See the whole practice.
We learn the people, workflow, systems, and the pressure points hiding in plain sight.
Start with a conversation
Tell us what’s getting in the way. We’ll talk through it together, with no decision to make during the call.
Who you’ll work with

Founder, OperationsDx
Before OperationsDx, I spent more than eight years as an operations manager at one of Best Buy’s busiest stores. A personal referral brought me into my first medical practice with a specific assignment: fix the phones.
Medical practices were new to me, so I started by digging into the work and learning where things were getting stuck. The phone problem turned out to be part of something much larger. The team was stretched thin, and there was no consistent structure for tracking tasks, responsibilities, or orders.
My first priority was to stabilize the day-to-day operation. Then I worked on giving the team a clearer way to organize and follow through on the work. That included cleaning up equipment and order tracking, and making better use of the tools and referrals the practice already had.
That experience shaped OperationsDx. I work on the business side of a practice: the people, processes, and follow-through that help the team keep things moving.
My approach is straightforward: stabilize first, build second, grow third. Address the immediate problems. Build a structure the team can use every day. Then make room for growth on a stronger foundation.

Co-founder and Director of Business Development
Alejandro Uriarte is a healthcare operations professional and doctor with extensive experience supporting medical practices and clinics in optimizing their administrative, operational, and patient management processes. With a strong understanding of the healthcare industry, he specializes in developing efficient workflows, strengthening operational systems, and implementing practical solutions that enhance productivity and support sustainable business growth.
His expertise spans medical practice management, phone system administration, customer service, referral coordination, provider credentialing, and medical billing. By combining operational oversight with a detail-oriented and solutions-driven approach, Alejandro helps healthcare organizations improve coordination, streamline processes, and maximize operational performance.
His mission is to empower healthcare practices with the structure, systems, and operational support they need to function more efficiently, scale confidently, and deliver an exceptional experience for both patients and providers.
Name coming soon
Real practice numbers
More real practice numbers are on the way.
The business side of independent medicine
OperationsDx helps independent practices find what is being missed, fix what is slowing the office down, and protect the money they have already earned.
From the first patient call to the work behind getting paid, we take responsibility for the business side of your practice. We organize the work, lead the team, and follow through. Your staff has someone to turn to besides you.
The hidden second job
The missed call. The denial nobody appealed. The credential that expired. The employee file nobody finished.
None of it is clinical. All of it still follows you home.
You want to see your patients, finish your notes, and go home knowing the office is being handled. Your staff needs support. You have plans for the practice. Making all of that happen has become another job alongside medicine.
We’re here to take on that job—with the attention and follow-through it needs.
Calls, referrals, and cancellations turn into open space.
Fees, reductions, denials, and aging quietly become normal.
Good people work hard without one system owning the whole flow.
Start with the Practice Dx
Three focused weeks to see how the business side really runs. You get a plain Treatment Plan: what works, what does not, what it costs, and what should happen next.
Over three weeks, we examine how the business side of your practice actually works. We review the records, work with your team, and investigate the gaps—connecting what happens in the office with what shows up in the numbers.
We bring that work together in a detailed, written Treatment Plan. It explains what we found, the evidence behind it, what it means for your practice, and potential ways to address it. What’s working gets documented, too.
The plan is yours. Use it to guide your own team, work with us, or bring in someone else.
See if a Practice Dx fitsWe learn the people, workflow, systems, and the pressure points hiding in plain sight.
Phones, paperwork, credentials, denials, aging, payments, and what falls between systems.
Every finding is organized, explained, and tied to a next step, with the why attached.
The practice, after the Dx
You became a doctor to care for patients.
Let’s make room for that again.
The work around the work.
Film is an illustrative dramatization.
The work began on September 15 with an assignment to fix the phones. Looking across the office revealed a broader problem: the team was stretched thin, and tasks and orders lacked a clear system for tracking what needed to happen next.
We started by finding where work was getting stuck and bringing structure to the day-to-day operation.
We organized task and order tracking and cleaned up the medical equipment process so patient care could keep moving.
When a new doctor started on December 1, we made better use of the tools and referrals the practice already had to help build the schedule.
After the Dx
Putting the plan to work
Choose one or all four. Each service is built from what the Practice Dx found and run by people trained for your office.
We use the Treatment Plan to organize the work around what your practice needs. We lead the people doing it, follow up on what’s unresolved, and keep you informed—so you know what’s being handled and what needs your attention.
Your in-office staff can focus on the patients who are there. Our team handles the calls, follow-up, paperwork, and insurance work that would otherwise compete for their attention. We work together, with clear responsibilities and someone leading the work.
Front office
Calls answered, messages returned, intake completed, schedules protected.
When patients call, they need more than someone to take a message. Our team helps with appointments, follows up on referrals, and answers the questions we can about paperwork, billing, and where things stand. When a question needs someone else, we get it to the right person and follow up—giving your in-office staff time to help the patients in front of them.
Paper flow
Records, faxes, referrals, authorizations, and every document behind the visit.
Patient care depends on paperwork reaching the right people with the information they need. Our team reviews incoming records and requests, tracks what’s ready and what’s missing, and follows each item through the process. We keep unfinished work in view and follow up on the details that could hold up care or payment.
Money flow
Denials, appeals, aged accounts, underpayments, and the work your biller missed.
You deserve to be paid for the care you provide. Insurance companies can reduce a payment in ways that aren’t obvious—and those reductions can go unchallenged for years. We investigate what was deducted and why, challenge underpayments, and pursue the follow-through each claim needs. Fixing one issue doesn’t end the work. We keep examining payments and taking up new problems with the insurance companies involved.
People and compliance
Hiring, onboarding, credentials, training, and the records that keep you ready.
Every insurance company has its own requirements for enrolling providers and approving changes. We manage the credentialing process and contract renegotiations, working through those requirements and following up with each company. Alongside that work, we coordinate the compliance requirements your practice needs to meet, so you aren’t left navigating the process between patients.
What you can hold us to
An honest look at your practice
You deserve a clear explanation of what’s working, what needs attention, and what the evidence supports. We explain it in plain English, including what we haven’t established yet. We won’t make a problem sound bigger to make our work sound more valuable.
If the first week shows that your practice needs less help than we expected, we’ll pause and talk with you. You can choose a refund or have us continue the assessment and document our findings.
We charge a set fee, not a percentage of your collections. We do the work in the order your practice needs it, with the time and attention to do it properly. As your practice grows, our support grows with it. Pricing follows clear tiers agreed in advance, so you know when a fee change would apply.
If we cannot show where a finding came from, it does not belong in the plan.
Your fee is known before the work begins. It never rises with collections or volume.
Clinical decisions stay with the doctor. The non-clinical operation comes to us.
No access to practice systems before the right privacy agreement is signed.
The first conversation is just a conversation
Let’s talk about your practice
Tell us a little about the office. A person will reply. No pressure, no clinical information, no commitment.
Tell us what brought you here. We’ll talk through what you need and whether a Practice Dx would be useful.
Talk with usStart with a conversation