For orthopedic surgeons in Puerto Rico

How many hours of your life do you lose to clicks and Pre-⁠Op paperwork?

Hours you could spend with your family, on the golf course, at the beach or traveling. Now you just talk to your AI chief of staff, and the PDFs, orders, prescriptions and emails for every surgery are done for you.

Technology that works for you, and that you own

Everything stays in your name: the code, the databases, the phone line and the agents. If you ever stop working with me, it all keeps running.

Your practice, day to day

Sound familiar?

What we see in orthopedic practices in Puerto Rico, every single week:

  • Pre-⁠Ops by hand

    Confirming surgeries with phone calls, paper and spreadsheets only one person understands. And at the end of the day, hours of typing, clicking and filling out forms and emails for the implant company, the hospital and the patient.

  • Prescriptions one by one

    Physical therapy, medications and knee braces written by hand, or entered into a system with endless clicks and typing for every patient.

  • Missed calls = lost money

    Nights, weekends and peak hours: the patient you don’t answer calls the next surgeon.

  • Insurance reconciled by hand

    Checks and remittances someone has to enter one by one. Repetitive work that falls behind, and money left on the table.

  • Credentials all over the place

    Licenses, hospital privileges and payer contracts that expire without warning.

  • Flying blind

    How much PRP and how many knee braces did you sell this month? Which location performs best? Without data, it’s guesswork.

What makes us different

A system built for you, with a team of agents working for you

Your AI chief of staff

You talk to one, and it puts your whole team of agents to work

By voice or text, on WhatsApp or Telegram, the way you’d talk to your office manager: “prepare tomorrow’s Pre-⁠Op”, “how much did we sell today in Dorado?”. Your chief of staff coordinates the other agents (Pre-⁠Ops, reconciliation, marketing, legal) and answers with numbers and statuses, without sending protected health information (PHI) to the cloud.

I build it with Hermes, the agent harness I use (just as I use Twilio for calls), connected to the AI model of your choice in the cloud, or to a local one on your own machine, depending on your hardware.

Own your technology

A system you own, not another subscription

I set it up on the best infrastructure available, but everything stays in your name and in your accounts. You can count on me to keep improving it and adding automations, but you don’t depend on me.

  • The source code, in your own GitHub account
  • Databases in your name, in the cloud or in your office
  • Your website and services in your own accounts
  • Calls and text messages through Twilio, in your name
  • Local AI models on your machine, whenever possible
A pile of separate subscriptions
  • A different system for each thing
  • Your data in other people’s accounts
  • Stop paying and you lose it
Your system
  • Everything connected in one dashboard
  • Everything in accounts in your name
  • It’s yours and grows with you
Does it work with my current system?

Yes: with your cloud EHR or your local system

If your cloud EHR or EMR has an API (for example, Practice Fusion), we send it missed calls and appointments. And if your system runs on a Windows computer in your office, the agent works inside it just like a person would. No need to switch systems.

Real case: at Chiropractic Health Center, Dr. Julie Martínez’s practice, an agent reconciles insurance payments inside Atlas Chiropractic System, a local Windows system. I’ll show it to you running.

And much more

Agents built for your practice

  • Marketing for your social media and campaigns
  • WhatsApp, Instagram and Facebook monitoring
  • Support for legal and administrative work
  • Patient reminders and follow-up
  • Whatever your practice needs: we build it
The solution

One system for your entire practice

Built for you from modules already running in real practices, and yours from day one. From the moment a patient calls until surgery day: every step connected.

Demo video · coming soonIn the meantime, Roberto will show it to you live in the meeting.

The patient journey

  1. Missed call

    Captured, and the patient gets an instant reply.

  2. Online booking

    The patient picks day, time and location from their phone.

  3. Pre-⁠Op by voice

    Dictate the case to your chief of staff: PDFs, orders, prescriptions and email are done for you.

  4. Prescription

    Knee braces, medications and physical therapy in seconds, printed or by secure email.

  5. POS

    Sell PRP, knee braces and products insurance doesn’t cover, with receipts and inventory.

  6. Credentials

    Licenses and privileges up to date, with alerts before they expire.

  • 100% automatic
  • Fewer headaches
  • Everything by location

Each location with its own inventory, sales and numbers, and you with the full picture.

Where you win back time and money

Three modules that change your practice

First, your hours. Then, the money that slips away today without you seeing it.

1Pre-⁠Ops by voice

Dictate the case and the whole Pre-⁠Op is done for you

After a day seeing 40 patients, with 6 new surgeries out of it, you no longer spend hours filling out forms. Tell your chief of staff the procedure and, without sending PHI to the cloud, it prepares everything for that surgery:

  • Every PDF in the Pre-⁠Op package, already filled out
  • The implant and parts order for the company
  • The prescriptions and risks for the procedure
  • The draft email with every attachment: just review and send
  • Everything saved to its folder and logged in the dashboard
  • Your assistant follows up with the patient, the hospital and the implant company, so no surgery gets cancelled
2Missed calls

How many patients do you lose every week to calls nobody answers?

At night, on weekends or with a full front desk: the call is captured, the patient gets a text with a booking link and you get the lead in your dashboard. Included in your system, no separate service to pay for.

  • Works 24/7, including nights and weekends
  • Automatic text to the patient with a booking link
  • Every call becomes a lead, with follow-up
  • Twilio infrastructure in your name: the line is yours
3Automated reconciliation

An agent reconciles insurance payments in your own system

An AI agent, trained for your practice, picks up the checks and remittances (from the clearing house or a designated folder) and goes into your current system, installed on Windows or in the cloud, to reconcile them with the same clicks and typing a person does today.

  • Works inside the system you already use: nothing changes
  • Checks that match are reconciled automatically
  • Checks that don’t match go to a validation folder for a person
  • Hours of repetitive work gone, and insurance kept up to date

Already running at Chiropractic Health Center, inside Atlas Chiropractic System.

And everything else in your practice, in the same dashboard

  • Website with online booking

    Bilingual, fast on mobile and connected to your dashboard.

  • Dashboard with your numbers

    Sales, appointments, Pre-⁠Ops and inventory by location.

  • Pre-⁠Ops

    From your voice to the full package: PDFs, orders, prescriptions and email, with a board for follow-up.

  • Prescriptions

    Knee braces, medications and physical therapy in seconds, printed or by secure email.

  • POS and inventory

    PRP, knee braces and products, with receipts and stock per clinic.

  • Credentials

    Licenses, privileges and contracts up to date, with alerts.

Message me on WhatsApp
Already working

A colleague who already lives it: Lázaro Orthopedics

Dr. Lionel Lázaro, my brother and one of Puerto Rico’s leading orthopedic surgeons, uses this system every day at both of his locations, San Juan and Dorado.

Lázaro OrthopedicsDr. Lionel Lázaro · San Juan · Dorado

What runs today at Lázaro Orthopedics

  • Bilingual website with online booking
  • Missed calls captured with Twilio
  • Voice-driven Pre-⁠Ops: PDFs, orders, prescriptions and email done for you
  • Prescriptions ready in seconds
  • POS and inventory by location
  • Credentials module
Visit lazaroorthopedics.com
Who you work with

Your trusted “AI guy”

Roberto Lázaro Collazo

I’m Roberto Lázaro Collazo. I’ve spent more than 25 years in technology: I started as a COBOL programmer and rose to the top position in my field, Chief Information Officer (CIO). Today I bring AI into medical practices, and you work with me, start to finish. Not a call center, not a faceless corporation.

Track record

  • Led Puerto Rico’s permitting systems
  • Digital records system for the Planning Board (Junta de Planificación)
  • Planning Board geolocator, a joint project with CRIM
  • First version of the Police criminal-records system
  • Database manager at Comcast’s NOC in Atlanta, Georgia

Frequently asked questions

How much does it cost?

Every practice is different: it depends on the modules, your locations and what you already have. We’ll go over it in the meeting, with clear numbers and no surprises.

Do I have to change my EHR?

No. If your cloud EHR or EMR has an API, the system connects to it. And if you use a local Windows system, the agents work inside it just like a person would.

What about my patients’ information?

Everything runs in accounts in your name, and your chief of staff is designed not to send PHI to the cloud. We’ll review compliance details together in the meeting.

What if one day I don’t want to keep working with you?

Everything keeps running. The code is in your GitHub and the services are in your accounts: you own it. I’m here to keep improving it for as long as we work together.

How long until it’s up and running?

It depends on the modules you choose. In the meeting I’ll give you a phased plan, starting with what wins back the most hours and money.

What if I already have a website?

We’ll review it. We can connect your current website to your system or build you a new one, bilingual and with online booking.

Let’s talk

Book a meeting with Roberto

A no-commitment conversation about your practice: where your hours go, where money slips away and which modules make sense for you. You pick the day and time; I’ll fit your schedule.

Fastest

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It goes straight to my phone. The message is already written, just hit send.

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