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AI-Powered Medical Pre-Charting Software

Your charts. Ready before you are.

We pull everything from the EHR, organize it, and prep your charts. Plus, every incoming fax triaged and filed automatically, and every missed code, billing gap, and clinical discrepancy caught before the visit starts.

Like having a PA who read all the records, a document clerk who never sleeps, and a coding team that catches everything.

Chart Preview
Margaret Chen, 67F
Follow-up · Dr. Rivera · Feb 26, 2026
Ready
HPI
67yo F with PMH of HTN, T2DM, HFrEF (EF 35%, 2024) presenting for follow-up. Reports stable dyspnea on exertion...
cardiology_consult.md:p3echo_2024.md:p1
Medications
Lisinopril 20mg daily
Metformin 1000mg BID
+4 more
Labs
HbA1c: 7.2% (prev 6.8%)
BNP: 245 pg/mL
+6 more
12 citations verified
Integrates with
eClinicalWorksathenahealthEpicCernerDrChronoAllScripts
2h+Saved per provider, per day
10K+Documents auto-triaged
100%Citation verified
<1minCharts ready in less than a minute
How It Works

Three steps to
a smarter practice.

CONNECT

Connect to Your EHR

We integrate with your EHR and every incoming document source. Patient records, faxes, labs, specialist notes, all flowing in.

ANALYZE

AI Reads Everything

Specialized AI agents read every document, prep charts, triage incoming documents, analyze coding, and cross-reference the entire record.

DELIVER

Review and Push Back

Charts, filed documents, and coding suggestions. All verified, all cited, all synced back to your EHR.

Document Triage

Every fax filed. Every lab flagged.
Automatically.

Documents flow in from every source. AI reads, classifies, and routes each one to the right patient chart in your EHR.

INGEST

Documents Flow In

Every fax, lab result, specialist note, and referral. From every source.

eCW Fax Inbox
Quest Diagnostics
LabCorp
DirectTrust / HIE
Email & Scanners
CLASSIFY

AI Reads & Routes

Each document is read, classified, and matched to a patient with confidence scoring.

Patient
M. Holloway94%
ProviderDr. Rivera
CategoryLab Results
TypeCBC w/ Differential
FILE

Filed in Your EHR

Labeled, categorized, and pushed to the right patient chart. Critical findings flagged.

FiledLab Results / Dr. Rivera
03/07/26 - CBC w/ Diff - M. Holloway
CriticalK+ 5.8 mEq/L
Reference: 3.5 - 5.0 mEq/L
Fax Inbox

Staff handle exceptions. Layrd handles the rest.

thelayrd.com
Fax Inbox47
CBC_Differential_Holloway.pdf9:02 AM
QuestReady for Review
M. Holloway94%
Discharge_Summary_Brooks.pdf9:01 AM
eCW FaxPushed
J. Brooks
Cardiology_Note_Navarro.pdf8:58 AM
DirectTrustApproved
L. Navarro88%
Pathology_Report_Hagerman.pdf8:33 AM
eCW FaxReady for Review
J. Hagerman62%
CXR_Report_Schoonmaker.pdf8:55 AM
LabCorpPushed
G. Schoonmaker
Endocrinology_Note_Hakemian.pdf8:20 AM
DirectTrustProcessing
Matching...
How It Works

Three steps to
charts that write themselves.

PULL

Pull and Read Everything

We connect to your EHR, pull all patient records, and read every document. Labs, consults, histories.

PROCESS

AI Agents Prep Your Chart

Custom-built agents by medical professionals read, cross-reference, verify citations, and draft each section.

DELIVER

Verify and Push to EHR

Citation-verified charts synced back to your EHR. Edit anything, then one click sends it.

Chart Prep

Your charts. Ready before you are.

thelayrd.com

Maria Santos

62F · Follow-up · Cardiology · Feb 26, 2026

Chart Ready

History of Present Illness

Maria Santos is a 62-year-old female with a history of hypertension, type 2 diabetes, and stage 3 CKD who presents for follow-up of her cardiovascular risk management.[1] Her most recent cardiology consult on January 15, 2026 noted persistent elevated blood pressure despite current medication regimen.[2]

Labs from January 2026 show an HbA1c of 7.2% (down from 7.8% in October), eGFR of 42, and LDL of 118 mg/dL.[3] The echocardiogram from September 2025 demonstrated preserved ejection fraction at 55% with mild left ventricular hypertrophy.[4]

Current antihypertensive regimen includes lisinopril 20mg daily and amlodipine 5mg daily. Patient reports occasional dizziness upon standing but denies chest pain, dyspnea, or edema.[5]

Ask Anything

Query your memory layer.

Ask questions in plain language. Watch as the system reasons through your patient's data and returns answers with exact sources.

  • Natural language queries across all records
  • Traceable citations to source documents
  • Trend analysis with visual charts
Last echo results?Current medications?
Features

Automated pre-charting.
Every section. Every source.

Everything you need to see patients. No flipping, no digging, no staying late.

Chart Prep

Chart Ready Before You Arrive

Complete chart with vitals, history, labs, and assessment, prepped and waiting. Every section structured exactly how you need it.

Citations

Every Fact Traced to Source

3-tier citation verification. Every claim links to the original document and page. No hallucinations, no guessing. Just verified facts.

Patient Q&A

Ask Any Question

Natural language queries across the entire patient history. Cited answers instantly.

EHR Sync

One Click to EHR

Reviewed, edited, done. Everything pushes back seamlessly. It's just storage.

AI Scribe

A Scribe That Knows the Patient

Dictate "chest pain" and it auto-links to the cardiology consult from 2022.

Voice

Edit Charts by Speaking

Natural voice commands, updates, and edits. The scribe handles it instantly.

How It Works

Three steps to coding
that catches everything.

READ

Read the Entire Record

Every document in the patient's chart. Labs, consults, imaging, prior visits. Read and indexed before the visit starts.

ANALYZE

AI Audits Every Code

Diagnosis specificity, E&M leveling, HCC risk adjustment, quality measures, and clinical discrepancies. Analyzed against the full record.

SURFACE

Actionable Intelligence Delivered

Missed codes, upgrade opportunities, care gaps, and billing optimizations. Flagged and ready for your review.

Coding Intelligence

Every missed code. Every billing gap. Found.

thelayrd.com

Laura Navarro, 58F

S. Menendez · Follow-up · Mar 10, 2026

Chart Ready
1. Essential HypertensionI10I13.0[1][2]
2. Type 2 Diabetes MellitusE11.9[3]
3. Chronic Kidney DiseaseN18.2N18.3[4]
Identified by Layrd
Bipolar II DisorderF31.81

Psych eval 02/05/2026 diagnosed Bipolar II. PCP still shows MDD (F32.9).

Ulcerative ColitisK51.90

On mesalamine 4.8g daily. GI note 09/2025 documents recent flare.

Visit Code
99215Established, high complexity
+G2211Medicare longitudinal care add-on
MDM Justification
ProblemsHIGH
Data ReviewedHIGH
RiskHIGH

All 3 elements HIGH → 99215

Practice Manager

Your entire panel. One dashboard.

Layrd
Practice Manager
R. Menendez, PM
RM
Patients29
Care Gaps47
CPT-II156
PatientCodeGapsCPT-IIDxActions
Navarro, Laura M99215
32
144
View
Brooks, Joseph99215
51
113
View
Hagerman, John W99496
43
125
View
Holloway, Margaret992136
View
Hoard, James D99215
12
103
View

CPT-II Code Review

Navarro, Laura M · 03/09/2026

Diabetes Management

3044FMost recent HbA1c level

A1c 5.2% · Lab Report 03/02/2026

2028FFoot examination performed

Documented 03/09/2026 · Visit Note

2022FDilated retinal eye exam

No exam documented · Overdue

Screening & Prevention

3725FDepression screening

PHQ-9 score 0 · Visit 05/12/2025

3016FAlcohol screening

AUDIT-C score 3 · Visit 03/09/2026

11 of 14 codes active · 3 removed
Features

Full-spectrum coding intelligence.
From the entire record.

Every diagnosis reviewed, every code optimized, every gap found. Before the visit starts.

ICD-10 Review

Every Diagnosis Verified

AI reads the full record and flags under-coded, missing, and non-specific diagnoses. Suggested upgrades with evidence from the source documents.

E&M Optimization

Correct Visit Code. Every Time.

Medical decision-making elements scored automatically. Problems, data reviewed, and risk mapped to the right E&M level with full justification.

HCC Capture

Risk Adjustment Revenue

Chronic conditions identified from specialist notes, labs, and imaging. HCC-eligible diagnoses surfaced for recapture.

Quality Codes

CPT-II Automatically Identified

Screening measures, preventive care, and chronic disease management codes. Triggered from documented evidence.

Care Gaps

Nothing Falls Through

Overdue screenings, missed vaccines, and lapsed referrals. Flagged with due dates and clinical context.

Discrepancies

Conflicts Caught Automatically

Medication mismatches, conflicting social history, and documentation gaps between providers. Surfaced before they become problems.

What Doctors Say

I used to run 30, 45 minutes behind every single day. By the time I got to a patient, I was already stressed and flipping through pages trying to remember what happened last visit. Now I walk in and everything is already there. I know what labs came back, what imaging was done, what the last specialist said. I can actually be present with my patients again.

Dr. R., Internal Medicine

I used to dread pre-charting. Labs, imaging, referrals, specialist notes. Now I open my schedule and everything is already organized. I actually look forward to my mornings.

Dr. M., Family Medicine

I went from spending 8 minutes per patient on chart prep to under 1 minute. Multiply that by 22 patients a day, and you start to understand why I tell every colleague about this.

Dr. L., Internal Medicine

Every other tool made me dictate my chart prep out loud or click through a dozen screens. This one just reads the records and does it. Quietly. Accurately. I barely have to touch anything.

Dr. A., Cardiology

I was seeing 16 patients a day and still had notes to finish at home every night. Now I walk out the door at 5 with everything done. My family notices the difference.

Dr. T., Primary Care

Features

Three products.
One platform.

Everything you need to see patients, file documents, and optimize coding.

Document Triage

Every Document Filed Automatically

Incoming faxes, labs, and specialist notes: read, classified, labeled, and filed into the right patient chart. Critical findings flagged instantly.

Chart Prep

Chart Ready Before You Arrive

Complete chart with vitals, history, labs, and assessment, prepped and waiting. Every section structured exactly how you need it. Every fact cited.

Coding Intelligence

Every Code Verified, Every Gap Found

Full ICD-10 review, E&M optimization, HCC risk adjustment, quality code identification, and clinical discrepancy detection. From the entire record.

Pricing

Simple, Transparent Pricing

Per provider, per month. No hidden fees. Cancel anytime.

Monthly
Annual

Document Triage

$99/mo

per provider, billed monthly

  • Unlimited document triage
  • Auto-classify, label & file
  • Critical finding alerts
  • All document sources (fax, lab, HIE)
  • Push to EHR
  • Direct EHR integration
Most Popular

ChartPrep

$199/mo

per provider, billed monthly

  • Everything in Document Triage
  • Unlimited chart preparation
  • Citation-verified precharts
  • Patient Q&A
  • Context-aware AI scribe
  • Priority support

ChartPrep + Coding Intelligence

Custom

Tailored to your organization

  • Everything in ChartPrep
  • ICD-10 assessment intelligence
  • E&M code optimization with MDM
  • HCC risk adjustment & RAF scoring
  • CPT-II quality code identification
  • Care gap analysis
  • Clinical discrepancy detection
  • Practice manager dashboard

Enterprise

Custom

Tailored to your organization

  • Everything in ChartPrep + CI
  • Custom configurations
  • Dedicated account manager
  • SLA guarantee
  • Custom integrations

All plans include free setup and onboarding. No credit card required to start.

HIPAA Compliant
Free Setup
Cancel Anytime
Common Questions

Frequently Asked Questions

Everything you need to know about getting started with Layrd Health.

Absolutely. We use banking-grade AES-256 encryption for all data in transit and at rest. We are fully HIPAA compliant through our partnership with Delve and sign a Business Associate Agreement (BAA) with every clinic. Your patient data is processed securely. Learn more about our HIPAA compliance at delve.co.

Yes. We integrate directly with major EHR systems including eClinicalWorks, athenahealth, Epic, Cerner, and more via secure API. Once set up, you simply sync your schedule and we pull all patient data automatically. Charts are created and synced back seamlessly.

Setup takes about 30 minutes with our team. We connect to your EHR, configure your preferences, and you're live. There's no disruption to your workflow. We work alongside your existing systems. And setup is completely free.

You can edit anything. The chart is fully editable before you send it to the EHR. Make changes, add notes, adjust anything, then one click sends it back. The EHR is just storage. This is where you work.

Yes. Ask anything about the patient, no matter how complicated. "Show me the HbA1c trend over 3 years" or "What did the cardiologist say in 2022?" You get an instant answer with a citation showing exactly where it came from in the original records.

Yes. The scribe already knows the patient's history from all the records we've read. When you dictate "chest pain," it automatically links to the cardiology consult from 2022. You don't have to catch it up. It's already caught up.

Layrd connects to your fax inbox, lab interfaces (Quest, LabCorp), DirectTrust, and other document sources. Every incoming document is automatically read, classified by type, matched to a patient with confidence scoring, labeled, and filed into the correct chart in your EHR. Critical findings like abnormal lab values are flagged immediately. Staff only handle the small number of exceptions that need manual review.

For every patient on the schedule, Layrd performs a complete coding analysis: ICD-10 diagnosis review with specificity upgrades, new condition identification from specialist notes and labs, E&M visit code recommendation with full MDM justification, HCC risk adjustment scoring, CPT-II quality codes, care gap analysis, and clinical discrepancy detection. Every suggestion cites the specific clinical evidence and source document.

Most coding tools look at the problem list and the last visit note. Layrd reads every document in the patient's record: every specialist note, lab result, imaging report, medication, screening form, and historical encounter. That's how it catches things like a cardiology-documented heart failure that never made it to the PCP problem list, or a lab showing eGFR of 48 with no CKD diagnosis.

It varies by practice, but the impact comes from multiple mechanisms: E&M code accuracy (billing the level the documentation supports), G2211 add-on for Medicare visits, modifier-25 split billing, TCM codes for post-discharge visits, HCC risk adjustment for Medicare Advantage patients, and complete CPT-II quality reporting. We calculate the specific dollar impact for your practice during the demo.

Automated pre-charting uses AI to prepare a complete patient chart before the physician sees the patient. Layrd connects to your EHR, pulls all relevant records (labs, imaging, consult notes, prior visits), then runs 15+ specialized AI agents in parallel, each handling a different chart section like HPI, Medications, Labs, Assessment, and Plan. The result is a structured, citation-verified prechart ready for review in under a minute.

AI scribes transcribe what happens during the visit. They listen and document in real-time. Layrd works before the visit: it reads every record in the patient's history and builds a structured chart proactively. Think of it as the difference between a stenographer and a PA who prepped your entire day. Many clinics use both. Layrd for pre-charting and a scribe for in-visit documentation.

Layrd supports any outpatient specialty that relies on chart review before visits. Internal medicine, family medicine, cardiology, endocrinology, pulmonology, nephrology, rheumatology, and OB/GYN all use Layrd today. The system includes conditional agents. For example, OB/GYN history and psychiatric history agents activate automatically when relevant to the patient.

Every claim in a Layrd prechart links back to the original document and page number. We use a 3-tier verification system: Tier 1 performs fast keyword matching against source documents with zero LLM calls. Tier 2 runs batch LLM verification for nuanced claims. Tier 3 deploys a dedicated verification agent with full document access to catch anything the first two tiers miss. Any claim that can't be verified is automatically removed.

Layrd integrates with eClinicalWorks, athenahealth, Epic, Cerner (Oracle Health), and other major EHR systems via secure API connections. We pull patient demographics, visit schedules, medical records, lab results, and imaging reports directly. Charts sync back to your EHR with one click. Setup takes about 30 minutes and is completely free. Our team handles the entire integration.

Physicians using Layrd save an average of 2+ hours per day on chart review and documentation. Each patient chart is prepped in under a minute, compared to the 10-15 minutes of manual record review per patient. For a provider seeing 20 patients a day, that adds up fast. Most physicians report leaving the office on time for the first time in years.

Still have questions?

Get in touch with us

Stop prepping.Stop staying late.

Your charts are ready before you see the patient. Think of it as your personal PA.

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