Switchboard acts as an intelligent middleware layer between patient communication channels (portal messages, phone calls) and the clinical inbox. Instead of messages landing chronologically in a general pool, the AI analyzes the content to determine intent (e.g., clinical symptom vs. billing question vs. scheduling). It then automatically routes the message to the correct department queue and, for clinical queries, pre-drafts a response or tees up orders for physician review.

Elaborate acts as an automated medical assistant that pre-processes incoming clinical messages before a doctor sees them. Instead of a blank reply box, the clinician opens a message to find a pre-drafted, clinically relevant response such as a normal lab result letter or a prescription refill approval ready for signature. It filters out low-value noise and cues up high-value decisions, effectively allowing the physician to "edit and sign" rather than "read, research, and write."