Built for the Clinicians and Systems That Deliver Care.

AI at the point of care — from intake to signed documentation.

Clinical Encounter Praxis automates the administrative and documentation work that surrounds the clinical visit. Intake is validated and the patient record is assembled before the encounter begins. During the visit, ambient scribing captures the interaction in real time. After the encounter, structured diagnosis, orders, and codes are generated — ready for provider review, not provider creation.

Capabilities:

• Intake and appointment orchestration: eligibility validation, scheduling, pre-visit data assembly
• Patient summary generation from aggregated records before the encounter
• Intake data structuring and clinical readiness validation
• Ambient scribing and real-time clinical decision support during the encounter
• Structured diagnosis, orders, and code recommendations generated post-visit (ICD/CPT)
• Provider review, edit, and sign-off workflow
• Documentation quality and compliance validation before submission

How Praxis Works

Less friction on every prior auth. More time on care.

Prior Authorization Coordination handles the full PA workflow from the provider side — determining what requires authorization, aligning clinical documentation to payer-specific requirements, submitting and tracking requests, and managing RFIs and appeals when they arise. Providers focus on the clinical decision. The workflow handles the rest.

Capabilities:

• Authorization requirement identification: determine if PA is needed before care is delivered
• Clinical documentation packaging aligned to specific payer policies and criteria
• PA submission and real-time status tracking across payers
• RFI response management: automated packaging of requested documentation
• Appeals generation and submission
• Payer communication management and timeline tracking

How Praxis Works

Close care gaps. Activate care programs. Improve population performance.

For provider organizations in value-based contracts, care gap performance is both a clinical and financial priority. Care Gap Praxis surfaces HEDIS and Stars gaps at the provider level — with next-best-action recommendations integrated directly into provider workflows. Care Management Activation enrolls patients into structured care programs and coordinates across teams for the patients who need it most.

Capabilities:

Care Gap Identification & Closure:

• HEDIS and Stars gap identification from patient data
• Next-Best-Action recommendations: specific actions to close each gap
• Gap alerts surfaced within provider workflows at the point of care
• Gap closure tracking and quality performance reporting

Care Management Activation:

• Patient enrollment into evidence-based care programs
• Structured care plan initiation with goal setting and barrier identification
• Longitudinal monitoring and intervention tracking
• Cross-team care coordination across clinical roles
• Referral initiation, specialist matching, and referral status tracking

How Praxis Works

From clinical documentation to clean claim — closing the loop on provider revenue.

Revenue Cycle Management Praxis connects the clinical encounter directly to the claims and payment workflow — eliminating the handoffs where revenue gets lost. From charge capture and coding accuracy to claims submission, denial prevention, and payment reconciliation, RCM Praxis executes end to end.

Capabilities:

• Clinical documentation structuring and CDI (Clinical Documentation Integrity)
• AI-assisted code recommendation (ICD/CPT) from encounter documentation
• Charge reconciliation: validate all ordered services are captured before submission
• Eligibility and coverage verification of pre- and post-services
• Claim generation from structured encounter data
• Pre-submission claim scrubbing and clinical attachment management
• Denial risk prediction before submission
• Medical necessity validation against payer guidelines
• Appeals generation and P2P review coordination
• Payment matching, ERA processing, and contract validation