🩺 Hub for Clinics · U.S.
The alternative to athenahealth, with Deco 1.0 built in

More than a scheduling app.
Everything your practice needs, in one place.

For medical, dental, and veterinary practices, multi-specialty groups or a solo provider. The Hub does everything athenahealth does (scheduling, EHR, claims, billing) plus what it doesn't: Deco 1.0 handling pre-visit intake, a 30-second chart summary, lab interpretation, symptom triage, and automated denial appeals.

No contracts Onboarding in week one HIPAA-compliant Export everything on cancel

Sound familiar?

Situations nearly every practice lives. If more than two of these ring a bell, the Hub fixes them.

📞

Front desk buried in booking calls

The phone rings all day. Staff spends hours booking visits. Patients give up if no one answers. You lose the lead.

📋

Paper or Word charts, disorganized

Provider opens the visit, patient tells their story, provider scribbles it down. Next visit loses 5 min recalling. History errors. Medico-legal risk.

💸

Insurance denials nobody appeals

Payer refuses to pay. Billing appeals half the denials. The other half becomes a loss. The practice loses 5-10% of revenue every month.

📲

Patients forget their follow-up visit

Hypertensive, diabetic, oncology, all need regular follow-up. Without systematic reminders, they forget. You lose recurring revenue and clinical quality drops.

Last-minute cancellation becomes a hole in the schedule

Patient cancels an hour before the visit. Provider sits idle. The waitlist was never notified. The gap becomes a loss.

📊

You don't know if the practice is truly profitable

Revenue is just revenue. Provider comp, supply cost, pending denials, payer fee schedules, all in separate spreadsheets. Nobody computes true cost-per-procedure.

How it works today How it works with the Hub

Same practice, same providers, same patients. Just a different tool.

❌ Before
  • ×Phone rings all day. Front desk books visits by hand.
  • ×Paper or Word charts. Provider loses 5 min recalling.
  • ×Intake only at the visit. Slow to start treating.
  • ×Paper prescriptions. Patient loses them, forgets to fill.
  • ×Labs in a PDF, provider reads 10 min before deciding.
  • ×Insurance denials: half becomes a loss, nobody appeals.
  • ×Patient cancels an hour before, hole in the schedule.
  • ×Provider comp calculated in Excel, always a complaint.
✨ After
  • Patient books on the site, picks an open slot, gets a text.
  • Digital chart. Deco writes a summary in 30 seconds.
  • Pre-visit intake by photo/text/voice before the visit.
  • e-signed prescription, routed to the pharmacy automatically.
  • Deco interprets the lab, flags out-of-range, drafts an impression.
  • Hub appeals denials automatically. Recovers 70-90%.
  • No confirmation in 6h? Hub offers the slot to the waitlist.
  • Comp calculated on its own. Pay statement + ACH on the 5th.

12 things only the Hub does

No US practice-management platform ships all of these today. Each one solves a real clinic problem.

🧠

AI chart summary (patient in 30s)

Patient returns after 2 years. Provider opens the chart, Deco writes a one-paragraph summary: chronic conditions, active meds, allergies, relevant family history. Caught up without reading 4 years of notes.

📝

Multimodal pre-visit intake (photo + text + voice)

Patient describes symptoms before the visit however is easiest (detailed text, voice memo, photo of the lesion). Deco structures the intake for the provider. Saves 5-10 min of typing per visit.

🔬

AI lab interpretation

Patient uploads the lab PDF. Deco reads the values, flags out-of-range, drafts a differential impression. Provider reviews and validates, focuses on the plan instead of reading for 10 min.

💊

e-signed e-prescribing (Surescripts-ready)

Provider enters the med right in the chart. Hub validates (interaction, allergy, dose), generates the e-signed prescription. Routes to the pharmacy, EPCS-ready for controlled substances. Legally valid, no paper.

🚨

Smart symptom triage (ESI protocol)

Patient texts a symptom. Deco classifies urgency (green/amber/red) and routes to the ER, a same-day slot, or standard booking. Front desk stays free for other tasks.

📋

Insurance claims · authorization in minutes

The order goes out of the Hub straight to the payer as an 837P claim. Authorization returns automatically in 5-15 min. Cuts hours on hold. Staff focuses on care, not fighting payers.

🪑

Virtual waiting room

Patient sees the live queue on their phone, text 5 min before the visit. Can wait in the car without losing their place. Cuts crowding at the front desk. Raises satisfaction.

📲

Recall reminders by condition (ICD-10)

Hub knows the clinical cadence by ICD-10: diabetes 3m, hypertension 6m, cancer monthly, third-trimester pregnancy monthly. Fires text + email at the right cadence. Recall is recurring revenue practices lose by forgetting.

💸

Denials appealed automatically

Payer refused to pay? Hub builds the appeal automatically on the payer's rules. Recovers 70-90% of denials with no attorney spend. Revenue that would have become a loss.

📅

Public booking page, no phone call

Patient goes to clinic.com/book, picks specialty + provider + slot, fills in details, gets a confirmation text. Front desk is free of the phone, patient books in a minute.

💰

Automatic provider comp + denials

% rule per provider (self-pay, insurance collections, per procedure). Hub calculates automatically, net of denials. PDF pay statement + ACH on the 5th. No spreadsheet, no doubt.

🔄

Smart rescheduling (auto-fill open slots)

Patient cancels. Hub sees who's on the waitlist for the same provider/specialty and offers the slot automatically via text. Accepted in minutes. Schedule gaps go to zero.

From signup to your first visit in the Hub: one week

No migration trauma, no losing charts, no provider sitting idle for a month learning a new system.

1
🤝

Guided onboarding

A one-hour call with us. We configure providers, specialties, comp rules, payers, schedule, payment account.

2
📦

Import patients + charts

Send us your patient CSV for the Hub. Old charts become PDF attachments. HIPAA compliance from day 1.

3
🚀

Connect integrations

Connect the claims clearinghouse, e-prescribing, invoicing, card/ACH. We train providers and front desk in 30 minutes.

4
📈

See the first numbers

Within 7 days: patients book on the site, charts go digital, recall reminders fire. Decide if month 2 makes sense.

Onboarding included. No setup fee. No contract.

Hub vs athenahealth, side-by-side

36 features compared. Click ℹ️ to see each one running.

has · ~ partial · missing · ✅ ready · 🚧 building · hover the icons in the feature name for details

🚧 About features under construction: these are already planned and in development. When ready, they ship into your plan automatically at no extra cost. Customers who come in now are design partners: front-of-the-queue priority, special pricing on the early months, and the team's full attention to shape the feature the way it makes sense for your practice.
FeatureHub (flat, from $97)athenahealth ($140/provider + 4-7% of collections)
Multi-provider schedule with 24h auto-confirmation
schedule by provider, specialty, day/week/month. Patient books on the site, text + email confirmation 24h ahead. No confirmation? Hub releases the slot to the waitlist.
Public booking page, no phone call
patient goes to clinic.com/book, picks specialty + provider + open slot, fills in details, gets a confirmation text. Front desk stays free.
AI chart summary (patient in 30s)
patient returns after 2 years? Provider opens the chart, Deco writes a one-paragraph summary (conditions, meds, allergies, history). Caught up in 30 seconds.
Multimodal pre-visit intake (photo + text + voice)
patient describes symptoms before the visit however is easiest (detailed text, voice memo, photo). Deco structures the intake for the provider. Saves 5-10 min of typing.
Integrated e-prescribing (e-signed, EPCS-ready)
provider enters the med in the chart, Hub validates (interaction, allergy, dose), generates the e-signed prescription. Routes to the patient's pharmacy. Legally valid.
AI lab interpretation
patient uploads the lab PDF, Deco reads the values, flags out-of-range, drafts a differential. Provider reviews and validates. Saves 5-10 min of reading on a complex panel.
Smart symptom triage (ESI protocol)
patient texts a symptom. Deco classifies urgency (green/amber/red) and routes to the ER, a same-day slot, or standard booking. Front desk stays free.
Virtual waiting room (patient sees the live queue)
patient sees the wait estimate on their phone. Text 5 min before the visit. Can wait in the car without losing their place. Cuts crowding at the front desk.
Recall reminders by condition (ICD-10)
Hub knows the cadence by ICD-10: diabetes 3m, hypertension 6m, cancer monthly. Text + email at the right cadence with tailored copy. Recall is recurring revenue most practices lose.
Insurance claims · auto prior-auth (CMS-1500 / 837P)
order goes out of the Hub straight to the payer as an 837P claim. Authorization returns automatically in 5-15 min. Cuts hours on hold with payers.
Automatic provider compensation (self-pay + insurance)
% rule per provider (self-pay, insurance collections, per procedure). Hub calculates automatically, net of denials. PDF pay statement + ACH on the 5th.
Billing + denial appeals automated
self-pay visit auto-invoices. 837P claims batched to payers monthly. Denials appealed automatically on the payer's rules (recovers 70-90%).
Google + Meta ad generator · board-compliant (Pro)
Deco writes copy that respects state board + FTC rules (no cure/guarantee/comparison). Local geo + health interest + age range. Included in Pro.
Ad generator & publisher via API (Elite)
Includes the Generator + publishes straight via Google Ads + Meta Marketing API. No copy-paste. Results land on the right provider's schedule. Included in Elite.
Secure messaging + text tied to the chart
conversation tied to the chart (HIPAA compliance). Provider sees history before answering a question. Everything logged.
~
Time Clock (provider, nurse, front desk, on-call)
distinguishes the type of hours: regular, on-call, standby, overtime. All automatic for the pay statement.
~
Role-based permissions (HIPAA)
6 default roles. Provider only sees their own patients. Front desk has no chart. Billing has no diagnosis. Access audit log (HIPAA requires it).
~
Performance dashboard + Deco insight
revenue, visits, no-show, NPS, average charge by specialty. Per provider: production, comp, satisfaction.
~
Human English support over text + email
replies in < 2h business hours. Whoever answers understands clinics: claims, denials, provider comp, EHR, HIPAA.
~
Presence on health directories (Healthgrades, Zocdoc, Maps)
1 profile in the Hub, 6 platforms update. Reviews land in the Hub, Deco suggests a reply. Healthgrades/Zocdoc convert into direct bookings.
Runs on your phone like an app (no install)
opens as an app from the browser. Provider takes call, prescribes, opens labs from anywhere. Works offline.
🚧 24h auto-confirmation (frees the waitlist)
text + email 24h ahead asking for confirmation. No confirmation in 6h? Hub releases the slot to the waitlist. Open slots drop drastically.
🚧 Smart rescheduling (auto-fill open slots)
patient cancels. Hub sees who's on the waitlist for the same provider/specialty and offers the slot automatically via text. Accepted in minutes.
🚧 House-call routing (home health, mobile vet, geriatrics)
for home-health, mobile-vet, and geriatric practices. Hub optimizes visit order by GPS + patient window. Saves clinician time driving between homes.
🚧 30/60/90-day revenue forecast (insurance + self-pay)
Hub sees booked visits, procedures in progress, insurance receivables. Forecasts cash flow, informs planning.
🚧 Cost-per-procedure (true margin)
disposables + provider time + overhead. Shows which procedure has real margin and which loses money (especially on tight insurance fee schedules).
🚧 Cancellation & no-show analysis
which provider has the most no-shows, which time slot fails most, which patient profile cancels. Overbooking decisions on data, not gut.
🚧 Most-profitable procedure analysis
not just price. Factors in time, materials, payer mix. Shows which visit/procedure is worth focusing on to grow.
🚧 Automated post-visit (1d / 7d / 30d / 6m)
1d (satisfaction), 7d (med reminder), 30d (recall if applicable), 6m (general check). Keeps the patient close.
🚧 Personalized preventive-screening reminders
Hub learns the patient profile and fires: mammogram due annually, cardiology for hypertension, retinal exam for diabetes.
🚧 Referral program with cashback
patient refers a friend, earns a credit toward the next visit or procedure. Grows the base without paying for ads.
🚧 Digital health wallet (patient accesses in the app)
full history, active prescriptions, labs, allergies, immunizations. Patient accesses it in the app, takes it to another provider if they want. HIPAA right-of-access.
Work/school notes + letters + reports with e-signature
work/school excuse notes, attendance letters, reports, referrals, all e-signed. Legally valid, no paper. Same signing engine live in the Hub.
🚧 HIPAA automation (consent + audit)
consent to treat + privacy acknowledgment e-signed at the first visit. De-identification for reports. Audit log of who opened each chart (HIPAA requires it).
🚧 Immunization schedule kept current (CDC/ACIP + vet)
Hub knows the CDC/ACIP schedule (and core vet vaccines like rabies) and flags due immunizations by age and condition. Pediatrics, geriatrics, travel, veterinary.
🚧 Claim denials appealed automatically by the Hub
payer denied the claim? Hub builds the appeal automatically on the payer's rules. Recovers 70-90% of denials without an attorney.
✨ New · Reimagine's own AI

Meet Deco 1.0

Our in-house AI, built into every Hub.

Deco 1.0 is our proprietary AI. It lives inside the Hub and handles the busy work of a clinic: a 30-second chart summary, multimodal intake, lab interpretation, symptom triage, denial appeals, ICD-10 recall reminders.

No prompt, no ChatGPT tab, no extra subscription. Built into every plan. Board and HIPAA compliance guaranteed.

🧠
Chart summary
One paragraph in 30s
📝
Pre-visit intake
Photo + text + voice
🔬
Lab interpretation
Reads and drafts an impression
🚨
Symptom triage
Green/amber/red
💸
Denial appeals
Recovers 70-90%
📲
Recall by ICD-10
Right clinical cadence
In every plan No per-use fee HIPAA-compliant Same engine across every Reimagine vertical

Run the math

With athenahealth the more you earn, the more they take. Their bill is $140 per provider every month PLUS 4-7% of everything you collect. The Hub is the opposite: a flat tool fee that never touches a percentage of your revenue. Move the two numbers below and watch the gap.

Your practice

Set these to your real numbers. The athenahealth side moves with them. The Hub side does not: its price is flat and never keyed to your revenue.

Included in Hub Starter

  • Human onboarding in week one
    In the market: Usually a separate $1,500-3,000 setup fee
  • Patient + chart migration
    In the market: Often a per-record migration fee
  • Provider and staff training
    In the market: Sold as a separate course
  • Text + email support
    In the market: Ticket queue or chatbot
  • Full export on cancel (HIPAA)
    In the market: Exit fee at many systems
  • No contract, cancel anytime
    In the market: Annual contract standard

Side-by-side

athenahealth$3,700 /mo
$700 per-provider (5 × $140) + 5% of $60,000 = $3,000. At their 4-7% range that cut alone runs $2,400 to $4,200, and it grows with every dollar you collect.
Hub Starter (flat)$397 /mo
You keep
$3,303/mo
$39,636 a year at these numbers, and the Hub gap widens the more you collect because $397 is flat forever with no cut of your revenue. The bigger win is these 12 features athenahealth doesn't have anywhere (9 in the Starter, 3 are Pro/Elite extras):
📅Multi-provider schedule
🧠AI chart summary
📝Multimodal intake
💊e-signed e-prescribing
🔬AI lab interpretation
🚨Symptom triage
🪑Virtual waiting room
📋Auto claims (837P)
💰Auto provider comp
📣Board-compliant ad generatorPro
🚀Ads publisherElite
🔍Pages + medical SEOPro

The 9 without a badge come with Hub Starter ($397). The ones tagged PRO or ELITE require those tiers, but every Hub plan is flat: Pro ($697) and Elite ($1,197) still never take a percentage of what you collect.

💬 Talk through the math

Pick the size. Everything else is the same.

Most features are identical across the four plans. The plan you pick is mostly about the size of the operation (providers, active patients, integrations). Pro and Elite also get 2 marketing extras on top.

In every plan
Multi-provider schedule
Public booking page
AI chart summary
Multimodal intake
e-prescribing (e-signed)
AI lab interpretation
Symptom triage (ESI)
Virtual waiting room
Recall reminders by ICD-10
Auto insurance claims (837P)
Provider comp + denials
Billing + invoicing auto
Time Clock (providers, team, on-call)
HIPAA-compliant permissions
Secure messaging + text tied to the chart
Human support over text + email
🚧 24h confirmation + waitlist
🚧 Smart rescheduling
🚧 House-call routing
🚧 30/60/90-day revenue forecast
🚧 Cost-per-procedure
🚧 Cancellation & no-show analysis
🚧 Most-profitable procedure analysis
🚧 Automated post-visit (1d/7d/30d/6m)
🚧 Preventive-screening reminders
🚧 Referral program with cashback
🚧 Digital health wallet
Work notes + letters + reports (e-signed)
🚧 HIPAA automation (consent + audit)
🚧 Immunization schedule current
🚧 Claim denials appealed by the Hub
Solo
Solo practice / independent
$97/mo
Plan limits
  • 1 user (you)
  • Up to 50 active patients
  • Unlimited messaging and AI reads

No marketing extras. For SEO + Deco-powered ads, move up to Pro.

Start 14-day free trial
Starter
Single provider / small practice
$397/mo
Plan limits
  • Up to 3 providers/team members
  • Up to 500 active patients
  • Up to 5 external integrations

No marketing extras. For SEO + Deco-powered ads, move up to Pro.

Start 14-day free trial
★ Most chosen
Pro
Mid-size, the most-chosen
$697/mo
Plan limits
  • Up to 15 providers/team members
  • Up to 3,000 active patients
  • Up to 20 external integrations
Exclusive extras
  • SEO Level 1 (requires Hub Site to activate)
  • Google + Meta ad generator (board-compliant)
Start 14-day free trial
Elite
Multi-location / high volume
$1,197/mo
Plan limits
  • Unlimited providers/team members
  • Unlimited patients
  • Multi-location + all integrations
Exclusive extras
  • SEO Level 1 (requires Hub Site to activate)
  • Direct ad generator & publisher (Google + Meta)
Start 14-day free trial

Every plan includes onboarding, text + email support, and full export on cancel. No contracts.

Building Now

New tools being built right now.

Blue “Live” badge means it's running in your account today and has a full page. Pink “Soon” badge means it's in active development. Every eligible plan gets new features at no extra cost when they ship.

Live

AI chart summary in 30 seconds

Open any chart, Deco reads the whole history and writes a one-paragraph summary: conditions, meds, allergies, family history. Caught up before the patient sits down.

Ask about this
Live

Multi-provider scheduling + public booking

Every provider on one live calendar. Patients self-book on the site, pick an open slot, get a confirmation text. Google Calendar synced.

Ask about this
Live

e-signed e-prescribing (Surescripts-ready)

Enter the med, Hub validates interaction/allergy/dose and routes an e-signed prescription to the pharmacy. EPCS-ready for controlled substances.

Ask about this
Live

HIPAA-compliant roles + chart audit log

6 roles, provider sees only their own patients, and every chart view is logged. The audit trail HIPAA requires, on by default.

Ask about this
Live

Automatic provider compensation

Set a rule per provider (self-pay %, insurance collections %, per procedure). Hub calculates net of denials and posts a PDF statement + ACH on the 5th.

Ask about this
Live

CMS-1500 / 837P claims + invoicing

Self-pay auto-invoices, insurance claims batch to the clearinghouse with real-time eligibility. Denials flagged for appeal.

Ask about this
Soon

Multimodal pre-visit intake (photo + text + voice)

Patient sends symptoms however is easiest. Deco structures the intake so the provider walks in already caught up.

Request early access
Soon

AI lab interpretation with differential

Upload the panel, Deco flags out-of-range values and drafts a differential impression for the provider to validate.

Request early access
Soon

Symptom triage by ESI over text

Patient texts a symptom, Deco classifies urgency and routes to the ER, a same-day slot, or standard booking. Front desk stays free.

Request early access
Soon

Virtual waiting room with live queue

Patient sees the live wait on their phone and gets a text 5 minutes out. Waits in the car, keeps their place, cuts crowding.

Request early access
Soon

Recall reminders by ICD-10 cadence

Hub knows the follow-up cadence per condition and fires text + email at the clinically correct interval. Recurring revenue on autopilot.

Request early access
Soon

Automatic denial appeals

Payer denies a claim, Hub builds the appeal on the payer's rules and resubmits. Recovers 70-90% with no attorney.

Request early access
Soon

Cost-per-procedure + revenue forecast

True margin per procedure (disposables + provider time + overhead) plus a 30/60/90-day forecast across insurance and self-pay.

Request early access
Soon

Preventive-screening reminders

Deco learns each patient and fires personalized screening reminders: mammogram, retinal exam, cardiology follow-up.

Request early access
Soon

Digital health wallet

Patient accesses full history, active prescriptions, labs, allergies, and immunizations in the app. HIPAA right-of-access built in.

Request early access
Soon

Board-compliant ad generator + publisher

Deco writes ad copy that respects state board + FTC rules and (on Elite) publishes straight to Google + Meta via API.

Request early access

How we work

Anyone who runs a practice has seen pretty software turn into a nightmare (12-month contract, exit fee, data held hostage, charts locked in). Not here.

🚫

No contracts

Cancel any time. No fee, no holdover, no "stay another 3 months to fix it". If it doesn't fit, you walk.

📦

Your data is yours (HIPAA)

On cancel, export patients, charts, schedule, and financials in one click. CSV + ZIP. No exit fee.

🤝

Onboarding included

We configure it together: providers, comp, payers, schedule, integrations. Train the staff in 30 min. No setup fee.

💬

Human support over text + email

Talk to someone who understands clinics: claims, denials, provider comp, EHR, HIPAA. No ticket queue, no chatbot.

🇺🇸

Built for the U.S. market

CMS-1500 / 837P claims, ICD-10, Surescripts e-prescribing, CDC/ACIP schedules, card/ACH. Native U.S. compliance. Not a translated overseas tool.

🔒

HIPAA compliance native

Consent to treat, de-identification in reports, an audit log of who opened each chart. Compliance is automatic, not optional.

Questions that keep coming back

Does this fit a medical, dental, and veterinary practice?+
All three. The Hub takes any specialty. Medical: cardiology, family medicine, pediatrics, OB-GYN, orthopedics, dermatology, psychiatry. Dental: general, orthodontics, implants, endodontics. Veterinary: small animal, equine, exotics. Multi-specialty groups with several providers work too.
What if I'm on paper charts or Word today?+
Most common starting point. We handle setup: digitize old charts (send a PDF), import your patient list via CSV, configure specialties, train providers in 30 minutes. In one week you run 100% digital with HIPAA-compliant audit trails.
What does it cost?+
Solo $97/mo (1 user, for solo practice). Starter $397/mo (3 providers/team members, 500 active patients). Pro $697 (15 providers, 3,000 patients, adds SEO + ads). Elite $1,197 (unlimited, multi-location + ads publisher API). Insurance claims + 837P billing included in every plan.
Do you integrate with e-prescribing and claims clearinghouses?+
Yes. Electronic prescribing is Surescripts-ready and EPCS-capable for controlled substances. Claims go out as CMS-1500 / 837P through a clearinghouse with real-time eligibility (270/271) and remittance (835). Legally valid, no paper.
Is HIPAA compliance automatic?+
Yes. Consent to treat and privacy acknowledgment are e-signed at the first visit. De-identification in reports. An audit log of who opened each chart (HIPAA requires it). You don't need to hire a separate HIPAA consultant.
What happens if I cancel?+
Export patients, charts, schedule, and financials in one click. CSV + ZIP. Nothing held back. No fee, no contract. HIPAA right-of-access respected.
Does Reimagine handle marketing too?+
The Hub generates board-compliant ad copy (no cure or guarantee claims) for you to paste into Google and Meta. For full management (setup, bidding, creative, medical SEO), optional services are available separately. See "Extra services".
How does support work?+
Text and email during business hours, with a human who understands clinics: claims, denials, provider comp, EHR, HIPAA. No ticket queue, no chatbot. Critical issue (system down) gets after-hours coverage.

Want to see it running in your practice?

14-day free trial. No credit card. Create your account now, import your data, and test the Hub against your real operation before deciding anything.

14-day free trial. No credit card.

No contracts HIPAA-compliant Export everything on cancel

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