Now taking projects for Q3 2026

AI workflows that earn their keep.

SimSo is an AI workflow consultancy. We design and ship intelligent systems. Recommendation engines, agent pipelines, decision-support. That fix specific business workflows and pay back in months, not years.

FOCUS AREAS

Healthcare & Life Sciences Independent Practices SMB Operations Decision Support Agent Pipelines
What we do

Four AI roles, one revenue loop.

Most "AI strategy" engagements stop at a deck. We go further: production-ready systems composed from four well-understood roles, working together as a feedback loop that compounds.

01

Clinical & operational reasoner

An LLM that reads context. A patient profile, a customer record, a service ticket. And proposes the next-best action with reasoning, citations, and a confidence signal. The expert reviews; the model proposes.

02

Pattern finder

Classical ML running over your accumulated history. Cluster customers, segment cases, surface the gaps a single transaction can't reveal. Auditable, fast, no API call required.

03

Risk & routing predictor

A lightweight model that decides which cases deserve full LLM attention and which can take the templated path. Keeps inference cost bounded as volume grows.

04

Workflow coordinator

A multi-stage pipeline that closes the loop after the work is done. Parses notes, plans follow-ups, drafts the outbound communication, queues everything for human approval. Nothing sends without a click.

How we work

A method, not a slide deck.

Every SimSo engagement runs the same seven-stage workflow. Each stage produces an artifact you can review. By the end, you have a working system, not just a recommendation.

01

Problem framing

Ask why before how. Narrow the design brief to a specific failure point. The recommendation moment, the renewal moment, the handoff between teams.

02

Evidence gathering

Verifiable data with named sources. Every claim in the business case carries a citation; nothing makes it into the deck that can't be defended in a board meeting.

03

Option generation

Real alternatives, each defensible. We surface the plays your competitors are running and explain why the chosen path beats them under your constraints.

04

Selection & justification

Filter alternatives through explicit criteria. Defensible, compounding, asset-leveraging, executable today. No mystery picks.

05

Economic modeling

Stated investment, stated lift, math shown in plain English. A board reviewer should be able to rerun the numbers themselves and arrive at the same payback.

06

Rollout design

Phased plan with named owners and revocable checkpoints. The board approves a foundation, not an unbroken twelve-month commitment.

07

Demonstration

The unusual part. We don't stop at a plan. We ship working artifacts that prove each claim. A live engine. A real cohort dashboard. A working agent pipeline. Things a reviewer can click through and verify, today.

Selected work

What "shipped" looks like.

Veterinary Decision support Agent pipeline ~21mo payback

PawStyle by MV Clinic. Defending revenue per visit at an independent vet practice.

An AI diagnostic recommendation engine plus a SOAP-note-to-follow-up agent, deployed to recover the 81% of preventive recommendations that were being declined and forgotten. Four production surfaces, one shared data spine, and a documented framework you can click through end-to-end.

+$165K
Year-3 revenue lift
~21mo
Payback
4
Live AI surfaces
PATIENT VISIT
   │
   ▼
[ Risk router ] ─ low ─→ template
   │
   ▼ high
[ Clinical reasoner ] ──→ ranked recs
   │
   ▼
[ Doctor reviews ]
   │
   ▼
[ SOAP note ]
   │
   ▼
[ Coordinator pipeline ]
   parse → plan → draft → queue
   │
   ▼
[ Doctor approves drafts ]
   │
   ▼
[ Pattern finder ]
   weekly cohort retrains router
   ↺ feedback loop
              
Who it's for

Operators who want a working system. Not another deck.

Healthcare & life sciences

Independent practices, specialty clinics, and life-science teams where the next decision point is buried in a clinical note or a lab readout. Decision support that respects clinician judgment.

  • Diagnostic recommendation engines
  • SOAP-note coordinators
  • Compliance-aware drafting

SMB operations

Independent businesses where the leak is the moment between recommendation and action. Declined upsells, dropped renewals, follow-ups that never happen.

  • Recommendation & capture systems
  • Reactivation agents
  • Decision dashboards

Industry-agnostic frameworks

Leadership teams that want the four-role pattern adapted to their domain. We bring the framework; you bring the data and the experts in the loop.

  • Workflow audits
  • Agent architecture design
  • Fractional AI partnership

"Most teams ship an AI strategy. We ship an AI system. The difference shows up on the P&L." SimSo working principle

Start a project

Have a workflow that's leaking value?

Tell us what's broken. If we're a fit, the first conversation is a 30-minute working session, not a sales pitch. You'll leave with at least one specific direction worth trying.