Design-partner pilot · April 2026

Every contract
your practice signed —
finally in one place.

PracticeX is the Practice Command Center for independent GI groups, ASCs, and multi-site facilities. Upload what you already have. We extract the terms, track the renewals, flag the money left on the table, and prepare you for the next negotiation.

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

The contract operating system
for independent practices.

See what's signed, what renews next, what needs action, and where better economics can be negotiated — all in one command center. No enterprise IT project required.

Apply to pilot → Watch 2-min tour
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 independent facilities. One place for what's signed, what renews next, what needs action — and where better economics are hiding in plain sight.

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 most valuable agreements live in the worst filing system you own: shared drives, email attachments, and someone's laptop.

01 / Visibility

No one knows what's signed.

Ask a 5-location group to name their active payer contracts. You'll get a different answer from every facility admin.

02 / Deadlines

Renewals arrive as surprises.

Notice windows close quietly. Auto-renews fire without review. The first sign is the next month's EOB.

03 / Leverage

You're negotiating blind.

Without rate visibility across payers and facilities, you can't tell which contract is underpriced — only which one got worse.

04 / Ownership

Nobody owns the portfolio.

The practice admin has five other jobs. Counsel reviews clauses, not schedules. Contracts fall through the floor.

Product

The whole portfolio, structured — not just stored.

01 — Repository

One home for every signed agreement.

Upload PDFs, scans, Word documents. We normalize everything to a structured record you can trust — payer, vendor, lease, employee, processor. 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
Feature map

What the Starter tier does on day one.

Central repository

PDFs, scans, DOCX. Categorized by facility, counterparty, and contract type. Original always preserved.

AI-assisted extraction

Effective dates, notice windows, renewal terms, rate schedule presence — scored for confidence, flagged for review.

Renewals & notice windows

Rolling dashboards, configurable lead times, weekly digests. Never miss a window again.

Full-text & field search

⌘K across every contract and every extracted field. Saved views for your team's most-used slices.

Ownership & audit trail

Every contract has exactly one owner. Every edit is logged with reviewer, timestamp, and prior value.

Multi-facility portfolio

One workspace, N facilities. Facility-scoped views and permissions. Portfolio-wide roll-ups for leadership.

Roadmap

From visibility to intelligence to a negotiation copilot.

Phase 1 · 2026
Visibility

Repository, extraction, search, renewals, obligations, 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 payer mix.

Pro turns your contracts into a rate intelligence layer. See which payers are underpricing you, which facilities are out of market, and which renewals deserve a real negotiation instead of a rubber stamp.

  • →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 contract operating system for independent facilities.

Healthcare-native. Operator-first. Starts narrow on visibility, expands into reimbursement intelligence and a negotiation copilot on the same contract base.

Right buyer. Right scope. Right expansion path.
EHR & practice systems

athena · eClinicalWorks · Kareo

Contracts live as PDFs stapled to patient workflows. No extraction, no renewals, no intelligence. "Storage" is not a product.

File cabinet. Not a system.
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 facilities, one full renewal cycle, 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 contracts — 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 handles everything administrative — payer agreements, vendor contracts, leases, employment, processors — that currently lives outside your EHR in drives, inboxes, 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 contracts 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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