We're in private beta — if you run revenue cycle at a physician group or community hospital, we'd love to talk.

Private beta · Shadow-mode RCM for healthcare

Your EHR doesn't catch everything. We do.

Buddee runs quietly alongside your existing EHR — no new workflows, no integration project. It reads your clinical notes, flags suspected HCC coding gaps with source evidence, and drafts CMS-grounded prior authorizations. Every suggestion waits for a clinician before anything happens.

No EHR replacement requiredClinician approval on every suggestionFHIR R4 read-onlyHIPAA BAA signed before data access

Try the interactive sandbox — ask anything in the chat below

Sandbox Agent Demo
Synthetic data only — not your patients
Welcome to Buddee. I run alongside your EHR — ask about missed HCC codes, prior authorizations, audit events, or this week's revenue recovery.

Sandbox only. Nothing is written back to an EHR or submitted to a payer.

< 2 hrs

Targeted FHIR connection time (design goal)

0

Auto-billed claims — ever

100%

Suggestions reviewed by a clinician

  • Built on FHIR R4

    Architected to read from major EHRs such as Epic and Cerner — read-only, never writes back

  • Zero Auto-Billing

    AI recommends. Clinicians decide. Always.

  • Hash-Chained Audit Design

    Designed to hash-chain every recommendation, approval, and rejection for tamper-evident traceability.

  • HIPAA-Ready Architecture

    Designed for AES-256 at rest and TLS 1.3 in transit.

  • SOC 2 Type II (Planned)

    On our compliance roadmap; not yet audited.

Three problems your team is probably living with right now

None of these are new problems. They've just gotten harder as encounter volumes rise and payer rules get more complex.

Revenue Cycle Director
$82,000
Industry estimate
Estimated annual revenue lost per physician from missed HCC codes

Chart review closes before anyone has time to cross-reference every note against the HCC list. The codes that get missed aren't wrong — they're just not there. And once billing closes, they're gone.

Compliance Officer
18 months
Industry estimate
Estimated time to resolve a CMS audit

When CMS comes knocking, your team has to reconstruct the reasoning behind every billing decision from memory and scattered notes. A gap in the record can invalidate an entire encounter set.

CMO / CTO
6.3 days
Industry estimate
Estimated prior authorization delay, disrupting patient care

Prior auth queues move at the speed of fax machines. Payer rules change faster than anyone can track manually. The delay isn't just administrative — it affects care.

Figures reflect illustrative published industry estimates for HCC under-capture, CMS audit timelines, and prior-authorization turnaround — not Buddee measurements. Your numbers will vary.

Buddee doesn't replace your revenue cycle team. It gives them a layer of signal they don't currently have — and a hash-chained record of that reasoning, designed to make audit prep far less painful.

Revenue Modeling

How Much Revenue Are You Leaving Behind?

Based on CMS HCC v28 data. Adjust to your organization's scale.

50

Active billing providers across your network

800

Average annual patient encounters

$280

Reimbursement currently captured per encounter

Estimated Annual Recovery Potential

$0

Per Provider

$0

Confidence

modeled

Assumes a 3.8% industry HCC miss rate (modeled). Assumes a $2,800 average CMS HCC v28 code value (modeled). Assumes a 72% capture improvement over baseline (modeled). These are pre-launch modeling assumptions, not measured outcomes. Actual results vary. This is not a financial guarantee.
Product

What Buddee actually does

Everything runs in the background. Your team only sees suggestions — not a new system to learn.

Today: manual review closes before every code gets checked

Shadow-Mode RCM

Per-encounter risk assessment

Shadow-mode analysis (clinician-gated)Clinician-gated
Today: chart summaries depend on who has time to read everything

Generate Clinical Brief

Streaming summary from chart notes

Today: 6+ day turnaround, mostly waiting on manual documentation

Prior Authorization

Draft · Submit · Track

Draft prior authorization requests in seconds for clinician review before submission, designed to reference CMS coverage guidelines. Tracked through the full lifecycle: draft → pending → submitted → approved.

Today: spreadsheet logs that fall apart under audit scrutiny

Audit Trail Design

Demo · SHA-256 hash-chain model

audit stream · hash-chained events
Today: most RCM tools require deep EHR integration to deploy

Security without the sales pitch

Security & Compliance

We design these controls because a healthcare AI without them isn't a serious product. PHI is designed to be encrypted in transit and at rest. Every model output waits for a clinician. The audit design captures every model output so it can be reviewed and queried.

AES Encryption at Rest
Designed for provider-managed AES-256 at rest
TLS in Transit
Designed for all API communication over TLS 1.2+
Hash-Chained Audit Log
Demo hash-chain; durable verification planned
Human Approval Gates
AI recommends — clinicians decide
Prompt Injection Mitigations
Clinical notes treated as untrusted input by design
Built on FHIR R4
No proprietary format lock-in
Proof

Built for the Numbers That Matter

4.2%

Modeled lift in HCC capture rate — the number we use in the recovery estimator. We'll replace it with real cohort data as pilots complete.

0

Auto-billed claims by design. Every recommendation is gated behind clinician sign-off before anything reaches billing.

48 hrs

Target time to deliver a revenue gap estimate sized to your encounter volume

These are modeled launch assumptions and product safeguards — not customer claims. We'll publish measured outcomes as our first cohort completes.

Product Proof

Capability statements below describe implemented product behavior, not customer testimonials.

HCC Gap Analysis - Per Encounter

Buddee reviews each clinical note against billed codes and surfaces suspected HCC/ICD-10 gaps with confidence scores and source evidence. Nothing reaches billing without clinician sign-off.

Hash-Chained Audit Design for Tamper-Evidence

Buddee is designed to write every recommendation, approval, and rejection to a SHA-256 hash-chained ledger so your compliance team can verify chain integrity rather than trust a black box. Durable, regulator-ready storage and verification tooling are on the roadmap, not yet certified.

CMS-Grounded Prior Auth Drafts

Prior authorization drafts are grounded in CMS Local Coverage Determinations and stay in draft state until your team reviews them. No auto-submission.

Design-partner introductions available to qualified, NDA-covered prospects as our early-access cohort onboards.

Built for mid-market health systems and physician groups — starting in the Bay Area

Designed for

Multi-Specialty Physician Groups (50-300 providers), Community & Regional Hospitals (200-600 beds), Medicare Advantage-Heavy Practices, Independent RCM & CDI Teams
How It Works

Four steps. No new software to install.

Most AI billing tools auto-submit claims and hope nobody audits. Buddee inverts that — every recommendation waits for a clinician, and every event is designed to be traceable.

Legacy RCM Approach

  • Auto-submits AI suggestions without clinician review
  • No cryptographic record linking AI suggestions to billing decisions
  • Requires EHR replacement or deep integration to deploy
  • Requires months of implementation before showing any value

Buddee Approach

  • Clinician approval required on every AI recommendation
  • SHA-256 hash-chain design for audit events
  • Shadow mode designed to run alongside FHIR R4 EHRs — no workflow rebuild
01

EHR / FHIR Ingest

Designed to accept standard HL7 FHIR R4 bundles from Epic, Cerner, and other compliant EHRs. Clinical notes and billed codes are designed to be transported over TLS and processed with per-tenant isolation by design.

02

Clinical Note Analysis

Large language model reasoning over clinical notes, grounded by a vector index of CMS HCC guidelines. Surfaces suspected coding gaps with direct evidence quotes from the chart, so each suggestion is designed to cite a source line from the chart for clinician review.

03
Human-in-the-Loop

Safety Layer

Every AI recommendation routes through a clinician approval workflow. Buddee advises; clinicians decide. Approvals, rejections, and edits are designed to be captured in the audit trail.

04

Audit Log Design

SHA-256 hash-chained event model captures analyses, approvals, and submissions in the demo. Production deployments require durable append-only storage and verification tooling before audit claims are made.

For Your Role

Built for Every Stakeholder

Revenue cycle, compliance, and IT leaders each get the outcomes they're measured on — without making each other's jobs harder.

Turn Missed Codes Into Recovered Revenue

  • Surface likely HCC gaps with confidence scores, evidence quotes, and modeled per-encounter recovery estimates
  • Designed to reduce prior auth rework and AR-days without changing your EHR or coder workflow
  • Track HCC recapture and write-off reduction with encounter-level reporting your CFO can audit
Calculate My Recovery Potential
Trust

Trust by Design — Not an Afterthought

Buddee is being designed around queryable, human-reviewed audit events. The live page shows the audit model; production audit guarantees require durable storage and verification workflows.

audit/query — hash-chained event stream
LIVE
Loading audit events…
HIPAA-Ready Architecture
Designed for encryption, BAA workflows, and tenant isolation
SOC 2 Type II (Planned)
Controls roadmap; independent audit not yet started
CMS Guidelines Grounded
RAG index grounded in HCC and LCD sources, designed to stay current
Encryption Controls Planned
Designed for encryption at rest, in transit, and key rotation
No Auto-Billing, Ever
Every recommendation gated behind clinician approval
Built on FHIR R4
Architected for non-invasive FHIR integration with major EHRs such as Epic and Cerner

Compliance FAQ

Limited Early Access

Ready to Recover the Revenue You've Already Earned?

Join the revenue cycle leaders evaluating Buddee to close HCC gaps, cut prior auth delays, and build hash-chained audit trails designed to support future regulatory review. We're onboarding our first cohort of 25 organizations so every team gets hands-on implementation support.

Schedule a 30-Min Demo ↗

Be among the first 25 organizations receiving hands-on implementation support

Beta access is limited to 25 organizations while production controls are reviewed.

HIPAA-Ready Design|No Auto-Billing, Ever|Built on FHIR R4

Free for qualified pilot partners

Run a shadow audit on your last 30 days of encounters

We analyze your recent encounters in shadow mode — no workflow changes, no billing impact. You get a revenue gap report. Keep it whether or not you move forward with us.

HIPAA BAA signed before any data is accessed.