Botco.ai prioritizes universal access to on-demand support
How the AI chatbot removes barriers to healthcare and community support
Rebecca Clyde, CEO and cofounder of conversational AI chat provider botco.ai, has a clear purpose behind the company’s use of machine learning: making tech accessible to everyone. The company was founded in response to the frustrating and life-endangering appointment-scheduling systems Rebecca encountered when seeking medical care for her daughter: “Every time I would call to schedule appointments, I would be placed on hold for long periods of time, and then the pitch boards would time out, and I would be hung up on.” When Rebecca’s daughter had to be hospitalized due to systemic failures that seemed avoidable to Rebecca—the former cofounder of Ideas Collide and co-managing director of Girls in Tech, Phoenix, knew too much about addressing problems with tech to let this critical pain point slide. She tells us, “It just seemed so wrong that we create these bottlenecks. There's more people trying to call for these healthcare and medical appointments than there are people who will answer the phones, and yet no technology was being used to really open that lane.”
Opportunity met ability when she met her cofounders Anu Shukla and Chris Maeda, who brought extensive experience building AI-led customer engagement software. Chris, who had studied with MIT’s AI lab, proposed facilitating query-led interactions using AI, but the nature of health-related communication that deals with private information presented a major regulatory hurdle to navigate: “It wasn't as easy as spinning up a chat bot overnight, because we had to build it within this very complex ecosystem of enterprise security and healthcare compliance.” They used AI to generate models trained with transcripts from customer conversations that were anonymized to exclude personal data; machine learning helped the Botco.ai team to parse the questions people were asking and what the procedures were for handling those questions. Today, the company has live chat bots in production handling millions of conversations on a regular basis that uses chat data in real-time to build their models.
This process of continuous learning helped Botco.ai to identify the most common skills, tasks, and workflows associated with inquiries, such as pre-treatment insurance visibility: “How much will my insurance pay? How much will I have to pay? That's a very common question that people have struggled to navigate when they're trying to figure out their health care and what right appointment or treatment to schedule. So what we did is we took all of these questions, all of these workflows, and built models that are fine tuned specifically to these verticals that we are serving,” explains Rebecca. Starting with behavioral health, they trained chat bots to handle questions empathetically and respond sensitively based on a patient’s condition, and then recommend next steps such as access to therapy and treatment programs, or insurance-related actions. Rebecca tells us, “the whole idea is to help people feel like they've been taken care of, that they're safe; and that now we've moved them into the next step, they've been able to progress and get closer to that treatment that they were seeking, they can get healthy again. And that's really the goal.”
The next step in accessibility was ensuring that no user was excluded based on economic and linguistic barriers. botco.ai’s aim is to make their products available across multiple languages so every community has access to the right support. Rebecca, a Latinx entrepreneur from an immigrant family, knows first-hand the challenges non-native English speakers have navigating the health system; AI, she says, has made it possible to solve this pain point:
One of the most wonderful things about generative AI is that it has unlocked [tech] from a language standpoint. There are some topics that are very personal that people feel more comfortable discussing in their native language. So having that accessibility improves outcomes for everybody.
Rebecca believes that inclusivity should be part of a company’s mission, and that going out of their way to make a service accessible in someone’s language brings them closer to their users: “It just completely changes the dynamic. It makes people feel more welcome when they see their language represented in these with their provider or whoever they're interacting with.”
The Botco.ai team has been quick to respond to rapid advancements in technology. Rebecca says, “I'm really proud of our team and how we've adjusted ourselves to realizing that this technology is constantly changing, and we're going to need to adopt it at a faster pace.” Rebecca is candid about how hard this is for organizations, and credits being an early stage startup and a small team with being nimble enough to productize and launch new technology. The company has also hit a milestone: a million dollars in ARR and recurring revenue. Rebecca explains why this is so meaningful for a young startup: “That's really important for a startup, because it shows you're now financially viable, you can live out in the world. You're generating enough revenue now that you could foreseeably turn a path to eventual profit. It ‘de-risks’ the business a little bit, and people take us more seriously.”
From organizing data sets to training their models, botco.ai has leveraged a fast-evolving Google tech stack to build its product. “Google is at every touch point of our product,” Rebecca says. “We use Google Sheets for a lot of the tables that we reference in our AI services, and dialogflow and Gemini have helped us solve complex problems that would have previously required more resources. So I don't know where it ends and where it begins.” Lately, botco.ai has been testing Gemini’s ability to build crucial guardrails for patient conversations, such as questions about health insurance plans; “We were pleasantly surprised to see that it could handle that level of complexity and nuance that would have been a lot more difficult in the past.”
Rebecca cites one of the company’s biggest wins as being accepted to the Latino Founders Fund, and speaks to the experience of finding a community of underrepresented founders at a similar stage of business: “It was really cool to meet them, hear their stories, and realize that, okay, I’m not alone in this. There really is a good community for us here.” Mentorship and introductions, she says, have been “significant”, as well as early access to technology such as Gemini and hands-on access to support and expertise.
botco.ai has come a long way from waiting on hold for healthcare—the company’s latest customer is a $2 billion publicly traded company. Rebecca recognizes the company’s achievement: “We’re at the table with big players now. We have state governments, healthcare organizations, and now Fortune 1000 companies using our product.” Her vision for the future of the company is inextricably interwoven with the future of AI; additions to the product include integrating generative AI-powered voice and video chat. She emphasizes the importance of humans and technology working hand-in-hand by using AI to ameliorate human limitations:
In the end, it's all about meeting the customer where they are and giving them the channel they're most comfortable with. It would be undoable without AI.