Voice AI · Healthcare · Compliance Engine

The Voice AI engine for
patient outreach

Helping healthcare platforms, service providers, and health plans reach patients at scale, without adding headcount or compliance risk. Founded by 25-year veterans of voice and communications platforms.

Talk to a Voice AI Specialist See the engine
HIPAA
50-State Compliant

HIPAA-aligned voice infrastructure with TCPA, state-by-state consent, and dialer rules handled by default, so your team can scale outreach across all 50 states without legal review on every call.

Patient on a phone call with their care team
Outbound, Care Gap Outreach
Live, authenticated patient
$150B
Lost yearly to missed appointments
2:1
Admin hours per hour of care
90%↓
First-touch outreach cost
1M+
Patient calls automated / yr
The Problem

Patient outreach is broken. Consig fixes the first touch.

Patient outreach starts with calling patients, and that's the hard part. Dialing at scale, getting past call screening, avoiding endless voicemail. This is where most workflows fail.

Overwhelmed clinician at workstation
2 hrs
of admin work for every 1 hour of direct patient care.
81%
Patients Unreached
81% of patients are dissatisfied with healthcare communication. The first touch is where the relationship breaks.
$150B
Money Wasted
Lost from missed appointments alone. Every voicemail compounds the cost downstream.
67%
Outreach attempts that fail
Voicemail roulette, IVR mazes, and compliance theater make most attempts wasted spend.
*Sources: Dialog Health, Patient Retention Statistics, 2025, Sage Journals, How clinicians lose time to admin burden, 2024., and Healthcare Innovation Group, Missed Appointments Cost the U.S. Healthcare System $150B Each Year, 2025.
Solutions

One engine. Three audiences. Same conviction.

Same Consig engine, tuned to the language and metrics each buyer actually uses with their team.

For Heads of Product · CTOs

Voice as infrastructure, not a feature.

"Compliance engine first. Generative AI runs only inside the engine's allowed states. Wire it into your stack with documented APIs and SDKs."

  • Embed our engine via REST + WebSocket APIs
  • PHI never leaves the allowed state machine
  • GenAI sandboxed to approved utterances only
  • Co-branded or white-label voice
See healthcare platforms solution
Embedded · API-first
1M+
calls/year automated through partner platforms
<200ms
p95 turn latency
100%
audit-logged turns
12+
language locales
SOC 2
Type II ready
The Engine

A conversation engine built for today's healthcare environment.

Connect, authenticate, engage, schedule. Compliance engine first, generative AI runs only inside its allowed states.

01

Connect

Dial at scale, screen for non-target numbers, navigate IVRs, leave compliant voicemail.

02

Authenticate

Identity check + state-specific consent + PHI disclosure before any GenAI fires.

03

Engage

Deterministic dialog handles the conversation. NLU + GenAI run only inside approved states.

04

Schedule

Integrate with your call center and software to schedule the next step handoff.

Patient on call
90%+
cost reduction on first-touch outreach versus live-only floors.
Brand promise · measured across pilots
The outcome

More live conversations. Less time wasted on manual outreach.

The patients who pick up reach a live human faster. The ones who don't get a compliant follow-up, every time, every state. Your team focuses on the conversations that change outcomes.

Let's Setup your Workflow
Risk & Compliance

Voice AI is a commodity.
Compliance isn't.

The regulatory surface a single patient call has to cross, on every dial, in every state. Outsourced outreach doesn't escape liability, it concentrates it. Our engine fires policy before any word reaches the patient.

30–40
Regulatory requirements per single patient call
45
States introduced AI-related bills in 2025
+268%
YoY growth in TCPA class-action filings (Jan 2025, 172/month)
$1,500
Exposure per TCPA violation
Context Firewall · per-call policy

The right AI for each segment, with sensitive data sealed off.

Deterministic dialog Generative AI Firewalled
Connect
telephony
Carrier dial, STIR/SHAKEN, branded caller ID.
Authenticate
policy
Identity verification, TCPA window, recording disclosure, consent capture.
Engage
firewalled
Deterministic dialog by default. Generative AI only inside the firewalled segment.
Handoff
logged
Warm transfer to a human, full context, every turn audit-logged.
Context Firewall

The Generative AI segment runs inside an isolated context, no direct PHI access, no payload echo, only allow-listed prompts and a deterministic exit. AI is a risk vector. We use it only when policy can't, and never with raw sensitive data.

HIPAA Compliant
100%
Audit-logged turns
0
Missed disclosures in pilot
50
State rule packs enforced
Sources: FCC · Goodwin State Mini-TCPA Survey · BCLP TCPA Year-in-Review 2024 · National Law Review.
Proven Voice Experience

Operator-grade voice. Earned, not promised.

We are voice operators who built the engine we always wanted. The numbers below come from production deployments, not a slide.

25+

Years of voice

Founded by 25-year veterans of voice and communications platforms used by millions. Reliability, scale, and precision healthcare demands.

1M+

Calls / year

Customers automate over a million calls annually with measurable improvements in contact rates and dispositions.

<3mo

ROI window

Customers see ROI within months, better reach, fewer missed appointments, lower outreach costs.

100%

Compliance-first

Every call screened, disclosed, consent-checked. GenAI only fires inside approved states. Operator-grade audit logs.

Built on trusted infrastructure
AWS
Cisco
Genesys
Avaya
Deepgram
AWS
Cisco
Genesys
Avaya
Deepgram
AWS
Cisco
Genesys
Avaya
Deepgram
Google Cloud
Azure
OpenAI
ElevenLabs
HIPAA
Google Cloud
Azure
OpenAI
ElevenLabs
HIPAA
Google Cloud
Azure
OpenAI
ElevenLabs
HIPAA
The Consigliere's Desk

Insights from the people
building healthcare voice AI.

News, field notes, and ideas shaping the future of patient communication, straight from our team.

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Read all posts
Talk to a Solutions Architect

Let's talk about your outreach challenges and how Consig can help.

We respond within one business day. Bring your worst outreach metric, we'll tell you exactly where the engine moves the number.