How to Automate Renvio

The chair is booked for years, not for an hour

Renvio is the cloud EMR and billing platform for dialysis clinics, formed when Renesan and Visonex, two long-standing names in dialysis software, joined forces under one brand. The people in it are nurses, patient care technicians, dietitians, social workers, billers and a medical director.

A dialysis clinic is unlike almost any other outpatient setting, because its patients never really leave. Someone on in-centre haemodialysis arrives three times a week, sits in the same chair for four hours, and does that for years. Twelve hours a week in the building is more contact than a primary care patient gets in a decade.

The clinic is also a capacity business. A fixed number of stations each run two or three shifts a day, so every patient occupies a named chair on a named shift. Fill the chairs and the month works. Leave one empty and nothing refills it, because the patient who might have taken it is already sitting in their own.

An empty chair is decided somewhere else

The record is complete for the four hours a patient is on the machine. It says little about the twenty hours after they leave, and almost nothing about why they might not arrive at all.

Dialysis patients are hospitalised often, and an admission is the commonest reason a chair sits empty. The hospital knows at two in the morning. The clinic finds out when the van has nobody to collect. An emergency visit is the same story a shift later.

Transport is its own problem. Many patients reach treatment on non-emergency medical transport booked through a broker, and the booking lives on the broker's website, not in the clinic's schedule. A ride nobody confirmed becomes a missed treatment nothing in the chart could have predicted.

Then the reporting. Facility quality measures go to a federal submission system on a fixed calendar. Monthly panels are run by a reference laboratory with its own results portal. Payers keep eligibility on their own sites, and the nephrologist's practice runs on software the unit does not use.

Renvio

A missed treatment explained before the van leaves Overnight hospital admissions and emergency visits matched against today's chair list, so an absence has a reason attached to it by six.

Rides confirmed the evening before Every chair on tomorrow's list checked for a booked ride on the broker's site, so the one nobody arranged gets sorted tonight.

Labs read as a direction, not a number Monthly panels collected from the reference laboratory as they result and set against the previous two months for every patient on the floor.

Renvio holds the run, the lab and the claim in one record

Inside its own walls Renvio fits the work closely, and a clinic should push it as far as it will go.

Kidney Care Cloud is the platform and Dialysis Manager the EMR inside it: dialysis-specific documentation built around haemodialysis and peritoneal dialysis rather than general medicine, and a unified patient view putting labs, medications, prescriptions and treatment history on one screen. Clinical documentation flows into the billing workflow instead of being re-entered, and remote patient monitoring brings data from outside the clinic into the same record. Billing Manager submits, resubmits and scrubs claims, runs automatic insurance verification at every month and admit, and handles statements, remittances and AR reporting, working with Waystar and Availity. The analytical data warehouse holds the predictive work, surfacing patient risk and trends earlier along with what drives each signal.

The condition on all of it is the same. It reasons over what reached the record. A hospital's admission list has not. Neither has the transport broker's booking page, the reference laboratory's portal, or the federal quality submission site.

The reason a chair sits empty is knowable by six

Almost everything the floor gets surprised by was written down somewhere overnight.

Admissions and emergency visits read each morning against today's chair list, so a patient who is not coming is known to be in hospital before the van is dispatched and before a nurse spends twenty minutes on the phone. Tomorrow's transport bookings checked on the broker's own site against tomorrow's schedule, so the ride nobody made surfaces the night before instead of on the morning it is needed.

Monthly panels collected from the reference laboratory as they result and set against the previous two, so a falling haemoglobin or a drifting phosphate reads as a direction rather than a number on a page. The federal quality submission portal read against what the clinic still has outstanding, weeks before the window closes. Eligibility confirmed for visiting patients before a chair is promised to somebody who cannot be billed for.

A dialysis unit fixes this boundary and nothing overrides it. Unattended covers the reading of those sites, the comparison against last month, and the flag it raises. Anything that changes a treatment record, alters a prescription, files a claim or reaches a patient is prepared and waits for a qualified person to check it.

Somebody opens all of those sites already

They do it between rounds with a phone in one hand, and after the van has already left. The work is not difficult. It is badly timed.

WebRun is an AI agent that drives a real Chrome browser, signed in the way your staff sign in. It opens the hospital's system, the transport broker's page, the laboratory's portal or a payer's site, reads what is there, and returns one list against today's shifts with the exceptions at the top.

It runs on your schedule inside your own private environment, sessions are not shared between tools, and a workflow can be restricted to a named list of domains. You can watch a run and stop it at any point.

Below, every workflow shows its sites and its schedule before you switch it on.