One intelligent workflow from note to claim.

Zera Revenue codes the visit, checks the codes against the note before signing and prepares the claim, with every code traceable to its source. It launches in 2027, one specialty at a time: primary care, psychiatry, ophthalmology and cardiology.

The pipeline

Three steps. One continuous workflow.

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 Revenue 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 Revenue generates CPT and ICD-10 codes, applies the right modifiers, and calculates J-code drug units directly from the documentation. 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

Clean information moves forward.

Once approved, the documented and coded encounter becomes a claim-ready record — grounded in the documentation from the start, with no re-keying between systems and no context lost between teams.

Claim status

Ready to submit · fully documented

No re-keying between systems. No lost context.

The pre-sign gate

Catch the problem before the note is signed.

Most revenue-cycle systems work downstream. Zera Revenue works upstream — while the note is still open, it continuously checks the encounter for documentation and coding gaps, and surfaces them to the provider before they sign.

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 Revenue works here — upstream, in the lane — so a gap gets resolved in seconds instead of becoming a denial, an appeal, or a write-off weeks 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 question in AI-generated coding isn't “what code did the AI choose?” — it's “why?” Zera Revenue makes the answer visible: every phrase timestamped, every code linked to the documentation that supports it.

Word-level timestamps

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

Code-to-source links

Every code links to the documentation that supports it. If the evidence isn't there, Zera doesn't manufacture it.

The provider has the final word

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

Works with your stack

Your EHR stays your EHR.

Zera Revenue adds intelligence without forcing a rip-and-replace. It works alongside the systems your practice already owns — six EHR-ready output formats today, with direct, real-time integrations rolling out.

6 EHR-ready output formatsRuns alongside your EHRDirect integrations — rolling outNo rip-and-replace
Built for specialty medicine

Built for specialty complexity.

Each specialty gets paid on its own details: disease staging, psychotherapy time, laterality, drug units, modifiers and test findings. Zera Revenue is built for each one, one specialty at a time.

Primary care

Chronic conditions

Risk-adjustment conditions, staging and specificity, with documentation behind every diagnosis.

Psychiatry

Time and risk

Visit and psychotherapy codes together, with the minutes and risk documentation each one needs.

Ophthalmology

Eye by eye

Injections, J-code units, laterality and surgical coding, from retina to glaucoma and cataract.

Cardiology

Tests and procedures

Diagnostic tests, procedures and their modifiers, coded from the findings in the note.

One at a time

Each specialty launches complete — the same engine, with the vocabulary, workflows and payer rules built for that specialty rather than borrowed from a generic template.

Depth, not breadth

General tools code the visit. Zera Revenue codes the specialty.

Most AI coding tools are tuned across all of medicine, so they're strongest on the general office visit. Specialty revenue lives somewhere else — in the drug units, the modifiers, and the laterality that general-purpose models treat as edge cases.

General-purpose coding tools
  • Tuned across all of medicine
  • Optimized for the general office visit — E/M, problem lists, risk capture
  • Specialty procedural detail — drug units, modifiers, laterality — treated as edge cases
Zera Revenue — built for specialty
  • Built for one specialty at a time — its vocabulary, modifiers, and payer rules
  • The procedural details are the product, not the exception
  • Validated before signature, with every code traceable to its source
FAQ

Questions, answered.

What practices ask before their first Zera Revenue demo.

Zera Revenue is Zera's coding and claims product for specialty medicine. It codes the visit from the note, checks the codes against the documentation before signing, and prepares the claim, with the provider always in control. It launches in 2027, one specialty at a time.

Zera Scribe, available now for primary care and psychiatry at zerascribe.com, with ophthalmology and cardiology next, writes the note and flags what's missing before the doctor signs. Zera Revenue builds on the same system to carry the visit through coding to the claim. Practices that move from Zera Scribe to Zera Revenue switch plans; they don't pay for both.

Primary care, psychiatry, ophthalmology and cardiology. Zera Revenue launches in each one at a time during 2027, built around that specialty's vocabulary, workflows and payer rules. Every launch includes both coding and claims.

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. Zera produces output in six EHR-ready formats today, with direct integrations rolling out.

Five checks run as the note is composed: laterality, HCC condition flagging, MEAT documentation validation, ICD-10 specificity 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, keeps all data in the US, and keeps each practice’s data separate. We are SOC 2 Type I certified, with Type II in progress. Your data is never used to train shared AI models.

Be among the first on Zera Revenue.

Zera Revenue launches in 2027, one specialty at a time. Book a demo to see how it works, or start with Zera Scribe today and move up when Zera Revenue reaches your specialty.