Most practices run a chart that documents, a second system that codes, and a folder of PDFs that stands in for evidence. Crebral is one platform where the visit you record becomes the note you sign and the claim you send, with every recommendation graded and cited back to a source.
Built for independent practices. HIPAA, BAA available, your data stays yours.
What it does
The parts below aren't modules you assemble. They're the same visit seen at each stage, which is why the note knows what the claim needs and the claim knows what the note said.
Record the visit on your phone, iPad or Mac. Audio is transcribed on the device and never reaches the browser. The note drafts while you talk, in your specialty's template, and every claim it makes cites the sentence it came from.
Answers come from a curated corpus with a grade attached, not from an open web search. When the evidence is thin it says so. The assistant reads the chart in front of you, so the answer is about this patient.
Codes are captured from what you documented, scrubbed against the real ICD-10 set, and assembled into a claim. Rates come from the Medicare fee schedule on day one and sharpen as your own remittances come back.
Interactions and contraindications are checked against a sourced rule set as the plan is written, with the reasoning shown. Coverage is deepest in longevity and metabolic medicine and is growing by specialty; the model doesn't grade its own homework.
Order from the chart, ingest results as structured data, and read them against ranges that fit the practice rather than a single lab-normal band. Trends are the default view, not an export.
Scheduling, intake that lands in the chart, secure patient messaging, a portal, and documents. The unglamorous half, without which none of the above is a practice.
Billing
A note is a clinical document and a financial one. Crebral treats it that way, so the money follows the documentation instead of a biller reconstructing the visit a week later from what got typed.
Procedures are captured from what you actually documented. Where the note is too vague to code specifically, you get asked while you're still writing, not after a denial.
Every code is checked against the authoritative set, not a format rule. A code that looks right and doesn't exist gets caught here rather than by the clearinghouse.
Start on the published Medicare schedule so nothing prices at zero on day one. As your remittances arrive, the estimate moves toward what this payer actually pays you for this code.
Longevity practices are mostly cash-pay, so the whole billing stack switches off for them and the surfaces disappear with it. You see the parts your practice uses.
Specialties
Not one chart with a dropdown. Each vertical gets its own note templates, appointment types, lab ordering, capture rules and review queues, and the surfaces that belong to other specialties are simply absent.
Bloodwork turned into a graded, cited plan, with aging clocks and optimal ranges rather than lab-normal.
Surveillance that never lets a recall slip, cardiac labs and flowsheets, and coding to the specificity payers expect.
Built around the lesion: body-map pinning, biopsy and Mohs tracked through to pathology, and coding by lesion count.
Laterality gated into every claim line, global periods the chart knows, and implant records you can search on a recall.
Neurologic studies, spine and pain procedures, exact level and side capture, and global-period aware follow-up in one chart.
How we handle the serious parts
Nothing is filed, coded or sent on its own. Drafts are proposals and the note says so until a person signs it.
Recordings never leave the practice. The chart keeps the transcript as the record behind the note, and every line of the draft traces back to it.
Recommendations carry a grade and a source. Where the evidence is weak you see the grade, not a confident sentence hiding it.
We'll show you your own specialty with real charts in it, and tell you plainly what isn't built yet.