Automate the Path from Referral to Revenue

The intelligent operational infrastructure for private hospitals and specialist clinics across Ireland and the UK. We unify unstructured intake, eliminate referral erosion, and automate surgical readiness at scale.

A collage featuring a fax document, smartphone screenshot, and medical guidelines, illustrating patient referral processes and data security certifications.

Intelligent Intake Orchestration

Eliminating the operational gap between referral and consultation.

Alto transforms healthcare administration by filling the gap between initial referral and integrating with your EHR.  Alto converts unstructured intake into decision-ready clinical data. Our platform unifies fragmented data silos, freeing your teams to focus on high-stakes patient care.

Why Alto?

Built for Clinical Governance and Hospital Growth

Reduce Administrative OpEx

Automate the 40-minute manual referral process, freeing FTEs to focus on high-value patient coordination instead of data entry and document chasing.

Solve the Data Silo Problem

Ingest and digitise the 80% of healthcare data that remains unstructured—including faxes, PDFs, and emails—into a single source of truth.

Halt Referral Erosion

Identify and capture "leaking" referrals to protect your network’s surgical pipeline and secure revenue integrity.

Standardise Clinical Governance

Utilise our "Assistant + Judge" architecture to ensure every intake decision is auditable, safe, and backed by a transparent evidence trail.

Automated Surgical Readiness

Take the "detective work" out of patient preparation. Alto proactively coordinates the collection of missing scans and patient histories, ensuring your specialists have a complete, decision-ready file before the first appointment begins.

The Assistant + Judge Architecture

Trust is built on transparency. Our dual-layered AI separates execution from verification: the ‘Assistant’ processes the intake tasks, while the ‘Judge’ validates the output against your specific clinical protocols. This provides the auditable quality assurance required for enterprise-grade clinical governance.

Designed for the Realities of Modern Medicine

While clinical technology has advanced, the administrative infrastructure supporting it remains fractured. Our founders saw firsthand how clinicians and administrative teams were being buried under a mountain of unstructured data and manual paperwork.

Enterprise-Grade Governance

Alto is a CE Class I Medical Device built on FHIR-based standards for seamless interoperability with EHR systems like Meditech, System C and Dedalus. We are fully compliant with GDPR and Cyber Essentials Plus, meeting the rigorous data security requirements of modern health networks.


Our Story

We didn't build Alto to disrupt the patient-doctor relationship; we built it to protect it. By creating a regulated, intelligent infrastructure to manage the "messy front door and pre-visit period" of healthcare, we allow doctors to be doctors and administrative staff to become high-value patient coordinators. Based in Ireland and serving the UK and European markets, we are committed to building the operational backbone of the world's leading health networks.

Automate Your Workflow, End-to-End

A referral letter on the left side and a digital dashboard displaying patient referral data and actions on the right side.

Wrangle, label and triage every referral

Alto labels, tags and categorises each referral. Whether its a new or existing patient, a referral that needs additional information or one ready for triage we make sure it gets handled appropriately. With all referrals from all sources consolidated in one place, you can instantly check referral completeness, category, and triage level, enabling you and your team to act quickly and efficiently.

Flowchart depicting a patient referral process with criteria evaluation and communication steps, including email and SMS notifications.

Onboard patients, automatically

Alto ensures you have the right data at the right time. Upload your clinical guidelines, protocols, SOPs or prioritisation criteria—or use our clinician developed turnkey rules—and Alto automatically generates decision trees to assess your documents. Missing information is flagged immediately, and when everything is complete, you can swiftly triage, schedule, and plan care with ease.

A digital interface displaying a patient referral acceptance, with notes on urgent triage and next appointment steps on a smartphone.

Trust but verify

Alto ensures human oversight where it matters most. You’re in full control by uploading your protocols, determining the rules against which referrals are evaluated. Alto then provides a first-pass recommendation with transparent reasoning and evidence directly drawn from each referral—no black-box results, just a clear, auditable evidence trail.

A referral assessment interface highlighting criteria for emergency, essential, and desirable information regarding persistent dyspepsia.

Streamline patient, team, and referrer communications

Alto requests missing information, facilitates seamless Advice & Guidance, keeps referrers updated with the status of their patients, keeps patients in the loop and gets them fully prepared for clinical review.

Healthcare data security is non-negotiable. Our platform is purpose-built for enterprise-grade security,  GDPR-compliant, and Cyber Essential Plus certified. Your patients’ information is always protected and secure.

Security   

Symbolic badges representing GDPR compliance and Cyber Essentials certification on a blue background with a green checkmark.

Safety & Efficacy

Alto has been certified as a medical device in the EU and UK, necessitating adherence to stringent quality and risk management processes across software development, clinical safety, usability, and security.

Clinical Safety & Governance

Integration & Operations

  • Alto utilises a proprietary "Assistant + Judge" architecture. While the Assistant processes the data, a secondary "Judge" layer validates the output. Furthermore, as a CEClass I Medical Device, Alto is designed to identify and surface high-risk clinical "red flags" for immediate human intervention, ensuring that clinical safety is never compromised by automation.

  • We believe in "Explainable AI." Every recommendation provided by Alto comes with an auditable evidence trail. Clinicians can see exactly which parts of the referral or patient history informed the triage priority or data flag, allowing for total transparency and informed clinical oversight.

  • Alto acts as a support tool, not a replacement for the clinician. By providing a standardised, auditable process for intake, Alto actually helps mitigate risk by ensuring no patient data is overlooked. Ultimate clinical accountability remains with the practitioner, supported by the most robust administrative data available.

  • Alto is built on FHIR-based interoperability standards. We are designed to integrate seamlessly with leading Irish and UK systems, including Meditech, Socrates, and Clanwilliam. Our goal is to enhance your existing technology stack without requiring a "rip and replace" of your current systems.

  • Alto provides end-to-end visibility into your intake pipeline. By digitising and triaging referrals the moment they arrive—regardless of source (Fax, HealthLink, Email)—we ensure patients are scheduled faster and don't "leak" out of your network due to administrative delays or missing documentation.

  • On the contrary, Alto is a "force multiplier" for your team. It automates the repetitive, manual tasks—like data entry and chasing missing scans—allowing your administrative staff to focus on high-value patient coordination and improving the overall patient experience.

Implementation & Security

  • Implementation varies based on the complexity of the network, but our "Plug-and-Play" architecture is designed for rapid deployment. We typically begin with a "Referral Flow Audit" to map your current processes, followed by a phased rollout to ensure minimal disruption to your daily operations.

  • Data security is foundational to our architecture. Alto is fully GDPR and NHS Cyber Essentials compliant. All data is encrypted both in transit and at rest, and we adhere to the highest international standards for healthcare data residency and privacy.