AI back-office colleague
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.
§ 01 · how it works
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.
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.
"Refill all routine meds for Hernandez. Hold the controlled."
"Post yesterday's eligibility 271s to the charts."
"Pull this week's UHC denials and queue the appeals."
The same Ekavi, fluent in three EHRs. Anything clinical pauses for sign-off.
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.
Voice + chat receptionist · last hour
Thirteen hours a week per physician (AMA 2024). Ekavi runs the queue across your EHR, your clearinghouse, the payer's API, the portal, and a voice agent for the residual. Eight-day cycle to thirty-six hours.
PA cycle time
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.
"Follow-up post-arthroscopy. Joint injection under fluoro. PT plan, MRI if pain persists."
Codes Ekavi extracted
Posted to athena
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.
Appeal — UHC · CO-197 · 3 cases
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
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.
Stedi Change Healthcare 
Ambience DAX (Microsoft)
Hyro KlaraPlus 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 isn't on this list? Tell us in the application — we will add it.
§ 03 · built for what's coming
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.
The full architecture is on the trust page. Read the trust page →
§ 04 · the team
Ekavi is built by a small team that has spent the last fifteen years building infrastructure other engineers depended on. The lesson that mattered: when the work is invisible, the discipline is everything. One quiet thing, for practices that have been promised noise.
§ 05 · design partners
We are looking for five independent ambulatory practices to use Ekavi for ninety days, talk to us weekly, and help shape what we ship. In return: free use through launch, direct access to the founder, your input in the roadmap, and the right to walk away with your data and a clean offboarding at any time.
What you get
What we ask
A short form. Reply within a day. Pricing is something the first five help us decide.
You arrived at seven this morning. Forty-one prior auths in the queue. The senior biller gave notice last Friday. Your A/R aging crossed twenty percent and the partners noticed. None of this is your fault. None of it is fixable by working harder.
We built Ekavi for the morning that follows. The one where the inbox is already sorted, the appeals are already drafted, the eligibility checks are already done, and the first sentence you read is I've handled four overnight. One needs you. That is the product. The rest is restraint.
Five practices, ninety days, no charge. We learn from you. You shape the roadmap. The number we eventually charge is one the first five help us decide. If this sounds like the answer to a morning you have already had, write to us.
— Marion, for Ekavi.