AI and automation for US medical practices

Your EHR keeps the record. We build everything your staff do around it.

The fax pile, the intake forms being retyped, the notes finished at 8pm, the eligibility calls. That's the work we take off your team — and we'll tell you which parts aren't worth automating.

Sound familiar?

The work that fills the day and never shows up in the EHR

  • Someone opens every incoming fax, works out what it is, finds the patient, and retypes the details.
  • Providers finish their notes at the end of the day. Or the next morning.
  • Billing waits on documentation that hasn't been written yet.
  • Eligibility gets checked one patient at a time, by phone or portal.
  • Refill requests sit in an inbox until someone gets to them.
  • Two systems disagree, and nobody notices until a biller is reconciling weeks later.

None of this is a failure of your EHR. It holds the record, and it does that well. The rest was never its job.

What changes

Four parts of the day that stop being manual

Documents arrive already read

A fax comes in and lands in front of your staff classified, with the patient matched and the fields already pulled out. They confirm instead of retype. Referrals, lab reports, prior auth, insurance correspondence.

OCR · Classification · Field extraction · Review queue

Notes are done when the visit ends

The provider talks through the visit and gets back a structured note in your own template, ready to read, correct and sign. Problem lists and suggested codes come from what was actually written — never from what a model inferred.

Live dictation · Templated notes · ICD suggestions

Two systems that stay in agreement

Your staff work in fast screens that don't stall when a vendor API is slow, while the EHR stays the record. When the two drift — and they always do — a scheduled job finds it, not a biller three weeks later.

Webhooks · Identifier mapping · Reconciliation

Billing prep that isn't waiting on anyone

Billing sheets build themselves from the day's appointments with codes attached. Eligibility runs in batches instead of one patient at a time. Claims go into the EHR with a person confirming the submit.

X12 270/271 · CPT / ICD-10 · Claims sync

Where this comes from

Not a prototype. A system people use all day.

A clinical operations platform for a multi-office US practice

Everything above is running in one place — fifteen modules layered on the practice's EHR, covering documents, notes, scheduling, intake, orders, billing, e-prescribing and patient communication. Front desk staff, medical assistants, providers and billers each work their own queues in it.

It has been live for a year and is still being built.

15modules
Multi-officein production
Dailystaff use
1 yearand ongoing

What you can hold us to

Three things we won't cut corners on

A person in front of every AI output

Documents land in a review queue. Notes are signed by the provider. Patient-submitted intake is verified before it touches the chart. Billing submission stays staff-confirmed. In a clinic, a confidently wrong extraction is worse than a blank one — a wrong date of birth on a lab result is worse than no date of birth.

Each system owns its own half

The EHR owns the record. The operations layer owns workflow state. Neither writes into the other's territory, and a scheduled job catches the drift, because webhook-based sync always drifts. Deciding that split late is what turns an integration into a data-cleanup project six months in.

We'll tell you what not to build

Some workflows aren't worth automating — the effort costs more than the time it saves, or the thing that exists already works. Saying so is part of the job. We'd rather scope a smaller project honestly than a larger one you regret.

PHI and security

Patient data stays yours

Everything we build runs in your own cloud account, under your own Business Associate Agreement. We work inside it; we don't host your patient data on our infrastructure.

Your account, your ownershipCloud account, domain, repository and database stay in your name. When the work ends, we're removed and nothing needs handing over.
Access control by actionPermissions cover pages and individual actions, not just screens, checked server-side on every request.
MFA on staff loginsTime-based authenticator codes, with email and SMS fallback for recovery.
Audit loggingWho viewed a record, not only who changed it. With health data, that's the question that gets asked.
Documents behind permission checksFiles are never in a public folder. Access runs through short-lived links generated after a permission check.
Error reporting that scrubs PHIRequest bodies, cookies, auth headers and identifiers are stripped before anything reaches a third-party tool.

We won't call anything HIPAA compliant. Compliance is a property of your whole organisation, not of one piece of software, and no vendor can hand it to you. What we'll do is tell you exactly what's implemented and what isn't, so you can take that to whoever advises you.

Where to start

You don't have to commit to a build

Workflow assessment

We go through how your practice actually runs and write up where the time goes, what can realistically be taken off your staff, what should be left alone, and in what order. You get effort and cost ranges you can budget against — and it stands on its own, whoever builds it.

Fixed price · one to two weeks · stands on its own

Build

We build the pieces you decide are worth it, in your own cloud account, with the source code yours from day one. Phased, so you have something working in front of your staff before you commit to the rest.

Phased · milestone-based · your infrastructure

Get in touch

Tell us what's taking up your staff's day.

Describe the part of the week that frustrates you most — the fax pile, the notes, the eligibility calls, the two systems that never agree. We'll tell you what we think can be fixed and what can't, before anyone talks about scope.

Or email us directly at [email protected].