Tell us the hours, the software and the work.

For admin, revenue cycle and scribing roles we can usually put two people in front of you within two working days, and have someone working inside a week to ten days once your access is set up. The delay is almost never finding the person. It is granting the access, signing the BAA and agreeing the protocols, and rushing that part is how practices get into trouble.

Licensed remote nursing takes longer, typically two to four weeks, because state licensure has to be verified against your state or the compact.

We replace them at no additional fee and cover the seat while we do it. There is no charge for the replacement, no charge for the handover, and no argument about it. If the fit is wrong twice we would rather refund the difference and tell you we are not the right supplier.

A Business Associate Agreement is signed before any access is granted, and it covers permitted uses, safeguards, incident reporting, what happens to data when we stop working together, and any subcontractor we use. Everyone works under a unique named login inside your systems with multi-factor authentication, never a shared account. Patient data stays in your systems: we do not copy it into ours, and staff cannot download or remove it. Training is role-appropriate and completion is tracked, and access is reviewed when someone joins or leaves your account.

Possibly, and we would rather raise it than let you find out later. A small number of states restrict health data being handled outside the United States, Texas and Wisconsin among them, and Florida requires offsite records be held in the continental United States. Medicare Advantage plans impose additional attestation duties on offshore vendors.

Tell us your state and your payer mix on the first call. If your position needs a United States based person, say so and we will price that instead rather than talk you into something you cannot defend at audit.

Only if they hold a current United States nursing licence valid in your state or through the compact, and those people are based in the United States. Triage, telehealth support, case management, utilisation review and chronic care management are all nurse-led and priced accordingly.

Everything else we place is administrative or documentation work. It supports clinicians and it does not replace clinical judgement. Any supplier offering you an offshore triage nurse is describing an unlicensed coordinator, and that is a different job at a different price.

Use them where they work. Ambient AI documentation is genuinely good at a straightforward single-clinician visit and it is cheaper than a person. It is weaker on multi-speaker visits, complex specialties and anything where the note is only half the job.

Most of our scribes also handle orders, referrals, results and the inbox in the same hour, which is the part no tool does yet. If a tool covers your case, we will tell you that.