Dekho Cloud Healthcare

Early access

The one system your private practice needs.

An electronic medical record built for the modern era of artificial intelligence. Scheduling, visits, notes, calls and faxes in one place, with agents doing the paperwork. What goes on the chart waits for your staff's approval.

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Early access now. Targeting Q2 2027 for wide availability.

A first-principles model of the EMR

How Dekho sees a practice.

Gagan Daroach, Dekho's founder, went back to first principles on what a practice actually does. It comes down to three things around one person, and the work that moves between them.

At the center

Medical providers.

It takes a village. A practice runs as one team across many roles.

  • Physicians
  • Physician assistants
  • Nurse practitioners
  • Nurses
  • Medical assistants
  • Front desk
  • Billing
  • Practice managers
The new era of computing

AI agents at the core.

Dekho believes agents should work alongside providers at the center of the system. Agents have the same tooling and visibility into the medical record as the provider.

Corner 1 of 3

Patient care.

Dekho prioritizes patients as the most important part of the electronic medical record. We engineered Dekho Cloud Healthcare from that perspective.

Corner 2 of 3

Communication.

Providers, staff, insurers and the whole medical industry are always communicating: spoken in the exam room or on the phone, written on the fax machine.

Agents at this corner

Corner 3 of 3

Billing.

Billing for the care the practice gives: insurance eligibility checks, claims and payments.

All together

Dekho Cloud Healthcare.

Patient care, communication and billing, together, are the electronic medical record. The patient chart went digital less than twenty years ago, and private practices, group practices and hospital systems all come down to these same three jobs.

Edge 1 of 3 · Where we started

Patient communication.

Getting the patient in, talking with them, and every document about their care. AI First Look reads every inbound fax for the patient's name, date of birth, document type and a summary. Patients get their own access too, on the web and in a mobile app.

Edge 2 of 3

Charting & coding.

The visit becomes a signed note, and the note becomes the codes a claim is built from.

Agents on this edge

Edge 3 of 3

Agentic billing.

Getting approval before the visit and getting paid after it: agents check insurance eligibility, propose CPT codes, submit claims, process electronic remittance advice (ERA), follow up with insurers and automate prior authorization.

The Dekho Cloud agents

Your people do the medicine.

Each agent owns one part of the practice's day. They work beside your providers and staff: agents read and draft, and your people approve what goes on the chart.

Scheduling

For the front desk

Books, moves and cancels visits, and finds the next open slot for the right provider.

  • Book a visit
  • Reschedule
  • Find open time

How it helpsA cancellation used to mean an afternoon of phone tag. Now the next open slot is one request away.

Rooming

For physician assistants & physicians

Records the room encounter and turns it into a transcript. Mark who's who once, and every line carries its speaker's role.

  • Room recording
  • Speaker roles
  • Transcript on the chart

How it helpsFalling behind on notes? The room recording captures the visit, so the note starts from what was said, not from memory at the end of the day.

Dictation

For providers

Turns a provider's dictation into text on the patient's chart, in a general or medical voice model.

  • Dictate
  • Medical vocabulary
  • Straight to the chart

How it helpsNotes piling up between patients? Dictate in the hallway and it's on the chart.

Clinical notes

For physician assistants & physicians

Drafts the SOAP note from the visit or the call, ready for the provider to review and sign.

  • SOAP draft
  • From visit or call
  • Provider signs

How it helpsNo more charts left open at close. The SOAP draft is waiting when the visit ends, ready to review and sign.

Fax processing

For medical assistants

AI First Look reads every inbound fax: patient, date of birth, document type, sender and a summary.

  • AI First Look
  • Document type
  • Add to chart

How it helpsA stack of unread faxes and a patient on hold? Every fax already says who it's about and what it is.

Agent Report

For providers

Reads a long referral packet end to end, up to 100 pages, and writes a two-to-three-page report: who referred the patient and why, the last encounter, recommended next steps, medications and labs.

  • Whole document
  • Two to three pages
  • On request

How it helpsA 40-page referral packet before a new-patient visit? Read the two-page report instead.

Call monitoring

For the front desk

Transcribes calls and sums each one up at a glance: a voicemail, no answer, or a real conversation.

  • Call transcript
  • Call summary
  • Chart the call

How it helps'Who called about that refill?' Every call has a transcript and a one-line summary.

Coding

For billing

Suggests ICD-10 diagnosis codes from the signed notes, for the provider to add at close-out.

  • ICD-10 suggestions
  • Provider decides

How it helpsNo more hunting for diagnosis codes after the fact. Suggestions are waiting at close-out, each quoting its note.

Chart chat

For the whole practice

Ask about any patient's chart. It drafts faxes and calls and closes tasks, and every change waits for your approval.

  • Chart review
  • Fax and call drafts
  • Tasks

How it helpsTen screens to answer one question about a patient? Just ask.

And more coming

For billing

New agents join the same practice, the same chart and the same approvals.

  • Prior authorization and claimscoming
  • CPT codescoming

How it helpsThe billing side of the practice is next.

Every agent works under your Business Associate Agreement. Agents draft; your people approve.

Core feature · Live

A chat agent that works inside your practice.

Chat sessions that know your patients. Ask about a chart, coordinate the schedule, or get the paperwork started, in plain language. The agent prepares the change; you approve it.

  • Chart reviewAsk about any patient: recent visits, vitals, signed notes, and the faxes on their chart.
  • SchedulingFind an open slot, book a visit, move one, or cancel it.
  • Paperwork started for youDraft a fax to a referring office, set up a call, file a note to the chart, close out a task.
  • You stay in controlEvery change shows up as a card to approve first. The agent drafts faxes and calls but never sends or dials, and an approved change can be undone for 30 minutes.
Chat · Front deskExample
When was Jordan Rivera last seen, and can we move their follow-up to Thursday afternoon?
Jordan was last seen on Sep 12 for a diabetes follow-up; the note is signed. Dr. Lee has Thursday 2:30 PM open.
Needs your reviewMove Jordan Rivera's follow-up from Tue, Oct 6 · 10:00 AM to Thu, Oct 8 · 2:30 PM with Dr. Lee
ApproveReject
Approved. Draft a fax to their cardiologist with the latest labs.
Draft ready in eFax, addressed to Heartland Cardiology. Review and send it when you're ready.
Ask about a patient…

What it does today

Workflow Accelerators and Coordination

Faxes arrive already read, sorted and matched to the patient. Calls end with the note already drafted.

Clinical note lifecycle

Charting & coding.

  1. Recording
  2. Drafting…
  3. Awaiting sign-off
  4. Signed

Security

Built for patient data from day one.

HIPAA safeguards are part of how Dekho is built and deployed, not a setting you turn on.

We sign a Business Associate Agreement with every customer.

A signed BAA

Clinical features switch on only once your practice’s Business Associate Agreement is on file. Our cloud and telephony providers are under BAAs too.

Isolated, encrypted patient data

Patient data lives in dedicated HIPAA accounts, encrypted at rest with its own keys.

A tamper-evident audit trail

Access to patient data stores is recorded in a separate account the apps can’t reach or erase.

Secure sign-in

Passkeys, optional two-factor authentication, and automated threat protection on every sign-in.

Continuously monitored

Threat detection, security posture checks and web firewalls run on our production accounts.

AI that doesn’t train on your data

Models run under our AWS BAA and don’t train on your content.

  • Built for HIPAABAA available
  • SOC 2 in progress

Talk to us

Bring Dekho to your practice.

Call the founder directly, or email sales. We'll set your practice up ourselves.

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