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AI-native. Not AI-added.

Replace your EHR with a company OS built entirely around your practice

For medical practices that outgrew off-the-shelf.
Charting, claims, credentialing, scheduling, the Monday report.
One AI-native system, built and run by notics.

Request your free prototype How it works

764 support ratings over two years · 99.869% positive · a decade running medical practices' technology

“Hugo is always there to help right away”

Cristy Ampe 12/05/2025

“Thank you for your promptness in helping me resolve my monitor issue.”

Michele Combs 02/17/2026

“Prompt response and resolution!”

Ryan Stepan 08/20/2024

“Thank you for the extensive assistance that you provided Carlos. My system is working a lot faster with only a few minor bugs remaining.”

Deborah DeLong 06/05/2026

“so quick to respond!”

Andrea Lawless 06/11/2026

“it was a quick and easy fix”

Sarahi Garza Nunez 11/18/2025

“Hugo is very caring and explaining everything to me very well! I think anything he helps with is always done with extreme thought, greatful to have him as our IT guy”

Khadra Liban 10/23/2025

“Great customer service, support and very quick. No waiting or downtime.”

Trisha Chimal 06/30/2026

“IT provided quick answer and resolution to the problem so I could continue about my day. Thanks so much!”

Julie Tiegs 01/26/2026

“Carlos is always quick to help with any random tasks I ask for help with. I am sooo appreciative of his timeliness and knowledge to be able to help me so quickly! :)”

Hannah Hammond 05/18/2026

“Tim was efficient and solved the problem with my speakers.”

Juliane Timmreck 04/22/2026

“Punctual response to problem, able to help easily from a distance, patient with my ability to assist during a busy schedule.”

Terrence Keller 10/09/2025

“Appreciated Hugo so much! He was patient, helpful and really kind”

Brenda Arnold 03/24/2026

“All of Carlo's assistance”

Mary Braxton 06/30/2026

“Very quick response and solution to the problem.”

Kacy Sulavik 04/23/2026

“Carlos is phenomenal. Im thankful for him and all his help!”

Christina Williams 07/09/2026

“prompt response”

Jared Rahn 09/29/2025

“Always friendly and timely service, thank you!”

Jessica Beckman 07/29/2026

“Thank you for the help, Hugo!”

Chelsey Haust 07/08/2026

“Quick response.”

Keaton Collette 03/25/2026

“Prime response time”

Caitlyn Dullinger 07/24/2025

“IT is not delightful, but Carlos is amazing. He's consistently personable, knowledgeable, fast, and communicative. He's the best. The whole company loves Carlos!”

Amy Hedley 04/23/2026

“Very kind, and quick with help! I was added into the teams I needed within 5 minutes. :) Thank you!”

Courtney Leonard 12/08/2025

“Communication skills and timeliness.”

Sarah Miller 11/05/2025

The problem

Your practice shouldn't bend to fit your software.

Every platform on the market asks the same thing of you: change how you operate until the software makes sense. So you hire around it. You keep a spreadsheet beside it. You open nine tabs to move one patient from referral to paid claim — and your staff become the integration layer.

Nobody's workflow fits the template You paid to configure a system built for the average practice. You are not the average practice.

ii.

The stack keeps growing No vendor covers everything, so you buy another one. Re-keying between them is a full-time job nobody was hired to do.

iii.

Your changes sit in someone else's queue The thing that would save your billers ten hours a week is a feature request, behind every other customer’s.

01 / Built for you

A system built around your operation — not a template you bend into.

We start with how your company actually runs: your intake, your credentialing quirks, your payer mix, the report your COO opens every Monday. Then we build the system that runs it. No modules you don't use, no fields you don't need, no workarounds documented in a shared drive.

Collections, month to date

$1.42M +8.2%

$104K ahead of plan after the Aetna re-file.

Days in A/R

31.4 −4.1 days

Target 28Median 44

Chair utilization

86.5% −2.3 pts

Northside carries the miss — 41 open slots.

New patients

412 +37

64% from four referring offices.

Cash collected against plan Posted payments, net of refunds · rolling 12 months

Collected Plan

OctNovDecJanFebMarAprMayJunJulAugSep

Needs a decision three, and only three

$86K in denials expire in 6 days

41 UHC claims, same modifier error. The corrected batch is staged and waiting on your sign-off.

Approve re-file See the 41

Dr. Whitfield's Cigna panel lapses Sep 19

218 booked visits sit behind it. The re-attestation needs a signature, not a project.

Valley Orthopedics: no referrals in 23 days

They averaged 19 a month for three years.

14 smaller exceptions cleared themselves overnight

02 / One system

One system your whole company runs on.

Clinical, revenue cycle, and operations on one shared record — providers, billers, schedulers, and administrators in the same place, speaking the same vocabulary. Referral to intake to episode of care to billing to outcome is a single thread through one record, not a relay race between six tools. Payroll and accounting stay in QuickBooks or Paylocity and report in.

Clinical

Charting, orders, scheduling, patient communication, the portal — the deepest custom layer, shaped around how your providers work. Built for you

Revenue cycle

Coding, claims, denials, collections and the finance view your executives run the business from — connected to the chart it came from. Built for you

Operations

Credentialing and payer enrollment, referrals, provider comp, location P&L, recall campaigns, the call queue — the parts of the company nobody sells software for. Built for you

03 / AI doing the work

What a notics system can do.

Examples, not a feature list. Every system we build is different, because every practice is. These are the kinds of things we build into them — and all of them already exist in systems we've built.

Lead capability

Run the whole system by asking it.

An agentic assistant that sits over your entire operation. “Which claims over $5k are aging past 60 days?” “Move Dr. Patel's Thursday panel and notify the patients.” It reads the record, does the work, and shows you what it changed.

Assistant Meridian Health · acting as Dana R. Write access · audited

Move Dr. Patel's Thursday panel to next week and notify the patients.

✓ Read Thursday, Sep 11 schedule — 22 appointments, 3 post-op, 1 injection series

✓ Checked Sep 18 capacity, eligibility and auth expiry for all 22

! 2 can't move — post-op windows close before Sep 18. Held on Thursday with Dr. Sanders.

✓ Rebooked 20 · texted in patient's preferred language · 14 confirmed already

PatientWasNowNotice

M. Alvarez Sep 11, 9:20a Sep 18, 9:20a Confirmed

D. Whitcomb Sep 11, 10:00a Sep 18, 11:40a Confirmed

R. Osei· post-op Sep 11, 1:15p Held — Sanders Front desk

Looks right Undo all 20 4.2 seconds, one sentence

Revenue cycle

Claims that work themselves.

Coding suggested from the note, claims scrubbed before they go out, denials triaged and reworked automatically. Your billers handle exceptions, not queues.

Clinical documentation

The note is written by the time you stand up.

Ambient documentation listens to the visit, drafts the note in your format, and carries it straight into coding and billing.

Operations

The busywork, gone.

Scheduling and rescheduling, intake, prior authorization, reminders and patient comms — automated across the practice, not bolted onto one department.

The rest of the company

Credentialing that tracks itself.

Payer enrollments, license renewals, and CAQH attestations watched and chased automatically. Provider comp calculated from the claims that actually paid. The Monday report, already built.

Why not just buy off-the-shelf?

Because you already are, and you already know what it costs. Renting software carries four taxes that never appear on the invoice.

01 Seat tax Priced per person, forever. Every hire raises the bill, and after ten years of paying it you have nothing to show.

02 Swivel-chair tax No vendor covers everything, so you run nine tools and pay your staff to re-key the same patient into each one.

03 Roadmap tax Your changes are prioritized by the vendor's business, not yours. Sometimes the answer is simply no.

04 Hostage tax Your data lives in someone else's schema. You are renting access to your own record.

Rent gets more expensive every year. A system built around you gets more valuable.

Hiring adds capability one person at a time. Renting is worse than linear — the price climbs with your headcount. Building compounds: a workflow encoded once runs for every user at no additional cost, and each thing we build becomes the foundation for the next.

Who you'd be working with

Ten years running healthcare companies' technology.

notics didn't start as a startup. For a decade we've been the team medical practices call when their technology breaks, and the one they call before they change anything. We've watched good operators lose margin to their own software for long enough to go build the alternative.

4.904/5 Average across 764 support ratings, August 2024 to today.

99.869% Of those ratings came back neutral or better. Not one was a single star.

10yrs Inside healthcare operations — clinical, billing, and the infrastructure under both.

Most recent review

★★★★★

“Carlos is the GOAT”

Alana Taylor 09/04/2026

September 4

Pulled straight from our support desk on every page load. Every quote on this page is a real ticket from a real practice, word for word.

“I spent ten years fixing the systems practices were forced to buy. Every problem worth solving was on the other side of software somebody else owned. So we built the company that builds the system instead.”

Shae Feltz Founder & CEO, notics

04 / How it works

A team that never leaves.

There's no handoff, no final invoice, no year three where the system stops matching the business. We build it, we run it, and we keep extending it every month for as long as you're with us. Your team asks for what it needs; we build it.

1 A free working prototype

Tell us the workflow that costs you the most. We build it — real screens, your terminology, your process — and walk you through it. No cost, no commitment.

2 Your system, in stages

We go live where the pain is worst first, then expand outward — one department at a time, until the whole company is on it — while the systems you have keep running.

3 It never stops evolving

Unlimited requests, every month, forever. Someone on your side sets the priorities; we ship against them. New payer, new location, new service line — the system follows.

One flat monthly subscription, tiered to how fast you want to move. No per-seat pricing. No change orders. No charge for the request that turns into next quarter's biggest win.

Security & reliability

You're handing us the system your revenue runs on. We've earned that before.

For ten years we've been responsible for the infrastructure medical practices depend on daily — the uptime, the access controls, the audits, the 2 a.m. calls. That's the same team, with the same standards, running your notics system.

BAAs signed A business associate agreement is in place before any protected health information moves.

Hosted in the United States Your system and your data stay on US infrastructure, on secure, isolated hosting.

Your data is 100% yours Fully yours, fully portable, on request — in a format you can actually use. Never held as leverage.

Access you control Role-based permissions, audit trails, and encryption in transit and at rest across the system.

Questions we get first.

What does it cost? One flat monthly subscription, tiered by how much we build for you each month — never per seat. We'll give you the number on the call, once we know what you're trying to run.

How long before we're live on something real? Your prototype comes out of the first conversations. From there we go live in stages, worst pain first — not one enormous switchover weekend.

What if we want to leave? Your data is yours and portable, always. We'd rather keep earning the subscription every month than hold anything hostage.

Do we have to move everything at once? No. Most practices start us on charting or billing because that's where it hurts most. Some start with credentialing or scheduling. We go where the pain is, and payroll and accounting can stay exactly where they are and report in.

Who's the right fit? Healthcare companies large enough that their software is now a real cost center — roughly 100 to 250 people — where the CEO, COO, and clinical leadership can decide together.

What happens on the prototype call? You walk us through how your practice actually runs. We come back with a working prototype of the part that hurts most. It's free, and it's the fastest way to see what a notics system would feel like.

See your own practice, running on it.

Bring us the workflow that costs you the most. We'll build you a working prototype of it — free — and you'll know within one conversation whether this is for you.

Request your free prototype See what we build

Thirty minutes, an operator on the other end, no deck.