TherapyNotes
LiveBrowser-extension write-back of signed notes + CPT/ICD codes. Read-only schedule + patient sync at session start.
We connect with the things you already use.
Trellova is the operations layer beside your EHR — not in place of it. Every integration listed below is built so a practice can drop us in without changing scheduling, billing, or the clinician's day-to-day software. BAAs in place across the whole data path.
EHRs
Direct API where possible. HIPAA-safe browser-extension fallback where the EHR hasn't opened theirs.
SimplePractice
LiveBrowser-extension write-back. API access on our roadmap once their partner API opens to non-EHR vendors.
AdvancedMD
BetaDirect API write-back for signed notes; eligibility prefetch at scheduling time.
Valant
Q3 2026FHIR R4 write-back; CPT/ICD-10 coded encounter sync. Available via partner program.
Payers & clearinghouses
X12 EDI today through Availity (and Change as backup). Direct payer FHIR APIs as CMS-0057-F brings them online in 2027.
Availity
LivePrimary clearinghouse for X12 270/271 eligibility, X12 278 prior auth, X12 837 claims, and X12 835 remittance / denial detection.
Change Healthcare
BetaBackup clearinghouse for payers where Availity coverage is thin (regional Blues, smaller commercial plans).
Direct payer FHIR PA APIs
Q1 2027CMS-0057-F mandates direct PA APIs from major payers by Jan 2027. We're consuming them as they ship.
Cohere Align
2027Payer-side medical-necessity criteria API. Where Cohere is deployed on the payer's PA path, our pre-flight checks against their published rules.
AI & platform
Every PHI-touching vendor is BAA'd. Audio, transcript, and model calls stay in our AWS account boundary.
Anthropic (Claude)
LiveClaude Sonnet 4.6 for scribe + drafting, Claude Haiku 4.5 for coding, Claude Opus 4.7 for denial-appeal letters. BAA in place; model training is off by contract.
Deepgram
LiveNova-3 ASR for clinician/patient diarized transcription. HIPAA BAA in place.
LiveKit
LiveEncrypted WebRTC for ambient audio capture. Self-hosted on our AWS account; no third-party media servers.
WorkOS AuthKit
LiveHIPAA-compliant SSO + SCIM provisioning. Clinicians authenticate against the practice's existing IdP.
Communications & billing
TCPA-compliant patient comms. Subscription billing on Stripe with no per-claim or per-session fees.
Twilio
LiveTCPA-compliant SMS for appointment reminders and MBC magic-links. STOP/UNSUBSCRIBE auto-honored.
Postmark
LiveTransactional email for patient consent, intake reminders, weekly digests.
Stripe
LiveSubscription billing + 4% recovery contingency invoicing. Annual prepay supported.
Heard
Q4 2026Clean coded encounters flow into BH-specialty bookkeeping reconciliation. No double-entry; no fee-split with us.
The write-back path
Signed notes + coded encounters need to end up in your EHR's record of truth. Two paths, depending on the EHR:
Path A — Direct API
FHIR / partner API
For EHRs with an open partner API (AdvancedMD, Valant), we write the signed note + codes directly. End-to-end audit trail; structured data going both ways.
Path B — Browser extension
HIPAA-safe extension
For EHRs without a public partner API (TherapyNotes, SimplePractice today), our Manifest V3 extension writes into the EHR's note + coding fields with the clinician's active session. HMAC-signed bearer tokens; no static API keys on the laptop.
Vendor BAAs + audit
Every vendor in the PHI data path holds a signed Business Associate Agreement with Trellova. We publish the full list to customers under NDA on request. Model training is contractually off on Anthropic, Deepgram, and LiveKit.
See /security for the full encryption + tenant-isolation architecture.
Don't see your EHR?
Tell us which one. We prioritize integration work by design-partner ask, and we ship most write-back paths in ~4 weeks.