Your AI agent can talk. Now make it do something.
AI agents, contact center platforms, and RCM systems are transforming scheduling, billing, and intake. But most hit the same wall: they can’t read or write to the EHR. Conversation without action is just a fancy IVR. Cobalt is the layer that lets any system actually act on EHR data.
The problem isn’t the AI. It’s the last mile.
Your model is good. It can hold a conversation, understand intent, and decide what to do next. The wall it hits is the EHR. Systems like eClinicalWorks have no public API for scheduling, billing, eligibility, or documents. So the agent can say it booked the appointment. It just can’t actually book it.
No public API for the real work
Scheduling, eligibility, payments, documents. The operational workflows your agent needs to touch have no supported API in the EHRs where patients actually live.
Custom work takes 6 to 12 months
Building each integration yourself means a dedicated team, months of reverse-engineering, and a fragile connection to maintain. That is a product roadmap you never wanted.
Every new EHR is a new project
Get eClinicalWorks working and you start over for athenahealth, then Practice Fusion, then ModMed. The last mile never ends. It just repeats.
What your agent needs vs. what it can reach.
The left column is what your AI agent has to do to be useful. The right is what native EHR APIs actually let it do today. Cobalt closes the gap.
| What your AI agent needs to do | Cobalt | Native APIs |
|---|---|---|
| Scheduling | ||
| Book, reschedule, and cancel appointments | ✓ | ✕ |
| Read provider availability in real time | ✓ | ✕ |
| Intake & registration | ||
| Create patients and update demographics | ✓ | Limited* |
| Verify insurance eligibility and benefits | ✓ | ✕ |
| Upload documents and forms to the chart | ✓ | ✕ |
| Billing & payments | ||
| Check account balance and payment status | ✓ | ✕ |
| Process payments and set up payment plans | ✓ | ✕ |
| Read claims and remittance data | ✓ | ✕ |
| Clinical & workflow | ||
| Read patient history (problems, meds, labs) | ✓ | ✓ |
| Send messages to the provider inbox | ✓ | ✕ |
| Create telephone encounters and route to providers | ✓ | ✕ |
| Trust & delivery | ||
| Confirmation receipt with the new record ID on every write | ✓ | ✕ |
| One integration instead of a per-EHR build, live in days | ✓ | ✕ |
*Limited: some EHRs expose a narrow set of FHIR create operations for certain clinical resources, available only under a separate commercial contract. Standardized clinical reads (problems, meds, allergies, labs) work well over FHIR; Cobalt reads those too, so a single integration covers both.
One API. Real actions.
Your agent calls Cobalt. Cobalt handles the EHR complexity. Whether the practice runs eClinicalWorks, athenahealth, Practice Fusion, or ModMed, your agent talks to the same endpoint. You write your integration once instead of rebuilding it for each system. Deploy in days, not months.
Your agent makes a call
Book an appointment, verify eligibility, pull a balance. One standardized request, no EHR-specific code to write.
Cobalt does the hard part
We translate that call into whatever the underlying EHR requires and run it in real time against the live system.
You get a confirmed result
A structured response, plus a receipt carrying the new record ID on every write, so your agent knows the action landed.
What you can finally do.
Whatever you’re building, the action it needs runs through one API call.
Scheduling agents
Read real-time availability, book, reschedule, and cancel appointments, and send confirmations. The full booking flow, all through one API call.
Billing & collections agents
Pull the account balance, explain charges, set up payment plans, and process payments. Read claims and remittance to answer questions with real numbers.
Intake & registration agents
Create patients, update demographics, verify insurance eligibility, and upload forms straight into the chart before the visit.
Clinical triage agents
Read patient history, create telephone encounters, and route the outcome to the right provider inbox so nothing falls through.
RCM & revenue cycle
Read claims to the line item, pull remittance and denial codes, verify eligibility, and post payments. Real-time data, not batch files.
Contact center platforms
When a patient calls about a bill, appointment, or insurance question, the platform needs live EHR data to resolve it. Cobalt connects the call to the record.
A great conversation is table stakes. Doing the work is the hard part, and the part that wins the deal. Cobalt is the integration layer that turns your agent from something that talks into something that acts.
See your agent
actually do something.
Watch a live read and write against a real EHR, the actions native APIs can’t touch. Then talk to us about wiring it into your agent.
Want the deeper argument? Why your healthcare AI agent can’t actually do anything yet