Sandbox
Free developer tier — limited throughput, no BAA.
Free
Products & Pricing
Everything you need to run a modern, HIPAA-compliant healthcare practice — from solo clinicians to multi-site networks.
MonthlyAnnualSave 10%
HIPAASOC 2 Type IIBAA included from starter and up
Plans
Starter
Small-practice tier — includes patient portal, voice agent, and BAA.
$1,069.20/yr
Growth
Mid-market tier — adds SSO, audit export, FHIR bulk export, and customization.
$4,309.20/yr
Enterprise
Full-stack tier — custom RBAC, dedicated support, high SLA, and cross-tenant ops view.
Custom pricing
Developer — Production
Production API access for platform integrators — live data, standard rate limits.
$16,200.00/yr
Developer — Scale
High-throughput platform access for integrators at scale — elevated rate limits; voice usage metered separately.
$48,600.00/yr
Products & add-ons
Cernia AI Phone Agent
Conversational inbound voice agent: appointment booking, reschedule, cancellation, waitlist join, identity verification, transfer to staff, and outbound waitlist call-backs.
- Inbound voice: book, reschedule & cancel
- Voice waitlist join
- Outbound voice waitlist call-backs
$2,149.20/yrAdd
Cernia Digital Assistant
Chat, web, and SMS assistant: patient-portal interactions, administrative workflows, and SMS waitlist offers with one-tap booking links.
- Chat & web assistant
- SMS conversations
- SMS waitlist auto-offer with booking links
$3,229.20/yrAdd
Phone Agent — Spanish Language
Paid add-on: the phone agent answers and converses in Spanish (STT/TTS/prompt). Unlocks the Spanish option in the admin UI.
$539.89/yrAdd
Patient Portal
Patient self-service — online scheduling & waitlist, secure messaging, results & visit summaries, digital intake & consent, and online bill pay. Base covers 2 providers, then $29/provider.
$1,069.20/yrAdd
API & webhooks
Light programmatic access for clinics — API keys, signed webhooks, and read access to your FHIR data at the tier's rate limits.
$529.20/yrAdd
Ambient Scribe
AI ambient clinical documentation: chunked audio capture, batch transcription, and drafted notes for clinician review and sign-off.
$323.89/yrAdd
Ambient Scribe Pro — AI-Derived Templates
Premium ambient-scribe add-on: learn-from-a-sample AI template derivation (paste a note → derived, reusable section template) and practice-wide governed default templates. Requires Ambient Scribe.
Included with eligible plans
Phone agent - refills
Add-on: let the phone agent take prescription-refill requests on a call and drop them into the refill queue. Requires the Phone Agent module.
Included with eligible plans
Phone agent - outbound
Add-on: automated outbound confirmation and callback calls. Requires the Phone Agent module.
Included with eligible plans
Phone agent - eligibility
Add-on: real-time insurance eligibility checks during a call. Requires the Phone Agent module.
Included with eligible plans
Voice minute overage
Per-minute rate for phone-agent voice usage beyond the plan-included allotment.
$0.35 / usageAdd
SMS overage
Per-message rate for SMS usage beyond the plan-included allotment.
$0.03 / usageAdd
Email overage
Per-email rate for email usage beyond the plan-included allotment.
$0.01 / usageAdd
Marketplace
No-show Recovery
Detects missed appointments in real time and triggers a smart reschedule sequence via SMS + voice to recover the slot.
Free / includedExplore
Intake Bot
Pre-visit intake bot that collects chief complaint, insurance, and medication history — integrated with the EHR intake workflow.
Free / includedExplore
Patient Recall
Automated outbound recall campaign for overdue preventive care, chronic-disease follow-ups, and post-discharge check-ins.
Free / includedExplore
Cernia voice agent
Patient-facing voice agent that books appointments, verifies eligibility, and triages routine inbound calls. Wired into the tenant's Twilio / LiveKit numbers.
Free / includedExplore
Deployment & hosting
Topology is independent of your tier — any tier can run on dedicated or on-premises. Listed prices assume Standard multi-tenant SaaS.
Standard — multi-tenant SaaS
Included
Fully-managed shared cloud with strict per-tenant isolation. The default for every tier.
Dedicated / isolated cloud
Contact sales
Single-tenant dedicated infrastructure — your own isolated, fully-managed environment.
On-premises / private cloud
Contact sales
Deployed & supported in your data center or private cloud, under a commercial BAA + MSA.
Community (self-hosted)
Free · no BAA, no support
Open-source, run it yourself — the free DIY path, distinct from supported on-prem.
Annual billing saves 10%. Listed prices exclude payment-processing fees (3.5% + $0.40 per transaction) and any applicable taxes, added at checkout. Usage-cost items (voice minutes, messages) are always metered above our cost.