Let doctors be doctors.
The overlay on the PMS you already run — and the only one that can prove the loop closed. Every billed biopsy resolves to CLOSED, OPEN or UNKNOWN in a sealed, replayable ledger; patients self-serve, the inbox classifies, and the paperwork drafts itself for one-tap approval — nothing sends without a human.
- Hosted in Australia
- Draft-first — clinician approves
- Works with your existing software
The problem
Clinicians trained for medicine. They spend their days on admin.
A large share of a clinician's day goes to history-taking, typing notes, writing letters and chasing forms — much of it after hours. Meanwhile the front desk is stretched thin keying in the same details by hand. The work is necessary; the way we do it isn't.
The note tax
Documentation, letters and coding eat into clinical time and spill into evenings — the "pyjama time" that drives burnout and shortens careers.
An overloaded front desk
Reception re-keys history, IDs, consents and payments by hand. It's slow, error-prone and one of the costliest, hardest-to-staff parts of a practice.
A patchwork of point tools
Scribes do notes, separate tools do intake or check-in. Nothing joins the whole journey up — so staff stitch the gaps together by hand.
Clera doesn't add another tool to the pile — and it doesn't replace your PMS. It's the overlay on top of the software you already run: it connects the whole patient journey end-to-end and writes everything back into your system of record.
How it works
From QR code to signed-off note — one continuous flow
The patient does the data entry. The AI does the prep and the paperwork. The clinician does the medicine.
Patient scans & self-checks-in
A QR code on the letter, SMS or front door. They give history, symptoms, photos, consent and payment — in their own time, before they arrive.
The smart inbox reads everything inbound
Referrals, results and letters are read and classified — document type and the referrer's stated urgency, never a clinical call — and the intake is structured into a clean, consult-ready case.
Doctor gets a consult-ready summary
They walk in to a briefed patient and a fully prepared case — and simply consult. An ambient scribe drafts the note live as they talk.
Notes, letters & billing auto-draft
The consult note, GP letter, MBS billing items and recalls are drafted automatically — ready for one-tap approval. Nothing is final until the clinician signs.
It writes back into your software
Approved notes, letters, codes and recalls flow straight into the practice or hospital system you already use. No new screen to live in.
Specialty-agnostic by design. The same engine runs dermatology, general practice or a hospital clinic — the specialty and setting are just configuration.
What it frees up
Free the doctor. Free up the front desk.
Two shifts happen at once: clinicians get their time back, and the front desk stops being a data-entry desk — it becomes an exception desk.
Free the doctor
No history-taking. No typing. No after-hours paperwork. The clinician walks into a prepared consult and spends the visit on the patient.
- More time per patient, or capacity for more patients
- Notes and letters done by the time the patient leaves
- Eyes on the patient, not the keyboard
- The evening admin pile, gone
Free up the front desk
Self-service QR check-in, intake and payment mean reception no longer keys in the same details for every patient, all day.
- Patients arrive already checked in and paid
- Far less manual data entry and re-keying error
- Reception freed for the patients who need a person
- Shorter waits, calmer waiting rooms
After the visit
Close the loop after the visit. Bill for what's documented — and prove it.
The work doesn't stop when the patient leaves. Results come back, items go unbilled, referrals pile up. Clera keeps the loop closed — surfacing what needs a clinician's eye and drafting the next step, never deciding for you.
Each of these is administrative support: it organises, surfaces and drafts for a person to approve. It does not diagnose, score acuity, or read a medical image.
Results & recalls, closed-loop
Every ordered test, scan and biopsy is tracked to a verified closure in the closure ledger — so nothing quietly goes unactioned.
- When a result is back and flagged abnormal by the lab but nobody has actioned it, Clera surfaces it.
- It drafts the recall and the next step for one-tap approval. It surfaces the lab's flag — it doesn't diagnose.
- The clinician decides; nothing is sent without a sign-off.
Bill for what's documented — nothing more
Clera suggests an MBS item only where the note already contains the matching documented work — and it never submits anything itself.
- The exact evidence from the note is shown beside each candidate item.
- It flags unbilled documented work; it never invents it.
- Every suggestion is one-tap approve or dismiss — never auto-submitted, never upcoded.
Referral worklist, sorted by urgency
The inbound referral pile, ordered so the patients the referrer marked urgent surface first.
- It orders the worklist by the referrer's already-stated urgency and shows why — the referral's own words.
- A clinician or staffer confirms the order; it organises and surfaces, that's all.
- It never scores clinical acuity and never reads or ranks the image.
The closure ledger
Nothing goes silent.
Every practice fears the biopsy that came back and nobody saw. The closure ledger is Clera's answer: a billing-anchored record that accounts for every result, and can prove it.
Anchored to the bill, resolved from the record.
The ledger starts from something that can't be argued with: the billing record. If a biopsy was billed, a specimen existed — so a result must exist, and someone must have actioned it. Every billed biopsy is resolved to exactly one state, provable from primary records: the result document, the actioning entry, the letter sent.
The ledger is deliberately UNKNOWN-biased: when the evidence is incomplete, it says UNKNOWN rather than assuming the loop was closed. It tracks administrative process-state only — whether the loop closed, never what the result means.
Provable from primary records
Every state the ledger asserts links to the evidence behind it — the billing entry, the result document, the actioning note — recorded in a sealed, replayable ledger.
- No inference stands alone: CLOSED means the closing evidence is on file.
- Lab flags are carried verbatim — never reinterpreted or re-scored.
- Process-state only. It never makes, or implies, a clinical judgement.
Sealed, not just stored
Every ledger event is cryptographically hash-chained to the one before it the moment it's recorded.
- A state can't be backdated, edited or quietly inserted — the chain would break.
- The break is visible — verification fails at the exact event.
- Provenance can't be retrofitted.
Point-in-time replay
The ledger is append-only, so you can replay it to any date and see exactly what the practice knew, and when.
- "What did we know on the 14th?" is a query, not an argument.
- Every state change is timestamped with the evidence that caused it.
- History is never rewritten — corrections are new entries, on the record.
The exportable proof pack
One export: every billed biopsy in the period, its state, and the evidence trail behind each one.
- For accreditation, an insurer, an audit — or your own peace of mind.
- Shows the system working: states, dates, sources — nothing editorialised.
- "Prove you had a system" — answered in minutes, not a weekend of file-pulling.
See the seal catch an edit
Four demo ledger events, hash-chained with SHA-256 in your browser right now. Verify the chain, then tamper with one event and verify again — the break shows at the exact event.
This is a live demonstration of the same verification that runs in the product.
Works with what you already use
We wrap around your practice — nothing gets ripped out.
Clera is an overlay on the clinical record, claiming and messaging rails you already run. You keep your system of record; we add the agent that reads the inbox, preps the case, keeps the ledger and drafts the paperwork — then writes it all back.
Plugs into your stack
Your clinical record (PMS)
The system that holds the chart — we read from it and, where supported, write approved letters and documents back.
- Genie / Gentu — the clean path; letters write straight into correspondence.
- Best Practice — read, plus letters and documents in, via Halo Connect.
- Cliniko / Halaxy / MediRecords — cloud-native, the easiest to connect.
- MedicalDirector / Zedmed — supported via a read connection.
The rails
The referral, claiming, payment and results channels your practice runs on every day.
- HealthLink & Medical Objects — referrals and letters.
- Medicare Web Services / PRODA + ECLIPSE — claiming.
- Tyro Health / HICAPS — payments.
- Pathology & imaging results — into the results loop.
The patient front-end (ours)
The self-service layer patients use before they arrive — the one new piece, and it's ours to run.
- QR self-service intake — history and details, in their own time.
- Guided photos — captured to the standard the clinician needs.
- Consent & payment — handled up front, before the visit.
How onboarding works
A staged path, lowest-risk first: read before write, see the value before anything touches a chart, and drafting stays draft-first throughout.
Discovery
A quick call; which PMS you run sets the path.
Connect (read-only)
Authorise a read connection (1–2 days). Nothing writes yet — low risk.
See your own data
We run the prep on your real records, so you see the value before anything touches the chart.
Switch on patient self-service
Your QR intake link goes live; patients self-check-in. No staff training needed.
Turn on drafting (draft-first)
Consult-ready prep plus draft notes, letters and MBS item candidates appear for one-tap approval.
Go live & measure
Minutes saved, drafts accepted, documented-but-unbilled work surfaced, results-loop closed.
The first practice on a new PMS is real integration work; every practice after that connects in days.
For every specialty & setting
One platform. Configured to fit how you work.
Clera is horizontal by design — the same engine, adapted to the specialty and the place it runs in.
Solo specialist rooms
A dermatologist or single-clinician practice gets enterprise-grade intake, scribing and paperwork without an enterprise-grade back office.
Multi-site practices
Consistent intake and documentation across every location and clinician, with the workflow tuned per site and per discipline.
Hospital departments
Outpatient and clinic departments run the same end-to-end flow, configured to the unit's specialty, forms and systems.
Security & trust
Built for clinical reality, not just demos.
Healthcare data is sensitive and the clinician carries the responsibility. Clera is designed around both from the start.
Your data stays in Australia
Hosted in Australia, on infrastructure built for the privacy expectations of Australian healthcare.
Draft-first, human-approved
Clera prepares and drafts; the clinician reviews and approves. Nothing is finalised or sent without a person signing off.
Not a diagnostic device
Clera supports the clinician's workflow and judgement. It does not diagnose and is not a substitute for clinical decision-making.
Fits your existing systems
Clera sits on top of the practice or hospital software you already run and writes back into it — no rip-and-replace.
When Clera is unsure — and when it's wrong
- UNKNOWN is a first-class state. When the records don't prove closure, Clera says UNKNOWN and flags it for a person — it refuses to guess.
- Every CLOSED can be challenged. One click reopens it, and the reopening goes on the ledger like every other event.
- The clinician stays the decision-maker of record. The practice's clinical governance owns every outcome — Clera surfaces and drafts, it doesn't decide.
- An administrative reminder layer, not a medical device. Clera never sends and never bills autonomously.
Your data, your choice
Hosted in Australia by default — sovereign on request.
Three ways to run Clera, all in Australia. Pick the one that fits your governance, not the one that sounds the most impressive.
Under Australian privacy law, "sovereign" means hosted in Australia with no overseas access — not a box in your building. So our cloud is genuinely safe; on-prem is a choice, not a requirement.
Managed AU Cloud
Recommended for most. Everything runs in Australia and your data never leaves the country.
- Runs in AWS Sydney / Azure Australia East — data stays onshore.
- AI models run on Australian GPUs — open-weight models for anything with patient data.
- An AU-region frontier model only for the hardest, de-identified reasoning.
- Simplest, always up to date, lowest cost.
Private AU Cloud
For larger groups. A dedicated Australian tenancy with stricter isolation — still fully managed.
- A dedicated Australian tenancy, isolated from other customers.
- Customer-managed encryption keys.
- Stricter isolation, still fully managed by us.
- Still in Australia, end to end.
On-prem GPU — "Sovereign"
Optional. A local GPU appliance in your rooms, so patient data physically never leaves the building.
- Open-weight models run on-site, on your own appliance.
- For public hospitals, government, or a contractual requirement.
- A premium option — powerful, but more to run.
- Not needed for compliance — a choice, not a requirement.
Founded by
A practising doctor and a builder, in partnership.
Clera is built by people who feel both sides of the problem — the clinic floor and the codebase.
Dr — Clinical co-founder
Practising dermatologist
Brings the realities of the consult room and the front desk — and keeps Clera honest about what clinicians actually need. (Placeholder name.)
Technical co-founder
Builder & platform engineer
Builds the specialty-agnostic engine end-to-end, with privacy, reliability and draft-first safety designed in. (Placeholder name.)
Bootstrapping, 50/50, and building shoulder-to-shoulder with the clinicians who'll use it.
Pricing
Pricing, plainly.
The practice manager's first question, answered before the call.
A flat monthly fee per practice — never a percentage of your billings, never a percentage of recovered items.
- The first closure scan is credited to your first month.
- No lock-in: your data — and the sealed audit ledger — exports in full on exit, at no charge.
- Exact tiers on the demo call.
Book a demo
See the whole journey run end-to-end.
Try the live product now, or let us walk your practice through a full patient flow — QR check-in, the smart inbox, the closure ledger, and the write-back into the software you already use.
Australia-based · Draft-first · Admin & process-state only — not a medical device