a1mobile Voice AI Hackathon 2026

01 / 13

RxRelay

Proof, not promises.

Maya is a consent-first voice coordinator for prescription access — she follows pharmacy, clinic, and insurer handoffs, and refuses to call a case resolved without evidence.

PAVO routing Evidence-gated Consent-first

Problem

02 / 13

The patient becomes the switchboard.

When a prescription stalls, the person who needs it repeats the same story across pharmacy, clinic, and insurer — with no shared state and no owner.

Pharmacy

“We need a prior authorization.”

Clinic

“We sent it — call your insurer.”

Insurer

“Ask the pharmacy for the status.”

Patient

?

calling again

Stakes

03 / 13

LLMs narrate completion.
Access problems need evidence.

Generic voice agent

Conversation ends ⇒ “done”

No shared case. No counterpart proof. Failed calls still sound successful.

What access requires

Consent → coordinate → verify

One owner. Recorded outcomes. Patient update only after the trail is real.

Solution

04 / 13

Maya coordinates status — not medicine.

One consented voice request becomes a case with an owner. She follows the handoffs until the evidence exists.

01

Ask once

Natural speech. Narrow coordination consent — including “help me with my prescription.”

02

Coordinate

Policy permits only non-clinical status follow-up with pharmacy or clinic.

03

Prove

Case stays open until counterpart outcome and consented patient update are recorded.

Proof gate

05 / 13

Green only when all four proofs arrive.

Activity is not resolution. An LLM never decides the case is closed.

consent∧ permitted action∧ counterpart outcome∧ patient update

00:00

Consent

Scoped yes on the record

00:20

Pharmacy

Blocker: prior auth

00:45

Clinic

Follow-up submitted

01:10

Verify

Ready for pickup

01:22

Update

Consented SMS sent

Demo

06 / 13

Sandbox E2E. Live inbound when ready.

Proof board · :3000

npm run dev

Walk consent → pharmacy blocker → clinic → ready → SMS. Watch the 4/4 gate and live SSE.

Maya · TeXML · :3001

npm run voice

Tunnel, point the number, speak naturally. Consent → PAVO tier → case transitions on the same gate.

Safe branch → green Unsafe → human queue Call the claimed number

PAVO

07 / 13

Upgrade the pipeline — not just the model.

A stronger LLM cannot repair a misheard authorization number. When audio gets risky, upgrade capture and reasoning together.

Fast

Greetings · yes / no

Compact reasoning on clean turns

Balanced

Routine coordination

Reliable speech → tool calls

Verified

Names · dates · prior auth

Speech + DTMF · strong model

Safe stop

Clinical / unsafe

No action → human queue

Moat

08 / 13

Useful inside the boundary. Humble outside it.

Can do

Record scoped coordination consent
Check non-clinical status
Document counterpart outcomes
Send consented patient updates

Will not

Clinical advice or dosing
Change or transfer prescriptions
Disclose controlled inventory
Contact unconsented recipients

Defensibility

Hash-chained signed receipts
Counterpart attestation portal
Live outbound fails closed
Proof flags never set by model text

Architecture

09 / 13

Voice blast radius. Dashboard stays local.

LLM proposes language. Deterministic policy + evidence decide what may happen.

Edge Caller + TeXML OTP · Cloudflare → :3001 only

Voice Maya · voice-server Consent · safe stop · three routes

Core PAVO + CaseStore 4/4 gate · shared JSON

Ops Proof board :3000 Portal · receipts · MCP

Live Fail closed Sandbox default · OTP allowlist

Market

10 / 13

Own the evidence-gated access workflow.

TAM

~$0.5–2.1B

AI voice agents in healthcare (2025)

Conservative band ~$472M–$651M · broader defs ~$2.1B · CAGRs often 18–38% into the 2030s

SAM · pain pool

~$93B

Annual cost of navigating utilization management / PA

Health Affairs all-party · CAQH ~$89B admin transactions · PA among the costliest manual workflows

SOM · beachhead

Specialty access

Hubs that already buy telephony — priced per resolved case

Year-1: specialty pharmacies · patient-support hubs · digital pharmacies · health-system Rx access teams

Sources: Towards Healthcare / Research Intelo · Healthcare Foresights · Health Affairs · CAQH Index 2023. Directional third-party estimates — not audited financials.

Business

11 / 13

Charge for verified outcomes.

Who buys

Specialty pharmacies, patient hubs, digital pharmacies, health-system Rx access teams.

How priced

Per resolved case / seat — aligned to the 4/4 gate, not per minute of chat.

Why now

Voice AI is shipping; compliance still needs receipts. Proof-gated coordination is the missing layer.

Why a1mobile / Catalyst

12 / 13

Evidence culture. Your network. Open research.

Evidence

Proof gates, signed receipts, honest completion — Groundtruth / Observatory discipline.

a1 network

TeXML voice, OTP SMS, number verify — load-bearing telco primitives, not mocks.

PAVO

Peer-reviewed routing paper + pavo-bench — shipped alongside the product.

Ask

13 / 13

A prescription should not fail because coordination did.

RxRelay turns a consented call into a verifiable outcome.

vnmoorthy.github.io/rxrelay github.com/vnmoorthy/rxrelay openreview.net/forum?id=zrneoIxlFx · PAVO Next: live OTP SMS · production tunnel · specialty access pilots

Try the proof board Call Maya Read the receipts

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