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The EHR from Novarra, for behavioral health and outpatient care

One record.
Every kind of care.

Twelve apps that work from the same client record: the chart, the calendar, the claim, the message and the task. Switch on what your practice runs. Pay for clinicians and prescribers; your front desk and billers are free.

Build your plan See the bundles

From $59 per clinician a month. Support staff free. Self-serve setup.

Behavioral Health · for therapy and case management practices

Notes, sessions
and claims, as one.

Treatment plans and session notes that name their goal, a calendar with reminders and video, and a claim made by signing the note. Therapy and Case Management are added for the clinicians who do each.

Start with Behavioral Health See what is in it

$95 per clinician a month. Support staff free. Or start with the free playbook.

Ro Roster Tuesday, October 6 MR
Day Sheet Front desk Outpatient · Main St Search a client Book a visit
28Scheduled
22Confirmed
5Arrived
4In session
11Checked out
1No-show
2To reschedule
TimeClientVisitProviderStatusPaperworkCoverageCopay
9:00Okafor, AmaraTherapy · 53 minD. Whitlock, LPCChecked outCompleteVerified$25.00
9:30Lindqvist, TomasCase managementR. Abara, QMHPIn sessionCompleteVerified—
10:00Beaumont, CeliaIntake · 90 minD. Whitlock, LPCArrived 9:522 of 3Verified$40.00
10:00Nakashima, RenGroup · DBT skillsS. Ferreira, LCSWArrived 9:57CompleteVerified$15.00
10:30Aldana, MateoTherapy · virtualP. Idowu, LMFTConfirmedCompleteVerified$25.00
11:00Haverford, JuneCase managementR. Abara, QMHPUnconfirmedNot sentTo verify—
11:15Soto, GabrielTherapy · 45 minP. Idowu, LMFTConfirmedCompleteVerified$25.00
11:30Mbeki, ThandiTherapy · familyS. Ferreira, LCSWNo-showCompleteVerified—

The Day Sheet in Roster. Sample data.

Outpatient Medical · primary care, pediatrics and psychiatry

A clinic for
the whole family.

For practices where a prescriber leads the visit: a briefing before it, rooming and the exam, orders against each diagnosis, and a level of service suggested from what was recorded. One price covers every specialty you choose.

See Outpatient Medical Tell me when it opens

Rolling out to new practices now.

Op Okonkwo, Daniel 52 y Blood pressure follow-up
2Results back
1Order still out
−3.5 lbWeight since last visit

Last visit · July 9 · H. Sorensen, MD

  • I10

    Above goal at 148/92 on lisinopril 10 mg. Increase to 20 mg.

    Hypertension
  • E78.5

    On atorvastatin 20 mg. Recheck lipids.

    Lipids

The plan was: Lisinopril up to 20 mg daily. Metabolic panel in two weeks. Lipid panel before the next visit. Back in three months.

Results and orders

  • Lipid panelBack Oct 2 · LDL 118, HDL 44Not seen yet
  • Basic metabolic panelBack Jul 26 · potassium 4.4Seen
  • EchocardiogramOrdered Jul 9 · 91 days outStill out

Since then

  • Phone callSep 12 · dizzy on standing after the dose went up

Before coming in

  • Getting ready in NaviaInsurance changed: new plan since SeptemberBegun

Care due

  • Colorectal cancer screeningDue since MarchOverdue
  • Flu vaccineDue this seasonDue

Screeners

  • PHQ-9Today · was 4 in July3

The Briefing, before the visit. Sample data.

Workforce, from Novarra · for any team, medical or not

Time, people and hiring.
No clinic required.

Tally keeps time. Workforce keeps each person's record and hires. Use one, or both; with the rest of Nuvero, or with nothing else at all.

See Workforce Tell me when it opens

Built and in testing; not for sale yet. Tally $99 and Workforce $119 a month for the organization, whatever its size.

Ta Schedule Oct 18 – 24 7 not published Copy last week here Publish 7

Before you publish. Monday: 1 of 2 Front desk at Main St, 8:00 – 12:00. K. Ellison is down for 45.5 hours: 5.5 past where overtime starts.

Mon, Oct 1931 h

  • Reyes, MarisolFront desk · to 4:30 pmPublished
  • Ellison, KiraRN · to 5:00 pmOvertime
  • OpenFront desk · to 6:00 pmTo pick up

Tue, Oct 2024 h

  • Abara, RosalindFront desk · to 4:30 pmDraft
  • Whitlock, DanaRN · to 5:00 pmRN license has run out

Wed, Oct 2116 h

  • Reyes, MarisolFront desk · to 4:30 pmDraft
  • Park, JordanMedical assistant · to 5:30 pmOn leave (Paid time off)

The week in Tally, before it is published. Sample data.

One record. One bill. One compliance trail. For the whole organization, and for every department inside it.

Solutions

Built for the practice
you actually run.

A solution is a chart made for your kind of care, bundled with the scheduling, billing and messaging set up the way that kind of practice works.

Rolling out

OpOutpatient Medical

Primary care, pediatrics and psychiatry. A prescriber leads the visit.

Out-Pt · Roster · Rev-Cy · N-box

What it includes Available now

NoBehavioral Health

Therapy and case management, for practices from one clinician to a whole agency.

Noggin · Roster · Rev-Cy · N-box

What it includes Built · in testing

Aesthetics

Med spa, weight management and plastic surgery. Cash-first practices, without the insurance machinery unless you want it.

Med Spa · Weight Management · Plastic Surgery

What it includes

Workforce Built · in testing

For any team.
No clinic required.

Every organization runs two systems: one for the people it looks after, and one for the people who work there. Workforce is the second, in three apps. It is not part of the medical suite, and you do not need to be a practice to use it. If you do run Nuvero, the two share the same people.

Somebody is on file once: the person who applies for a job is the person whose record is kept and who clocks in with Tally. Each is a flat price for the organization, whatever its size. All of Workforce

The suite

Nine apps.
One client record.

Each part of Nuvero has a name, a color and a job. They share the same record, so nothing is typed twice and nothing waits on an export.

  • Ro

    Roster

    The calendar and the front desk's Day Sheet. Booking, reminders, wait list, check-in and check-out.

  • Op

    Out-Pt

    The outpatient chart. Pre-exam, a structured exam and the note, with growth, vaccines and preventive care where the specialty needs them.

  • No

    Noggin

    The behavioral health chart. Treatment plans, session and group notes, outcome measures and caseloads.

  • Ne

    Nest Built · in testing

    For group homes and residential programs. Beds and admissions, the med pass and the controlled count, shift notes and incidents.

  • Rc

    Rev-Cy

    A signed note becomes a claim. Send it electronically, take card payments at the desk, and issue invoices and estimates.

  • Nb

    N-box

    Messages between staff, and between staff and clients, in shared inboxes a team can work together.

  • Tq

    Task Q

    Where work waits. Notes to review, visits to confirm or reschedule, claims to fix.

  • Ns

    Nsight

    Analytics. Boards for each area of the practice, a library of reports, and measures held to targets you set.

  • Tr

    Training

    Courses and quizzes for your staff, with completion tracked next to everything else they do.

  • Ta

    Tally Built · in testing

    Time. Clocking in, timecards worked out by your own pay rules, leave kept as a ledger, and the staff schedule.

  • Wf

    Workforce Built · in testing

    People and hiring. One record for everybody who works here, and a job followed from your careers page to a hire on file the same day.

  • Ma

    Mathesis

    The help library, built into the product, so the answer is one click from the screen that raised the question.

N1

Novarra One Included with every subscription

News and updates from Novarra, inside the product: what changed, what is happening in the field, and tips worth knowing.

About Novarra One

See every app in detail

The assistant Built · in testing

Meet Nina.
She suggests. You decide.

Nina is the assistant inside Nuvero. She drafts the reply to a patient's message from their own chart, answers a question about a chart and shows where the answer came from, and listens to a visit so the note is waiting when it ends.

  • In the N-box

    Replies, drafted

    A patient writes. A reply is waiting, with what it was written from listed under it. Staff edit and send. A clinical question goes to the provider.

  • On the chart

    Answers, with sources

    "When was his last A1c?" A sentence back, with the result and the visit it came from. When the chart does not say, neither does she.

  • In the visit

    The note, from the visit

    With the patient's agreement she listens, tells the two voices apart and drafts each part of the note. The recording is deleted once it is text.

Nb Okonkwo, Daniel Patient message Nina

From the patient · today, 8:12 am

My blood pressure pills make me dizzy when I stand up. Should I keep taking them? Also, when is my next appointment?

Nina suggests · not sent

Hello Daniel. Your next appointment is today, October 8, at 11:15 am with Dr. Sorensen. I have passed your question about the dizziness to Dr. Sorensen, who will answer it. If you feel faint or the dizziness is severe, call the office or 911.

What Nina read

  • MedicationsLisinopril raised to 20 mg on July 9Chart
  • Phone call, Sep 12Dizzy on standing after the dose went upChart
  • Next visitToday, 11:15 am · Chronic care follow-upCalendar

Left for the provider. Whether to keep taking a medicine is a clinical answer. Nina did not write one, and sent the question to Dr. Sorensen.

Nothing is sent until somebody sends itDismiss Use this reply

A reply, and what it was written from

The appointment came from the calendar, the dose change from the chart. The question about stopping a medicine was left for the provider.

A design for what is being built. Sample data.
Op Okonkwo, Daniel 52 y Nina's draft

From the visit · 5 suggestions, 3 accepted

  • Story · blood pressure

    Home readings in the 130s over 80s since lisinopril went to 20 mg. Dizziness on standing for two weeks after the change, now resolved.

    In the note
  • Story · right knee

    Two weeks of medial right knee pain, worse on stairs. No locking or giving way.

    In the note
  • Review of systems

    No chest pain, headache or ankle swelling.

    In the note
  • Exam · right knee

    Tender along the medial joint line. No effusion. Full range of motion.

    Edit Accept
  • Assessment and plan · I10

    At goal on lisinopril 20 mg. Continue. Recheck in three months.

    Edit Accept
Nothing is in the note until you accept it. Nina never signsDiscard the rest

A note, one suggestion at a time

Each part of the note is accepted, edited or discarded on its own. Nothing is in the note until the provider takes it, and Nina never signs.

A design for what is being built. Sample data.

More about Nina

A visit, start to finish

From the first call to the filed claim.

  1. 01Book

    Pick a visit type and Roster finds the first open time, with anyone or with their own provider. The slot is held while you finish, so two desks never book it twice.

  2. 02Arrive

    Visit Prep walks the front desk through one page: identity, coverage, copay, forms and consents. When the list is done, check-in is one button.

  3. 03Chart

    The note opens with the visit already attached, the treatment plan beside it, and the questions that service line is required to answer.

  4. 04Sign

    Sign one note, or a whole group's with one signature. Anything the rules refuse is listed with the reason, not silently skipped.

  5. 05Bill

    Signing the note creates the claim, and the claim goes out electronically. The copay taken at the desk sits on the same record.

Service lines

Switch on
what you run.

A service line is a module. It brings its own notes, its own words for things and its own rules for billing. Add one when you open a program, and each department sees only the part it works in.

Service line

Therapy

Individual, family and group sessions with treatment plans, outcome measures and session notes.

$20 per clinician a month

Service line

Case Management

Caseloads, contact frequency, service plans and authorized units, so nobody goes a month unseen.

$35 per clinician a month

Add-on

Prior Authorization

Authorizations, the units each one covers, and renewals flagged before they lapse.

$20 per clinician or prescriber a month

Add-on

Training

Courses, assignments and compliance training for your staff, with completion tracked.

$49 a month for the practice

In the works

  • Day programs
  • Residential
  • Early childhood
  • Crisis services

Not for sale yet. We list them so you know what is coming, and so nobody sells you something that is not built.

Op Outpatient Medical

A clinic for
the whole family.

For practices where a prescriber leads the visit. One module, and you choose the specialties you practice. Each brings its own tools to the same visit: pre-exam, exam and the signed note, with what is due for the patient in front of you.

Rolling out to new practices now.

  • Primary care

    Family medicine, internal medicine and general practice. A briefing before the visit, the structured exam, orders against each diagnosis, and a level of service suggested from the visit.

  • Pediatrics

    Growth on the WHO and CDC charts, milestone checklists, the well-child schedule from birth to 21 and vaccines due by series, in a look made for a children's clinic.

  • Psychiatry

    Medication management with the monitoring that goes with it: medication trials and how they went, checks that come due on their own, and an injection clinic.

Op Rivera, Mia 4 y 2 m 4-year well visit
62ndWeight percentile
58thHeight percentile
64thBMI percentile

Growth history

Birth1 y2 y3 y4 y

Milestones

  • Hops on one footMet
  • Tells a storyMet
  • Draws a personWatch

Screens

  • Developmental screenPassed
  • Autism screenLow risk
2 vaccines due now · 18 on recordRecord a vaccine

Pediatrics

Growth percentiles, milestones, developmental and autism screens, well-child visits and the immunization record, with lot number and expiry, ready to print for school.

Op Okonkwo, Daniel 52 y Room 3
138/86Blood pressure
72Pulse
98.4°Temp
98%SpO₂
27.1BMI

Preventive care and gaps to close

  • Colorectal cancer screeningDue since MarchOpen
  • Flu vaccineDue this seasonIn progress
  • Blood pressure follow-upRecheck within 4 weeksOpen
  • Tetanus boosterGiven 2023Closed
Mark in progressStart the exam

Family practice

Rooming and vitals, a structured exam and the note in one visit, with preventive care and open gaps listed before the provider walks in.

  • One visit, three steps

    Pre-exam, exam and note. The medical assistant and the provider work the same page in turn.

  • A Day Sheet with rooms

    Who is here, who is roomed and who is waiting, on the same front desk screen as every other department.

  • One price, any mix

    A clinic that sees children and adults does not buy two products. The specialties share one clinical engine and differ where patients do.

  • Same record, same bill

    A family seen in your clinic and by your counselors has one chart, one portal and one statement.

Ns Analytics

Nsight counts the work
where it was done.

A visit that was kept, a note that was signed, a claim that was paid: each is already on the record. Nsight reads them there, for any period, and holds each figure to the target you set.

Boards, reports and measures come with every bundle. Rolling out now.

Ns Nsight Friday, October 9 KD
Practice Insights Last 90 days All locations WeekMonthQuarter
Practice InsightsClinical OutcomesRevenue CycleAuthorizations & UnitsSchedulingProductivityCommunication & Access
1,284Visits completed
7.8%No-show rate
93%Notes signed in 48 h
96%Clean-claim rate
34Days in A/R

Visits completed, by week 1,284 in the period

  • Jul 13
  • Jul 27
  • Aug 10
  • Aug 24
  • Sep 7
  • Sep 21
  • Oct 5

No-show rate Target 10% or lower

JulAugSepOct

Collected, by payer Of what was allowed

  • Commercial plans94%
  • Medicaid91%
  • Medicare88%
  • Self-pay63%

Against target Set in Measures

  • Appointment adherence88% · target 85%
  • Denial rate4.1% · target 5%
  • Days in A/R34 · target 30
  • Portal adoption52% · target 60%
Practice Insights, one of seven boards. Sample data.
Ns No-shows by provider Scheduling Jul 1 to Sep 30
1,392Visits booked
108Missed
7.8%No-show rate
ProviderBookedMissedRateAgainst the practice
P. Idowu, LMFT318175.3%
D. Whitlock, LPC294196.5%
S. Ferreira, LCSW276217.6%
R. Abara, QMHP2623111.8%
T. Marsh, NP242208.3%
Measured on appointment date · 5 rowsRun again

A report for the question

More than 250 reports, shelved by the part of the practice each is about and run when you ask. Narrow one by provider, department or location.

Ns Measures Last 90 days Change a target

Documentation

  • Notes signed within 48 hoursOf every note written in the period93% · target 90%

Communication & access

  • No-show rateLower is better7.8% · target 10%
  • Portal adoptionClients who have signed in to Navia52% · target 60%

Revenue cycle

  • Clean-claim rateAccepted the first time they were sent96% · target 95%
  • Days in A/RLower is better34 · target 30

Measures, held to a target

Each figure is defined in a sentence and held to a target your practice sets, so two people do not count it two ways.

  • Seven boards

    The whole practice, clinical outcomes, revenue cycle, authorizations, scheduling, productivity, and communication.

  • Shelves for your solution

    Behavioral health, outpatient medical and aesthetics each bring their own reports, beside the ones every practice has.

  • Seen by the right people

    Granted by the kind of figure. A biller sees what is owed, and not how a client's scores moved.

  • Nsight Pro In development

    Ask the record a question in words, export the answer, and see which visits and claims are at risk.

More about Nsight

Prescribing

From the visit
to the pharmacy.

A prescription is written in the visit, in instructions the patient can read, with the record's allergies and medications checked before the prescriber decides. Today it is printed or phoned in. Sending it electronically opens with our pharmacy network connection.

In developmentElectronic sending. Writing, printing and refill requests work today.

Reyes, Marisol New prescription Allergy · penicillin Pharmacy connected

Medication

Sertraline 50 mg tablet · Zoloft · not controlled

The patient will readTake 1 tablet by mouth once a day in the morning. With food.

Note to the pharmacy

Replaces the earlier 25 mg prescription
PrintPhoned inSend to pharmacy

Pharmacy

78704
  • Lamar Street Pharmacy1420 S Lamar Blvd · 0.8 miChosen
  • Oltorf Family Drug2100 W Oltorf St · 1.6 mi
  • Riverside Apothecary512 E Riverside Dr · 2.3 mi

Already taking

  • Levothyroxine 75 mcgDaily
  • Sertraline 25 mgEnding

Written once, sent from the visit

Dose, route and how often are chosen, and the instructions are written out as the patient will read them. The Send button is a concept until the connection opens.

Refill requests Waiting for a prescriber 3 to decide
Beaumont, CeliaAugmentin 875 mgTaken by K. Ellison, RN · Oct 8

Listed allergy: Penicillin (hives)Augmentin contains amoxicillin, a penicillin.

Lindqvist, TomasIbuprofen 800 mgTaken by K. Ellison, RN · Oct 8

Care with LithiumIt raises the lithium level; check a level and watch for toxicity.

Okafor, AmaraSertraline 50 mgTaken at the desk · Oct 9

Nothing on the record against it. Last written Sep 9, 30 tablets.

Nothing goes out until a prescriber decidesDeclineApprove

Refills a prescriber decides

Staff take the request, and it waits for a prescriber with what the record holds against it: an allergy matched by family, or a combination to take care with.

  • Never marked sent unless it was

    A printed prescription says printed. One called in says phoned in. The record does not claim more than happened.

  • Allergies by family

    A penicillin allergy flags Augmentin, and the families known to cross-react are flagged with how often.

  • Controlled substances

    Marked with their schedule. A schedule II medication cannot be written with refills.

  • An add-on, per prescriber

    Electronic sending will be a paid add-on when it opens. Nothing about your price changes until then.

More about prescribing

Tr Training

Training you can
prove was done.

Your practice writes the course, assigns it to a person or a role, and sets the passing score. Staff finish with a quiz and a certificate, and you see who is done and who is overdue.

A paid add-on. See the price.

Tr Training MR
Assignments All staff Search staff Assign a course
42Assigned
31Completed
8In progress
3Overdue
Staff memberCourseDueProgressQuizStatus
D. Whitlock, LPCPrivacy and confidentialityOct 319 of 10Completed
R. Abara, QMHPPrivacy and confidentialityOct 31—In progress
P. Idowu, LMFTDocumentation standardsOct 1510 of 10Completed
M. ReyesNew staff orientationOct 2—Overdue
S. Ferreira, LCSWDocumentation standardsOct 15—Not started
K. DupreePrivacy and confidentialityOct 318 of 10Completed
Who has been assigned what, and where each of them stands. Sample data.
Tr Training RA
3To finish
1Overdue
7Completed
92%Average score

Do this first

  • Privacy and confidentialityDue Oct 2 · 20 minutes · RequiredOverdue

Up next

  • Sharps safetyDue Oct 31 · 15 minutes · RequiredIn progress
  • Checking a client inNo due date · 10 minutesNot started

Recently completed

  • Documentation standardsPassed Sep 12 · 90%Certificate

One list of what is owed

Each person sees what to do first, what is next, and the certificate for what they have finished.

Tr Privacy and confidentiality Passed
90%You passed.9 of 10 right · pass at 80% · attempt 1 of 3

Certificate of Completion

This certifies that Renee Abara has completed Privacy and confidentiality Completed October 9, 2026 · Score 90% · Valid until October 9, 2027
Due again Oct 9, 2027Download certificate

A quiz, a score, a certificate

You set the passing score and the attempts allowed. The certificate carries the date, the score and how long it is valid.

  • Your own courses

    A lesson written in the editor or a PDF you already have, with multiple-choice and true-or-false questions.

  • By person or by role

    Assign a course to one person or to everyone in a role, with a due date.

  • Required means required

    A course can hold the rest of Nuvero until it is done. A manager can give more time.

  • Repeats on its own

    Yearly training comes due again a set number of days after it was completed.

More about Training

Security · NcryptBuilt · in testing

Security you can
watch working.

Ncrypt is the security module that comes with every Novarra application. It checks your session as you sign in, shows each check being made, and says in plain words when one does not pass. It is not an add-on.

The four checks, repeating to show the sequence. In the application each is made for real, once, as you sign in.

  1. The connection is encrypted

    Between your browser and us, and between our server and the database.

  2. It is really our server

    It signs a challenge your browser just made up, with a key only it holds.

  3. Your session is signed

    Checked by the server, and checked again every fifteen minutes.

  4. Your practice's records are walled off

    The database is asked, as you, whether another practice's client can be read. The answer has to be no.

Isolation in the database
Client records are fenced by row-level security in the database itself, so an organization's data stays its own whatever the application asks for.
A signed BAA before day one
You read and sign the Business Associate Agreement during setup, before any client information goes in.
A trail for everything
Who opened, changed and signed what, and when. Every reschedule and cancellation keeps its reason.
Two-step sign-in
Microsoft sign-in, an authenticator app, or a code by email. Your organization chooses what staff must use.
Permissions by role
Front desk, clinicians, billers and managers each get the access their job needs, and each department sees only its own work.
No PHI in the logs
Usage and error reporting is scrubbed of client information before it leaves the browser.

All of security, with what is next

Pricing

Priced per clinician.
Staff are free.

Choose the bundle that matches your practice. Each one carries the apps you need, and you pay only for the people who deliver care.

Free for 14 days

Core

The record and the calendar, for a practice that does not bill insurance through us. The one to try first.

$59per clinician
a month

Try Core free
  • The client record
  • Roster, scheduling and the Day Sheet
  • N-box messaging
  • Client portal
  • Novarra One, news and updates

A card is taken at checkout and not charged for 14 days. Cancel before then and you pay nothing.

Available now

NoBehavioral Health

For therapy and case management practices that bill insurance.

$95per clinician
a month

Start with Behavioral Health
  • Noggin, the behavioral health chart
  • Roster, scheduling and the Day Sheet
  • Rev-Cy, claims and payments
  • N-box messaging
  • Video visits and the client portal
  • Novarra One, news and updates

Add Therapy at $20 or Case Management at $35 for each clinician who does it. Billed from the day you buy.

Rolling out to new practices

OpOutpatient Medical

For primary care, pediatrics and psychiatry, where a prescriber leads the visit.

$199per prescriber
a month

Tell me when it opens
  • Out-Pt, the outpatient chart
  • Roster, scheduling and the Day Sheet
  • Rev-Cy, claims and payments
  • N-box messaging
  • Video visits and the client portal
  • Novarra One, news and updates

Every specialty you choose is included.

Added when you need them

  • TherapyTreatment plans, session and group notes, outcome measures.$20 per clinician
  • Case ManagementCaseloads, contact frequency and authorized units.$35 per clinician
  • Prior AuthorizationAuthorizations, units used and renewals flagged.$20 per clinician
  • TrainingCourses and compliance training, with completion tracked.$49 for the practice

Support staff are free on every bundle. Bundles that include billing have a $199 monthly minimum and are billed from the day you buy. Your total is worked out before you pay, and the same numbers appear on your invoice.

Getting started

Start today,
on your own.

  1. 1

    Build your plan

    Choose a plan, tick what you run, and count your clinicians and prescribers. The total updates as you go.

  2. 2

    Pay by card

    Checkout is handled by Stripe. You are billed monthly for exactly what was on screen.

  3. 3

    Create your sign-in

    Confirm your email with a code, choose a password, and sign the Business Associate Agreement.

  4. 4

    Set up your practice

    Add your details and invite your team. Then open Nuvero and book your first visit.

Open your practice
on Nuvero.

Build a plan in a few minutes. See the price before you give us an email address.

Build your plan