ClinClaw

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Cincinnati Children's Hospital Medical Center

One governed agent for the rest of clinical admin.

ClinClaw connects Epic, Microsoft 365, and institutional knowledge inside Teams. For clinicians and operators. On infrastructure you already own.

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See it in action

Product Demo

Overview

Agentic Protocol Extraction

Feature Showcase

These are new and in-development features shared for internal review. Some are live, others are in active engineering. We want your input. Use the feedback form below to tell David and Ernie what excites you, what you would change, or what workflows we should build next.

REVISED ClinClaw Scribe
Ambient Scribe with Epic Write-Back + Revenue Integrity. Replaces: Abridge, Nuance DAX, DeepScribe, Suki. The clinician clicks a Teams link and the visit starts normally. ClinClaw's bot joins silently, captures the conversation in real time, and maps the transcription to the provider's imported Epic SmartPhrase template. New in this revision: the AI synthesis step now structures documentation for accurate E/M coding, informed by institutional billing history and note patterns. The goal is revenue integrity, not upcoding: the note captures what actually happened with the specificity needed for clean claims. The structured draft appears immediately as an Adaptive Card in Teams chat with a OneDrive backup. On approval, ClinClaw writes back to Epic via FHIR DocumentReference.Create, matched to the encounter CSN.
ClinClaw Scheduling
Invisible Scheduling from Any M365 Surface. Replaces: QGenda, Kyruus, Docpulse, manual Epic scheduling workflows. A provider highlights a patient name in an Outlook email, a Teams chat mention, a shared OneDrive note, or the pinned ClinClaw tab. ClinClaw pulls the patient's context, queries Epic's FHIR Appointment.$find for available slots filtered by the provider's specialty and RAG-stored preferences, and presents them in the same Teams pane. One tap: Epic appointment booked, Outlook calendar blocked, patient gets a MyChart reminder. Epic and Outlook stay perfectly synchronized.
ClinClaw Outreach
Patient Outreach with Response Routing. Replaces: Luma Health, Artera (WELL Health), Relatient, manual phone-based pre-visit outreach. A provider triggers a pre-visit outreach session from Teams. ClinClaw sends SMS and agent calls to patients using SHA-256 hashed phone numbers via Azure Communication Services. When patients respond, a webhook normalizes the phone hash, looks up the contact, finds the active session, and routes the response back to the originating provider's Teams chat as a pre-visit brief. Three phases (outbound, inbound, delivery) run automatically with full audit trails and blast-radius controls on how many patients can be contacted per run.
ClinClaw Workday Agent
Workday Accounting Agent in Microsoft Teams. Replaces: manual Workday data entry, Concur expense workflows, spreadsheet-based AP reconciliation. ClinClaw extends beyond clinical workflows into hospital operations. This concept shows a native co-pilot for Workday that eliminates constant app switching and manual coding for expense reports, accounts payable, and month-end close. A Workday item triggers the agent, which auto-categorizes and generates entries, outputs an Adaptive Card for review, and writes back to Workday. One control point in Teams, conversations become auditable records, and the system matches your existing Workday configuration.

Why ClinClaw

Two personas, one agent

Prior auths, patient letters, and protocol lookups for clinicians. Scheduling, rev cycle, and regulatory reporting for operators.

Your stack, your control

Deploys on your Azure tenant. Data never leaves your environment. No new BAAs. No vendor cloud.

The integration gap

Microsoft cannot do clinical. Epic cannot do the rest of your stack. ClinClaw connects both via FHIR and Graph.

Practical adoption

Start with high-value administrative work, prove impact quickly, and expand only where the clinical and operational case is clear.

Materials

Value Proposition

PDF

Product overview for leadership

Shared with Partner Institutions

CC Shared, awaiting response clevelandclinic
PPTX

Presentation

Executive pitch deck
PDF

Value Proposition

Product overview
UC Not shared uchealth

Contact: Rodrigo Deliberato (Enterprise IT). Initial contact scheduled 4/2/2026. Site prepared, not yet shared.

UM Partially shared umassmed

Initial interest. Executive deck shared. Full site access prepared but not yet sent.

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Executive Deck

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MC Not shared mayoclinic

Site prepared, materials not yet shared.

OSU Partially shared ohiostate

Overview package prepared. Site access ready to send.

PPTX

Executive Deck

Pitch deck
PDF

Value Proposition

Product overview
LSU Health Partially shared lsuhsc

Contact: M. Frampton Gwynette, MD, DFAPA, DFAACAP — Professor and Chair. Overview package prepared (Executive Deck, Value Proposition). Site access ready to send.

PPTX

Executive Deck

Pitch deck
PDF

Value Proposition

Product overview
AdventHealth Partially shared advent

Overview package prepared (Executive Deck, Value Proposition). Site access ready to send.

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Executive Deck

Pitch deck
PDF

Value Proposition

Product overview
Andreessen Horowitz Partially shared a16z

Overview package prepared for Bio + Health, enterprise AI, and strategic partnership review (Executive Deck, Value Proposition). Site access ready to send.

PPTX

Executive Deck

Pitch deck
PDF

Value Proposition

Product overview
Partially shared m12

Overview and technical deployment package prepared for Microsoft-aligned healthcare AI, Azure, Teams, and enterprise workflow review.

PPTX

Executive Deck

Pitch deck
PDF

Value Proposition

Product overview
PDF

Deployment Guide

Technical review
Flare Capital Partners Partially shared flare

Overview package prepared for healthtech infrastructure, software, data, AI, and strategic buyer-network review (Executive Deck, Value Proposition). Site access ready to send.

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Executive Deck

Pitch deck
PDF

Value Proposition

Product overview
Abridge Partially shared abridge

Overview package prepared for ambient documentation, real-time clinical intelligence, Epic workflow extension, and Microsoft-based operational automation review (Executive Deck, Value Proposition). Site access ready to send.

PPTX

Executive Deck

Pitch deck
PDF

Value Proposition

Product overview
NYU Langone Health Partially shared nyu

Overview package prepared (Executive Deck, Value Proposition). Site access ready to send.

PPTX

Executive Deck

Pitch deck
PDF

Value Proposition

Product overview
Cincinnati Children's Partially shared cchmcpharmacy

Pharmacy-focused channel prepared with upcoming features for voice-assisted intake, medication workflow support, and operational flows that coordinate across existing pharmacy tools.

PPTX

Executive Deck

Pitch deck
PDF

Value Proposition

Product overview

ClinCognition Leadership

Ernest Pedapati

Ernest Pedapati, MD

Physician-Engineer Founder
Professor at Cincinnati Children's. 2x founder with 30 years of software engineering background.
David Hutten

David Hutten

Strategy & Partnerships
Entrepreneur in Residence at Cincinnati Children's Innovation Ventures. Leads strategy, partnerships, and go-to-market. Focused on building health system relationships and positioning ClinClaw for commercialization.
Craig Erickson

Craig Erickson, MD

Medical Officer
Professor of psychiatry at Cincinnati Children's with deep expertise in industry drug development and clinical trial operations. Brings the clinical validation lens and pharmaceutical partnership experience to ClinClaw's workflow design.

ClinClaw Clinical Team

Steve Wu

Steve Wu, MD

Workflow Builder
Designs and validates clinical workflow concepts for ClinClaw, translating real-world provider needs into practical product direction.
Rana Elmaghraby

Rana Elmaghraby, MD

Physician Training
Leads physician onboarding and training programs for ClinClaw adoption, ensuring providers can use the system effectively from day one.
Donald Gilbert

Donald Gilbert, MD

Medical Education
Oversees the integration of ClinClaw into medical education workflows, bridging clinical informatics with teaching and training programs.
Fenil Patel

Fenil Patel, MD

Billing & Analytics
Leads revenue integrity and billing analytics for ClinClaw, ensuring AI-generated documentation supports accurate E/M coding informed by institutional billing patterns.
Jungwhan Choi

Jungwhan Choi, MD

Radiology
Brings radiology workflow expertise to ClinClaw, informing how clinical imaging data and reports integrate with the agent's document and decision support capabilities.

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