PraxVault
PraxVault
Now available — v0.3

AI for your practice.
Your data stays put.

PraxVault sits inside your office on its own hardware. Staff access patient records, verify insurance, and manage schedules through a single chat — no cloud, no data exposure, no surprises.

Request a Demo See how it works →
PraxVault
Local AI · On-site
Check urgent care coverage for Zena Mardin
JS
PV
Zena Mardin — Urgent Care

BCBS-NJ (Primary)
Copay $0Deductible metActive ✓

BCBS-FL (Supplemental)
Active ✓
Book her for June 10 at 9am, office visit
JS
PV
Done. Office visit booked — Zena Mardin, June 10 · 9:00 AM.
HIPAA-compliant architecture
Patient data processed locally — never sent to a cloud AI
Works with
athenahealth Availity eClinicalWorks NextGen Epic DrChrono SimplePractice Kareo / Tebra Allscripts + more

The problem

Three systems. One question.
Too much time lost.

Independent practices run on siloed tools. Every patient interaction means jumping between EHR, insurance portals, and scheduling software — burning time that should go to patients.

Cloud AI is off-limits

ChatGPT and other cloud tools can't be used with patient data. Any workaround risks a HIPAA violation and the liability that follows.

Too many systems to juggle

Benefits verification. EHR lookup. Scheduling. Each lives in a different tab. Staff spend hours on navigation, not patient care.

Repetitive tasks drain staff

Prior auths, patient outreach, scheduling — the same steps, every day. Staff time is expensive. PraxVault can automate any of it.

How it works

Installed on-site.
Running in an hour.

PraxVault ships as a pre-configured appliance. It connects to your existing systems on first boot — no IT team required.

Appliance installed on-site

Pre-hardened hardware arrives pre-configured for your practice size. Physical setup takes minutes.

Connects to your systems

Integrates with your EHR and insurance portals using credentials you already have. No new logins, no new contracts.

Staff chat, data stays local

The AI model runs entirely on your hardware. Patient data never leaves the building — not even to train the model.

We monitor & maintain

Remote monitoring, automatic updates, and on-call support. One flat monthly fee — hardware, software, and support included.

Built for your workflow

Every practice is different.
PraxVault adapts to yours.

Unlike rigid SaaS tools, PraxVault is fully customizable. Whatever repetitive tasks your staff handle every day, PraxVault can be built to automate them.

Any repetitive task can become a workflow

If your staff does it the same way every day, PraxVault can handle it. New capabilities are added as discrete, auditable automations — not open-ended AI. We work with you to identify the highest-value tasks and build them in.

Tailored to your specialty

Behavioral health, dermatology, ENT, cardiology — workflows are built around the specific admin patterns of your specialty, not generic healthcare.

Staff-first design

Everything goes through a plain-language chat interface. No training required — if staff can type a question, they can use PraxVault.

What PraxVault does today

Live workflows, ready on day one.

v0.3 ships with the following capabilities out of the box — and any workflow can be custom-built for your practice.

Patient summaries

Full demographics, insurance, and visit history from your EHR in one response.

Insurance verification

Real-time benefit lookups — copays, deductibles, coverage status, and coordination of benefits.

Appointment scheduling

Set up daily schedules, book visits, view and cancel appointments — all in chat.

Prior authorizations

Surfaces relevant clinical data from the chart so staff can fill out and submit prior auth forms faster.

Overdue patient reports

Flags patients with no visit in 12+ months, split by needs outreach vs. already scheduled.

Patient registration

Create new patient records directly from a chat prompt — no portal navigation required.

More coming

New workflows added continuously — or built custom for your practice.

Pricing

One flat fee. Everything included.

Hardware lease, software, maintenance, and support — all in a single monthly line item. No hidden fees, no per-transaction billing.

Tier 1
Solo
1–3 providers
$2,000 / mo
+ $100 / seat / mo
Mac Mini M4 Pro 64GB — silent, office-deployable
  • 2–5 concurrent users
  • Full capability suite
  • EHR & insurance portal integrations
  • Remote monitoring & updates
  • On-call support
Most practices
Tier 2
Small Group
3–8 providers
$3,500 / mo
+ $100 / seat / mo
RTX 5090 workstation or Mac Studio M-Ultra
  • 5–15 concurrent users
  • Full capability suite
  • All EHR integrations
  • Remote monitoring & updates
  • On-call support
  • Quarterly review
Tier 3
Mid-Size
10–25 providers
$6,000 / mo
+ $100 / seat / mo
RTX PRO 6000 Blackwell 96GB
  • 15–40 concurrent users
  • Full capability suite
  • All EHR integrations
  • Remote monitoring & updates
  • On-call support
  • Quarterly review

Privacy & compliance

Architecture built around
data privacy.

PraxVault keeps patient data on your hardware and routes every action through auditable, deterministic automations. The AI surfaces information — staff always review and act.

Data never leaves your building

The AI model runs on-premises. There is no cloud AI in the data path — only connections to the EHR and insurance portals your practice already uses.

Fully auditable actions

Every workflow action is logged with timestamp, inputs, and outputs. Any result can be reproduced for staff review or compliance response.

Staff review on every action

PraxVault surfaces information and assists workflows — it does not submit or act autonomously. Staff are always in the loop before anything is finalized.

HIPAA compliance roadmap

We are actively building toward full HIPAA Business Associate compliance — BAA, risk analysis, and cyber insurance are on our near-term roadmap.

Compliance posture at a glance

Business Associate AgreementIn progress
HIPAA Risk AnalysisIn progress
Tech E&O + Cyber InsuranceIn progress
AES-256 encryption at restBy design
Full action audit log✓ Active
No cloud AI in data path✓ Verified
No autonomous actions✓ Enforced
Staff approval required✓ Enforced

Join our founding practice program.

We're onboarding a small number of NJ practices. Trial period at no cost — we earn your business by proving the value first.

Get in touch Learn more first →