Software platform

TOCA AI

The clinical intelligence layer for continuous care.

TOCA AI sits between the data a practice already produces and the people who have to act on it. It ranks the panel, trends vitals against national guidelines, tracks staff time, briefs care managers, and writes the chart — with physicians making every clinical decision.

HIPAA-compliant · Business Associate Agreements · Custom EHR integration

A TOCA care manager at her workstation with headset, using TOCA AI
Care managers work in TOCA AI — the clinical intelligence layer for the panel.

Architecture

The clinical intelligence layer

Signals in

  • Device readingsBP, glucose, weight, SpO2
  • EHR & notesThe chart you already use
  • LabsA1c, lipids, renal panels
  • Care timeCalls, plans, minutes
  • Patient reportsSymptoms and check-ins
  • ClaimsEligibility and encounters
TOCA AI

Who acts

  • CliniciansTrends and chart-ready summaries
  • Care managersWorklists and escalations
  • Health systemsPanel coverage and capacity
  • PatientsGuidance in plain language
  • BillingCPT-ready documentation
  • PayersAudit-ready reporting

In the software

Six clinical tools. One session that starts with the chart.

Care managers and clinicians use these capabilities today — onboarding through documentation. The assistant talks to the care team, never the patient. It does not invent findings. It does not diagnose.

01

Enrollment

Onboarding extraction

Upload a consent form and a doctor’s note. TOCA AI reads typed fields, ticked boxes, and handwriting — conditions, devices, language, shipping, medications, allergies — and writes a clean patient record. What used to take 10–15 minutes of data entry is a PDF and seconds.

02

Before the phone rings

Pre-call summary

Before a care manager calls, the platform gathers recent notes, 30 days of device readings, enrollment, and care-plan status into a 4–6 sentence briefing. Time that used to be spent reconstructing a chart is spent with the patient.

03

During the visit

CCM care-plan copilot

A guided assistant for care managers — not a chatbot talking to patients. It routes new enrollments, doctor’s-note intakes, lab context, monthly follow-ups, and mid-session updates. Pre-call facts, seven personalized questions on the call, then a written summary and recommendations. Clinicians remain in control of every clinical call.

04

Between visits

RPM check-in assistant

The system already knows if the patient is new, keeping up, or missing readings — and changes the conversation. New patients get device setup. Compliant patients get a wellness check against 30-day trends. Non-compliant patients get a non-judgmental look at barriers. A chart-ready note is written when the call ends.

05

Documentation

Notes, refined as you type

Autocomplete predicts the current sentence from a clinical phrase library, then a model if needed. After the call, Refine Note polishes grammar without inventing findings — and records two-way communication versus voicemail in the language auditors expect.

06

Context

Document memory

When a session opens, processed records load on their own. Recent documents in full; older ones as structured summaries of history, medication changes, abnormal findings, and orders. The assistant answers from the chart the team already has — no re-upload ritual.

Operations

Priority, trends, and the work your staff actually did.

TOCA AI is not only documentation. It is how a practice sees risk, vitals, and productivity on the same panel.

Priority scores

Risk scores for the whole panel — who needs a human today.

TOCA AI ranks every enrolled patient from vitals, trends, and adherence. High-priority patients surface first so outreach, medication review, and escalation are spent where they change outcomes — not at the top of an alphabetical list.

  • Scored from device readings, missed days, and care-plan status.
  • High / medium / low queues the care team already works.
  • Deteriorating trends flag before they become a hospital day.

Panel priority

Today · 128 patients

2

High

2

Medium

1

Low

  • M. Alvarez

    CKD · HTN

    86

    High
  • J. Okonkwo

    T2D · HF

    81

    High
  • R. Chen

    HTN

    54

    Medium
  • A. Patel

    CKD 3b

    47

    Medium
  • L. Nguyen

    HTN · prediabetes

    19

    Low

Illustrative panel — not live patient data.

Blood pressure

Elevated

126 / 82mmHg

ACC/AHA classification

Glucose

In range

118mg/dL

ADA classification

Weight

Stable

182.4lb

HF protocol classification

SpO2

Normal

97%

GOLD classification

Classifications follow published national guidelines.

Vitals trending

Every device on the panel, classified against national guidelines.

Track blood pressure, glucose, weight, SpO2, and any other cellular device you enroll. TOCA AI charts the trend and classifies readings using ACC/AHA, ADA, KDIGO, GOLD, and NKF thresholds — so a care manager sees “elevated, falling” instead of a spreadsheet of numbers.

  • Any number of device types on the same patient.
  • Clinical labels, not raw feeds.
  • Thresholds you can point to in an audit.

Track your staff

Calls, minutes, connection rates, and documentation — in one audit.

Staff audit reports show what the clinical team actually did: calls made, two-way time captured, success (connect) rates, and notes completed. Productivity is visible without a side spreadsheet, and CPT minutes are already in the shape a biller can use.

  • Per-clinician and team rollups, day / week / month.
  • Two-way communication logged for 99457 / 99490.
  • The practice sees the work. TOCA does not hide it.

Staff audit · this week

CPT time logged

ClinicianCallsTimeConnectNotes

A. Ruiz

RN

186h 20m94%16

K. Shah

MA

227h 05m91%20

T. Okonkwo

RN

145h 40m88%13

54

Calls

19h 05m

Two-way time

91%

Connect rate

Illustrative staffing report — not live employee data.

On a typical day

The console shows who needs a human — not a feed of raw vitals.

RPM readings, notes, and labs land in one queue. Care managers open a briefing, run the call with a guided script that already knows the patient, and leave a note the chart can keep. Physicians see the exception, not the entire stream.

TOCA AI · Practice console

Needs review

7

Readings today

142

Escalations

2

Risk queue · physician-reviewed

  • M. Alvarez

    CKD · HTN

    Watch
  • J. Okonkwo

    T2D · HF

    Review
  • R. Chen

    HTN

    Stable
  • A. Patel

    CKD 3b

    Watch

Illustrative practice console — not live patient data.

Clinical control

We are explicit about where the software stops.

Extraction, summaries, and suggested questions are grounded in documents and readings the practice already has. If it is not in the record, the assistant asks — it does not fill the gap. Your clinicians decide.

  • Guides the care manager, not the patient

    CCM and RPM assistants speak only to the care team. Personalized questions are relayed on the call; the patient still talks to a person.

  • Guideline-based, not black-box

    Pathways you can point to — ACC/AHA, ADA, KDIGO, GOLD, NKF — and adapt without waiting on a vendor roadmap.

  • Custom EHR integration

    We integrate with Epic, Cerner, eClinicalWorks, Athena, and other systems — and we customize the connection so the team is not living in a second record. Documentation maps to the CPT the program supports.

See TOCA AI configured to your panel.

Software only is free for up to 100 patients — or add devices and a care team. Built around the way you already practice.

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