For healthcare practices
Family practices, dental offices, chiro clinics, medspas. Your staff should not spend half their day on paperwork.
We replace 10 to 20 hours of manual work per week in your practice with software you own. Pediatricians, dentists, chiropractors, and medspas. Hosted, monitored, and shipped in 4 weeks.
What we hear
Three moments every practice knows.
Monday morning
Voicemail from Friday is still sitting there. Three patients called about their results. Nobody has the chart pulled.
After every visit
Notes still open. Documentation not done. You are finishing charts at 9pm while tomorrow's schedule is already full.
End of month
Claims came back denied. Insurance verification was missed again. Revenue is stalled and your biller is buried.
What we build
Six things we ship for practices.
Each one is a discrete system you can buy and run independently. You do not need all six.
Patient intake automation
Patients fill out intake on their phone. Staff sees a clean summary before the visit.
Voice AI receptionist
Calls answered 24/7. Appointments booked. No voicemail pile up on Monday.
Clinical note summarization
Visit transcript to structured note in under 60 seconds. Runs locally. PHI never leaves.
Claim denial prediction
Flag denials before they happen. Catch missing modifiers and mismatched codes at submission.
Prior auth workflow
Structured PA requests drafted from the chart. Staff reviews and submits. They do not build from scratch.
Medicare risk adjustment
Identify HCC gaps in the panel. Close them before the RAF score cycle closes.
Data sovereignty
Your patient data stays in your office.
We deploy AI models on your hardware or private VPC. Anthropic, OpenAI, and Azure are available only if you want them, and only after a BAA is signed with the provider. Default configuration: everything runs on your premises.
Ask about on prem AIWhat HIPAA actually requires
What HIPAA compliant AI actually means for your practice.
Most vendors say HIPAA compliant. Few explain what that actually requires you to verify.
A BAA must be signed before any work starts
If a vendor touches PHI and there is no Business Associate Agreement in place, you are exposed. We sign a BAA before we write a single line of code.
AI models that process PHI must not train on your data
Most consumer AI services use your prompts to improve their models. Healthcare AI cannot do that. Our on prem deployments never send patient data to a third party.
Access controls must be role specific
Your front desk does not need to see clinical notes. Your MA does not need billing data. HIPAA requires that access to PHI is scoped to the minimum necessary. We build that in.
Audit logs must capture every PHI access
If a breach happens, you need to know who accessed what and when. Every system we build logs PHI access with timestamp, user, and action.
On prem is not required but it eliminates a whole category of risk
Cloud AI with a proper BAA is HIPAA compliant. On prem AI never sends data anywhere. For practices that want zero ambiguity, local deployment is the right call.
Prior auth automation
How prior auth automation works with your EHR.
The bottleneck is almost never the phone call. It is finding the right codes and criteria before the call. Automation solves that step first.
01
EHR triggers the auth check
When your MA creates an encounter with a procedure that requires prior authorization, the system flags it automatically. CPT code, payer, and insurance plan are pulled from the chart.
02
AI drafts the clinical summary
The AI reads the relevant chart notes and drafts a structured clinical justification matching the payer's criteria. Your MA reviews it, edits if needed, and submits. They do not write it from scratch.
03
Status tracking closes the loop
Authorization numbers, approval dates, and expiration alerts are tracked automatically. No more missed renewals. No more expired auths on a treatment day.
Cloud AI vs on prem AI
An honest comparison for healthcare practices.
Neither is automatically better. The right answer depends on your risk tolerance and your IT setup.
| Factor | Cloud AI (with BAA) | On-prem AI |
|---|---|---|
| PHI leaves the building | Yes, encrypted in transit | Never |
| BAA required | Yes, from the cloud vendor | Only with us |
| Model quality | Highest (GPT-4, Claude) | Very good (Llama 3, Mistral) |
| Setup complexity | Low | Medium (we handle it) |
| Monthly cost | Per token usage | Hardware only, no API fees |
| Internet dependency | Yes | None |
| Audit trail ownership | Shared with vendor | Fully yours |
We recommend on prem for any practice that processes more than a few PHI queries per day or operates in a specialty with strict audit requirements (dermatology, psychiatry, oncology).
Built in public
Open source tools we shipped for healthcare.
Free to use, fork, and deploy. Proof of what we build, not just what we say.
Free CMS coverage policy changelog. Ranked weekly. RSS, JSON, CSV.
A static workbench over the public CMS Coverage API. Ranked LCD/NCD updates, Monday briefs, operator review lanes, per-contractor feeds, and deep-linkable URLs. No login, no PHI, no paid API.
Public CMS data only. No payer data, no PHI.
honeypot-med
Test whether your healthcare AI can survive a prompt-injection attack.
Paste your AI workflow prompt. Get an investor-ready security verdict in under a minute. Built to expose the gap between 'we use AI' and 'our AI is safe to use with PHI.'
hightimized
Audit your hospital bill. Generate a dispute letter.
Free, private, browser-only hospital bill auditor. Paste your itemized bill, get a plain-English breakdown of suspicious charges, and generate a dispute letter ready to send. Zero data leaves your browser.
Free and browser-only. No data stored.
vqol
Patient-owned vein outcomes tracker.
A clinic-branded outcomes tracker for venous procedures. Patients log symptoms and healing milestones. Clinicians get structured data without calling the patient. A fork through one JSON file.
Instrument license pending. Clinic deployments under published research-instrument terms.
How it works
Five stages. No mystery.
Every engagement follows the same structure so you always know where you are.
01
Discovery call
30 minutes. We map your current workflow and tell you what is automatable.
02
Architecture
Flat price spec. No vague retainer. You approve before any code is written.
03
Build
Weekly Friday demos. You see it working before it goes live.
04
Deploy
Your hardware, your VPC, or our managed hosting. HIPAA compliant either way.
05
Operate
We watch it. Alert you when something needs attention. You run your practice.
Investment
Pricing you can share with your office manager.
No custom quotes that require a 3-call sales cycle. These are the actual ranges.
Discovery audit
$1,500 to $3,000
We map your workflows, identify automation candidates, and deliver a written report. Flat price.
Build engagement
$10,000+
Full build from spec to deployment. Price depends on scope. Quoted after discovery.
Operate retainer
$750+/mo
We monitor, maintain, and improve what we built. No surprises. Cancel any month.
Next step
One conversation. You will know exactly what to automate and what it costs.
30 minutes. We listen to your current workflow, tell you what we would automate, and give you a written summary same day. No pitch. No obligation.