35% more efficient. Zero pajama time. Paid right the first time.

Why we win

Not features on a checklist. Outcomes you can measure every week.

• 35% more efficient than the next best

  More patients per day, less pajama time, no billing-coordinator hire. Your clinicians see more and chart less; your back office does the work of three people in one.

• Zero pajama-time charting — under 90 seconds

  The ambient scribe fills coded fields while you talk. Median post-visit charting: under 90 seconds. The note is signed before you leave the room.

• Minute-level scheduling — not 15-minute slots

  A constraint solver places visits at minute resolution and re-optimizes the day in real time. Your schedule runs like clockwork, not a suggestion.

• AI-first, built for 2027 — not retrofitted from 2010

  Ambient scribe, CDS hooks, smart workflows, and AI chat are the architecture — not add-ons bolted onto a legacy codebase. Every module improves with every visit.

• Task-based: always know what to do next

  Every action is a FHIR Task with a deadline, an owner, and a status. Nothing falls through. The system tells you what's next — you don't hunt for it.

• 98%+ first-pass clean claims — and climbing

  The platform learns from every denial, every payer rule, every appeal. Each claim is scrubbed against a growing rule library before it leaves.

• Dramatically higher patient and clinician satisfaction

  Patients get treatment plans and visit receipts they can actually read. Clinicians finish notes in under 90 seconds. Staff never chases a lost referral.

• Cheaper RCM at 3.5% — no hidden hires

  3.5% of collections covers the full revenue cycle — scrubbing, submission, posting, denials, appeals, statements. No billing coordinator salary. No second vendor. No bolt-on.

Headline Differentiators

No off-the-shelf product combines all six. Each differentiator is a build, not a bolt-on — and together they compound.

• Resource-graph minute-level scheduling ¶

  A constraint-satisfaction solver that optimizes across every resource the visit actually touches at minute resolution — check-in → MA → exam room → physician → nurse follow-up → checkout. Competitors give you a provider calendar grid; REV models the whole practice as a graph of resources and books across all of them atomically. No off-the-shelf option exists for small-practice resource-graph scheduling; this is a build.

  Resources tracked, and how each tier handles them

  Resource / behavior	Paper / phone	Generic calendar (Google, Outlook)	Typical EHR scheduler	REV.health resource-graph
  Providers (MD, DO, PA, NP)	One grid per provider	One calendar per provider	15-min provider slots	Minute-level availability with lunch, admin, and co-sign blocks modeled explicitly
  Medical assistants	"Whoever's free"	Not tracked	Implicit; not bookable	First-class resource — required for rooming stage, released after
  Registered nurses	Pulled mid-visit	Not tracked	Sometimes a side calendar	Bookable for triage, injections, follow-up; capacity enforced
  Front-desk staff	One person, always	Not tracked	Not tracked	Required for check-in / checkout stages; concurrent capacity enforced
  Exam rooms	Sticky notes on doors	Manual room calendar	Provider's "room" — single assumption	Distinct resource per room; held atomically across rooming → provider stages
  Procedure / blood-draw chairs	"Hope it's open"	Not tracked	Not tracked	Bookable equipment resource with its own availability
  Shared equipment (ECG, ultrasound, derm scope)	Walk and look	Not tracked	Not tracked	Per-visit-type dependencies declared and solver-enforced
  Telehealth bridges	—	Generic video link	Separate vendor tab	Bridge concurrency is a resource — visits cannot exceed licensed seats
  Waiting-room capacity	Lobby overflow	Not tracked	Not tracked	Soft constraint on concurrent waiting patients
  Slot granularity	15 min	15 / 30 min	10–15 min	1 minute
  Visit multi-stage routing	Mental model	None	One block per visit	Check-in → rooming → provider → nurse → checkout, each stage with its own resources and durations
  Re-optimization when a visit runs long	Cascade chaos	None	Manual reshuffling	Solver re-runs in real time; downstream slots are nudged automatically
  Walk-in absorption	Squeeze in	None	Manual	Auto-search for the smallest insertable window that respects committed wait-time SLAs
  Cancellation / no-show recovery	Phone tree	None	Manual waitlist	Waitlist auto-fill with 5-minute SMS offer; eligibility re-runs on accept
  Encounter chains (recurring care)	Sticky notes	None	None	Multi-step chains with interval rules; next slot auto-suggested at a resource-feasible time

• Structure-first ambient scribe ¶

  AI is imperfect — so we add structure. Every encounter becomes a versioned form. The ambient scribe streams into bounded, coded fields with bidirectional write-back to the problem list, assessment & plan, and orders — alongside real-time E/M, ICD-10, and CPT coding suggestions linked back to evidence in the audio transcript. Each visit teaches the forms, and the forms evolve toward steadily more efficient and more accurate encounters. Eliminates 2–3 hours of nightly charting per clinician.

• TEFCA-connected at launch ¶

  Live on TEFCA via QHIN partnership (Kno2, eHealth Exchange, or Surescripts as sub-participant) from day one — over 10,600 organizations and 11 designated QHINs reachable. No retrofitted integration; it is native.

• Patients-as-users identity ¶

  A single patient record that survives across organizations, with the originating org captured in audit trails — not as the data's owner. Patients see the same record their clinician sees, with full View-Download-Transmit rights.

• Read-access audit on every chart view ¶

  Authorization-chain trace on every chart view, surfaced to the patient. Who looked, when, why — always visible, always auditable. No other small-practice EHR offers this level of transparency.

• 5-document contract topology ¶

  A three-way legal contract — patient Terms of Service & Care, practice Terms of Service, and platform Terms of Service — that scopes every data flow and permission boundary. Five interlocking documents define exactly who can do what with whose data.

Top navigation bar

A persistent command center at the top of every screen. The nav bar replaces scattered links and persona-switching with a single, always-visible strip that lets any user find anything in seconds.

• Full-width search bar with dictation

  A centered search input that searches across patients, charts, tasks, modules, and reports. Supports type-ahead with categories (Patient, Module, Action, Report, Task). Future: voice-to-search via the same ambient AI pipeline that drives the scribe. Type "patient:Sarah Johnson" or "run A/R report" and go straight there.

• User menu (top-right) — shows logged-in user's name

  The top-right button displays the logged-in user's initials (or avatar). Clicking opens a dropdown showing full name, role, quick navigation links (Dashboard, Schedule, Clinical doc, Revenue cycle, Task queue), and a Log out action. The username is always visible — not a generic "Account" or gear icon.

• Settings button — theme selection and more

  A settings gear icon opens a modal with: Theme picker (Light, Dark, Hospital, Modern), and Quick actions (Find a patient, Run a report, View next task). The theme picker replaces the floating theme buttons on the current demo. Persisted to localStorage.

• Quick-action buttons — Next task, Reports

  Two persistent action buttons: Next task jumps to the highest-priority FHIR Task assigned to the current user. Reports opens the Revenue Cycle / reports view. These are the two most common "what do I do next?" answers for clinical and billing staff respectively.

• Rx / ePrescribe in search

  The search bar indexes all modules including eRx. Typing "rx" or "prescribe" surfaces the Rx/ePrescribe action, taking the clinician directly to the prescribing screen for the current patient. Not "refills" — the primary action is writing new prescriptions electronically.

Rx tracking & CheapRX

Every prescription, tracked end-to-end. The cheapest price, surfaced automatically. Patients and providers see the same Rx list. One-click reordering. CheapRX integration finds the lowest price at nearby pharmacies before the prescription leaves the screen.

• Unified Rx tracking — provider and patient see the same list

  Every prescription written, filled, or renewed appears in a single tracked list visible to both the prescribing clinician and the patient (in their portal). Status flows: Written → Sent → Filled → Active → Due for Renewal → Discontinued. Both sides see real-time status from Surescripts fill notifications (RxFill). No more "did they pick it up?" phone calls.

• One-click reorder

  When a prescription is due for renewal (approaching day-supply end or patient-requested), both the patient and the provider see a "Reorder" button. Patient click: sends a renewal request to the provider's task queue. Provider click: sends a renewal Rx to the same pharmacy via Surescripts with one click. No refaxing, no phone tag. The reorder uses the original NDC, pharmacy, and quantity unless changed.

• CheapRX — cheapest price before you prescribe

  At the point of prescribing, before the eRx is sent, CheapRX queries cash-price and insurance copay databases across 70,000+ US pharmacies and surfaces the lowest available price for the patient. The provider sees: "Patient copay: $4.20 (insurance) | Cheapest cash: $3.50 at Maple Pharmacy #2241 (CheapRX coupon)." If the cash price is lower than the copay, the patient gets the coupon automatically — no separate app, no GoodRx card to show at the counter. The coupon is embedded in the eRx as a pharmacy note. Phase 3 in development; shown in demo and sales materials now.

• Patient portal: Rx dashboard with price comparison

  Patients see their active medications in a dedicated Rx tab in the portal, each with: current status, pharmacy, days supply remaining, and a "Find cheaper" link. Clicking it shows a price comparison table (cash vs copay at nearby pharmacies, with CheapRX coupons). One tap applies the coupon and notifies the pharmacy. Patients can also request reorders directly from this view.

• Adherence tracking & smart nudges

  When Surescripts RxFill indicates a prescription was picked up, the system starts an adherence timer. If the refill isn't picked up within the expected window (day-supply + 3-day grace), both the patient and the care team get a nudge: "Metformin 500mg — 5 days overdue. Reorder or schedule a follow-up?" This catches the ~30% of prescriptions that are written but never filled, and the ~50% of patients who abandon chronic meds within 6 months.

My Health Records — treatment plan PDFs first

When patients open their health records, the first thing they see is their treatment plan. Not a maze of tabs, not clinical jargon buried in a note. A patient-friendly PDF that says: here's what we're doing, here's where you are, here's what's next. Plans are always current — regenerated from the live chart on every view.

• Treatment plan PDFs as #1 item

  Every active treatment plan rendered as a patient-friendly PDF: condition, goals, current medications, milestones reached (green checks), milestones upcoming (open circles), and next action with due date. The PDF is generated on-demand from the live clinical data — never stale. Below the plans: lab results, medication list, encounter summaries, imaging, and the full longitudinal record. Plans come first because that's what patients actually need.

• One-tap share & print

  Share a treatment plan PDF with a specialist, caregiver, or family member directly from the portal. Or print it for the waiting room. The recipient gets a standard PDF — no portal login required, no tethered link that expires. HIPAA-compliant because the patient initiates the share.

• Visual progress timeline

  Each plan shows a visual timeline of milestones: completed steps (green checks with dates) and upcoming steps (open circles with target dates). The next action is called out with a due date. Patients see exactly where they stand without reading clinical documentation.

• Always current, never stale

  Treatment plan PDFs are regenerated from the live chart on every view. If the provider updates a goal, adds a medication, or marks a milestone complete, the patient sees the change immediately. No "last updated Jan 2026" stamps on stale documents.

Target Metrics

The numbers that define done. Every feature ladders up to one or more of these top-line KPIs.

Explore the Walkthrough

From top-down pitch to per-module detail, every page links to the interactive demo.