification and document redaction application.