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 thisFor 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.
Situations nearly every practice lives. If more than two of these ring a bell, the Hub fixes them.
The phone rings all day. Staff spends hours booking visits. Patients give up if no one answers. You lose the lead.
Provider opens the visit, patient tells their story, provider scribbles it down. Next visit loses 5 min recalling. History errors. Medico-legal risk.
Payer refuses to pay. Billing appeals half the denials. The other half becomes a loss. The practice loses 5-10% of revenue every month.
Hypertensive, diabetic, oncology, all need regular follow-up. Without systematic reminders, they forget. You lose recurring revenue and clinical quality drops.
Patient cancels an hour before the visit. Provider sits idle. The waitlist was never notified. The gap becomes a loss.
Revenue is just revenue. Provider comp, supply cost, pending denials, payer fee schedules, all in separate spreadsheets. Nobody computes true cost-per-procedure.
Same practice, same providers, same patients. Just a different tool.
No US practice-management platform ships all of these today. Each one solves a real clinic problem.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
% 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.
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.
No migration trauma, no losing charts, no provider sitting idle for a month learning a new system.
A one-hour call with us. We configure providers, specialties, comp rules, payers, schedule, payment account.
Send us your patient CSV for the Hub. Old charts become PDF attachments. HIPAA compliance from day 1.
Connect the claims clearinghouse, e-prescribing, invoicing, card/ACH. We train providers and front desk in 30 minutes.
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.
36 features compared. Click ℹ️ to see each one running.
✓ has · ~ partial · — missing · ✅ ready · 🚧 building · hover the icons in the feature name for details
| Feature | Hub (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. | ✓ | — |
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.
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.
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.
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.
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.
No marketing extras. For SEO + Deco-powered ads, move up to Pro.
Start 14-day free trialNo marketing extras. For SEO + Deco-powered ads, move up to Pro.
Start 14-day free trialEvery plan includes onboarding, text + email support, and full export on cancel. No contracts.
Building 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.
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 thisEvery provider on one live calendar. Patients self-book on the site, pick an open slot, get a confirmation text. Google Calendar synced.
Ask about thisEnter the med, Hub validates interaction/allergy/dose and routes an e-signed prescription to the pharmacy. EPCS-ready for controlled substances.
Ask about this6 roles, provider sees only their own patients, and every chart view is logged. The audit trail HIPAA requires, on by default.
Ask about thisSet 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 thisSelf-pay auto-invoices, insurance claims batch to the clearinghouse with real-time eligibility. Denials flagged for appeal.
Ask about thisPatient sends symptoms however is easiest. Deco structures the intake so the provider walks in already caught up.
Request early accessUpload the panel, Deco flags out-of-range values and drafts a differential impression for the provider to validate.
Request early accessPatient texts a symptom, Deco classifies urgency and routes to the ER, a same-day slot, or standard booking. Front desk stays free.
Request early accessPatient 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 accessHub knows the follow-up cadence per condition and fires text + email at the clinically correct interval. Recurring revenue on autopilot.
Request early accessPayer denies a claim, Hub builds the appeal on the payer's rules and resubmits. Recovers 70-90% with no attorney.
Request early accessTrue margin per procedure (disposables + provider time + overhead) plus a 30/60/90-day forecast across insurance and self-pay.
Request early accessDeco learns each patient and fires personalized screening reminders: mammogram, retinal exam, cardiology follow-up.
Request early accessPatient accesses full history, active prescriptions, labs, allergies, and immunizations in the app. HIPAA right-of-access built in.
Request early accessDeco writes ad copy that respects state board + FTC rules and (on Elite) publishes straight to Google + Meta via API.
Request early accessAnyone 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.
Cancel any time. No fee, no holdover, no "stay another 3 months to fix it". If it doesn't fit, you walk.
On cancel, export patients, charts, schedule, and financials in one click. CSV + ZIP. No exit fee.
We configure it together: providers, comp, payers, schedule, integrations. Train the staff in 30 min. No setup fee.
Talk to someone who understands clinics: claims, denials, provider comp, EHR, HIPAA. No ticket queue, no chatbot.
CMS-1500 / 837P claims, ICD-10, Surescripts e-prescribing, CDC/ACIP schedules, card/ACH. Native U.S. compliance. Not a translated overseas tool.
Consent to treat, de-identification in reports, an audit log of who opened each chart. Compliance is automatic, not optional.
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.