Electronic health record · Registered clearinghouse · Physician financial freedom
Give physicians and medical institutions a direct path to financial freedom. Shteg.ai unifies your specialty electronic health record and registered HIPAA clearinghouse under one organizational NPI — so the clinical fact and the financial fact are the same record, without billing intermediaries or manual re-keying.
Registered HIPAA clearinghouse · 25+ specialties & 80+ subspecialties · Attestation chain hash-chained and verified
The problem
Every practice assembles its own patchwork of vendors, portals, and spreadsheets. The seams between them are where time, money, and accuracy leak out.
A typical practice runs 6–10 vendors — EHR, practice management, clearinghouse, phones, portal, reporting. Each one is another login, contract, and silo.
Staff swivel-chair the same demographics, codes, and attachments between screens all day. Every re-keyed field is a chance for error.
Each system keeps its own version of the patient and the balance. Nothing reconciles, so no one fully trusts the numbers.
Weeks pass between encounter and cash — submission, rejection, resubmission, follow-up. Revenue arrives on the payer’s schedule, not yours.
Experienced people spend their days in payer portals and fax queues instead of with patients. Turnover is the predictable result.
Denials land in workqueues with little context and less urgency. Most are recoverable — few are actually worked.
The answer isn’t vendor number eleven. It’s one intelligent layer that connects them all.
Why we exist · Physician financial freedom
American healthcare keeps the chart in one system and the claim in another, and pays intermediaries to reconcile them. Shteg.ai unifies your specialty electronic health record and registered HIPAA clearinghouse under one organizational NPI, so clinicians own their time, practices keep the revenue they earn, and a clinical fact never has to be re-keyed or re-argued to become a paid claim.
A visit documented in one system and billed from another has to be reconciled by a person, and the difference between them is where practices lose money they already earned. We keep both on a single record so there is nothing to reconcile.
Every code, every flag, every suggestion this platform produces arrives as a proposal with the evidence it was drawn from. Nothing is filed, billed, or sent because a model was confident. A person disposes of it, and the record says who.
Which eye, which knee, which side. The platform will refuse a record it cannot determine rather than fill it in from the last one. That refusal is deliberate, and it is the kind of decision that separates a clinical system from a form.
Clinical events and financial events are written to the same attested record, and corrections are new entries rather than edits to old ones. What happened stays visible, including the parts that were wrong.
Architectural guarantee: every clinical encounter, clearinghouse claim, and treasury posting shares one hash-chained WORM audit ledger, governed by a deterministic six-condition settlement gate that fails closed whenever a credentialing, coding, or BAA requirement is unmet.
How the work flows
Shteg connects the clinical and financial workflow: digital mobile intake, specialty clinical charting, pre-scrubbed clean claims, and payment reconciliation without manual data re-entry.
Patients connect to the ShtegDNA Core Engine, whose workflows are listed after it. The layer connects to six domains — Clinical Flow, Revenue Cycle, Front Desk, Patient Billing, Data Sync, and Financial Ledger — and those connect to payers, labs, hospitals, government, and banks.
ShtegDNA Core Engine
Deterministic clinical, clearinghouse, and ledger rules across every specialty
Clinical Flow
Hands-free charting & fast exams
Revenue Cycle
Claims checked before sending; remittance matched on arrival
Front Desk
Digital check-in & smart scheduling
Patient Billing
Mobile copays & card-on-file
Data Sync
Standardized HL7 & FHIR data sync
Financial Ledger
Balanced double-entry accounting
Interoperability is built in, not bolted on — FHIR · HL7 v2 · X12 EDI · C-CDA · UDAP/TEFCA-aligned surfaces, with the connector for each counterparty enabled per practice.
Four stages, one gate. Every payment path below ships switched off and fail-closed — the build register says which parts are live and which are gated on a named human step.
A signed note becomes a proposed claim
The clinician signs the chart and the claim is assembled from what was documented, line by line. The charge is a proposal: a human disposes of it before anything is submitted.
Payer edits and prior-auth requirements checked before it is sent
CMS NCCI PTP pairs and MUE unit limits run against the claim before it leaves, and coverage requirements are discovered at order time. Errors surface before submission, not after denial.
Six conditions must hold, or the payment does not move
A payment either satisfies all six conditions or it halts and names the one that failed. Direct-bank, batch-wire and FedNow are all built behind one interface — and none is switched on: no live payment path is enabled, and advance amounts stay pinned at zero.
Every payment matched to the visit it paid for, and nothing overwritten
Every posting is written once and never edited, in whole cents, and each remittance is allocated to the charges it actually paid. A variance raises a state and can halt origination; it is not reconciled away later.
Who uses it
A clinician mid-exam and a biller working a denial queue share no pace, no density, and no vocabulary. They should not share a screen either. Each surface below is built for one job, on one record.
Opens the day's schedule and sees which patients still need coverage confirmed before they arrive.
Opens the chart for the patient in the room, with the prior visit and the imaging already beside it.
Opens the work queue and sees which claims are held, why, and what the payer said about each.
Opens one view of the whole practice — cash position, provider credentials, quality measures — instead of five.
Opens the API reference, gets a sandbox key, and posts a test claim before the meeting ends.
One login across clinical, revenue-cycle, and administrative workflows — because a customer with three products should authenticate once.
ShtegDNA · Built for every specialty & subspecialty
Generic systems force subspecialists into primary-care templates and leave billers to fix the coding downstream. ShtegDNA binds each specialty’s exam fields, ABMS board verification, NUCC taxonomy, and NCCI/MUE clearinghouse rules into one deterministic record.
01 · Clinical DNA
Subspecialty Exam & Device Schema
Instrument measurements and anatomic fields native to the subspecialty.
02 · Credentialing DNA
24 ABMS Boards & NUCC Taxonomy PSV
Primary-source verification of board, license, DEA, and OIG-LEIE standing.
03 · Clearinghouse DNA
Specialty CPT, NCCI, MUE & Global Rules
Pre-submission scrubbing for laterality, global windows, and vial waste.
04 · Treasury DNA
Encounter-Gated Double-Entry Ledger
Every 837P claim and 835 remittance reconciled in integer cents.
Clinical & Device Capture
Structured OD/OS visual acuity, Goldmann/tonometry IOP, slit-lamp & dilated fundus exam, gonioscopy, and direct Zeiss/Topcon/Heidelberg OCT, HVF 24-2, and optical biometry ingestion.
Clearinghouse & NCCI Rules
Enforces bilateral/unilateral eye modifiers (-RT, -LT, -50), 90-day cataract/MIGS global surgical windows, OCT 92133/92134 mutual-exclusion edits, and single-dose anti-VEGF (-JZ/-JW) waste validation.
Clinical & Device Capture
12-lead ECG & telemetry ingestion, transthoracic/stress echocardiography structured reporting, left/right heart catheterization hemodynamics, and CIED pacemaker/ICD interrogation logs.
Clearinghouse & NCCI Rules
Validates professional/technical split modifiers (-26, -TC), multi-vessel coronary intervention hierarchy (92928+), stress echo bundling rules, and Da Vinci CRD/DTR prior-authorization triggers.
Clinical & Device Capture
Joint range-of-motion & strength grading, implant & biologic barcode capture, operative note staging, fracture care tracking, and ASC/hospital place-of-service (POS 21/22/24) routing.
Clearinghouse & NCCI Rules
Tracks 10-day and 90-day global surgical packages, flags unbundled post-op E/M visits unless qualified (-24, -25, -57), and verifies conservative-therapy documentation before arthroplasty submission.
Clinical & Device Capture
Anatomic body-map lesion pinning, Mohs stage-by-stage block & margin mapping, endoscopy/colonoscopy polyp tracking, audiometry/nasal endoscopy, and cystoscopy procedural workflows.
Clearinghouse & NCCI Rules
Validates Mohs first-stage/add-on stage MUE limits (17311–17315), screening-to-diagnostic colonoscopy modifier transitions (-PT, -33), and multiple-endoscopy family payment rules.
Clinical & Device Capture
Cranial nerve & NIHSS/motor scales, multi-nerve NCS/EMG study tables, time-anchored psychotherapy & psychiatric diagnostic evaluations, and fluoroscopic spinal injection level mapping.
Clearinghouse & NCCI Rules
Checks nerve conduction study unit thresholds (95907–95913), psychotherapy + E/M add-on time rules (90833/90836/90838), and spinal facet/epidural level & imaging bundling.
Clinical & Device Capture
2021+ AMA MDM/time E/M scoring, NCCN regimen & chair-time infusion tracking, PFT/spirometry curves, CGM & A1C panels, ESRD monthly capitation logs, and pediatric growth/immunization schedules.
Clearinghouse & NCCI Rules
Computes infusion hierarchy (initial vs. sequential/concurrent hours), enforces single-dose biologic waste modifiers (-JW/-JZ), and validates critical care time thresholds (99291/99292).
Covering 24 ABMS Member Boards, 25+ clinical specialties, and 80+ subspecialties — plus Dentistry, Optometry, Podiatry, Ambulatory Surgery Centers (POS 24), and Multi-Hospital Groups.
Propose, never dispose · Built-in clinical & revenue discipline
Deterministic clearinghouse rules, primary-source verification, and specialty clinical tools built directly into the record — where software proposes and a licensed professional decides.
Specialty visit notes structured as you examine the patient — reviewed and signed by the clinician.
Clinical notes & patient instructions translated across 11 languages with terminology checks.
ICD-10, CPT, laterality, and NCCI bundling edits verified against the signed encounter.
Live OIG-LEIE, SAM.gov, NPDB, and state board verification enforced before money moves.
Payer coverage and documentation rules checked at order time, not discovered at denial time.
MUE unit limits, global periods, and waste modifiers checked before the claim leaves the practice.
Mobile check-in, eligibility confirmation, and multilingual routing before the phone rings.
Every clinical and financial event anchored in integer cents with hash-chained and verified audit integrity.
Every automated proposal is clinician-reviewable — nothing reaches a chart, claim, or patient without a licensed professional signing off.
Product preview
Schedule, specialty charting, clearinghouse queue, and ledger reconciliation on one screen — built for the pace of a working practice.
Today’s schedule
Claims pipeline
Collections — last 30 days
Sample data
Product mockup of the Shteg.ai command center showing a daily appointment schedule with check-in statuses, a claims pipeline with paid, scrubbed, and queued claims, a 30-day collections trend chart, deterministic revenue and clinical queue flags such as denial-risk warnings and prior authorization reminders, and a patient journey timeline from check-in to payment. All data shown is fictional sample data.
Security & compliance
The rails healthcare already trusts, wired into every workflow — available on multi-tenant cloud, dedicated VPC, or air-gapped on-premise Kubernetes.
Data is encrypted everywhere — AES-256 with optional Customer-Managed Encryption Keys (CMEK) at rest, and TLS 1.3 in transit. Every financial posting lands in a SHA-256 HMAC hash-chained, append-only double-entry ledger with cycle and fork detection. For sovereign institutions, the entire platform can be deployed air-gapped on-premise via Helm charts with local Dex IdP SSO and edge model inference. Where a BAA is not yet in place, the integration fails closed rather than proceeding.
Read the register — what is verified, what is gatedPhysician financial freedom
One sovereign record from the exam room to the bank ledger — built for solo physicians, subspecialty groups, and multi-hospital institutions.