Company

Operators building the revenue engine for specialty medicine.

Zera is a product of NuScript Systems, Inc. We build production-grade AI for the parts of healthcare that quietly decide whether a practice gets paid — starting where the revenue cycle actually begins: the encounter.

25+ years in healthcare documentation & RCM·Production AI shipping at scale today

Our story

We've sat in every seat this software replaces.

Zera didn't start with a model looking for a problem. It started with operators who spent decades running clinical documentation and revenue cycle work — and who know exactly where a claim breaks, because they've fixed those breaks by hand thousands of times.

That team also built and runs Audryl, an AI clinical-documentation platform that processes over 2,000 clinical minutes a day in live production at 99.5% audited accuracy. Zera applies that same production-first discipline to a bigger surface: not just the note, but the note, the code, and the claim as one continuous system.

We're deliberately starting narrow — specialty medicine, beginning with retina — because that's where the coding is hardest, the dollars are largest, and getting it right matters most. Prove it where it's hardest, then expand.

Origin & meaning

The name is the promise.

Zera
/ zee-ruh /
Zero Error Revenue Automation

Four letters, one idea — that nothing should be lost in the space between a clinical moment and a clean claim. No error introduced, no work repeated, nothing left in the gaps.

The meaning has grown as the platform has — from automating individual steps to fully running the cycle on its own — evolving into a Zero-friction Engine for Revenue Autonomy. The letters never change. Neither does the ultimate destination — zero.

Team

Founder-led, operator-built.

Zera is led by a founder who has spent a career inside the work it automates. Senior engineering and clinical hires are joining as we scale alongside the founding cohort.

Founder & CEO

Arvind Manohar

Twenty-five years across healthcare documentation and revenue cycle, and the technical founder behind both Audryl and Zera. He's built the platform hands-on — and run the operations it's designed to transform.

How we work

AI-native. Operator-founded. Production-first.

Models at the core

Zera is designed around what modern models can do — and re-architected as they get better. AI isn't a feature bolted onto old billing software.

Built by operators

Decades inside documentation and revenue cycle. We know where the work is slow, error-prone, and expensive because we've done it.

Proven before we scale

Every capability meets real clinical and billing workloads before we call it done. Production is the test, not the launch.

Get started

See Zera run your encounters — note to claim.

Book a 30-minute working demo on your own specialty and payer mix. We're onboarding a small group of founding practices now.