Select
Define a high-risk cohort with the host organization.
ARVELLISColeman Health Services, LLCStart a conversationPhysician Extender Service
Clinical intelligence for the space between visits.
PES complements existing population health, care management, RPM, RTM, and EHR infrastructure by converting structured patient outreach into concise, clinically validated intelligence.
The blind spot
Chronic disease changes faster than the visit schedule.
Patients may go months between appointments while symptoms shift, medications lapse, and function declines quietly. More dashboards do not solve that problem unless someone determines which signals matter and communicates them clearly.
PES is not a monitoring device, contact center, autonomous diagnostic system, or replacement for the treating clinician.
The operating model
Human oversight is part of the architecture.
Engage
A trained specialist conducts structured, disease-specific outreach.
Synthesize
Ambient AI documents the encounter and proposes Green, Yellow, or Red.
Validate
A registered nurse reviews every encounter and manages appropriate Yellow issues.
Review
A physician evaluates RN-validated potential Red encounters.
Inform
The treating clinician receives concise intelligence and retains full authority.
Pilot entry point
A defined learning system—not a premature promise.
The proposed entry point is a six-month pilot for approximately 100 selected high-risk chronic disease patients, with a midpoint assessment. The pilot evaluates workflow feasibility, integration, patient participation, clinician usefulness, classification patterns, workload, safety, utilization signals, and AI-human concordance.
Discuss pilot fit ↗