Platform

One pass from note to claim.

Zera is the documentation-intelligence hub for specialty medicine. It captures the encounter, produces the note, assigns the codes, and assembles a claim-ready record — with the physician approving at every step, and every code traceable to its source.

The pipeline

Three steps, no handoffs.

The same visit, carried end to end by one system instead of four people re-keying it.

01 · Capture → Note

The encounter writes itself.

Ambient conversation is transcribed with medical-grade speech recognition and shaped into a specialty-aware clinical note. Zera understands the vocabulary of specialty care — laterality, drug names, injection details — instead of flattening them into generic text.

In the note

“OD intravitreal aflibercept 2 mg, right eye, for wet AMD…”

Structured fields, not a wall of text — ready to be coded.

02 · Note → Code

Coding that shows its work.

Zera assigns CPT and ICD-10 codes, applies the right modifiers, and computes J-code drug units directly from the note. A cross-walk calculator and modifier engine handle the parts that trip up human coders under volume — and each suggestion links back to the documentation behind it.

Suggested codes

67028-RT · J0178 ×2 · H35.32

Tap any code to jump to the exact words that justify it.

03 · Code → Claim

A clean claim, the first time.

Approved codes assemble into a payer-ready claim with its justification attached. Because the claim is grounded in the documentation from the start, the errors that drive first-pass denials — missing detail, mismatched codes, wrong units — never make it out the door.

Claim status

Ready to submit · fully documented

No re-keying between systems. No lost context.

The pre-sign gate

Caught before the note is signed.

Everyone else scrubs claims on the way out the door. Zera works one step earlier — on the live, unsigned note, while the patient is still in the exam lane.

In the lane
Note goes live
Captured, generated, and coded — still open
Pre-sign gate
Zera flags gaps
Missing detail, mismatched codes, unit & modifier conflicts — in real time
In control
Provider fixes
In the room, in seconds — nothing blocked or silently changed
Threshold
Signature
Note committed — clean by the time it's signed
Downstream
Clean claim
Leaves already coded and documented

Everything left of the signature is still live and free to fix. Zera works here — upstream, in the lane — so a gap never has the chance to become a denial, an appeal, or a write-off three days later.

Five checks run concurrently, as the note is composed
Laterality
OD / OS / OU enforcement
HCC capture
Risk-adjustment conditions flagged
MEAT validation
Documentation supports each condition
ICD-10 specificity
Vague codes flagged for precision
J-code units
Drug-unit math reconciled
Traceable truth

Defensible by design.

The hardest part of trusting AI in revenue is proving where a code came from. Zera makes provenance a first-class feature, not an afterthought.

Word-level timestamps

Every phrase in the transcript is timestamped and linked to a synced, clickable audio player.

Code-to-source links

Click a code and land on the exact moment it was justified. No guessing, no reconstruction.

Approve, don't retype

The clinician reviews and signs off. Corrections improve the record instead of living in a side file.

Works with your stack

An intelligence layer, not a rip-and-replace.

Zera runs alongside the systems you already own. No EHR replacement, no workflow disruption, no staff layoffs. It produces output in six EHR-ready formats today, with direct, real-time integrations rolling out.

6 EHR-ready output formatsRuns alongside your EHRDirect integrations — rolling outNo rip-and-replace
Roadmap

Documentation first. Then the full cycle.

Clean documentation and coding are the foundation everything else stands on. With that in place, Zera extends into the back half of the revenue cycle.

Available now

Live

The documentation-intelligence hub: capture, specialty-aware notes, coding, modifiers, J-code units, and Traceable Truth review.

  • Note capture
  • CPT + ICD-10
  • Modifier engine
  • J-code math
  • Provenance review

Full revenue cycle

Built · Soon

Denial analytics, A/R, payer-rule intelligence, and end-to-end claims. The RCM engines are already built — coming to the platform next.

FAQ

Questions, answered.

What practices ask before their first Zera demo.

Zera is an autonomous revenue platform for ambulatory specialty medicine. It captures the encounter, generates the documentation, and produces the codes in one real-time workflow — with the provider always in control. Note and Code are live today; the full claim and RCM engines are built and coming to the platform next.

Ophthalmology is live today — purpose-built for retina, glaucoma, cataract/refractive, and comprehensive workflows, with retina as our near-term focus. Cardiology is next. The intelligence layer is shared across specialties; the vocabulary, workflows, and payer rules are purpose-built for each one.

No. Zera is an intelligence layer, not an EHR replacement. It runs alongside the systems you already own — no rip-and-replace, no workflow disruption, no staff layoffs. Zera produces output in six EHR-ready formats today, with direct, real-time integrations rolling out.

Five checks run concurrently as the note is composed: laterality enforcement, HCC condition flagging, MEAT documentation validation, ICD-10 specificity checking, and J-code unit reconciliation. Issues surface to the provider before they sign — not after a denial arrives weeks later.

Yes. Zera signs a Business Associate Agreement with every practice, deploys US-only, and isolates each organization's data with customer-scoped keys. We are SOC 2 Type I certified, with Type II in progress. Your data is never used to train shared models — a private, per-provider learning loop personalizes Zera to each clinician.

Yes. Run Zera yourself, or choose Zera Managed RCM — the same platform, operated for you by a dedicated revenue-cycle team. Same software, same intelligence layer; you choose who runs the operation.

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.