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Clinical Intelligence · SDOH · NEMT · Escort

Getting patients there.Getting them home safe.

Raphael reads your patients' EHR data to identify who needs a ride to their appointment and who needs an escort home after a sedated procedure — then handles both, automatically.

Operated by Raphael Care OS, Inc.

The problem

Transportation is the #1 SDOH barrier to care.

The signals are already in the chart. Most systems never act on them.

3.6M

Americans miss care due to transport

Every year, transportation barriers lead to millions of missed appointments, delayed diagnoses, and avoidable hospitalizations.

SDOH

Data sits unread in the EHR

Transportation insecurity screenings, ICD-10 Z-codes, clinical notes — the risk signals exist. They just aren't being acted on.

$150B

Annual cost of no-shows

No-shows cost the U.S. healthcare system over $150 billion annually — most of it preventable with the right intervention.

What Raphael does

Two distinct problems. One platform.

Raphael solves the full access equation — not just getting patients to care, but ensuring they can safely leave it.

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NEMT Intelligence

Getting patients there

Raphael reads SDOH signals, coverage data, attendance history, and clinical notes from your EHR to score every patient for transportation risk — then automatically queues high-risk patients for NEMT coordination through Kinetik.

  • Risk scoring from 9 clinical & SDOH categories
  • C-CDA document NLP with negation detection
  • Low / medium / high risk banding
  • Automatic Kinetik ride coordination
  • SMS appointment reminders & ride confirmations
🤝

Escort Management

Getting them home safe

Many procedures — colonoscopies, cataract surgeries, procedures under sedation — legally require a responsible adult escort home. Raphael detects these from CPT codes in the EHR, contacts the patient, and manages the full escort workflow before the appointment.

  • CPT-code detection across 8 procedure specialties
  • PHI-free SMS outreach before consent is collected
  • Patient portal for escort confirmation
  • Transport coordination for the escort companion
  • Clinical documentation: attestation, physician cert, discharge forms

NEMT · How it works

Intelligence-led ride coordination.

Raphael connects to your EHR, scores every patient against clinical and SDOH risk factors, and acts — automatically.

  1. 1

    Connect to your EHR

    Integrates with Epic and eClinicalWorks via FHIR, pulling appointments, coverage, conditions, observations, and clinical documents — no manual data entry.

  2. 2

    Score every patient for transportation risk

    Our rules-based scoring engine evaluates 9 clinical and social risk categories from structured FHIR data and parses C-CDA documents using keyword detection with negation handling.

  3. 3

    Flag patients who need a ride

    Patients are stratified into low, medium, and high risk bands. Those above the review threshold are automatically queued for NEMT coordination.

  4. 4

    Book the ride, close the gap

    Raphael coordinates the ride through Kinetik, confirms with the patient via SMS, and keeps your care team informed at every step.

NEMT risk signals

We read the chart. All of it.

The scoring engine evaluates structured codes, SDOH screenings, and free-text clinical notes to build a complete picture of each patient's access barriers.

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Transportation insecurity screening

Detects positive SDOH transportation questionnaire responses and LOINC-coded observations.

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Medicaid coverage

Identifies active Medicaid patients who may have a transportation benefit they aren't using.

Mobility limitations

Flags ICD-10 and SNOMED codes for visual impairment, hemiplegia, gait disorders, and wheelchair dependence.

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Social & financial barriers

Detects Z-codes for housing instability (Z59.82), access barriers (Z75.3), and financial hardship (Z91.120).

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High-risk post-discharge

Flags heart failure (ICD-10 I50) patients with cardiology follow-ups within 7 days of inpatient discharge.

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No-show attendance patterns

Tracks missed and cancelled visits over the prior 6 months, weighted by recency.

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Recurring visit cadence

Identifies patients with 3 or more upcoming appointments in the next 45 days — high-frequency care needs.

🩸

Uncontrolled diabetes

HbA1c above 9.0 is a proxy for disrupted routine care access — flagged as a compound risk factor.

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Clinical document NLP

Parses C-CDA XML documents for transportation barriers, mobility aids, and no-show patterns — with negation detection.

Escort · How it works

From CPT code to confirmed escort — automatically.

Sedation procedures require a responsible adult escort. Raphael detects the need from the EHR and manages the full workflow before the patient ever walks in.

  1. 1

    Detect from procedure codes

    Raphael reads CPT codes from the appointment in your EHR. GI procedures, cataract surgeries, pain management, dental sedation, fertility, urology, and orthopedic ASC cases are all detected automatically.

  2. 2

    Send a PHI-free SMS invite

    Before consent is collected, a HIPAA-safe invite is sent to the patient letting them know an escort is required and directing them to a secure patient portal to confirm details.

  3. 3

    Patient confirms via portal

    The patient uses a tokenized portal link to provide SMS consent and confirm their escort arrangement. A full reminder is sent once consent is recorded.

  4. 4

    Coordinate transport for the escort

    Raphael books transportation for the escort companion — through Kinetik for Medicaid patients, Uber Health for others — and generates the required clinical documentation.

Procedure types detected

GI & EndoscopyOphthalmologyPain ManagementDental SedationFertilityUrologyOrthopedic ASCAnesthesia (CPT 100–1999)

Who we serve

Built for providers who serve vulnerable populations.

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Safety-net clinics & FQHCs

Purpose-built for federally qualified health centers and safety-net providers whose patients face the greatest SDOH barriers.

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Care coordination teams

Surfaces actionable NEMT and escort risk so care coordinators and social workers can focus on the highest-need patients.

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Value-based care organizations

Reduce preventable no-shows, ED visits, and care gaps to improve quality metrics and close SDOH-driven access disparities at scale.

Ready to close your SDOH transportation gap?

Reach out to learn how Raphael can connect to your EHR and start identifying at-risk patients today.

Contact Us