How Dicyd Works
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How Dicyd Works
Decide Before You Schedule
Dicyd is a pre-visit decision layer that sits in front of scheduling, EHR, and billing systems. Its job is simple and strict: decide whether an appointment should exist, before staff time and revenue are at risk.
Traditional scheduling systems wait until after appointments are booked to detect problems. Dicyd flips that model entirely, creating a protective barrier that ensures only revenue-ready appointments move forward into your clinic's workflow.
The Problem With Traditional Scheduling
Detection Happens Too Late
Most clinic systems detect problems after an appointment is booked. By then, the damage is already done.
Staff time has been spent coordinating the visit. Schedules have been disrupted to accommodate the patient. Unpaid care becomes nearly impossible to prevent once someone is sitting in your waiting room.
Dicyd flips the model. It decides before appointments exist, protecting your clinic's resources and revenue from the very first interaction.
Traditional Approach
Book first, fix problems later
  • Staff time already spent
  • Schedule already disrupted
  • Revenue already at risk
Dicyd Approach
Decide first, book only what's ready
  • Problems caught upstream
  • Resources protected
  • Revenue secured before scheduling
What Dicyd Decides
Three Possible Outcomes
Every appointment request that enters Dicyd resolves to one of three clearly defined outcomes. This deterministic approach eliminates ambiguity and ensures consistent decision-making across your entire organization.
Revenue-Ready
All requirements verified. Insurance confirmed. Authorizations in place. Ready to schedule immediately.
Needs Human Review
Missing information or edge case detected. Staff receives clear task with specific guidance on what to resolve.
Blocked
Critical requirements not met. Appointment prevented before any cost is incurred or staff time allocated.

Only clean, payable appointments move forward. Everything else is handled before cost is incurred, protecting your clinic's time and revenue at the earliest possible moment.
Step 1: Intercept
Intercept Appointment Requests
Dicyd operates at the very front of your patient intake process, intercepting appointment intent before it reaches your scheduling system. This upstream positioning is what makes pre-visit decisions possible.
Multiple Entry Points
Dicyd captures appointment requests from diverse sources:
  • White-label intake pages embedded on your website
  • SMS conversations with patients
  • Web chat interactions
  • API submissions from partner platforms
No scheduler or EHR integration is required to start. Dicyd operates upstream, creating a decision checkpoint before appointments exist in your core systems.
"The power of interception is that we catch issues when they're still requests, not commitments. That's when you have maximum flexibility and minimum cost."
Step 2: Create a Case
Every Request Becomes a Case
System of Record
Each appointment request becomes a case, a structured container that holds all evidence, decisions, and communications related to that specific appointment.
Complete Audit Trail
Cases maintain a chronological record of every action taken, every piece of evidence collected, and every decision made.
Task Management
When staff involvement is needed, cases generate specific, actionable tasks rather than vague requests buried in email.
Message Threading
All patient communications remain attached to the case, eliminating information silos and reducing coordination overhead.
Nothing is processed informally or lost in inboxes. Every appointment request receives the same rigorous, documented evaluation process, ensuring consistency and accountability across your entire operation.
Step 3: Collect Evidence
Evidence, Not Guesswork
Dicyd makes decisions based on verifiable evidence, not assumptions or incomplete information. This evidence-driven approach ensures that every decision can be explained, defended, and audited.
Intake Responses
Patient-provided information from structured intake forms
Insurance Details
Payer identification, policy numbers, coverage verification
Referral Indicators
Referring provider information and referral documentation
Authorization Data
Prior authorization status and approval numbers
Message Content
SMS or chat conversations with relevant appointment details
Staff Notes
Manually entered observations and clarifications
Evidence Integrity
Each piece of evidence is:
  • Timestamped with exact collection time
  • Source-tagged to show origin
  • Persisted for long-term auditability

Evidence is accumulated, never overwritten. Dicyd maintains a complete historical record, allowing you to see exactly what information was available at the time each decision was made.
Step 4: Deterministic Evaluation
A Deterministic Decision Engine
Dicyd evaluates cases using a fixed evaluator chain. This is not AI guessing and not ad-hoc automation. It's a carefully sequenced decision process that applies consistent business logic to every appointment request.
The Evaluation Sequence
Evaluators run in strict order, with each one either advancing the case to the next stage or producing a definitive decision that determines the appointment's fate.
01
Escalation Detection
Identifies urgent cases requiring immediate staff attention based on keywords, patient history, or specific flags
02
Intake Completeness
Verifies all required patient information has been collected before proceeding with deeper evaluation
03
Payer Evaluation
Confirms insurance coverage, validates policy status, and checks for known payer-specific requirements
04
Referral Evaluation
Determines if a referral is required for the service type and payer, and verifies referral documentation if needed
05
Authorization Evaluation
Checks prior authorization requirements and validates existing authorizations against the requested service
Each evaluator either advances the case or produces a definitive decision. There are no ambiguous outcomes, no silent failures, and no cases that fall through the cracks.
Step 5: State-Driven Logic
A State Machine, Not Conditional Logic
Dicyd is a state-machine-driven system, which means each case is always in one clearly defined state. This architectural choice eliminates the complexity and unpredictability of traditional conditional logic.
There are no nested if-then-else statements, no hidden pathways, and no ambiguous transitions. Every case moves through a well-defined progression of states, with each transition explicitly triggered and thoroughly documented.
Why State Machines Matter
  • Behavior is predictable and testable
  • Edge cases are designed in, not discovered later
  • System state is always knowable
  • Debugging is straightforward
Example States
Intake Incomplete
Waiting for required patient information
Payer Review
Evaluating insurance coverage and requirements
Referral Required
Awaiting referral documentation
Authorization Review
Checking prior authorization status
Revenue-Ready
All requirements met, ready to schedule

State transitions are explicit, guard-railed, and recorded as decision events. There are no silent jumps. Every movement from one state to another leaves a permanent record that explains exactly why the transition occurred.
Step 6: Clear Outcomes
What Happens After the Decision
Once Dicyd completes its evaluation, the case resolves to one of three concrete outcomes. Each outcome triggers specific, automated actions that keep your workflow moving efficiently.
Revenue-Ready
All requirements satisfied. Insurance verified. Authorizations confirmed. The appointment is cleared for scheduling.
What Happens Next:
  • Appointment handoff to scheduling system allowed
  • Booking links can be sent automatically or manually
  • Patient receives confirmation and instructions
  • Case marked as successfully processed
Needs Review
Missing information or edge case detected. Human judgment required to resolve the specific issue.
What Happens Next:
  • Task created with clear reason and context
  • Staff know exactly what information to collect
  • Case remains active until resolved
  • Resolution recorded and auditable
Blocked
Critical requirements not met. Appointment cannot proceed without significant changes or additional information.
What Happens Next:
  • Appointment stopped before unpaid care occurs
  • Patient notified of requirements clearly
  • Staff spared from dealing with unworkable visit
  • Reason for block documented permanently
These outcomes aren't suggestions or recommendations, they're binding decisions that protect your clinic's resources and revenue. The system enforces these decisions automatically, reducing the burden on front-desk staff.
Human-in-the-Loop
Humans Handle Exceptions, Not Everything
Dicyd is designed to reduce unnecessary human decisions, not eliminate human judgment entirely. The goal is to free your staff from routine verification work so they can focus on cases that genuinely require human insight and discretion.
Structured Staff Interaction
Staff interact with Dicyd through purpose-built interfaces, not email inboxes or sticky notes:
  • Task queues with clear priorities and contexts
  • Case timelines showing complete decision history
  • Evidence panels displaying all collected information
  • Manual overrides when rules need exceptions
Task-Based Workflow
When Dicyd needs human input, it creates a specific task with all relevant context. Staff members see exactly what needs to be resolved and why, eliminating guesswork and reducing resolution time.
Complete Visibility
Every case includes a full timeline of events, evidence collection, and decision points. Staff can instantly understand the case history without reading through email threads or tracking down colleagues.
Auditable Overrides
When staff need to override a decision, they can, but the override is recorded with a timestamp, user ID, and reason. This creates accountability while maintaining necessary flexibility.
"Overrides are recorded and auditable. You'll always know who made the decision, when they made it, and why. This protects both your staff and your organization."
Traceability
Every Decision Is Explainable
In healthcare operations, the question "Why did this happen?" comes up constantly. With Dicyd, that question always has a clear, documented answer. Every decision is traceable from outcome back to evidence, rules, and reasoning.
What Gets Recorded
For every decision Dicyd makes, the system permanently records a comprehensive audit trail:
1
The Evidence Used
Every piece of information that informed the decision, including when it was collected and from what source
2
The Rule Set Version
Which specific version of your business rules was in effect at the time, allowing reconstruction of decision logic
3
The Decision Reason
Plain-language explanation of why this particular outcome was chosen over alternatives
4
The Timestamp
Exact date and time the decision was made, enabling temporal analysis and pattern detection
Answering the Critical Question
Clinics using Dicyd can always answer with confidence:
"Why was this appointment approved, routed, or blocked?"
This capability is invaluable for:
  • Internal audits and quality reviews
  • Compliance investigations
  • Staff training and calibration
  • Process improvement initiatives
  • Dispute resolution with patients or payers
Multi-Location by Design
Built for Multi-Location Clinics
Healthcare organizations rarely operate in a single location with uniform rules. Different sites have different payer mixes, different specialties, and different operational constraints. Dicyd is architected from the ground up to handle this complexity elegantly.
Practice-Level Operation
Dicyd operates at the practice level, providing centralized decision infrastructure while allowing location-specific customization. This means one system, one audit trail, one source of truth, with flexibility where you need it.
Organization-Wide Defaults
Establish baseline rules that apply across all locations. These defaults ensure consistency in core policies like payer requirements, referral rules, and authorization checks.
Location-Specific Overrides
Individual locations can override organization defaults when their operational reality demands it. These overrides are explicit, documented, and don't affect other locations.
Centralized Visibility
Leadership sees aggregate data across all locations while retaining the ability to drill down into specific site performance. No more compiling reports from disparate systems.
Role-Based Access
Control who sees what based on their organizational role:
  • Site managers see their location
  • Regional directors see their territory
  • Executive team sees everything
  • Compliance team sees audit trails system-wide

Rules scale without multiplying operational complexity. Adding a new location doesn't mean rebuilding your entire decision infrastructure or training staff on location-specific systems.
Boundaries
What Dicyd Is, and Is Not
Clear boundaries prevent confusion and misaligned expectations. Dicyd solves a specific, high-value problem in the healthcare revenue cycle. Understanding what it does, and what it deliberately doesn't do, is essential.
Dicyd IS
Decision Infrastructure
The authoritative system for determining whether appointments should exist before they're scheduled
Pre-Visit Guardrails
Protection layer that prevents unpaid care and staff waste by deciding upstream
Deterministic & Auditable
Rule-based system with complete traceability, no black-box AI, no unexplainable decisions
Dicyd is NOT
A Chatbot
Not focused on conversational AI or patient engagement for its own sake
A Call Center
Not providing live operators or telephone-based scheduling services
A Scheduler
Not replacing your scheduling system; works upstream to protect it
An EHR
Not managing clinical documentation or medical records
A Billing Platform
Not submitting claims or managing revenue cycle operations post-visit
Dicyd excels at its specific job: deciding which appointments should exist before your staff invests time and before your schedule is committed. It integrates with your existing systems rather than replacing them.
The Result
What Clinics Get
The proof of Dicyd's value shows up in operational metrics and staff experience. Clinics using Dicyd see measurable improvements in the metrics that matter most to healthcare operations leaders.
67%
Reduction in Unpaid Visits
By catching coverage issues before appointments are scheduled
43%
Less Front-Desk Rework
Staff spend time on patients, not chasing missing information
52%
Fewer Last-Minute Cancellations
Requirements clarified upfront mean fewer surprises at check-in
89%
More Predictable Revenue
Scheduled appointments are significantly more likely to generate payment
Prevention, Not Cleanup
The traditional approach to appointment problems is reactive: detect issues after they occur, then scramble to fix them. This creates constant firefighting, staff burnout, and revenue leakage.
Dicyd shifts the paradigm to prevention. By deciding before appointments exist, problems are eliminated rather than managed. Staff experience less stress. Schedules become more reliable. Revenue becomes more predictable.
This is what modern healthcare operations looks like: systematic protection of your most valuable resources through intelligent decision-making at the earliest possible moment.
Get Started
Decide Before You Schedule
Protect Staff Time. Secure Revenue.
If your clinic is tired of fixing problems after patients arrive, Dicyd was built for you. Stop the reactive cycle of detection and cleanup. Start protecting your resources before appointments enter your workflow.
Decide early. Protect staff time. Only schedule what gets paid.
Prevention Over Cleanup
Catch revenue issues before they become scheduled appointments and unpaid care
Staff Efficiency
Free your team from routine verification to focus on complex cases and patient care
Predictable Revenue
Transform your schedule from hopeful to reliable with systematic decision-making
Dicyd integrates with your existing scheduling, EHR, and billing systems. No rip-and-replace required. Start protecting revenue in weeks, not months.
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