---
title: "AI for healthcare: use cases | Abbiamo.ai"
description: "Enterprise AI agents in healthcare: use cases for Abbie, Caddie and Abbi Actions, who acts, under which rules and what is recorded."
---

[Skip to content](https://abbiamo.ai/en/industries/healthcare#contenido) ![Abbie, AIE agent by Abbiamo.ai](https://abbiamo.ai/hubfs/raw_assets/public/ABBIAMO/images/abbie-retrato.jpg)

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Idioma · Language · Lingua

- [ESEspañol](https://abbiamo.ai/industrias/salud)
- [ENEnglish](https://abbiamo.ai/en/industries/healthcare)
- [ITItaliano](https://abbiamo.ai/it/settori/sanita)
- [PTPortuguês](https://abbiamo.ai/pt/setores/saude)

Industries

# AI that is accountable, in healthcare.

Abbie · speaking

Appointments, reminders and administrative guidance with sensitive data under control and people always available.▍

[Let's talk about your operations →](https://abbiamo.ai/en/contact) [See the cases](https://abbiamo.ai/en/industries/healthcare#casos)

01What the industry requires

## Three conditions for being able to operate.

Appointments, reminders and administrative guidance with sensitive data under control and people always available.

- Condition
  
  ### Sensitive data
  
  Data minimization and visibility according to each person's permissions.
- Condition
  
  ### No medical advice
  
  Abbie does not give diagnoses: she transfers to a person when the conversation requires it.
- Condition
  
  ### Real schedule
  
  The appointment confirmed to the patient is the one that stays in the schedule.

02Use cases

## Who acts, under which rules and what gets recorded.

The actions come from the proposed initial Abbi Actions catalog; each implementation confirms which ones are enabled.

Healthcare

### Healthcare

Appointments, reminders and administrative guidance with sensitive data under control and people always available.

Marco Sensitive personal data: minimization, per-person permissions and notices according to each country's regulations (for example, the LFPDPPP in Mexico).

Abbie

#### Appointment scheduling and reminders

Situation

A patient wants to schedule, confirm or change an appointment outside office hours.

How it is resolved

1. Abbie checks availability in the scheduling system.
2. She schedules, confirms or reschedules the appointment and sends the confirmation.
3. She does not give diagnoses or medical advice: she transfers to a person when the conversation requires it.

Abbi Actions

Schedule appointment · Send document

Controls

States nothing outside authorized sources · Escalation in cases of distress, illness or confusion · Decisions on access to services belong to the institution; Abbie informs, records and escalates

Verifiable outcome

The appointment confirmed to the patient is the same one recorded in the schedule.

Abbie

#### Administrative guidance

Situation

A patient asks about the requirements, documents or administrative steps for a service.

How it is resolved

1. Abbie answers from the current documents the institution approved.
2. She sends the list of requirements on the contact channel the patient chooses.
3. If the question exceeds her mandate, she hands the conversation to a person on the team.

Abbi Actions

Send document · Create ticket

Controls

Sources with a validity period · Minimal data · Decisions on access to services belong to the institution; Abbie informs, records and escalates

Verifiable outcome

Every answer can be traced back to the current document that produced it.

Caddie

#### Guided service with sensitive data

Situation

The human agent needs the patient's context without seeing more than their role allows.

How it is resolved

1. Caddie gathers only the context that person has access to.
2. He recommends the answer with its source and keeps the procedure checklist.
3. He blocks sending information if a mandatory verification is missing.

Abbi Actions

Verify identity · Send document

Controls

Permission-based visibility · Blocking while verifications are pending · Decisions on access to services belong to the institution; Abbie informs, records and escalates

Verifiable outcome

Every inquiry and every delivery is recorded and auditable.

Illustrative examples, not existing deployments. The actions, channels and systems in each case depend on the implementation.

03Agentic use cases

## Abbie converses and executes the action in your systems.

End-to-end processes from the agentic use case catalog, with the conversation, each action and the system where it is recorded. Illustrative conversations, not existing deployments; actions, channels and systems depend on each implementation.

- Case 08
  
  ### Scheduling with reminders
  
  Appointments
  
  [See the process →](https://abbiamo.ai/en/industries/healthcare#caso-08)
- Case 11
  
  ### Claim report (first notice of loss)
  
  Claims
  
  [See the process →](https://abbiamo.ai/en/industries/healthcare#caso-11)
- Catalog
  
  ### The 20 cases
  
  Sales, collections, support, emergencies, logistics, appointments and more.
  
  [See the 20 cases →](https://abbiamo.ai/en/use-cases#casos)

Illustrative conversations, not existing deployments; actions, channels and systems depend on each implementation.

Case 08Appointments

## Scheduling with reminders

Applies to Healthcare · Services · Dealerships · Government

Illustrative conversation

1. ClientI need an appointment with the dermatologist.
2. AbbieI have Thursday at 10:30 or Friday at 17:00. Which do you prefer?
3. AbbieBooked. I've sent you the calendar invitation and I'll remind you a day before.

Does not give diagnoses or medical advice.

What Abbie executes

| Step | Action | System | Outcome |
| --- | --- | --- | --- |
| 1 | Checks real availability | Scheduling | Open slots |
| 2 | Creates the appointment | Scheduling | Appointment recorded |
| 3 | Sends calendar invitation | Email | Invitation accepted |
| 4 | Sends requirements and preparation instructions | Email / messaging | Requirements delivered |
| 5 | Reminds and confirms | SMS / messaging | Attendance confirmed |
| 6 | Reschedules or releases the slot | Scheduling | Schedule updated |

Before, without an agent

- Phone line saturated during office hours
- Manual reminders
- Slots lost to no-shows

**6 actions**in 4 systems, executed and recorded by Abbie in a single contact [\[flujo\]](https://abbiamo.ai/casos-de-uso#fuentes)

**3.5×**hours of coverage: 168 h/week compared with 48 h for an 8 × 6 shift \[calculation\]

**−29 %**no-shows with automatic reminders [\[5\]](https://abbiamo.ai/casos-de-uso#fuentes)

[See the case in the catalog →](https://abbiamo.ai/en/use-cases#caso-08)

Case 11Claims

## Claim report (first notice of loss)

Applies to Auto insurance · Home · Medical expenses

Illustrative conversation

1. ClientSomeone crashed into me, what do I do?
2. AbbieIs anyone injured? If not, take photos of the damage and upload them here.
3. AbbieClaim opened. I assigned an adjuster and scheduled the inspection; I've sent you the reference number.

Coverage and payment decisions belong to the insurer.

What Abbie executes

| Step | Action | System | Outcome |
| --- | --- | --- | --- |
| 1 | Asks about injuries | Triage rules | Injuries → person |
| 2 | Validates policy and coverage | Policy system | Coverage in force |
| 3 | Receives photos and data | Digital file | Evidence saved |
| 4 | Opens the claim | Claims system | Claim reference number |
| 5 | Assigns an adjuster | Claims system | Adjuster assigned |
| 6 | Schedules the inspection | Scheduling | Appointment confirmed |

Before, without an agent

- Long call to capture data
- Photos by email or on site
- Manual adjuster assignment

**6 actions**in 5 systems, executed and recorded by Abbie in a single contact [\[flujo\]](https://abbiamo.ai/casos-de-uso#fuentes)

**3.5×**hours of coverage: 168 h/week compared with 48 h for an 8 × 6 shift \[calculation\]

**2.15×**service minutes per position compared with a human agent [\[1\]](https://abbiamo.ai/casos-de-uso#fuentes)

[See the case in the catalog →](https://abbiamo.ai/en/use-cases#caso-11)

04Compliance by design

## Standards we follow for your industry.

We don't adapt to regulation afterwards; we build from it. We design the solution following these models and reference frameworks.

Healthcare

HIPAA safeguards (United States) for health information and, in Mexico, NOM-024-SSA3 for electronic health record information systems.

AI management and risk

ISO/IEC 42001 and the NIST AI Risk Management Framework, with the EU AI Act as a reference.

Personal data protection

GDPR (European Union), LFPDPPP (Mexico), LGPD (Brazil), Law 1581 (Colombia), Law 81 (Panama) and the equivalent regulations of each country where we operate.

Review by market

Before every production deployment, the regulations applicable in the corresponding market are reviewed.

We follow these standards in building our products and services. When a client requires it, we make the corresponding documentation available.

05Which offer fits

## Start with one process, grow with data.

- Product A
  
  ### Abbie
  
  Talks with your customers and acts in your systems, within her mandate.
  
  [Meet Abbie →](https://abbiamo.ai/en/abbie)
- Product B
  
  ### Caddie
  
  Guides the human agent and blocks critical steps. The human agent decides.
  
  [Meet Caddie →](https://abbiamo.ai/en/caddie)
- Product C
  
  ### Abbi Actions
  
  Operations with a verifiable outcome and an audit log.
  
  [Explore the actions →](https://abbiamo.ai/en/abbi-actions)
- Service F
  
  ### Process consulting
  
  Diagnosis and a design ready to implement in your operations.
  
  [Let's design the process →](https://abbiamo.ai/en/services/process-consulting)

Illustrative cases, not existing deployments.

![](https://abbiamo.ai/hs-fs/hubfs/raw_assets/public/ABBIAMO/images/abbie-retrato.jpg?width=88&height=88&name=abbie-retrato.jpg)

## Tell us which process you want to improve.

Your request goes to the partner assigned to your company.

[Let's talk about your operations →](https://abbiamo.ai/en/contact)

or write to us at [hola@abbiamo.ai](mailto:hola@abbiamo.ai)

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