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Healthcare
Craft New Software
AI

AI MODERNIZATION

Faster Compliance Checks with AI-Powered Call Analysis

90% reduction in compliance review time, with automation that checks 4,000+ calls a month.

INDUSTRY

Medicare compliance SaaS (Healthcare)

Service

Craft New Software

Engagement

90 days to launch

Team

Lean team of 3

ON THIS PAGE

    The Outcome – Potential Impact

    What this could reach once it ships

    90

    Days from idea to product launch

    4000+

    Calls processed monthly

    7

    Months to a path to profitability

    Every sales call to a senior had to be checked by hand

    Medicare Advantage agencies must make sure their agents’ sales calls follow strict regulations. When seniors (65+) call to enroll in a plan, the conversation has to follow specific rules that protect this vulnerable group. The rules also change by jurisdiction and product, which makes reviewing recorded calls very labor-intensive.

    The traditional compliance process was manual and slow:

    • Compliance officers personally reviewed each recorded call
    • They checked every call against a list of required disclosures and protocols
    • Calls often ran 1–2 hours, so each review took a long time
    • Manual review capped how many calls could be checked
    • Agencies had no scalable way to monitor agent performance


    Our client set out to help Medicare Advantage agencies thrive in this complex regulatory environment, and came to us with a vision: automate compliance and quality analysis with AI.


    Transcribe, score, verify

    The industry needed a tool that could analyze every conversation, verify compliance, score each call objectively, surface coaching insights and scale with call volume. We built it on Incubyte’s deploy-readyAI framework.

    01

    A solid technical foundation

    We built the web app with Ruby on Rails and React, hosted on AWS, so call recordings, transcription and scoring could scale reliably.

    02

    Accurate transcription

    The AI framework uses Deepgram’s speech-to-text to transcribe each recording and build the dataset for analysis.

    03

    Consistent scoring

    We defined a fixed set of question categories that every transcript is evaluated against, so scoring stays consistent and relevant.

    04

    AI response categorization

    A tailored prompt gives Anthropic’s Claude clear instructions and context to analyze and categorize each response.

    05

    Verified results

    AI responses are checked against predefined logic and business rules, then shown as clear, actionable scores in the UI.

    06

    Lower running costs

    We replaced AWS Transfer Family with an open-source SFTP server on AWS, cutting the processing cost of incoming data from $250 to $5

    A lean team, a profitable product

    A team of three, working test-first with a quality-first mindset, delivered a high-quality product on time. The client was on a path to profitability within 7 months.
    • Infrastructure costs down 60%, from $500 to $200 a month, with simpler deployments.
    • 4 months from project start to onboarding the first customer.
    • Client onboarding in hours.
    • 4,000+ calls processed monthly, with headroom to scale to 30,000.
    What began as a tool for insurance is now a platform that can analyze sales calls, customer support and other regulated conversations across industries.

    Tech

    Ruby on Rails
    React
    AWS
    Deepgram
    Anthropic Claude
    Open-source SFTP
    TDD

    Team

    Akshay Vadher

    Software Craftsperson – Tech Advisor

    Sanket Dhokte

    Technical Product Craftsperson

    Yogendra Jaiswal

    Software Craftsperson


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