Behavioral health,
finally built like infrastructure
ThriveEHR is the platform behind every session, every claim, every patient at Thrive.
Multi-tenant from day one.
We built it ourselves. Compliant by design. AI in the seams where it belongs — not bolted to the front.
The problem with legacy
18
Clicks
Industry average to chart one session
Ours is three.
1 in 3
Claim denials
Starts with bad data leaving the building
We fixed that side first.
3
Weeks
What most programs take to admit a patient
We're faster.
One platform.
Seven problems solved.
AI Scribe.
For groups, too.
Every Thrive clinician has a co-pilot. It listens to the Zoom transcript. It maps each voice to the right patient — even when fifty patients are speaking. It writes a clinical note for each one, in your template of choice — DAP, BIRP, GIRP.
It scrubs every co-attendee’s name three different ways before the note saves. The clinician reviews, signs, moves on.
Template-aware.
DAP, BIRP, GIRP, SOAP, intake assessments, discharge summaries, progress notes. Pick your shape.
Privacy, three layers deep.
Speaker labels rewritten before the model sees them. Privacy enforced in the prompt. Co-attendee names scrubbed again on the way out.
Dual-signature workflow.
Drafter signs. Renderer reviews and countersigns. The template snapshots at the first signature — what’s in the chart on day one is what’s in the chart in year ten.
EMDR, live in the room.
EMDR is one of the most evidence-based trauma treatments in behavioral health. It’s also where most EHRs quietly give up. Clinicians end up tracking targets, SUDS, and reprocessing phases in a notebook because the chart has nowhere to put them.
We built a real-time EMDR workspace. The clinician runs bilateral stimulation. The patient sees it on their own device — synced through the platform in under 100 milliseconds. SUDS and VOC captured between sets. Cognitive interweaves at hand from a built-in protocol library. When the session ends, the note is already drafted from the timeline of what just happened.
Patient on their own screen
A private fullscreen view, audio + visuals synced in real time. No screen-share lag.
Connect EMDR protocol library, built in.
33 seeded scripts — 8 phases, 13 cognitive interweaves, 4 grounding scripts. Phase-matched suggestions surface as the clinician tags the phase.
Cross-session SUDS progress.
Sparkline charts of distress on the same target memory over weeks. Here’s where you were. Here’s where you are.
Clinical intelligence woven through the chart.
Most EHRs put AI on a sidebar and call it done. We put it in the workflow. On both sides.
The Copilot module. (patients)
Every patient gets a clinical CoPilot inside their portal. Voice in, voice out, powered by Google’s Gemini text-to-speech. It knows their diagnoses, medications, recent assessment scores, and treatment goals. It teaches DBT, CBT, and MBT skills between sessions — guided breathing, grounding, journaling. It builds their weekly recovery schedule with them, in dialogue. It catches crisis language in real time and routes to the care team within the same moment.
LOCUS, automated. (clinicians)
Every patient has a current LOCUS-20 assessment, generated from their notes. Seven AACP dimensions, scored against canonical anchors. Composite mapped to a Level of Care recommendation. Payer-justification text written alongside. Override anything. Don’t fill out the form by hand anymore.
Crisis detection, smart enough not to cry wolf. (clinicians)
PHQ-9 trends. GAD-7 trends. Mood-diary distress. Crisis language in messages. Signals crossed, alert fires. Two-stage dedup: nothing twice in 24 hours, nothing re-fires on a reason already acknowledged in 14 days. Every alert is real.
Operational CoPilot. (clinicians)
A 3–4 sentence summary on the Dashboard every morning. Three patients need check-in. Two forms overdue. One LOCUS suggests step-up. Plain English, prioritized, daily.
English. Español.
Everything above. Both languages. End-to-end.
The RCM engine.
Most behavioral-health platforms outsource RCM. We built ours. The numbers tell the story:
0.22%
denial rate. Industry average is 10–13%. We've had one denial in our last 445 submitted claims.
9 days
median time from claim to payment. Industry average is 30–45 days.
Every claim runs through a consistency engine before it leaves the building. Type-of-bill mismatches, frequency-code drift, place-of-service contradictions, missing modifiers — caught at the door. Eligibility checks fire automatically. ERAs reconcile per date-of-service. Frequency-7 replacements pull the right PCCN from the prior 835 without anyone looking it up.
Click once. Walk away.
Select claims. Hit Bulk Submit. The engine runs apply-rules, builds the X12 837, submits to the clearinghouse, captures the control number, moves to the next claim. The biller’s job ends at the click.
Settle protection.
A claim settled manually — scholarship, write-off, contractual adjustment — is protected. Late-arriving ERAs land as informational only. No phantom re-denials.
One platform, one bill.
Patient balances stay synced with claims automatically. Scholarships, write-offs, sliding scale — all first-class. Stripe-powered payment links live in the patient portal.
Group sessions, finally rendered correctly.
Weekly IOP groups. Mid-week cancellations. Roster changes mid-cohort. Memorial Day. Daylight savings. Group notes that route to the right group leader. Charges that capture per attendee.
The boring stuff most EHRs quietly break on. Ours quietly works.
Compliant by construction.
Zero open security advisor warnings. Every PHI write logged. Every signed clinical note immutable — template snapshot frozen at signature. Every signed treatment plan version preserved in an append-only history. Daily encrypted backups with selective restore. MFA with device trust. We don’t ship PHI to third-party observability vendors.
The platform watches itself. Background workers reconcile missed recordings, retry failed payer integrations, sweep stale calendar artifacts, and tell us in Slack the second a sync stops firing. Our on-call rotation is mostly an empty channel.
Built to scale from day zero
Most behavioral-health platforms were built for one clinic and bolted multi-tenant on later. Badly. We started multi-tenant. Row-level security on every record. Per-company branding on every PDF. Audit logs on every PHI touch. Add a state, a location, a practice — the architecture doesn’t blink.
By the numbers
0
claims submitted (12 months)
0
cross-tenant data incidents
0 d
median time to payment
0
states and one platform
0.22%
denial rate
For payer network teams
Less friction between care and payment
Clean claims.
All institutional and professional claims validated for NUBC compliance and payer-specific edits before submission. 277CAs ingested automatically. 835 ERAs reconciled per date-of-service.
Network-ready.
Live for 270/271 eligibility, 837P/I/D submissions, and 835 ERA on every major commercial and Medicaid plan. Direct-connect where you need it.
Data ready.
Structured outcomes export. CAQH attestation tracking. SFTP-based 837 submission
One inbox.
Bring Thrive in-network:
network@gothrivemh.com.
Patient experience
Clinical workflow
Operations
Foundation
Four layers. One record.
Everything talks to everything.
Built in-house at Thrive
Led by Nate Raine
We use AI engineering agents — Claude Code, GPT-5 — as full members of the team. Every change reviewed by both a human and an AI for security regressions and test coverage. Every database migration runs compliance advisors before it ships. Every commit ratchets toward zero defects.
This isn’t a vibe-coded startup. It’s enterprise-grade discipline at startup speed.
Want to see it?
Thirty minutes. Real platform. Real screens. Any technical question.
