What Trase Reported About the Duke Health Cardiology Fax Agent

Trase said on 25 June 2026 that it turned on a fax routing agent in Duke Health's Division of Cardiology on a Monday morning in mid-April, with more than 800 faxes waiting, and that the agent had done almost all of them by the end of the day. The company says the division receives 5,000 faxes a month, that inbound fax triage ran 7.1 times faster, that 1,395 hours a month were returned to clinical staff, and that accuracy went from roughly 70 percent before the agent to 98.1 percent after it. Trase says it worked with Dr Manesh Patel, chief of the division, to pick the task, and that more agents are planned for heart failure, hypertension and high cholesterol follow-up.

Why the Trase Duke Health Results Matter to Care Operations Buyers

The honest part of this story is the starting point: hand sorting was running at roughly 70 percent accuracy, so the comparison is not AI against a careful human but AI against a tired one on a Monday. That is where this kind of automation earns its money, and it is also why the benchmark should be audited rather than taken from the vendor. A 98.1 percent routing accuracy still means about 95 misrouted faxes a month at this volume, and a clinic needs a named person to catch those. The chronic condition agents Trase says are next are a much larger step, because follow-up on heart failure is closer to clinical work than sorting paper.

Where the Trase Update Comes From

Trase is the original record behind this update. It tells us what the company published. This brief adds the market context and the method we would use to test the development against other evidence.

Trase original source.

How We Would Research the Trase Duke Health Results

The source gives us the starting point. This is how we would build the next layer of research around it.

  1. We would ask Duke Health, not Trase, how the 70 percent baseline and the 98.1 percent figure were measured and by whom.
  2. Then we would ask what happens to a misrouted fax and who owns the exception queue, because that is the cost the staffing model hides.
  3. We would keep the chronic condition agents in a separate conversation, since an agent that touches heart failure follow-up is a different risk from one that routes paper.