Skip to content
HIPAA Compliant
Live Now

AI-Powered Medical Pre-Charting Software

Your charts. Ready before you are.

We sync bidirectionally with your EHR, pulling everything in, organizing it, and prepping your charts. Plus, every fax triaged, every patient kept in the loop, and every missed code 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
Bidirectional EHR sync with
eClinicalWorksathenahealthEpicCernerModMedDrChronoAllScripts
2h+Saved per provider, per day
100K+Documents auto-triaged
100%Citation verified
<1minCharts ready in less than a minute
Features

Four products.
One platform.

Everything you need to see patients, file documents, keep patients in the loop, and code defensibly. All bidirectionally synced with your EHR.

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.

Patient & Provider Notifications

Everyone in the Loop, Automatically

When the chart changes, both sides know. When a patient replies, the chart updates. Bidirectional, HIPAA-compliant, logged inside the record.

Coding & AnalyticsComing Soon

Every Code Verified, Every Dollar Defensible

E&M with MDM justification, optimized assessment list, HCC mapping, care-gap closure, and population dashboards. All cited back to the chart.

Explore the full page
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.

Voice Editing

Edit by Voice. Patient Context Built-In.

Natural voice commands for editing charts hands-free. Dictate "chest pain" and Layrd auto-links to the cardiology consult from 2022. No catching it up.

Patient & Provider Notifications

Everyone in the loop. Without anyone lifting a finger.

When the chart changes, both sides know. When a patient replies, the chart updates. Bidirectional, by default.

01

Patients get the right thing, at the right time

Lab results, appointment changes, plan updates. Sent in plain language, sourced from the chart.

02

Providers get pinged where it matters

Critical findings, patient replies, no-shows, medication questions, surfaced in your existing inbox.

03

Messages live inside the chart

Every exchange is logged against the patient record, never lost in a side channel.

04

Bidirectional EHR sync

Outbound notifications and inbound replies flow into the EHR’s communication module automatically.

05

HIPAA-compliant transport

Encrypted in flight and at rest. Patient consent and opt-out captured on first contact.

PatientJohn Doe · SMS
Layrd9:14am

Your A1c result is in: 7.2%. Dr. Smith left a note about a small dose change. Open chart →

John9:18am

Should I be worried? Are we still on metformin?

Layrd9:21am

No need to worry. Dr. Smith will reply shortly. Metformin continues for now.

ChartJohn Doe · 65M
Lab Result8:55am

HbA1c 7.2% (prior 6.8%), flagged: trending up

Plan Update9:02am

Metformin → 1000mg BID. RTC in 3 months.

Patient Msg9:19am

Logged against chart: question re: medication, awaiting provider reply

ProviderDr. J. Smith
Inbox9:19am

New: patient question on HbA1c result · John Doe · 1m ago

Dr. Smith9:21am

Reassuring reply sent. Plan stands. No additional action needed.

↕ bidirectional ↕
Synced to eClinicalWorks · communication module
3 messages logged
Coming Soon
Coding & Analytics

Every visit, fully coded. Every dollar, defensible.

Layrd Coding takes every visit a provider closes and produces a complete, defensible coded chart, with practice-wide dashboards and an audit-defensible reasoning trace. Coming soon for any size practice. Join the waitlist for early access.

  • E&M with MDM justification
  • Optimized assessment + HCC mapping
  • Care-gap closure across every program
  • Population, HCC & care-gap dashboards
  • Audit log + reference-data pinning
See what is coming
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

Pricing

Simple, Transparent Pricing

Per provider, per month. No hidden fees.

Monthly
Annual
Core products

Document Triage

Every fax filed. Every lab flagged. Automatically.

$99/mo

per provider, billed monthly

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

Document Triage + ChartPrep

The full pre-charting stack. Saves $19 every month.

$229/mo

per provider, billed monthly

Save $19/mo

  • Everything in Document Triage
  • Everything in ChartPrep
  • Single onboarding & account
  • Bidirectional EHR sync
  • Priority support

ChartPrep

Your charts. Ready before you are.

$149/mo

per provider, billed monthly

  • Unlimited chart preparation
  • Citation-verified precharts
  • Patient Q&A on the chart
  • Context-aware AI scribe
  • Bidirectional EHR sync
  • Priority support
Add-on to extend your plan

Patient & Provider Notifications

Everyone in the loop. Automatically.

$49/mo

per provider, billed monthly

  • Bidirectional patient ↔ chart updates
  • Critical-finding pings for providers
  • Patients stay informed automatically
  • Bidirectional EHR sync
  • HIPAA-compliant messaging
Custom pricing
Coming Soon

Coding & Analytics

Defensible coded charts. Practice-wide dashboards. Built for any size practice.

Coming Soon

Join the waitlist for early access

  • E&M with MDM justification
  • Optimized assessment list + HCC mapping
  • Care-gap closure across every program
  • Population, HCC & care-gap dashboards
  • Audit log + reference-data pinning

Enterprise

Custom deployments, dedicated support, and SLA.

Custom

Tailored to your organization

  • Everything in every product
  • Custom configurations
  • Dedicated account manager
  • SLA guarantee
  • Custom integrations

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

HIPAA Compliant
Bidirectional EHR Sync
Free Setup
Common Questions

Frequently Asked Questions

Everything you need to know about getting started with Layrd.

Absolutely. We use banking-grade AES-256 encryption for all data in transit and at rest. We are fully HIPAA compliant and sign a Business Associate Agreement (BAA) with every clinic. Your patient data is processed securely.

Yes. We integrate directly with major EHR systems including eClinicalWorks, athenahealth, Epic, Cerner, ModMed, 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), ModMed (Modernizing Medicine), 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.

HIPAA CompliantDirect EHR IntegrationFree Setup