More care.
Less back office.

Ekavi is the AI back-office colleague for independent practices. It runs your operations across the tools you already use — prior auths, denials, charge capture, scheduling, EHR busywork — so providers focus on care, and revenue stops leaking.

Built with HIPAA in mind

13+hrs / wk spent on prior auth per physician AMA 2024
$150K+/ year lost to undercoding Cosentus 2026 · typical $3M practice
36 min/ visit spent on EHR busywork AMA 2024

What it does

§ 01 · how it works

What Ekavi does, every day.

An AI back-office colleague that takes the work off your desk — inside the EHR, at the front desk, on prior auth, between the scribe and the chart, and across this week's denials. Each one runs on the tools you already use.

EHR busywork, handled.

Thirty-six minutes in the EHR per thirty-minute visit (AMA 2024). Ekavi handles the day-to-day work inside your dense EHR — chart prep, in-basket triage, refill routing, eligibility posting, scheduling moves. Tell it what to do in plain English.

Natural language · into your EHR 3 actions

Dr. Rivera (Clinician)

"Refill all routine meds for Hernandez. Hold the controlled."

4 refills routed to MA · 1 held for review consent gate
Jamie (Operations Manager)

"Post yesterday's eligibility 271s to the charts."

18 charts updated · 2 flagged for review done
Lisa (Billing Specialist)

"Pull this week's denials and queue the appeals."

3 patterns · appeals drafted done

Anything clinical pauses for sign-off.

Scheduling, and the front desk.

Forty-two percent of calls go unanswered (Insight 2024). Twenty-three percent of slots no-show (MGMA 2024). Ekavi picks up the phone — books, reschedules, handles insurance questions — and refills the gap from your waitlist before it opens.

Today · 9:00am – 12:00pm · Dr. Rivera no-show risk

9:00 Adeyemi, T. low confirmed
9:30 Patel, S. high · 78% double-booked
10:00 Hernandez, M. low confirmed
10:30 Wong, J. low confirmed
11:00 Kovacs, L. · waitlist filled by Ekavi

Voice + chat receptionist · last hour

8:42 Refill request, methotrexate routed → MA
8:51 Reschedule request, cardiology f/u handled · rebooked
9:03 Insurance question, BCBS plan change routed → front desk

Prior auth, end-to-end.

13h /week /physician on average spent on prior authorizations (AMA 2024). Ekavi runs the queue across your EHR, your clearinghouse, the payer's API, the portal, and a voice agent for residual. No more endless clicks across multiple platforms, Ekavi automates it all without changing your workflows.

Prior auths · this morning 4 active

Hernandez UHC · MRI lumbar approved 36h
Wong BCBS · arthroscopy submitted 4h
Adeyemi Aetna · genetic panel drafted now
Patel Humana · oncology infusion needs you 12m

What Ekavi handles

1 Pulls clinical context from the chart and drafts the request
2 Submits to the payer once a clinician approves
3 Tracks status and surfaces missing docs before they cause a denial
· Clinical decisions always pause for sign-off

Coding and claims, in one pass.

Practices leak a hundred and fifty thousand a year to undercoding (Cosentus 2026). Ekavi sits between your scribe and your EHR — extracts the ICD-10, CPT, and modifiers for your biller to approve, files the encounter note, posts the chart updates back.

From your scribe · Wong, J. · 24m visit

"Follow-up post-arthroscopy. Joint injection under fluoro. PT plan, MRI if pain persists."

Codes Ekavi extracted

99213 E&M established · level 3 queued
20610 Joint injection · major queued
+ mod 25 E&M with procedure same day needs review

Posted to EHR

Encounter note filed
Charges queued for claim
MRI follow-up routed to MA

Denials, recovered.

The same payer-code denial three times in a week. Ekavi clusters them, drafts the appeal with the citations, sends it through your clearinghouse, and tracks recovery to the dollar.

Pattern detected · UHC CO-197 3× this week

Hernandez UHC · CO-197 · MRI lumbar May 1 $1,420
Wong UHC · CO-197 · MRI lumbar May 3 $1,380
Singh UHC · CO-197 · MRI lumbar May 4 $1,400

Appeal — UHC · CO-197 · 3 cases

Cited: PA reference UHC-PA-9912034 · policy revised April 2026 · prior PT documented (six weeks)

That is the work.
Five practices help us decide what comes next.

Sources: AMA 2024 Prior Authorization Physician Survey · MGMA Stat (2024, 2025) · Cosentus Orthopedic Revenue Report (2026) · Insight Health (2025) · AMA Primary Care EHR Study (2024).

§ 02 · what ekavi plugs into

Bring your tools. We make them work as one.

Ekavi does not replace your EHR, your clearinghouse, or the scribe your physicians chose. We plug in. Where you don't have something, we bring our own stack or propose a partner — and the agentic AI we built handles the actual ops work in between.

Illustrative

EHRs you already use
Clearinghouses & PA networks: Stedi Change Healthcare
AI scribes: Ambience DAX (Microsoft)
Voice receptionists: Hyro Klara
Existing Payer's APIs: Plus the payer's FHIR Prior Authorization API where it exists (CMS-0057, January 2026 onward), the payer portal where it doesn't, and the integrated voice agent for the residual small-payer cases.

Your EHR or other tool is not on the list? Tell us — we will work to integrate it.

§ 03 · built for what's coming

Built with the 2026 HIPAA Security Rule in mind.

The new federal baseline asks for what your auditor was already going to. Ekavi ships ready: annual verification on a fixed cadence, an audit log on every action, and a BAA written for AI.

Annual vendor verification, on a fixed cadence.: A signed BAA is no longer enough. Your annual written verification packet — MFA, encryption, segmentation, audit logs, penetration test — already signed, dated, and ready for your auditor.
Audit log on every action.: Seven-year retention. Forensic-grade. Exportable in CSV or signed PDF. The action, the model, the confidence, the operator, the outcome — recorded the moment it happens.
A BAA written for AI.: Ekavi runs locally (not on the cloud) so everything stays local. The models we use offer zero-retention by default.

The full architecture is on the trust page. Read the trust page →

§ 04 · design partners

Five practices help us decide what comes next.

We are looking for five independent ambulatory practices to help us shape Ekavi.

What you get

Ninety days, no charge
Direct line to the founder
Your roadmap input, in writing
Quarterly roadmap review you sign off on
Right to walk away with a 90-day data export

What we ask

A real practice (2–49 MDs)
Twenty minutes a week of practice-manager time
Permission to learn from anonymized usage
Honesty about what does not work

A short form. Reply within a day. Pricing is something the first five help us decide.

ekavi.care

Dear practice manager,

You want to reduce the administrative burden on your staff (clinical and non-clinical alike), without having to change your workflows or operate a costly and long migration, then we think the Ekavi we are building is for you.

Ekavi is your AI back-office assistant that connects to your existing tools and semi-automates your day-to-day tasks handling busy EHR work, scheduling and front desk, prior authorizations, claims and denials. A tool that has the potential to improve revenues and sustainability and lets you focus on care and growing your practice.

We want to build a solution for independent practices with practices, that's why we need you! Five practices, ninety days, no charge. If this sounds like you could benefit from Ekavi, write to us.

— Ekavi.

More care.Less back office.