HealthVerse USA · United States

A US EHR with the revenue cycle built in.

HealthVerse USA is one clinical core wearing three faces: a staff workbench, a patient portal, and a full revenue-cycle suite. The chart, the schedule, the claim, and the statement all read the same data.

RegionUnited States
Live atehr.medpipers.com
CodingICD-10-CM · CPT · HCPCS
ClaimsX12 837 · 835 · 270 / 271

What it is

One system for the whole practice.

Most US practices run an EHR, a practice-management system, and a clearinghouse portal as three products. HealthVerse USA is one product. Every screen reads the same patient, encounter, and coverage records.

Universal patient identity

  • HV ID and a master patient index across every front door
  • MRN, SSN, driver's license, and ID.me stand-ins for verification
  • Family switching in the portal: one login, many charts
  • Deterministic and probabilistic match on registration

Longitudinal timeline

  • Encounters, meds, labs, imaging, and documents on one axis
  • Lab-trend charts with reference-range shading
  • Clinical summaries with responsible-AI guardrails
  • Documents indexed by encounter and by problem list

Booking and access

  • Provider network with schedules, block time, and walk-in slots
  • Booking shows the pre-service patient share up front
  • Digital pre-visit check-in with signed consents
  • Waitlist, rescheduling, and no-show tracking

Eligibility and prior auth

  • Real-time eligibility checks (X12 270 / 271)
  • Prior-authorization workflow with payer-specific criteria
  • Documentation checklist generated from the request
  • Status tied to the appointment and the claim

Revenue cycle

Every screen in the RCM stack, native.

The billing team lives in the same product as the clinicians. Charge capture flows out of the visit. Denials sit next to the chart that produced them. Appeals write back into the encounter.

Charge capture and coding

  • Service lines with modifiers, units, and place of service
  • ICD-10-CM problems and CPT / HCPCS procedures
  • Payer-specific fee schedules and contract allowables
  • Coder queue with hold reasons and inline queries

Claims workbench

  • Rules-based scrubber: policy, annual limits, prior-auth requirements
  • Custom scrub rules per payer
  • Batch submission on a simulated clearinghouse rail
  • Message log with full X12 lineage

Remittance and denials

  • 835 remittance batches with auto-match and auto-post
  • Denial codes with a reason-tree drill-down
  • Appeal workflow with a generated appeal letter
  • Payment ledger: every debit and credit is traceable

Statements and A/R

  • Patient statements with configurable defaults
  • A/R aging by payer, provider, and service date
  • Payment plans and wallet receipts
  • A work queue of everything that needs action

Patient portal

A patient app that knows what the clinic knows.

Same data model, different door. Every field a patient sees is the same field the front desk sees.

Home and timeline

  • Dashboard with care alerts and medication reminders
  • Medical timeline with lab-trend visualizations
  • Health assistant grounded on the patient's own record
  • Family switching for parents and adult children

Booking and visits

  • The same booking engine as the front desk
  • Pre-service patient share shown before the visit is confirmed
  • Pre-visit check-in with signed consents on a phone
  • Care-team messaging with clinical routing

Marketplaces

  • Pharmacy, labs, and imaging
  • Price catalogs compared side by side
  • Fulfilled results post back into the timeline
  • Order, deliver, chart, as one loop

Payments and wallet

  • Card, ACH, Apple Pay, HSA/FSA
  • Statements, installment plans, wallet receipts
  • Patient-share collection at booking
  • One balance across the family group

Who it's for

The whole front line.

Clinicians

Chart in the timeline, order labs and imaging inline, and sign notes with the coding attached. When you sign, the claim already knows.

Billing and RCM

A claims workbench that sees every scrubbing failure, every denial, and every dollar of A/R, with a line back to the chart that generated it.

Patients and families

The same schedule, meds, results, and balance the clinic sees. Book, check in, pay, and message, including for kids and parents.

Standards and coding

HL7 v2FHIR R4CCDAX12 837X12 835X12 270 / 271X12 278ICD-10-CMCPTHCPCSLOINCRxNormSNOMEDNDC

Stack

FastAPI · PythonSQLAlchemy · MySQLReact · Vite · TypeScriptTailwindsystemd + nginxdocker-composeTOTP 2FARBACAudit trail

Run a pilot.

We spin up a HealthVerse USA instance for your practice with seed data: chart, claim, and patient portal, inside a week.