For investors and partners
The paperwork decides the money. We make it hold up.
Care is paid for on paper.
Nobody who pays for therapy was in the room. Counties and insurers pay on the paperwork, then check it again, more and more with software, and take back what doesn’t hold up. Agencies still check by hand, a sample at a time.
77%
of Medicaid’s $37.4B in improper payments came from missing or thin documentation, not fraud.
CMS, fiscal year 202541%
of providers now see 10% or more of their claims denied, up from 30% in 2022.
Experian, State of Claims 202558
California counties each run their own public mental-health system, with their own rules. Since 2023 each sets its own provider rates.
California Medi-Cal payment reform (CalAIM), 2023
Four changes, all landing now.
Counties set their own rates now.
Since California’s Medi-Cal payment reform in 2023, each county sets its own provider rates. More rates and rules, changing more often, still checked by hand.
New billing duties from July 2026.
California’s Behavioral Health Services Act asks county-funded providers to make a good-faith effort to bill commercial insurers and Medi-Cal health plans, which many have never done.
Coverage churn from 2027.
Federal law brings 6-month Medi-Cal renewals and work requirements for some adults from January 2027. More clients will lose coverage mid-treatment, and more services will be denied.
Payers audit with software.
Insurers are starting to use AI to review all charts, not just a sample. One told an industry publication that “the standard of documentation is changing with AI”. Providers still review by hand.
Rules as data, every dollar traced.
Each county’s rules are written down once, with the quote from the county’s own document and the dates they apply. Five tools read the same rules, so they never disagree, and no AI computes a dollar.
Any time: a look back over a whole year
Revenue checkReady to pilotFinds county money you earned but were never paid, and says what you can still fix and by when.
Before you bill
County claim checkReady to pilotCatches county rule errors on each service before it goes to the county.
After the county pays
Denial queueReady to pilotPuts an owner, a plain reason and a deadline on every denial, so none is forgotten.
Before the county reviews your charts
Audit checkReady to pilotReviews every chart the way a county reviewer would, not just a sample.
Month-end and year-end
Cost reportsReady to pilotSplits shared costs to each contract and drafts the cost reports your funders require.
Adding a county is research, not new software. The engines (claim, payment, denial and audit checks) and the federal rules carry to any state; in several states the “many counties” problem becomes “many Medicaid health plans”.
Underneath sits a note tool that ties every sentence to the moment in the session it came from, the first link in the chain from care to money, and our product for private practices.
Who else is in the space.
AI note-takers
Write the note, and some check it. They stop at the note; the county’s money rules are out of scope.
Billing marketplaces
Credentialing and billing for therapists who take private insurance. They don’t serve Medi-Cal county contracts.
EHR vendors
Some are adding billing agents. Each sees only its own system, while an agency billing three counties often runs several.
Billing consultants
Do this work by hand, by sample, once a year, at consulting rates.
Any of them could build this. Our answer is speed on county rules, and a neutral place across every EHR an agency runs.
How we make money.
- A free Revenue check opens the door: it shows an agency, from its own files, what it has missed.
- Then one flat yearly price for the county tools, set by agency size. Never a percentage of what we find: Medicaid restricts percentage fees, and it keeps us out of disputes.
- Fixed-fee projects on top: cost reports, audit binders, setting up a new county.
- Note seats for the agency’s clinicians, then other states, then private practices, who sign up on their own.
Size, as estimates: US behavioral-health clinicians bill roughly $84B a year, and billing services typically cost 4–9% of that, about $3–7B a year spent on billing work. Note software alone is a smaller market, about $0.6B. Both are our arithmetic from public figures, not measured.
Built and tested. No customers yet.
All five county tools, and the practice tools, are built, deployed and tested end to end on our live site with made-up organizations. We have no customers or revenue yet. The next step is a first agency pilot on real files.