# sycana AI

Last updated: October 24, 2026

> AI-native medical referral intelligence, clinical triage, and automated scheduling for gastroenterology and specialty healthcare practices.

sycana AI automates the entire medical referral intake workflow—from inbound fax ingestion through to EHR scheduling. It extracts clinical data from unstructured documents, scores urgency on a 1–5 clinical urgency scale, flags missing clinical documents for automated fax-back requests, checks insurance eligibility, and passes structured appointment data directly into EHRs like Epic via SMART on FHIR R4.

## What It Does

- Ingests referrals from fax (Telnyx), PDF upload, or referring physician digital portal
- Extracts patient demographics, ICD-10 diagnoses, CPT procedure codes, insurance IDs, and provider NPIs using clinical AI
- Scores clinical urgency (1–5 scale) and case complexity with source-cited reasoning
- Matches referrals to the right provider based on specialty, subspecialty, and clinical availability
- Flags missing clinical documents (labs, imaging, pathology) and drafts automated fax-back requests
- Runs real-time insurance eligibility checks and prior authorization tracking
- Provides a full scheduler workstation with booking readiness indicators and waitlist slot backfill
- Sends SMS appointment confirmations and reminders with two-way messaging and opt-out compliance
- Connects natively to Epic via SMART on FHIR R4 and supports 18 EHR vendors via our adapter registry (Cerner, AthenaHealth, NextGen, eClinicalWorks, Veradigm, Greenway, ModMed, AdvancedMD, and others)

## What It Is Not

sycana AI is not an EHR replacement. It is a specialized referral intelligence and clinical triage layer that sits alongside existing EHR systems to eliminate unstructured manual intake work.

## Commercial Model & Pricing

Quote-based commercial pricing scoped by monthly referral volume, enabled clinical modules, and EHR integration requirements. No hidden setup fees. Pilot provisioning begins within 1 business day. Request a demo for an itemized workflow quote.

## Core Solutions

- [Receiving Clinic Workstation](https://sycana.com/solutions/receiving-clinic): Prioritized triage workstation, doctor matching, waitlist backfill, and booking readiness indicators.
- [Referring Clinic Portal](https://sycana.com/solutions/referring-clinic): Direct digital referral submission, real-time outbound referral tracking, and closed-loop communication without phone or fax.
- [Patient Experience Portal](https://sycana.com/solutions/patient): Mobile-friendly portal for referral status tracking, appointment prep, insurance estimates, and two-way messaging.
- [Medical Directors & Clinical Triage](https://sycana.com/solutions/clinical): Source-cited clinical extraction, urgency triage (1–5 scale), prior auth tracking, and complexity scoring.
- [Executive & Financial ROI](https://sycana.com/solutions/executives): Referral leakage recovery, conversion rate analytics, waitlist backfill revenue, and SLA tracking.
- [IT, Security & Architecture](https://sycana.com/solutions/it-security): Zero on-prem footprint, role-based PHI redaction, SMART on FHIR Epic integration, and BAA compliance.

## Specialties Supported

- [Gastroenterology](https://sycana.com/specialties/gastroenterology): Urgent GI bleed triage, colonoscopy indication checks, and pathology attachment tracking.
- [Cardiology](https://sycana.com/specialties/cardiology): Arrhythmia, chest pain, and heart failure triage with automated ECG/echo verification.
- [Oncology](https://sycana.com/specialties/oncology): Biopsy reports, staging documentation, and rapid multidisciplinary clinic scheduling.
- [Urology](https://sycana.com/specialties/urology): PSA level tracking, hematuria workup completeness, and procedural booking.
- [Pulmonology](https://sycana.com/specialties/pulmonology): Spirometry, PFTs, chest CT imaging validation, and lung nodule tracking.
- [Primary Care](https://sycana.com/specialties/primary-care): Closed-loop consult notes and digital outbound referral coordination.

## Security & Compliance

- [Security & Trust Center](https://sycana.com/security): Defense-in-depth architecture, SOC 2 Type II alignment in progress, AES-256 encryption at rest, TLS 1.3 in transit, and Tamper-evident hash-chained audit log with 7-year retention.
- [Privacy Policy](https://sycana.com/privacy): HIPAA Business Associate compliance, US data residency, and strict sub-processor commitments.
- [Terms of Service](https://sycana.com/terms): Enterprise customer terms of service for receiving clinics, referring clinics, and patients.

## Extended Documentation & References

- [Full Technical Reference (llms-full.txt)](https://sycana.com/llms-full.txt): Complete technical architecture, EHR integration details, FHIR mappings, and system FAQ.
- [Semantic Machine Reference (ai.html)](https://sycana.com/ai.html): Single-page semantic HTML documentation for AI ingestion.
- [Sycana DeID Desktop Tool](https://sycana.com/tools/deid): Planned / Coming Soon — local-only offline de-identification tool for research and redaction.
- [EHR Integration Matrix](https://sycana.com/integrations): Verified compatibility status across 18 named EHR systems.
- [Epic SMART on FHIR Integration](https://sycana.com/integrations/epic): Technical specification for Epic ServiceRequest and Appointment resources.
- [Referral Management Workflow](https://sycana.com/resources/referral-management-workflow): Operational step-by-step blueprint from fax to EHR scheduling.
- [Referral Intake Checklist](https://sycana.com/resources/referral-intake-checklist): 10-point intake completeness checklist for specialty clinic schedulers.