What Birch AI does

Birch AI, operating as 28labs Inc., is a healthcare AI company that builds voice-enabled AI agents to automate patient communication and administrative workflows for specialty medical practices. The company targets OB/GYN, fertility, behavioral health, family medicine, metabolic/wellness, and dermatology practices, positioning its offering against a projected shortfall of approximately 10 million healthcare workers globally by 2030. Birch operates from offices in San Francisco and New York with engineering operations in Zagreb, Croatia.

The company's core offering is its VoiceAI platform, powered by NG-3, a proprietary healthcare-native large language model built on a Transformer architecture with a sparse mixture-of-experts design and a 1 million token context window. NG-3 is trained through a multi-stage pipeline covering medical knowledge foundation, workflow learning, empathy and communication training, and safety alignment via RLHF. The platform delivers native speech-to-speech voice processing with sub-second response times across voice, SMS, email, and chat channels, and integrates natively with EHR, practice management, CRM, calendar, and billing systems without requiring IT setup. Birch maintains HIPAA, SOC 2 Type II, ISO 27001, ISO 42001, and GDPR certifications, with PCI-DSS-compliant payments via Stripe and infrastructure hosted across AWS and Google Cloud Platform.

Birch operates an enterprise B2B SaaS model with subscription-based recurring revenue, priced on a quote basis for mid-market to enterprise healthcare practices. The go-to-market combines a demo-driven direct sales motion through account directors with a self-serve platform option for smaller accounts. Documented scale metrics include 300,000+ daily conversations across the customer base and a catalog of case studies and testimonials spanning multiple specialties, with reported outcome metrics such as 90% reduction in time on calls, 40% reduction in staff workload, up to $50K/week in recovered missed-appointment revenue, and 35% patient capacity increase without additional staff. Only one named leader — Alex Vidovich, CTO and Founder — is disclosed in the available data.

Name

Birch AI

Legal name

28labs Inc.

Website

https://getbirch.com

Company type

Private

Founded year

2022

Operating status

Operating

Headcount range

1–10 employees

Short description

Birch AI operates a voice-enabled AI agent platform, powered by its proprietary NG-3 healthcare-native LLM, that automates patient communication and administrative workflows for specialty medical practices including OB/GYN, fertility, behavioral health, family medicine, metabolic, and dermatology clinics.

Ownership category

akta.pro rank

Product category

Healthcare AI Patient Communication Software

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821), Computer Systems Design and Related Services (54151), Telephone Call Centers (56142)

SIC

Services-Prepackaged Software (7372), Services-Computer Integrated Systems Design (7373), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Conversational AI Platforms (chat/voice bots, orchestration) (HDAAAFAC)

akta.pro secondary industries

Contact Center (CCaaS) & Customer Engagement Voice (HDAIAHAF), Virtual Nursing, Telemonitoring & Command Center Platforms (HLACAFAH)

Keywords

• Healthcare voice AI
• Patient communication automation
• Clinical workflow automation
• Healthcare-native LLM
• AI agent platform

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Marketing or Sales, Infrastructure, Operations

Revenue model

1. SaaS Subscription - VoiceAI Platform: Birch AI generates revenue through recurring SaaS subscriptions for its VoiceAI platform. Healthcare practices pay for AI-powered patient communication services including call handling, scheduling, billing support, and multi-channel patient engagement. The platform is priced as a subscription with no IT setup required and integrates seamlessly with existing EHR and practice management systems.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

Birch AI develops and sells a healthcare-specialized VoiceAI platform that automates patient communication across voice, text, email, and chat for specialty clinics. Powered by its proprietary NG-3 healthcare-native large language model, the platform handles scheduling, intake, billing, prior authorizations, refills, and follow-ups 24/7/365 while integrating natively with EHR, practice management, CRM, and billing systems without IT setup.

Product overview

Birch AI offers a unified VoiceAI platform for healthcare patient communication, consisting of a core AI agent powered by the proprietary NG-3 large language model, supplemented by six specialty-specific modules targeting OB/GYN, Fertility, Behavioral Health, Family Medicine, Metabolic & Wellness, and Dermatology practices. The platform handles patient calls, texts, chats, and emails 24/7 across voice, text, email, and chat channels, automating scheduling, billing, intake, prior authorizations, and care coordination workflows. NG-3 serves as the foundational AI technology underlying the entire Birch platform, enabling autonomous multi-step workflow execution with 99%+ clinical term recognition and 96% user satisfaction. The platform integrates natively with EHR systems, Practice Management Systems, CRM platforms, and billing systems to deliver seamless automation. A case studies section documents implementation outcomes across multiple healthcare settings.

Differentiator

Problem solved

Functional benefit

Products and services

• Birch VoiceAI Platform for Healthcare The primary AI-powered patient communication platform for healthcare practices. Handles inbound and outbound patient communication across voice calls, SMS, web chat, and email, with automated call answering, appointment scheduling and reminders, patient intake, insurance and benefits information, billing support with secure payment links, prescription refill routing, native EHR/PMS/CRM integration, and escalation to human staff. Powered by NG-3 healthcare-native AI technology.

Quantifiable outcome

• 90% average reduction in time spent on calls
• +11 more outcomes

Named customers9 records

Segments6 records

Ideal customer profiles1 record

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration9 records

AI capability11 records

Feature6 records

Partnerships

Two partnerships are on record, tiered core.

• Amazon Web Services (AWS)coreTechnology or IntegrationCloud infrastructure and storage provider. AWS hosts Birch's infrastructure including data storage and processing capabilities. Part of standard data processing agreement as sub-processor.
• Google Cloud PlatformcoreTechnology or IntegrationAI/ML processing services provider. Google Cloud Platform handles AI and machine learning processing for NG-3 model inference and training workloads.

Scale indicators11 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Assort Health: Assort Health builds voice AI agents specifically for healthcare practices to handle patient calls, scheduling, and triage. It is the closest direct competitor to Birch, targeting the same specialty-clinic buyer with a similar AI-powered patient communication product.
• Hippocratic AI: Hippocratic AI develops healthcare-focused LLM-based agents for clinical and non-clinical workflows. It is a direct competitor in the healthcare-native LLM space, with a similar focus on safety and domain specialization for medical conversations.
• Suki AI: Suki provides AI voice assistants for clinicians that automate documentation, orders, and patient communication. It competes with Birch for healthcare AI budgets at specialty practices and shares a similar enterprise B2B GTM.
• Ambience Healthcare: Ambience Healthcare builds AI medical scribes and ambient clinical intelligence for healthcare systems. It overlaps with Birch in healthcare AI workflows and competes for similar clinician and practice administrator budgets.
• Infinitus Systems: Infinitus automates phone-based patient communication and prior authorization workflows for healthcare providers using voice AI. It directly competes with Birch in automating administrative phone calls at specialty practices and health systems.
• Hyro AI: Hyro AI provides conversational AI agents for healthcare including call center automation, scheduling, and patient engagement. It is a direct competitor in voice AI for healthcare patient communication.

Broad incumbents

• Abridge: Abridge is a healthcare AI company that converts patient-clinician conversations into structured clinical notes and is expanding into multi-modal healthcare AI workflows. It is a well-funded competitor with broader enterprise penetration and overlapping clinical communication use cases.
• Microsoft DAX (Nuance): Microsoft DAX (acquired via Nuance) provides ambient AI for clinical documentation and increasingly patient communication. It is a broad incumbent with deep Epic/EHR integration and entrenched enterprise relationships that could compete with Birch for healthcare AI workflows.

Emerging players

• Nabla: Nabla offers an AI copilot for clinicians that generates clinical notes and supports workflow automation. It is an emerging player in healthcare AI with overlapping specialty-clinic use cases and a similar conversational AI foundation.
• Decagon: Decagon builds AI agent platforms for enterprise customer support with expanding healthcare exposure. It is an emerging player whose conversational AI platform could overlap with Birch's voice agent capabilities in healthcare.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

Compliance6 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Birch AI