Zera turns each clinical encounter into a coded, payer-ready claim in one pass — capturing the note, assigning the codes, and building the claim without a chain of people re-keying the same visit. Every code traces back to the exact words that justify it.
Ambient conversation becomes a structured, specialty-aware clinical note — no typing, no templates.
CPT, ICD-10, modifiers and J-code units come from the note — and gaps surface in real time, before it's signed.
A clean, defensible claim leaves the building the first time — no re-keying, no lost detail.
Validated on the live note, before signature · fixed in the lane, not scrubbed downstream
In most practices, a single visit is handled by a physician, a scribe, a coder, and a biller — each re-reading the last person's work. Every handoff loses context and adds a place for the claim to go wrong. Payers are getting stricter, and the math is unforgiving.
Most denials start upstream — in documentation and coding — long before a biller ever sees the claim. The old fix was to add people to each handoff and scrub claims on the way out. Modern language and reasoning models let us do the opposite: catch the problem on the live note and let the provider resolve it before they sign — while the patient is still in the exam lane, when the fix costs nothing. That's Zera.
Zera unifies the front of the revenue cycle — where clean claims are actually won or lost.
Capture the visit, generate a specialty-aware note, and get the codes, modifiers, and J-code unit math that go with it — with gaps flagged on the live note so the provider can fix them before they sign. Reviewed, approved, and handed off as a claim-ready record. Built for the complexity of specialty medicine, not the average office visit.
The claim and RCM engines — denial analytics, A/R, and end-to-end claims — are already built, coming to the platform next on the same clean documentation data.
See the roadmap →Zera doesn't ask you to trust a black box. Every generated code links to the exact, timestamped moment in the encounter it came from — click a code, hear the audio, read the line. That's what makes it defensible in an audit, and what earns a clinician's sign-off.
Timestamped transcript tied to a synced audio player. Nothing is asserted without a source.
Zera drafts; the clinician approves. Edits flow back through the record, not around it.
Because coding is grounded in documentation, the claim carries its own justification with it.
Zera is engineered for protected health information from the ground up — so how your data is handled is never an open question.
We sign a Business Associate Agreement before any protected health information is processed — no exceptions.
Independently audited security controls, with SOC 2 Type II in progress.
Each organization's data is separated with customer-scoped keys, deployed US-only.
We never use your data to train shared models. A private, per-provider loop personalizes Zera to each clinician.
A complete, timestamped trail from the first word spoken to the final code.
Role-based access, and the clinician always has final sign-off on every note and code.
Ophthalmology is the most documentation-dense surgical specialty, with one of the highest concentrations of uncaptured Medicare Advantage risk-adjustment data. We go deep here first — and lead with retina, where the coding is hardest and the dollars are largest: high-cost injectables, J-code unit math, laterality modifiers, and frequent visits.
Purpose-built injection workflow — anti-VEGF documentation, J-code units, and laterality.
Laterality enforcement and diagnostic-test coding logic.
Pre- and post-op chart fidelity and surgical coding.
VA, IOP, slit-lamp, fundus, and gonioscopy captured cleanly.
Cardiology is next — the same engine, with vocabulary, workflows, and payer rules purpose-built per specialty.
Zera comes from the team behind Audryl, which processes 2,000+ clinical minutes a day in production at 99.5% audited accuracy. We're opening a founding cohort of specialty practices now.