Work
Workers' compensation medicine

The Designated Doctor Agentic System

A Texas designated doctor practice

A designated doctor with 23 years in Texas workers' comp wanted his exam and report workflow off consumer AI tools and onto a system he owns. We built that system around his practice, and built his revenue engine in parallel with it.

23 years

of exams the system was designed around

Built

The problem

Designated doctors examine injured workers and write the reports that decide maximum medical improvement and impairment ratings for the Texas Division of Workers' Compensation. The work is detailed, deadline-driven and full of patient information.

Like a lot of practices, this one had started using consumer AI tools to speed up reports. That saves time, but it puts patient information into tools the practice doesn't control. The doctor's goal was simple: get his time back to grow his own referral channel, without that exposure.

What we built
  • Discovery across the whole exam, report and admin workflow, with the doctor and his long-time assistant
  • A blueprint, v1.0 Final, that acted as the build authority: every agent, input, output and hand-off written down
  • The agent system, fully built, covering the exam, report and admin workflow. The practice owns the system, the data and the workflow, not a SaaS subscription.
  • A Phase 0 dry run that passed before anything touched a live case
  • A revenue engine built in parallel with the agent system, so the time it gives back goes into winning more referrals
Design rules

The rules the system was built to.

01.

The doctor owns the system, the data and the workflow.

02.

Built around the practice's process, not the other way round.

03.

A dry run has to pass before anything goes live.

Have a process eating hours every week?

Book a 30-minute review. We'll tell you straight whether agents, a GTM engine or neither is the right fix.