PracticeX is what happens when a hedge-fund systems engineer and a practicing gastroenterologist look at the same problem — scattered contracts running a $500K/year facility into the ground — and refuse to accept that the only tools available are built for Fortune 500 legal departments.
The most important operating documents in a specialty practice are its contracts. And yet in most independent facilities, they live where nothing else important lives: in email threads, on shared drives, in filing cabinets, and on the laptops of admins who change jobs every eighteen months.
Enterprise contract platforms are not the answer. They are priced for the legal team of a public company and built for the procurement workflow of a Fortune 500 — not the practice admin at a 5-physician GI group deciding whether to renew the scope service contract.
EHRs are not the answer either. To an EHR, a contract is a PDF glued to a patient workflow — storage, not intelligence.
PracticeX is the thing that should have existed ten years ago: a contract operating system built for the people who actually run independent facilities — the admins, the operators, the owner-physicians. Start with visibility. Expand into reimbursement intelligence. End with a negotiation copilot that prepares renewals the way a good analyst would. And never, ever let AI commit to anything on the customer's behalf.
Spent two decades building high-precision trading and research systems where a mis-extracted number ends careers. Now applying that discipline to contracts — structured records, confidence scoring, audit trails, and reviewable AI outputs from day one.
Practicing gastroenterologist and facility administrator for 15 years. Runs a 10-location independent group. Has personally missed a notice window, negotiated with the carrier that caused it, and written down exactly what a product like this should do.
The wedge is contract visibility for independent facilities. Everything else comes after we earn the right.
If onboarding takes more than two weeks, we've failed. Practice admins do not have a migration team.
The repository has to be trustworthy before benchmarks or negotiation prep mean anything. No shortcuts.
Confidence-scored. Source-linked. Audit-logged. Reviewable. Never the last word.
No term is accepted, sent, or committed without explicit human approval. This is a product principle, not a limitation.
If a Pro feature doesn't change a renewal decision or surface a real opportunity, it shouldn't ship.
Every module — repository, alerts, benchmarks, copilot, agents — builds on the same structured contract base. No re-onboarding when a new module ships. The data you clean up in month one compounds for years.
Repository, extraction, renewal tracking, and search running against real contracts from a 10-facility GI group. First missed-window alert caught a 45-day Aetna notice with 3 days to spare.
Five design-partner facilities, one full renewal cycle, weekly co-design. The product gets built in the room with the people who will use it for the next five years.
Rate visibility, benchmarks, facility variance, amendment lineage, renewal prep packs. SOC 2 Type I readiness. Target: 25 paying practices.
The system starts preparing — prioritized renewals, risk summaries, suggested asks, draft language. Human approval before anything leaves the building.
AWS/HIPAA production rebuild, founding engineering hires, SOC 2 Type I readiness. Target: scale from 5 design partners to 25+ paying practices within 12 months.
Five slots in the pilot. Weekly co-design. Locked pricing for 24 months. In exchange — your honest feedback and, eventually, a case study.