Your practice runs on seven disconnected systems. Clovai runs it on one.
Scheduling, EHR, revenue cycle, inventory, payroll and analytics — everything your team stitches together today across four to seven vendors that refuse to talk to each other. Clovai is one platform, one database, one source of truth. From the first eligibility check to the last posted ERA.
Bilingual by design — English and Spanish, one chart.
13+
Integrated modules
180+
Features out of the box
4–7
Vendors it replaces
270/271
Real-time eligibility, every visit
Who it's for
A two-provider practice or a fifteen-site network? Same platform. You decide how much of it you turn on.
Stop paying for seats you don't use and going without the modules you actually need. Pick your profile and see which pillars take over your operation.
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Private practice
Independent physicians & specialty groups
For practices where the day is about seeing patients, not fighting software. Scheduling, EHR, e-prescribing, charge capture, claims and A/R — the full loop with nothing bolted on. If your billing still leaves the building on a spreadsheet, this is your profile.
For organizations juggling PPS and FFS in the same day, sliding fee scales, 340B, UDS reporting and a patient population that doesn't all speak English. Multi-site scheduling, one chart across every location, and reporting that reconciles before the deadline — not after.
For operations where the supply chain *is* the business: dispensing, DSCSA traceability, controlled-substance perpetual inventory, 340B split billing and GPO purchasing at scale. If product goes missing between sites or your DSCSA records live in a shared drive, start here.
You're paying for the fragmentation. And you stopped noticing.
One vendor for the EHR. Another for practice management. A clearinghouse in the middle. A separate portal for each payer. Spreadsheets for inventory. An outsourced biller who emails you a PDF once a month. That's five contracts, five support queues and five datasets that never reconcile. That isn't running a practice — it's absorbing the cost of everyone else's integration gap.
Clovai removes the seams. One platform. One source of truth. One number that's actually right.
EHR
Vendor A
+
Practice mgmt
Vendor B
+
Clearinghouse
Vendor C
+
Inventory
Spreadsheets
=
Denials + A/R days + interface fees
Data keyed twice, then keyed again
The provider documents, the biller re-enters, the front desk re-enters after that. Those aren't accidents — that's the architecture producing them.
Denials you find out about 45 days late
When the chart and the claim live in different systems, the CPT®/ICD-10 mismatch survives all the way to the payer. Every one is revenue you already earned and won't collect without an appeal.
Eligibility checked at the desk, not at booking
Coverage terminated, plan changed, deductible not met — discovered at check-in, or worse, on the remit. The visit already happened.
Prior auths tracked on a whiteboard
No queue, no status, no expiration alerts. The service gets rendered, the auth was never on file, and the write-off is automatic.
A credential lapses and nobody knows
An expired license, a missed revalidation, an unscreened exclusion — and every claim under that NPI becomes retroactively unbillable.
Five subscriptions. Five renewals. Five interface fees.
Your team spends hours administering vendors instead of seeing patients — and pays per-transaction on top of it.
The platform
Nine pillars. Zero seams.
Every pillar connected to the others without a single interface to build, an HL7 feed to maintain, or a per-transaction fee to negotiate. No duplicate data. No systems that ignore each other. Designed to replace the sprawl — not to sit on top of it.
Clovai Scheduling™
Online booking · Call center ···
Self-scheduling that respects your templates, eligibility verified the moment the slot is booked, waitlists that backfill cancellations, and TCPA-compliant reminders. Your schedule stopped being a phone tree.
→ Online self-scheduling, multi-site and multi-provider
→ Real-time 270/271 eligibility at time of booking
→ Check-in kiosk with digital intake and consents
→ Automated waitlist backfill and recall campaigns
Specialty-aware charting, e-prescribing with EPCS and PDMP checks, telehealth that never leaves the chart, and clinical decision support at the point of order. Documentation that holds up in an audit.
DSCSA records that survive a request. Perpetual inventory for controlled substances. 340B split billing that reconciles. Clovy™ writes the purchase order; your buyer approves it. Your stockroom stopped being a guess.
→ DSCSA T3 capture, retention and verification
→ DEA-compliant perpetual inventory and CSOS ordering
→ 340B split billing with accumulation tracking
→ AI-generated purchase orders from real consumption
Eligibility at booking, prior auth tracked to expiration, charges captured from the note, claims scrubbed against NCCI and payer edits before they go out, and ERAs posted automatically. Denials become the exception, not the workflow.
→ Charge capture straight from the encounter — no re-keying
→ Claim scrubbing: NCCI, LCD/NCD, modifier and payer edits
A healthcare chart of accounts preconfigured to U.S. GAAP. Every posted remit becomes a journal entry the moment it lands. Payroll with FLSA overtime and ACA reporting. Month-end close in days, not weeks.
→ Journal entries generated from every ERA and payment
Credentials, licenses, DEA registrations and payer enrollments tracked to their expiration dates. Monthly OIG/SAM exclusion screening that actually runs. Employee self-service 24/7. The stuff that makes claims unbillable, caught first.
→ License, DEA, board and CAQH expirables with alerts
→ Monthly OIG LEIE + SAM exclusion screening with evidence
→ Payer enrollment and revalidation tracking by NPI
→ HIPAA, OSHA and compliance training with attestations
Days in A/R, clean claim rate, net collection rate and denial rate — by payer, by provider, by site, today. Quality and care-gap dashboards. Proactive alerts before the number becomes a problem.
→ RCM scorecard: A/R days, first-pass yield, net collection
→ Quality measures and care-gap tracking by panel
→ Payer mix, contract yield and underpayment detection
→ Proactive alerts by email and SMS, by role and threshold
A patient portal with the FHIR R4 API access the Cures Act requires, online payments and Good Faith Estimates, a referral loop that closes, and secure messaging that stays out of anyone's personal texts.
→ Patient portal with USCDI data via FHIR R4 API
→ Online payments, estimates and payment plans
→ Closed-loop referrals with status back to the sender
→ Bilingual patient communication — English and Spanish
For higher-acuity settings: ED triage on the five-level Emergency Severity Index, real-time bed census, perioperative scheduling with the WHO surgical checklist, and inpatient orders on the same chart as the clinic.
→ Registration with the ambulatory chart already attached
→ ESI five-level triage with time-to-provider tracking
→ Real-time bed census and transfer traceability
→ OR scheduling with WHO surgical safety checklist
The provider signs the note → Billing™ builds the claim from the documented codes → the scrubber catches the NCCI conflict before submission → the 837P goes out → the 835 posts itself → Supply™ relieves the dispensed drug → Finance™ books the entry → Intelligence™ updates the A/R dashboard. No re-keying. No interface fees. Nobody chasing anybody for a spreadsheet.
This isn't a chatbot. It's the intelligence that removes the friction from your operation.
Clovy™ is embedded natively in every pillar. You don't open another tab, buy another subscription or wait for an integration. Ask what you need and it executes: drafts the appeal letter, surfaces the denial root cause, builds the report, flags the care gap, writes the purchase order. While the rest of the market announces AI roadmaps, Clovai has it running inside every module.
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ANSWERS
Live operational knowledge base
⚡
EXECUTES
Actions without hunting through menus
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REPORTS
Metrics on demand, in plain language
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ANTICIPATES
Alerts before it becomes a problem
Where the guardrails are
Clovy™ drafts, suggests and surfaces — a licensed human approves anything clinical or financial before it leaves the system. Every AI-assisted action is attributed and audit-logged. Protected health information stays inside your tenant and is never used to train shared models.
Compliance isn't a module you switch on. It's how the platform is built.
U.S. ambulatory care runs on a stack of federal rules, payer contracts and state law that changes every year. Clovai is built around that stack — the workflows produce the required artifacts as a by-product of doing the work.
45 CFR Part 170
Certified EHR functionality
Built to the ONC Health IT Certification criteria that MIPS Promoting Interoperability and most payer programs require of a certified system.
21st Century Cures Act
FHIR R4 API & information blocking
Standards-based API access to USCDI data for patients and their chosen apps — without special effort, delay or fees that would constitute information blocking.
HIPAA / HITECH
Privacy, Security & Breach rules
Encryption in transit and at rest, unique user identification, automatic logoff, immutable audit logs, minimum-necessary access and a signed BAA with every customer.
X12 5010 / NCPDP
EDI transaction set
270/271 eligibility, 276/277 status, 278 prior authorization, 837P/837I claims, 835 remittance and 834 enrollment — through your clearinghouse or ours.
No Surprises Act
Good Faith Estimates
Good Faith Estimates generated for self-pay and uninsured patients within the statutory windows, with delivery tracked and retained as evidence.
DEA / Ryan Haight
EPCS & controlled substances
Two-factor electronic prescribing of controlled substances, state PDMP lookup at the point of prescribing, and DEA-compliant perpetual inventory.
MACRA / MIPS
Quality reporting
Quality, Promoting Interoperability and Improvement Activities measures calculated continuously — not reconstructed in the last week of the reporting year.
DSCSA
Drug supply chain traceability
Transaction information, history and statements captured, verified and retained for the statutory six years, with saleable-return verification.
ACA §1557
Language access
Patient-facing communication, portal, intake and consents in English and Spanish — meaningful access for LEP patients built into the product, not bolted on.
Certification status, third-party attestations and network participation are listed individually — with their current status — on the Compliance & Risk page.
We know what keeps you up at night. So we built the controls into the workflow.
Running a practice in the U.S. means carrying six kinds of risk at once — and most of them show up as a letter, an audit or a breach notification long after the mistake. Here's where the exposure actually sits, and what the platform does about it.
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Revenue & reimbursement
Where the exposure is
Denials, timely-filing write-offs, missing prior authorizations, underpayments against contracted rates, and A/R that ages past the point of collection.
What Clovai does about it
Eligibility at booking, auth tracked to expiration, NCCI and payer edits before submission, contract-rate variance detection on every remit, and timely-filing countdowns per payer.
⚖️
Regulatory & audit
Where the exposure is
False Claims Act liability, RAC/TPE/UPIC audits, medical-necessity and level-of-service challenges, Stark and Anti-Kickback exposure, payer takebacks.
What Clovai does about it
Documentation tied to the codes billed, level-of-service support at the point of coding, immutable audit trail per encounter, and an evidence package you can produce on request instead of reconstruct.
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Privacy & cybersecurity
Where the exposure is
Ransomware — healthcare is the most-targeted sector — plus breach notification duties, OCR enforcement, state AG actions and third-party/vendor compromise.
What Clovai does about it
Isolated tenant per customer, encryption in transit and at rest, MFA and role-based least privilege, immutable access logs, tested backups and documented downtime procedures.
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Clinical & patient safety
Where the exposure is
Medication errors, missed allergies and interactions, care gaps in chronic and preventive care, results that never get acknowledged, and documentation that won't hold up.
What Clovai does about it
Interaction and allergy checking at order entry, closed-loop results acknowledgment, care-gap registries by panel, and structured notes with full revision attribution.
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Workforce & credentialing
Where the exposure is
An expired license, a lapsed DEA registration, a missed payer revalidation or an unscreened exclusion — each one turning already-rendered services into unbillable, refundable claims.
What Clovai does about it
Every credential tracked to its expiration with escalating alerts, monthly OIG LEIE and SAM exclusion screening with retained evidence, and enrollment status visible by NPI and payer.
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Interoperability & data rights
Where the exposure is
Information-blocking penalties, patients who can't get their records, referral partners who can't receive them, and vendors who hold your data hostage at renewal.
What Clovai does about it
FHIR R4 API access to USCDI data, closed-loop referral exchange, and a contractual right to a complete, structured export of your own data — at any time, at no charge.
From signature to first clean claim. Without losing a month of revenue.
The hard part of switching platforms in the U.S. isn't the software — it's payer enrollment, EDI setup and keeping cash flowing while the old A/R runs out. We plan for all three from day one.
01
Discovery, build & payer setup
We map your workflows, build your templates and fee schedules, load your payer contracts, and start EDI enrollment on day one — because payer enrollment and ERA/EFT setup take 30 to 60 days and they are the critical path, not the software.
02
Migration with revenue continuity
We migrate demographics, active problems, medications, allergies, immunizations and historical documents, then reconcile the counts with you. Your legacy A/R keeps running in parallel until it works down — you never choose between a clean cutover and getting paid.
03
Go-live with hypercare
Role-based training for every seat — providers, front desk, billing, clinical staff. For the first 30 days you have a dedicated Clovai specialist watching your first-pass rate and denial mix daily. After that: ongoing support at your plan's SLA.
The thing most vendors don't tell you until week three
Payer enrollment, EDI/ERA/EFT setup and provider credentialing run on the payers' clock, not ours — typically 30 to 60 days, longer for some Medicaid MCOs. We start them the week you sign and give you a live status board per payer, so the go-live date is real instead of aspirational.
When you turn on Clovai you join a network of organizations that decided to stop absorbing the cost of fragmentation. A direct voice in the product roadmap, support with a contractual SLA, and a team that doesn't disappear after the signature.
Being a Clover means access to member benefits, a real vote on what gets built next, guaranteed response times, and a physical recognition that grows with your organization.
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Welcome to the Clovers
You join the network of organizations changing how care operations run.
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A vote on the roadmap
Clovers propose and vote on features every development cycle.
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Benefits that scale with commitment
The deeper the partnership, the more that opens up.
✓ Contractual support SLA
Response times defined in your agreement, not in a help page
✓ Automatic updates
Monthly, at no extra cost, with no downtime window to negotiate
✓ Roadmap voice
Propose and vote on features every cycle
✓ Your data, always portable
Complete structured export on demand, at no charge
Organizations that left the fragmentation behind and became Clovers
★★★★★
"We see more than 100,000 patients a year across primary care, dental and behavioral health. Clovai gave us one platform for scheduling, charting and reporting that behaves the same way at every site — so our teams spend less time on paperwork and more time with patients."
FH
Family Health Centers of SW Florida
Federally Qualified Health Center · Florida, USA
★★★★★
"We run insurance, care delivery and pharmacy distribution inside one organization. With Clovai the dispensing record, the chart and the claim finally live in the same place. Inventory traceability and automatic encounter data took hours of manual work out of every week."
EM
Emcosalud
Integrated health group · Neiva, Colombia
★★★★★
"A large share of our care happens in the home, with chronic and acute patients. The dynamic chart lets the team document from any site or visit, and our preventive care programs are finally standardized. Denials dropped and the encounter record closes with the visit."
VS
IPS Vidaser
Ambulatory & home-based care · Girón, Colombia
FAQ
What practices ask us before they switch
Question not answered here?
Write to us and you'll hear back within 2 business hours.
Is Clovai a certified EHR, and can I report MIPS with it?
Clovai is built to the ONC Health IT Certification criteria under 45 CFR Part 170 that underpin CEHRT — including the FHIR R4 API, USCDI data classes, e-prescribing, clinical decision support and the audit-log requirements. Certification is issued per product version by an ONC-Authorized Certification Body, so ask us for the current certificate and CHPL listing that applies to your contract term; we will put it in writing. The MIPS Quality, Promoting Interoperability and Improvement Activities measures are calculated continuously through the year, so you are not reconstructing a reporting period in December.
How does Clovai handle HIPAA, and will you sign a BAA?
Yes — a Business Associate Agreement is executed before any PHI reaches the platform, and it is a condition of go-live, not an afterthought. Each customer runs in a fully isolated tenant; your data is never commingled with another organization's. PHI is encrypted in transit and at rest, access is role-based and minimum-necessary, every read and write is captured in an immutable audit log, and MFA is available on every account. Breach notification obligations, subcontractor terms and your right to an audit are all defined in the BAA rather than in a support article.
Do I have to change clearinghouses?
No. Clovai generates standard X12 5010 transactions — 837P and 837I out, 835 in, plus 270/271, 276/277 and 278 — so you can keep your existing clearinghouse and payer connections, or move to ours if you would rather have one vendor accountable end to end. Either way, enrollment for ERA and EFT has to be redone per payer when the submitter changes, which is why we start that on day one of implementation.
What actually happens to my A/R during the transition?
Your legacy A/R keeps running in the old system until it works down — typically 90 to 120 days — while new dates of service bill out of Clovai. We build the cutover date around your payer mix and filing limits, keep a read-only archive of the legacy data, and track both A/R buckets on one dashboard so you can see the crossover happening. Nobody should have to choose between a clean migration and making payroll.
Can you migrate from athenahealth, eClinicalWorks, NextGen or Epic?
Yes. We migrate demographics, insurance and coverage history, problems, medications, allergies, immunizations, results and historical documents, then reconcile record counts and spot-check charts with your clinical lead before sign-off. Discrete structured data comes over as structured data wherever the source system exposes it; the rest is preserved as retrievable documents attached to the chart. You also keep the right to a complete structured export of everything in Clovai, at any time, at no charge — the same right we would want from a vendor.
How does prior authorization work in Clovai?
Auth requirements are checked against the payer and CPT®/HCPCS code at the time of order or scheduling, so the requirement surfaces before the service is rendered rather than on the denial. Requests are submitted electronically where the payer supports it, tracked in a work queue with status and expiration, and attached to the encounter so the claim goes out with the auth number already on it. Expiring authorizations alert the scheduler before the appointment, not after.
Does Clovai support telehealth across state lines?
The platform supports telehealth natively — video inside the chart, with place of service 02 or 10 and the required modifiers applied to the claim automatically. Whether a given provider may treat a patient in another state is a licensure question governed by that state's board and any compact the provider belongs to; Clovai tracks each provider's licenses by state and their expiration dates, and can warn when a scheduled visit falls outside a state where the provider holds an active license. The clinical and legal decision stays with you.
We serve a large Spanish-speaking population. What does that look like in practice?
The entire patient-facing surface — portal, intake forms, consents, statements, appointment reminders and Good Faith Estimates — runs in English or Spanish per patient preference, and staff can use the application in either language independently of what the patient sees. One chart, two languages, no parallel process. For organizations with Section 1557 language-access obligations, the patient's preferred language and the communication actually sent are both recorded, so meaningful access is documented rather than asserted.
How is Clovai priced, and what is the real total?
Clinical platform pricing is per provider per month, tiered by how many providers you have, and administrative staff seats are included rather than billed separately — front desk, billing, management and clinical support do not carry a per-seat charge. Full-service revenue cycle, if you want us running billing rather than just providing the software, is priced as a percentage of net collections. Implementation is quoted per organization based on migration scope, site count and payer complexity. What is not in the price: clearinghouse per-transaction fees if you bring your own, and any IoT hardware.
Can we start with a few modules and add the rest later?
That is exactly how Clovai is designed to be adopted. Start with the pillars your operation needs today and turn on the rest when you are ready — there is no re-implementation, because the data is already integrated underneath. Most practices begin with Scheduling™, Care™ and Billing™ and expand into Finance™, People™ and Intelligence™ within three to six months.
Next step
You've seen the problem. You know what the fix looks like. The only thing missing is you.
Book 20 minutes with our team. It isn't a canned deck — we show you Clovai running with the workflows, payer mix and volumes of a practice like yours. If you finish and don't want to go further, that's fine. But if you already know that what you have today isn't working, this is the first step to changing it.
