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The AI-native EMR for home health and hospice — and the operating system for all the work around it. Built by operators who still run their own large multi-location agency. Live in production.

(713) 487-9201founders@braes.com
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SOC 2 TYPE IIHIPAA COMPLIANTBAA AVAILABLE80K+ ANNUAL VISITS · OUR OWN AGENCY
© 2026 Braes Tech, Inc.
    The AI-native EMR for home health & hospice

    It doesn't just document the work.It does the work.

    Braes is the system of record — and the operating system that acts on it. It finds the work, does it under your rules, verifies the result, and improves from what actually worked.

    Book a live demo↗See how Braes closes the loop
    • Built by operators running a 1,200-patient-per-month, 80,000-visit-per-year agency
    AUTH-PT-447 · authorization renewalPatient A · synthetic record
    Deadline02:11Authorization expires in 48 hoursOperationalThe clock was already running. Nobody on the team had seen it yet.
    Exposure02:11$4,200 · modeled care-continuity riskEstimatedWhat the patient's care — and the revenue behind it — is worth if this lapses.
    Authorization Renewal Operator02:14Prepared the next action · 3 of 4 source records citedOperationalBraes pulled the evidence and built the renewal — then stopped at the one call it is not allowed to make.
    Human decision07:40Approved by the clinical operations supervisorOperationalA person read what Braes prepared and approved it. Nothing moved until they did.
    Record change07:41Renewal submitted · awaiting payer responseOperationalThe renewal is filed. Six hours of work happened before anyone opened a laptop.
    Linked prior · AUTH-PT-446last cyclePayer approved · 11 visits delivered · $3,900 observedVerifiedThe same loop one cycle earlier, all the way through: approved, delivered, paid.
    1. Detected
    2. Prepared
    3. Decided
    4. Acted
    5. Verified
    6. Improved

    ↺ and what step six learns changes step one

    Illustrative · synthetic patient

    SOC 2 Type IIHIPAA compliantBAA availableRow-level isolation on every query
    Where the work actually stops

    Most EMRs record the work. Point solutions report on it. Braes records it, finds it, executes it under your rules, and proves the result.

    How each category scores on holding the record, surfacing or explaining work, executing governed work, and verifying outcomes — and what is left for your team.
    CategoryHolds the recordFinds or explains workExecutes governed workVerifies outcomesWhat still lands on your team
    Traditional EMRYesLimitedNoNoYour team finds, coordinates, and chases everything
    Copilot or analytics add-onNoYesNoNoAnswers, then hands the work back to your team
    BraesYesYesYesYesYour team supervises judgment and authority

    Braes replaces the EMR. Intake, scheduling, clinical documentation, OASIS, billing and claims all live here — and so does the work that used to fall between them.

    While you slept
    02:11Braes found the expiring authorization
    5h 29m unattended
    07:40You read it and decided

    The queues don't wait for business hours. Neither do the Operators.

    Braes Operators work the repeatable queues overnight under their job definitions and your operating rules — authorizations, claim remediation, credentialing renewals, discharge planning, recertifications. Every run leaves a receipt. Anything needing judgment is waiting in Needs You.

    You wake up to decisions to make, not tasks to start.

    One live authorization · one linked prior outcome

    Most software stops at the first step. Watch one loop close.

    A live renewal deadline, a governed Braes Operator, one human decision, and a real record change — then a distinctly labeled prior authorization showing the downstream proof, because approval, delivered care, and paid work each need their own evidence.

    1. DetectedStep 1 of 6

      Braes Proactive finds the risk before anyone asks for a report.

      An exhausted authorization will expire in 48 hours while the active episode still requires continued PT. Braes surfaces the Issue on the morning Briefing, ranked against everything else open today, with the records it read and the role accountable for it.

      Issue · authorization expiringAUTH-PT-447▾
      The Issues briefing in Braes, showing $13,000 at risk across seven open issues, the agency operating pulse, and the narrated summary beneath it.
      DeadlineExpires in 48 hoursOperational
      Exposure$4,200Estimated
      Source recordsAuthorization · active episode · payer planOperational
      Accountable roleClinical operations supervisorOperational

      Exposure is a synthetic scenario estimate based on the exhausted authorization, active episode, and payer plan. It is not a protected dollar.

      Issue · authorization expiringAUTH-PT-447
      The Issues briefing in Braes, showing $13,000 at risk across seven open issues, the agency operating pulse, and the narrated summary beneath it.
      DeadlineExpires in 48 hoursOperational
      Exposure$4,200Estimated
      Source recordsAuthorization · active episode · payer planOperational
      Accountable roleClinical operations supervisorOperational

      Exposure is a synthetic scenario estimate based on the exhausted authorization, active episode, and payer plan. It is not a protected dollar.

    2. PreparedStep 2 of 6

      The Authorization Renewal Operator does the repeatable work.

      It reads the authorization and active episode, gathers the source evidence, prepares the registered workflow action, and stops at the judgment it is not allowed to make.

      Authorization Renewal Operator · run completeAUTH-PT-447▾
      The Authorization Renewal Operator's inbox, showing two items needing a decision and the prepared renewal for Patient A on AUTH-PT-447 marked low risk, pending and reversible.
      Authorization reviewedApproved · 6 of 6 visits usedOperational
      Active episode checkedHome-health episode remains active · PT includedOperational
      Evidence gathered3 of 4 source records citedOperational
      Blocked onPayer-specific medical-necessity attestationInsufficient evidence
      Judgment neededMedical necessity for continued PTAwaiting

      The Operator stopped rather than guessing. Judgment escalates; it is never assumed.

      Authorization Renewal Operator · run completeAUTH-PT-447
      The Authorization Renewal Operator's inbox, showing two items needing a decision and the prepared renewal for Patient A on AUTH-PT-447 marked low risk, pending and reversible.
      Authorization reviewedApproved · 6 of 6 visits usedOperational
      Active episode checkedHome-health episode remains active · PT includedOperational
      Evidence gathered3 of 4 source records citedOperational
      Blocked onPayer-specific medical-necessity attestationInsufficient evidence
      Judgment neededMedical necessity for continued PTAwaiting

      The Operator stopped rather than guessing. Judgment escalates; it is never assumed.

    3. DecidedStep 3 of 6

      One judgment call reaches Needs You.

      The supervisor sees the gathered evidence, the current and proposed values, the operating rule that governs the change, the deadline, and the exact action that will run on approval. Approve, modify, or reject.

      Needs You · renewal request readyAUTH-PT-447▾
      An approval review showing the durable work receipt, human judgment still pending, and the proposed change with its summary, citations, and the authorization evidence it rests on.
      CurrentExpires in 48 hours · 6 of 6 visits usedOperational
      ProposedSubmit renewal · 12 visits · 60 daysEstimated
      Governing ruleRenewal submissions require supervisor approvalOperational
      Evidence cited3 records · each opens in placeOperational

      Nothing changes in the record until a person chooses. Rejecting is a first-class outcome.

      Needs You · renewal request readyAUTH-PT-447
      An approval review showing the durable work receipt, human judgment still pending, and the proposed change with its summary, citations, and the authorization evidence it rests on.
      CurrentExpires in 48 hours · 6 of 6 visits usedOperational
      ProposedSubmit renewal · 12 visits · 60 daysEstimated
      Governing ruleRenewal submissions require supervisor approvalOperational
      Evidence cited3 records · each opens in placeOperational

      Nothing changes in the record until a person chooses. Rejecting is a first-class outcome.

    4. ActedStep 4 of 6

      The governed action changes the real record.

      Approval invokes the same registered action that Braes Operators, Ask Braes, workflows, and permitted extensions all use. One action plane, one audit trail — no side door for the AI.

      AUTH-PT-447 · action acceptedAUTH-PT-447▾
      ActionSubmit authorization renewalOperational
      ActorClinical operations supervisor · approvedOperational
      Record changeRenewal submitted · process advancedOperational
      Payer responseAwaiting responseAwaiting

      Submitted is not approved. Braes will not call this money protected.

      AUTH-PT-447 · action acceptedAUTH-PT-447
      ActionSubmit authorization renewalOperational
      ActorClinical operations supervisor · approvedOperational
      Record changeRenewal submitted · process advancedOperational
      Payer responseAwaiting responseAwaiting

      Submitted is not approved. Braes will not call this money protected.

    5. VerifiedStep 5 of 6

      Braes proves the result or says it can't yet.

      The live AUTH-PT-447 receipt stops at the work Braes can prove. A separately labeled prior authorization, AUTH-PT-446, shows how payer approval, delivered care, and an economic event appear only after their owner records arrive.

      AUTH-PT-446 · linked prior outcomeAUTH-PT-446▾
      The Authorization Renewal Operator's personnel file, showing employment status, the lane it works, and an audited ledger of its recent actions.
      Renewal submittedCompleteOperational
      Authorization approvedPayer approved · care continuity clearedVerified
      Visits delivered11 of 12 authorized visits deliveredVerified
      Economic event$3,900 observed on paid visitsVerified

      Linked prior outcome only. AUTH-PT-447 remains the live renewal. Payer approval, delivered care, and paid work are three separate proofs.

      AUTH-PT-446 · linked prior outcomeAUTH-PT-446
      The Authorization Renewal Operator's personnel file, showing employment status, the lane it works, and an audited ledger of its recent actions.
      Renewal submittedCompleteOperational
      Authorization approvedPayer approved · care continuity clearedVerified
      Visits delivered11 of 12 authorized visits deliveredVerified
      Economic event$3,900 observed on paid visitsVerified

      Linked prior outcome only. AUTH-PT-447 remains the live renewal. Payer approval, delivered care, and paid work are three separate proofs.

    6. ImprovedStep 6 of 6

      Evidence earns a better way to work.

      Repeated corrections and verified downstream outcomes can produce one bounded proposed improvement. It is replayed against prior work, released to a limited scope, measured against real outcomes, and then promoted or rolled back.

      Proposed improvement · in limited rollout▾
      The governed learning screen, stating that learning and authority are separate, marking the current guidance not yet proven, and showing that the Operator's authority is unchanged.
      Source evidence11 completed renewals · 4 supervisor correctionsVerified
      Current behaviorRequests the attestation lastOperational
      Proposed behaviorRequests the attestation firstEstimated
      Outcome so farMeasuring · promote or roll back on the evidenceAwaiting
      Authority changeNone — the Operator's permissions are unchangedOperational

      Braes can learn a better way to perform the work. It cannot grant itself more authority.

      Proposed improvement · in limited rollout
      The governed learning screen, stating that learning and authority are separate, marking the current guidance not yet proven, and showing that the Operator's authority is unchanged.
      Source evidence11 completed renewals · 4 supervisor correctionsVerified
      Current behaviorRequests the attestation lastOperational
      Proposed behaviorRequests the attestation firstEstimated
      Outcome so farMeasuring · promote or roll back on the evidenceAwaiting
      Authority changeNone — the Operator's permissions are unchangedOperational

      Braes can learn a better way to perform the work. It cannot grant itself more authority.

    ↺ back to detection

    What the loop learns feeds the next detection. That is how an agency's operating model compounds over time — through gates you control, and never by Braes widening its own authority.

    Illustrative · synthetic patient

    Three ways in, one operating system

    Proactive finds. Ask Braes answers. Braes Operators act.

    Three entry points into the same record, the same governed action plane, and the same audit trail. Workflows, policy, and registered actions are the foundation underneath — not a fourth thing to learn.

    It comes to you

    Braes Proactive

    Finds important work before it becomes a problem.

    Braes watches across clinical, operational, financial, and compliance records and brings the right work forward before someone has to ask.

    Your team starts the day with a ranked Briefing, not a search.

    How detection works→
    You ask

    Ask Braes

    Answers from live agency data — and can initiate governed action.

    Ask a question in plain English, inspect the supporting records, and move from answer to action without leaving the governed operating layer.

    The answer and the next step live on the same screen.

    How answers are governed→
    They work

    Braes Operators

    Perform bounded roles under job definitions, operating rules, and supervision.

    Specialized Braes Operators own repeatable work, escalate judgment, leave receipts, and earn broader responsibility only when the evidence supports it.

    Repeatable work gets done overnight, with a receipt for each run.

    How Operators are supervised→
    One record. One governed action plane. One audit trail.Shared foundation · not a fourth product
    16
    specialized Braes Operator roles
    144
    kinds of Issue Braes watches for, across 9 domains
    113
    governed Ask Braes queries

    Hundreds of registered actions across intake, clinical, scheduling, authorization, claims, and compliance — every one of them callable by a Braes Operator, by Ask Braes, by a workflow, or by a permitted extension, through the same governed action plane.

    And everything an EMR still has to do

    The unglamorous half is all here too.

    None of this is why you would switch. All of it is why you can.

    • Intake & referrals

      Fax capture, extraction, duplicate detection, eligibility

    • Scheduling

      Visit planning, routing, workload balancing, capacity

    • Clinical documentation

      Ambient scribe, care plans, orders, notes

    • OASIS & QA

      Assessment review, coding QA, pre-submission checks

    • Billing & claims

      Coding, submission, remittance, denial follow-up

    • Compliance & audit

      Append-only event log, retention, survey readiness

    How Braes gets better

    Every improvement must earn its way into production.

    Every action is scoped. Risky work waits for approval. Every result leaves a receipt. Braes can learn a better way to perform the work, but it cannot grant itself more authority.

    1. Gate 1

      Evidence

      Verified outcomes and repeated corrections, not model confidence.

    2. Gate 2

      Historical replay

      Tested against prior work before anyone sees it live.

    3. Gate 3

      Limited rollout

      Released to a bounded scope you choose.

    4. Gate 4

      Verified outcomes

      Measured against what actually happened afterward.

    5. Gate 5

      Promote or roll back

      Kept only if the evidence held. Reversible either way.

    An improvement that fails a gate does not ship. That is the normal outcome, not the exception.

    Braes can change this

    What Braes can learn

    A better routing hint, a failure mode worth checking earlier, a review criterion, a smarter order of operations.

    • Which record to gather first
    • Which failure to check for
    • When to escalate sooner
    • How to word a request
    Only you can change this

    What only you can grant

    What a role is allowed to do without approval. Autonomy promotion is a separate, explicit human decision, every time.

    • Which actions run unattended
    • Which records can be changed
    • Which dollar thresholds apply
    • Which approvals can be skipped
    • Braes learns from verified outcomes — not model confidence.
    • Autonomy is earned, scoped, and reversible.
    • No silent self-modification.
    Why we built it

    Built by operators who needed the loop to close.

    80,000+

    visits a year inside our own

    home health and hospice agency.

    That is the size of the agency the founders still run — the reason we know which loops leak. Braes runs the operating work on top of it; we do not claim every historical visit passed through this product.

    and the stack we replaced to do it
    • EMR
    • Field comms
    • Intake tracker
    • Fax / OCR
    • Coding QA
    • Ambient scribe

    Six logins, six data models → one operating model

    1,200 patients a month · the same product we run the agency on
    Start with one loop

    Show us the work your team cannot keep up with.

    Bring the backlog that never gets smaller. You leave with four things, whether or not you buy anything.

    1. 01The first operating loop Braes would close — detection through verified outcome
    2. 02The systems Braes would replace, and what stays
    3. 03The business case, built from your numbers
    4. 04A proposed implementation path, including the dependencies for protecting care and revenue continuity

    Tell us where it leaks

    Prefer to skip the form? The founders answer directly.(713) 487-9201founders@braes.com

    What happens next

    1. First

      Thirty minutes on the work that keeps slipping — deadlines missed, rework, the report nobody has time to run.

    2. Then

      We map one loop end to end, cost out the systems it replaces, and walk the path from your current EMR to this one.

    3. After

      You keep all four deliverables whether or not you buy anything. They are yours either way.

    Already know you want timeBook a working session directly↗
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