Common questions.

We're the operations layer that sits beside your EHR. We listen to the session, draft the clinical note, submit prior authorization to the payer, and draft denial appeals when claims come back denied. The clinician verifies and signs; we do the paperwork. See how it works for the full five-stage walkthrough.

No. We deliberately don't compete with TherapyNotes, SimplePractice, AdvancedMD, or Valant. Scheduling, claims billing, and patient portal stay with your EHR. We write signed notes and codes back to whatever EHR you already use.

Mentalyc, JotPsych, and Twofold are scribe-only. They give you a better note; they don't touch prior auth, they don't touch denials. We do all three pillars — Listen, Submit, Recover — because that's where the practice's revenue and time actually leak. The note is table stakes; the full loop is the moat.

Abridge and Ambience sell ambient AI to enterprise hospital systems. They cover 55+ specialties; they don't do BH-specific MSE typing, risk classification, or MBC trajectory the way a BH-native product does. Their sales motion targets $200K+ ACVs at academic medical centers — not the 2–10 clinician private practice we're built for.

Eleos is the established BH-AI player and they're excellent — at community behavioral health organizations and CCBHCs. Their ICP is 50+ clinicians on Medicaid. Trellova is built for commercial-pay private practices at the 2–10 clinician size. Different segment, different billing stack, different sales motion. We aren't competing in the same lane.

Yes — every tenant gets its own AES-256-GCM data-encryption key, wrapped by AWS KMS. One tenant's key cannot decrypt another tenant's data. TLS 1.3 in transit. Postgres row-level security on every PHI table. Full details at /security.

No. Per-tenant data stays within that tenant's encryption boundary. Anthropic, Deepgram, and LiveKit all hold BAAs with us; model training is contractually off. The appeal-pattern library learns from which arguments win against which payers, with PHI stripped — it never sees a patient's name or content.

Yes — before any PHI moves. We sign a BAA with every customer practice, and every vendor in our data path (WorkOS, Anthropic, Deepgram, LiveKit, Twilio, Postmark, AWS, Datadog) holds a BAA with us.

SOC 2 Type I report is targeted for Q3 2026; Type II Q1 2027. HIPAA risk assessment runs annually. Penetration test scheduled quarterly once we're in production with customers.

Substance-use-disorder records get separate consent gating per 42 CFR Part 2. We treat SUD record-marking as a first-class data property and route consent flows accordingly. The full Part 2 consent module ships Q1 2027.

$249 per clinician per month, plus 4% of denial revenue we actually recover. No setup fees, no per-session fees, no per-claim fees. See /pricing for the full breakdown and a per-practice ROI estimate.

No. Month-to-month by default. Annual prepay gets a 5% discount, but you can cancel any time — we'll refund unused months pro-rated.

Cash actually received from the payer after a denial was overturned by a Trellova-drafted appeal — measured against the corresponding 835 remittance. Predicted recoveries and billed-but-not-paid amounts don't count. The line is itemized on the monthly invoice for reconciliation against your EHR.

Yes — free for 6 months for the first 3 practices that join, in exchange for weekly feedback + anonymized case-study rights. After six months: standard pricing with a 12-month most-favored-nation clause. Email hello@trellova.com if you run a 2-10 clinician practice in CA, TX, or NY.

~45 minutes for a 5-clinician practice: account setup, EHR connection, first session walkthrough. We don't bill until your first paid session.

Most likely yes. We're live with TherapyNotes and SimplePractice (browser extension), in beta with AdvancedMD (direct API), shipping Valant in Q3 2026. See the full list at /integrations. Don't see yours? Tell us — we prioritize integration work by design-partner ask.

Each clinician can opt out per session — the mic stays off and the scribe doesn't run. The product is built for one-by-one adoption, not a top-down mandate. Most clinicians who try it for a week choose to keep it on.

Patients consent at intake (in-app via the patient companion) or in the room before recording starts. We support per-state telehealth consent gating where state law requires it, and we never start recording without an active consent record on file for that patient + that session type.

Practice owner / billing-question response within one business day (typically same-day). Clinical incidents (anything affecting documentation quality) within 4 business hours. Security issues within 1 business day; report to security@trellova.com.

Cancel any time. We export every signed note, every transcript, every PA submission, and every appeal in clinician-readable PDF + machine-readable JSON. No retention games; the data is yours.