Design-partner pilot · April 2026

Every back-office record
your practice runs on —
finally in one place.

PracticeX is the Practice Command Center for independent and group practices, ASCs, and multi-site facilities. We centralize the entire back office — payor contracts, vendor agreements, BAAs, leases, equipment, employee documents, OSHA & HIPAA, scheduling — so physicians focus on care and admins focus on revenue and payor negotiations. Enterprise-grade capability, at a fraction of the cost.

Apply to pilot → See the product
Built forPractice admins · ASC operators
Not aCLM · EHR · Legal tool
ScopePayor · Vendor · BAA · Lease · Equipment · Employee · OSHA · HIPAA · Scheduling
StanceAI-assisted · Human-decided
HostedHIPAA · SOC 2 in progress
Pilot cohort open · April 2026

Your practice's back office —
finally one command center.

Payor contracts, vendor agreements & BAAs, real-estate and equipment leases, employee documents, OSHA & HIPAA compliance, provider and staff scheduling — centralized. Physicians focus on patient care. Admins focus on revenue and well-informed payor negotiations. Enterprise-grade capability, at a fraction of the cost.

Apply to pilot →
Command center · Extraction review

Review extracted fields

Confirm or correct AI-extracted fields before contracts go live. Low-confidence fields are flagged for attention.
72%
Overall confidence
12
High · auto-approved
2
Medium · review
3
Low · must confirm
Queue4 pending
Regence BlueShield — Amendment #3
Payer · 2h ago · 3 flagged
Olympus Scope Service — 2026 Renewal
Vendor · 5h ago · 1 flagged
Northside Suite 310 — Lease
Lease · 2d ago · 2 flagged
Dr. Marcus Hale — Comp Addendum
Employee · Yesterday
Regence BlueShield — Amendment #38 fields · AI extracted 2h ago
CounterpartyRegence BlueShieldHigh
Effective dateApril 1, 2026High
End dateMarch 31, 2029High
Notice period120 daysHigh
Renewal typeAuto-renew 12mo · conflicting languageLow
Rate scheduleYes — Exhibit A-2High
Design-partner pilot · April 2026

A 4-physician practice loses $50,000 a year to contracts it forgot about.

PracticeX is the Practice Command Center for the back office of independent and group practices. Payor contracts, vendor agreements, BAAs, leases, equipment, employee documents, OSHA & HIPAA, scheduling — all in one place. Enterprise-grade capability, at a fraction of the cost.

Apply to pilot → How it works
~40%
of payer renewals miss their notice window
3.1 tools
avg. small practice uses to track contracts today
18 min
typical time to find a specific signed agreement
$2.4B
TAM · U.S. contract intelligence for practices + ASCs
The problem

Your back office runs on the worst filing system you own: shared drives, email threads, binders, and someone's laptop.

01 / Visibility

No one knows what's in force.

Payor contracts, BAAs, vendor agreements, leases, equipment, licenses — scattered across facilities, drives, and inboxes. Nobody can name the full portfolio.

02 / Deadlines

Renewals arrive as surprises.

Notice windows close quietly. Auto-renews fire without review. License expiries, OSHA trainings, and HIPAA attestations slip past the same way.

03 / Leverage

Payor negotiations happen blind.

Without rate visibility across payors and facilities, your team can't tell which contract is underpriced — only which one just got worse. Enterprise tools were never priced for you.

04 / Ownership

Nobody owns the back office.

The admin has five other jobs. Counsel reviews clauses, not schedules. Compliance, scheduling, and contracts all fall through the floor while physicians try to focus on patients.

Product

The whole back office, structured — not just stored.

01 — Repository

One home for everything the back office runs on.

Upload PDFs, scans, Word documents. We normalize everything into structured records — payor contracts, vendor agreements, BAAs, real-estate and equipment leases, employee documents, OSHA & HIPAA evidence, scheduling. No migration project.

  • Drag-and-drop bulk upload. Google Drive & SharePoint connectors.
  • Automatic categorization by contract type and counterparty.
  • Original document always preserved alongside the structured record.
  • Facility-scoped permissions. Read/edit/admin roles out of the box.
Repository · Northside GI128 contracts
PayerRegence BlueShield · Professional ServicesActive
PayerAetna Commercial · 2025 AmendmentReview
LeaseSuite 310 · 2023–2028Active
VendorOlympus Scope Service AgreementExpiring
EmployeeDr. M. Hale · Employment & CompensationActive
ProcessorStripe · BAA & MSAActive
02 — Extraction

AI reads the contract. You keep the gavel.

Effective date, notice window, auto-renewal clause, rate schedule, termination terms — extracted, scored for confidence, and surfaced for human review before anything goes live.

  • Per-field confidence scoring with source citations in the document.
  • High-confidence fields auto-approved; low-confidence routed for review.
  • Custom fields for payer-specific, lease-specific, and HR-specific contracts.
  • Every edit is audit-logged with reviewer, timestamp, and justification.
Extraction · Regence BlueShield Am. #38 fields · 2h ago
CounterpartyRegence BlueShieldHIGH
EffectiveApril 1, 2026HIGH
End dateMarch 31, 2029HIGH
Notice120 daysHIGH
RenewalAuto-renew 12mo · conflictLOW
Rate scheduleExhibit A-2 attachedHIGH
03 — Renewals

Deadlines that find you, not the other way around.

Every date — effective, termination, notice window, fee schedule refresh — is on a calendar, a dashboard, and an email. Miss nothing that matters.

  • Rolling 90 / 180 / 365-day renewal dashboard per facility.
  • Configurable lead times per contract type and dollar threshold.
  • Owner-assigned tasks with escalation if unacknowledged.
  • Digest email every Monday with what needs action this week.
Renewals · Next 90 days6 items
12 daysAetna Commercial · Notice window closesURGENT
31 daysSuite 310 Lease · Renewal optionSOON
44 daysOlympus Service · Contract endSOON
67 daysRegence · Fee schedule refreshON TRACK
78 daysUHC Amend. · Auto-renew triggerON TRACK
89 daysDr. Patel · Comp reviewON TRACK
04 — Search & ownership

Any clause. Any counterparty. Three seconds.

Search across every document and every extracted field. Filter by owner, facility, type, or status. Every contract has exactly one accountable human attached to it.

  • Full-text search across OCR'd document content and structured metadata.
  • Saved views: "Unowned contracts," "High-value payer renewals," "Needs review."
  • Ownership assignment with handoff history and reviewer chains.
  • Export: renewal calendar, contract summary, or audit-ready briefs.
⌘K — "auto renew 90 day notice"12 matches
MatchRegence Am. #3 · §14.2 · "ninety (90) days prior written notice"Payer
MatchAetna Commercial · §9 · "auto-renewal unless terminated with 90-day notice"Payer
MatchSuite 310 Lease · §12 · "ninety (90) day notice of non-renewal"Lease
MatchOlympus Service · §6.1 · "auto-renew 12-month term"Vendor
OwnerJ. Okafor · 3 contracts · M. Paredes · 2 contracts5 people
05 — Operations modules

Contracts are just the start. Employee, OSHA, HIPAA, and scheduling — same command center.

Operations modules ship alongside contracts. Same audit trail, same facility permissions, same login. The admin's whole job, finally in one app.

  • Employee Hub. Every staff member on one page — contract, immunizations, mandatory trainings, license / DEA / NPI expiries, engagement notes.
  • OSHA. SDS library, sharps log, exposure plan, annual training, 300 / 300A / 301 export. Inspection-ready on demand.
  • HIPAA. BAA coverage matrix, annual risk assessment, workforce training attestations, breach log with 60-day timer.
  • Provider & staff scheduling. Clinic, ASC, and call coverage on one calendar — tied to credentialing, licenses, and PTO.
  • See the modules in detail →
Operations · Northside GI3 modules · Phase 1
Employee Hub14 staff · 2 items need attention (flu overdue, HIPAA due)2
OSHAReadiness 92/100 · 300A posted · 2 trainings overdue2
HIPAABAA coverage 5/6 · Zocdoc missing · risk assessment in 47d1
LicensesDEA · Dr. Hale renews 61d · NPI all currentON TRACK
Audit trailEvery edit logged — reviewer, timestamp, prior valueACTIVE
Feature map

Everything your back office runs on, in one place.

Payor contracts

Every payor agreement, amendment, fee schedule, and rate exhibit — structured and searchable. The base layer for informed negotiation.

Vendor agreements & BAAs

MSAs, service contracts, business associate agreements — coverage matrix, renewal dates, and obligations tracked alongside the documents themselves.

Real-estate & equipment leases

Suite leases, scope and capital-equipment leases — rent escalations, renewal options, and end-of-term decisions surfaced before the deadline owns you.

Employee documents & engagement

Every staff member on one page — contract, immunizations, mandatory trainings, licenses (DEA / NPI), engagement notes, comp addenda.

OSHA compliance

SDS library, sharps log, exposure plan, annual training, and auto-generated 300/300A/301 forms. Inspection-ready without the binder.

HIPAA compliance

BAA coverage matrix, annual risk assessment, workforce training, breach log with 60-day timer. Your privacy program, always current.

Provider & staff scheduling

Clinic, ASC, and call coverage on one calendar — tied to credentialing, licenses, and PTO so you never schedule someone who's lapsed.

AI-assisted extraction

Effective dates, notice windows, renewal terms, rate schedules — extracted, scored for confidence, and routed for human review before anything goes live.

Renewals & notice windows

Rolling dashboards, configurable lead times, weekly digests. Notice windows, license expiries, and training due dates all on one calendar.

Full-text & field search

⌘K across every document and every extracted field. Saved views for the slices your team uses every week.

Ownership & audit trail

Every record has exactly one owner. Every edit is logged with reviewer, timestamp, and prior value — audit-ready by default.

Multi-facility portfolio

One workspace, N facilities. Facility-scoped views and permissions, portfolio-wide roll-ups for leadership and group-practice operators.

Roadmap

From visibility to intelligence to a negotiation copilot.

Phase 1 · 2026
Visibility

The full back office on one command center — payor & vendor contracts, BAAs, leases, equipment, employee docs, OSHA, HIPAA, scheduling. Repository, extraction, search, renewals, alerts, multi-facility portfolio.

Shipping now
Phase 2 · H2 2026
Intelligence

Rate visibility, benchmark comparisons, portfolio dashboards, optimization recommendations.

Pro tier
Phase 3 · 2027
Negotiation copilot

Renewal prioritization, risk summaries, suggested asks, draft language, call prep.

Review-before-send
Phase 4 · 2027+
Knowledge plugins

Agent-assisted research, payer policy updates, related-contract retrieval, sourced memos.

Permissioned
Phase 5 · 2028
Actioning

Renewal playbooks, approval chains, outbound notice generation, optional e-signature.

Human-in-loop
Premium intelligence · Pro

The money hiding in your payor mix.

Pro turns your contracts into a rate intelligence layer for your admin team. See which payors are underpricing you, which facilities are out of market, and which renewals deserve a real negotiation instead of a rubber stamp — capability that used to require an enterprise CLM and a six-figure analyst.

  • →Reimbursement benchmarks against regional and specialty comparables.
  • →Facility-by-facility rate variance — same code, different money.
  • →Amendment lineage: what changed, when, and whether it helped you.
  • →Renewal prep packs — the brief, the risks, the target asks.
See Pro pricing →
Rate position · Colonoscopy (45378)
Northside GI · vs. regional P50
Pro
Regence
+13% mkt
Aetna Commercial
−18% mkt
UHC Choice
+4% mkt
Cigna Open
−12% mkt
Premera
+9% mkt
Est. opportunity · next cycle +$124K / yr
White space

Between enterprise CLM and an EHR's file cabinet — there is nothing built for you. That's the gap.

Enterprise CLM

Ironclad · Icertis · Evisort

Powerful, legal-first, enterprise-priced. Sold to the legal department of a company with 5,000 employees — not the admin of a 4-physician GI group.

Too heavy. Wrong buyer.
PracticeX · PCC

The back-office command center for independent & group practices.

Healthcare-native. Operator-first. Centralizes the entire back office — payor contracts, vendors, BAAs, leases, equipment, employee, OSHA, HIPAA, scheduling — and expands into reimbursement intelligence and a negotiation copilot on the same base.

Enterprise capability. Independent-practice price.
EHR & practice systems

athena · eClinicalWorks · Kareo

Built around patient workflows and billing. The back office — contracts, BAAs, leases, compliance, scheduling outside clinic — lives in PDFs and inboxes next to them. "Storage" is not a product.

Patient side only. Back office stays scattered.
HIPAA-ready infrastructure

Encrypted at rest (AES-256) and in transit (TLS 1.3). BAA available. Audit-logged access, row-level tenancy isolation.

SOC 2 Type I — in progress

Targeting Type I readiness in H2 2026, Type II in 2027. Evidence collection is live from day one of pilot.

US data residency

AWS US-East with HIPAA-eligible services. No offshore processing of PHI-adjacent contract content.

Human-in-the-loop AI

AI never commits to terms on your behalf. Every recommendation is reviewable, every edit audit-logged, every output attributable.

Design-partner cohort · April 2026

Five facilities. One cycle.
The product built in the room with you.

The Phase 1 pilot is a design-partner program. Five independent or group practices, one full renewal cycle across the entire back office — payor, vendor, lease, employee, compliance, scheduling. Weekly sessions, direct founder access, pilot pricing in exchange for product shaping.

Apply to pilot → Meet the founders
  • 01Onboarding in 2 weeks, not 2 quarters.
  • 02You feed us the top 30 active records across the back office — we don't migrate your filing cabinet.
  • 03Weekly co-design calls directly with the founders.
  • 04Locked pilot pricing for 24 months, including future Pro features.
  • 05Case-study participation (de-identified) in exchange.
FAQ

Reasonable questions.
Straight answers.

No — and that's intentional. A decade of scattered documents is a migration project, not a product launch. We start with your active contracts (the ones that still renew), get you clean going forward, and bring in historical documents as they become relevant. You get value in week two, not quarter four.
No. We don't touch clinical workflows, patient records, or billing. PracticeX is the back office command center — payor contracts, vendor agreements, BAAs, real-estate and equipment leases, employee documents and engagement, OSHA and HIPAA compliance, provider and staff scheduling. Everything that currently lives outside your EHR in drives, inboxes, binders, and folders.
Native PDFs, scanned PDFs (with OCR), images (JPG/PNG/TIFF), and Word documents — we auto-convert everything to a normalized PDF + structured record. Excel rate tables come in Phase 2 as part of the Pro benchmarking module; for now, export to PDF and upload.
LLM-powered extraction with per-field confidence scoring. Every extracted value links back to the exact page and clause in the source document. High-confidence fields are auto-approved into your record. Anything medium or low lands in the review queue. No value goes live without a human confirming — or choosing not to.
A combination of public pricing-transparency datasets (machine-readable files mandated under CMS rules) and de-identified aggregate benchmarks from our customer base. We never share a customer's specific rates with anyone else. All comparisons are against pooled, anonymized ranges.
It can prepare for you — summarize what's weak, draft target terms, generate call notes and renewal briefs. It cannot send anything externally or commit you to terms. Every outbound action requires a human approval. That's a product principle, not a limitation we'll remove later.
The first facility admin upload is usually 30 minutes. By end of week one you have searchable, structured records of your 30 most important active back-office documents — payor contracts, BAAs, leases, key employee and compliance records — and a renewal calendar pointing at the next 180 days. That's the bar we hold ourselves to in the pilot.
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