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ansong99 commented on Launch HN: Cenote (YC W25) – Back Office Automation for Medical Clinics    · Posted by u/ansong99
prawn · 6 months ago
In the screenshot on your site alongside the "No more typos" feature, you have a typo: "United Helathcare". Also an error in the 'extraction' of the phone number ("-55-").
ansong99 · 6 months ago
Thx for pointing these out !
ansong99 commented on Launch HN: Cenote (YC W25) – Back Office Automation for Medical Clinics    · Posted by u/ansong99
maz1b · 6 months ago
As a full stack engineer + doctor, always good to see innovation and ideas in this space. Best of luck.
ansong99 · 6 months ago
Thanks, we appreciate the support :)
ansong99 commented on Launch HN: Cenote (YC W25) – Back Office Automation for Medical Clinics    · Posted by u/ansong99
MisterKent · 6 months ago
Maybe I'm alone in this, especially on this site.

I'm beginning to become disillusioned with these things. We're replacing like 1000s of jobs with a system that will almost certainly do a worse job than before. And the money is split between hospital shareholders and VC.

I get that there's an efficiency (market) gain here. But these AI startups that target existing sector automations seem like they're most just attempting to drive wealth inequality in a period of already terrible westh inequality.

ansong99 · 6 months ago
These are topics that we at Cenote also mull over. Right now how we see things are:

1. If we perform worse, we won't deliver any value to the owner and we'll soon be out of a business

2. It's our bet that AI agents can actually perform these monotonous, detailed tasks very well and that this will free up humans to take on higher value work.

3. That higher value work being: calling patients, educating them, helping facilitate patient care. This is ultimately the work the owners we talk to are excited for their teams to take on!

ansong99 commented on Launch HN: Cenote (YC W25) – Back Office Automation for Medical Clinics    · Posted by u/ansong99
6stringmerc · 6 months ago
Thanks for clarifying that you have little to no interest in enhancing the quality of outcomes or success of treatment or quality of life for patients! Very telling!
ansong99 · 6 months ago
Not our intention at all. Let me know what gave you that impression? We generally see the incentives of the owners we work with as very aligned with providing the best quality of care to their patients, and see our software as accelerating delivery of that care
ansong99 commented on Launch HN: Cenote (YC W25) – Back Office Automation for Medical Clinics    · Posted by u/ansong99
taikon · 6 months ago
What if it fails to mention a critically important piece of info? Would your company be liable or would I as a physician have be liable for its mistake?
ansong99 · 6 months ago
Great question. Our software is designed to assist, not replace, the physician’s role in making clinical decisions. It accelerates the time between an inbound referral and patient care by extracting and organizing information, but the final review always remains with the physician.

To minimize risk, we implement safeguards to prevent hallucinations, and our system is built to flag potential missing or unclear information rather than override clinical judgment.

ansong99 commented on Launch HN: Cenote (YC W25) – Back Office Automation for Medical Clinics    · Posted by u/ansong99
ciguy · 6 months ago
A cenote is an inland tidal pool connected to the ocean. Mostly found along the Riviera Maya in Mexico.
ansong99 · 6 months ago
Aha yes we were inspired by this latter definition, which explains the turquoise branding on our site.
ansong99 commented on Launch HN: Cenote (YC W25) – Back Office Automation for Medical Clinics    · Posted by u/ansong99
reureu · 6 months ago
When you say you integrate with EHRs using RPA or API, are you using FHIR for the API connection? Or what interop standards are you using?
ansong99 · 6 months ago
We're doing both RPA and API integrations now - depending on what works best for any given EHR/clinic. FHIR connections are on the way.
ansong99 commented on Launch HN: Cenote (YC W25) – Back Office Automation for Medical Clinics    · Posted by u/ansong99
the_sleaze_ · 6 months ago
In fairness, I think of EMR/EHRs as thin wrappers over insurance automation to begin with.
ansong99 · 6 months ago
I’d actually love to hear more—can you expand on this point here?
ansong99 commented on Launch HN: Cenote (YC W25) – Back Office Automation for Medical Clinics    · Posted by u/ansong99
HPMOR · 6 months ago
This seems really interesting. I'm curious how this compares to fully automated EHRs similar to what Modernizing Medicine has built for Dermatology practices. Also there's a startup called DayDental which does RCM, for dental practices. Additionally, are you planning on integrating with large EHRs like Epic/Cerner, or is this for smaller EHRs like SimplePractice?
ansong99 · 6 months ago
I appreciate the interest! We love the efforts at the federal level and by other tech companies to modernize healthcare. We see AI agents as the next step in this evolution—where nearly all back-office needs can be productized into AI, enabling Cenote to provide every clinic with a best-in-class back-office team.

To your latter question, we’ve spoken with many hospital networks using Epic that would benefit significantly from our software. However, integrating with larger EHRs is notoriously labor-intensive, so for now, we’re prioritizing more accessible clinics.

ansong99 commented on Launch HN: Cenote (YC W25) – Back Office Automation for Medical Clinics    · Posted by u/ansong99
Onavo · 6 months ago
There are so many companies in the transcription -> EMR -> insurance automation space. What differentiates you?
ansong99 · 6 months ago
For sure. At Cenote, we’re obsessed with ensuring our software delivers real value to clinics, rather than just adding another point solution—or worse, overwhelming them with multiple fragmented tools. As mentioned in another thread, many of these clinics aren’t the most tech-forward, and we've found that in-person discussions often reshape our bundle (e.g., prioritizing referral intake over insurance verification). This tailored approach ironically simplifies integration and maximizes ROI for our customers.

u/ansong99

KarmaCake day31August 12, 2024View Original