Elva AI

AI Clinical Documentation

Turn Your Clinical Notes Into Audit-Proof Narratives

Insurance payers no longer accept generic templates. They demand specific clinical evidence, like "fractured cusps" or "bleeding on probing", buried within your notes. Elva audits your documentation in real-time, ensuring every chart entry contains the exact "Gold Standard" keywords required to withstand an audit and get paid.

100%audit compliance

2 Hourssaved daily for providers

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Real-Time Scrubbing

Analyzes clinical notes while you type, flagging missing critical data (e.g., "missing bone loss description") before the patient leaves.

Gold Standard Narratives

Auto-generates claim narratives derived directly from clinical findings, not generic boilerplate text.

Legal & Audit Defense

Ensures every entry meets the strict "Medical Necessity" criteria for high-scrutiny codes like SRP and Implants.

Template Hygiene

Detects and fixes "Copy/Paste" errors where yesterday's tooth number was accidentally left in today's note.

THE "OLD WAY" VS. ELVA

Static Templates vs. Active Intelligence

The Old Way (Macro Fatigue): Doctors click "Crown Template" and get a generic block of text: "Decay noted. Prep done." It lacks the specific "50% structural loss" or "recurrent decay" details that specific payers require, leading to "Medical Necessity" denials. The Elva Way (Context Aware): Elva reads the X-rays and the procedure code. It prompts the doctor: "Dr. Smith, for D2740 on #19, please confirm: Was there a fracture? If so, which cusp?" It then writes a note that is specific, legally defensive, and payable.

ELVA CHAT INTEGRATION

Don't guess the requirement. Just ask.

Your providers can ask Elva to audit their note before signing it. Dr. Smith: "Review my note for this Surgical Extraction (D7210) on #17." @Elva: “Audit Result: RISK DETECTED. You billed D7210 but your note only says 'Forceps removal.' To qualify for Surgical Extraction, you must document 'Elevation of a mucoperiosteal flap' or 'Tooth sectioning.' Shall I add these details if they were performed?"

Detects and fixes "Copy/Paste" errors where yesterday's tooth number was accidentally left in today's note.

Payers now request the Full Clinical Note to adjudicate claims. If your note says "watch" but your claim says "crown," you will be denied. Elva ensures your clinical reality matches your billing codes perfectly.

Clinical Intelligence at the Point of Care

Elva acts as a silent clinical partner, ensuring your documentation is as precise as your handpiece.

Compliance

Auto-Narrative Generation

Stop writing "See Attached." Elva pulls data from the perio chart, X-ray analysis, and clinical codes to write a unique, specific narrative for every claim that tells the "Clinical Story" the adjuster needs to hear.

Hygiene

"Copy/Paste" Detector

Using yesterday's note for today's patient is a red flag for auditors. Elva detects identical blocks of text or mismatched tooth numbers (e.g., mentioning #3 in a note for #14) and alerts the provider to fix the error.

Legal

Informed Consent Verification

Elva scans your notes to ensure Informed Consent was documented for invasive procedures. If you extracted a tooth but forgot to note "Risks/Benefits discussed," Elva reminds you before the note is locked.

Efficiency

Voice-to-Text Clinical Assistant

Providers can dictate complex notes directly to Elva. "Elva, note that #14 had a mesial fracture extending subgingivally." Elva formats it into professional medical terminology automatically.

The "Gold Standard" Documentation Engine

General notes get general denials. Elva ensures your documentation contains the specific "Magic Words" (clinical criteria) that adjudicators are trained to look for.

Surgical Extraction (D7210)

The Risk: You bill D7210, but your note just says "Difficulty extracting." The payer downgrades it to a Simple Extraction (D7140), costing you ~50% of the fee.
Elva's Solution: Elva prompts for the specific surgical technique.
It ensures the note reads: "Full-thickness mucoperiosteal flap elevated.
Tooth sectioned into mesial and distal roots.
Bone removed to access furcation.".

Crowns (D2740) & The "50% Rule"

The Risk: You document "Large filling, needs crown." Denied.
The payer argues a filling would suffice.
Elva's Solution: Elva enforces the "50% Rule" in your notes.
It helps you document: "Less than 50% of natural tooth structure remains due to fracture of distobuccal cusp and recurrent decay.
Tooth is unable to support direct restoration.".

Core Buildup (D2950)

The Risk: The payer claims the buildup was just "blocking out undercuts" and bundles it into the crown fee.
Elva's Solution: Elva ensures the note explicitly states retention was the goal.
"Buildup necessary for retention and resistance form.
Only buccal wall intact.
Pre-op photo taken to demonstrate structural loss.".

SRP (D4341) Criteria

The Risk: You bill SRP for "Gingivitis." Denied.
SRP requires "Periodontitis" (bone loss).
Elva's Solution: Elva scans the perio chart and note.
It verifies the diagnosis is Stage II Periodontitis or higher and the note confirms "Generalized 4-5mm pockets with bleeding on probing and radiographic bone loss.".

Night Guards (D9944)

The Risk: You write "Patient has jaw pain." Denied as a medical TMJ exclusion.
Elva's Solution: Elva’s "Forbidden Word" filter catches "TMJ" or "Jaw Pain." It suggests replacing it with "Severe nocturnal bruxism causing wear facets on canines and enamel craze lines.
Appliance required to prevent tooth fracture.".

Implant Placement (D6010)

The Risk: You document "Implants placed #19." Denied for Missing Tooth Clause investigation.
Elva's Solution: Elva prompts for the Tooth Loss History.
It ensures the note reads: "Tooth #19 extracted on [Date] due to vertical root fracture while patient was covered under current plan.
Bone volume adequate for immediate placement.".

TAKE THE NEXT STEP

Write Notes That Get Paid

Turn your clinical notes into your strongest asset. withstand audits and prevent denials with AI-driven documentation.

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