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Healthcare Vertical

AI-Native
Healthcare ERP

230+ actions. 5 modules. Patients, billing, RCM, HIPAA. Just talk to it.

By Nikhil Jathar, Co-founder, ERPClaw · Published 2026-03-23 · Reviewed 2026-07-01
230+
Actions
56
Tables
5
Modules
11
Domains

5 Modules, One Platform

Core clinical workflows plus 4 specialized sub-verticals. Say what kind of practice you run and ERPClaw installs the right modules automatically.

HealthClaw Core

140+ actions

Patients, encounters, vitals, diagnoses, prescriptions, lab orders, immunizations, provider management, care teams, and clinical workflows across 11 domains.

HealthClaw Dental

25+ actions

Dental charting, tooth-level tracking, periodontal exams, treatment plans, CDT procedure codes, and dental-specific insurance billing.

HealthClaw Vet

20+ actions

Species and breed tracking, vaccination schedules, weight history, boarding management, and multi-animal household records.

HealthClaw Mental

20+ actions

Session notes, treatment goals, PHQ-9/GAD-7 assessments, therapy modalities, group sessions, and outcomes tracking.

HealthClaw Home Health

20+ actions

Visit scheduling, OASIS assessments, caregiver assignment, mileage tracking, home safety evaluations, and Medicare compliance.

Revenue Cycle Management

From eligibility check to payment posting. The entire revenue cycle managed through conversation.

Step 1
Payer Registry
Maintain payer contracts, fee schedules, and enrollment status
Step 2
Eligibility Check
Verify patient insurance before the visit
Step 3
Claim Scrubbing
Validate CPT/ICD codes, modifiers, and bundling rules before submission
Step 4
Claim Submission
Generate and submit CMS-1500 / 837P claims electronically
Step 5
ERA/835 Processing
Auto-post remittance advice and match to claims
Step 6
Denial Management
Track denials by reason code, auto-queue for resubmission
All steps automated. GL entries posted at each stage.

Compliance Built In

HIPAA, No Surprises Act, MIPS. Not bolted on as afterthoughts. Built into the data model from day one.

HIPAA PHI Audit

Every access to protected health information is logged. View who accessed what patient record, when, and why. Immutable audit trail.

Good Faith Estimate

Auto-generate Good Faith Estimates for uninsured/self-pay patients as required by the No Surprises Act. CPT-based cost calculation.

MIPS Quality Measures

Track Merit-based Incentive Payment System quality measures. Automated measure calculation and reporting period management.

Business Associate Agreements

Track BAA status for all vendors and partners who handle PHI. Expiration alerts and renewal workflows.

Breach Tracking

Log and manage potential PHI breaches. Risk assessment scoring, notification tracking, and HHS reporting workflows.

Provider Credentialing

Track license expiration, board certification, DEA registration, malpractice insurance, and hospital privileges for every provider.

Clinical Workflows

Immunizations
CDC schedule tracking, vaccine inventory, lot number recording, and immunization registry reporting
Medication Reconciliation
Compare patient-reported medications against prescribed, flag interactions and duplicates
Provider Credentials
License, DEA, NPI, board certification, and malpractice insurance with expiration alerts
Care Team Management
Assign primary, specialist, and allied health providers. Role-based access to patient records
Patient Merge
Safely merge duplicate patient records. All encounters, billing, and history consolidated with full audit trail
Lab Orders & Results
Order labs, track specimen collection, receive results, and flag abnormal values automatically

Setup in one conversation

Chat with ERPClaw
You:
I run a medical practice
ERPClaw:
Setting up HealthClaw. What kind of practice?
You:
Family medicine, 3 providers, we take insurance
ERPClaw:
Done. Here's what I set up:
• HealthClaw Core installed (140+ clinical actions)
• 3 provider records created
• Payer registry initialized
• HIPAA audit logging enabled
• CMS-1500 claim templates ready
Try: "Register a new patient" or "Show me today's schedule"

What healthcare organizations evaluate when choosing an ERP

Feature lists look similar across healthcare ERP options. The four criteria below are where implementations actually differ, and where the open-source self-hosted model changes the calculus.

Compliance audit trails

HIPAA requires that every access to protected health information be logged with who accessed it, when, and for what purpose. ERPClaw writes an immutable, chain-hashed audit log for every patient record read or write. The HHS Office for Civil Rights publishes the full technical safeguard requirements at hhs.gov/hipaa; ERPClaw's data model is built around those controls, not retrofitted to pass a checklist.

HHS HIPAA technical safeguards

EHR integration readiness

Healthcare organizations ask whether a new ERP can exchange data with their existing electronic health record. ERPClaw exposes HL7 FHIR-compatible endpoints for patient demographics, encounter summaries, and lab results. This means scheduling, billing, and clinical data stay in sync without manual re-entry between systems.

Multi-site billing

Group practices, health systems, and FQHCs run billing across multiple tax identification numbers, NPI numbers, and service locations. ERPClaw's billing engine supports separate payer contracts, fee schedules, and claim submission queues per location, with consolidated GL reporting rolled up to the parent organization.

ASC 606 and grant revenue

Federally Qualified Health Centers, rural health clinics, and nonprofit hospital systems receive a mix of grant funding, capitation payments, and fee-for-service revenue. ERPClaw handles ASC 606 revenue recognition across all three streams: performance-obligation tracking for grants, period allocation for capitation, and claim-basis recognition for FFS. Donation revenue follows the same framework.

CMS publishes the current MIPS quality measure set and reporting requirements at qpp.cms.gov.

Frequently asked questions

Is ERPClaw free for healthcare organizations?

Yes. ERPClaw is open source under the GPL v3 license and costs $0 forever. You self-host it on your own hardware or cloud infrastructure. There is no per-seat pricing, no subscription tier, and no vendor lock-in. The full HealthClaw suite including all five modules and 230+ clinical actions is included.

Is ERPClaw HIPAA-compliant ERP software?

ERPClaw provides the technical controls that HIPAA's Security Rule requires: immutable PHI audit logs, role-based access controls, encrypted credential storage, and a self-hosted deployment model that keeps patient data on your infrastructure. HIPAA compliance is a program, not a product certification. Your organization still needs a Business Associate Agreement, workforce training, and policies. ERPClaw handles the technical safeguard layer; the administrative and physical safeguards are your responsibility. See the HHS HIPAA technical safeguard guidance for the full requirement set.

How does ERPClaw handle healthcare revenue cycle management?

ERPClaw includes a six-step RCM workflow: payer registry, eligibility verification, claim scrubbing (CPT/ICD validation), CMS-1500 and 837P claim submission, ERA/835 auto-posting, and denial management with reason-code tracking. Each step posts the corresponding GL entry automatically. This is not a third-party integration; the RCM engine is part of the open-source build.

Can ERPClaw be used as an ERP for a small medical practice?

Yes. ERPClaw is designed to be installed and configured through a single conversation. For a small family medicine or specialty practice, you say what kind of practice you run and ERPClaw sets up patient records, scheduling, payer registry, and HIPAA audit logging in that session. There is no professional services engagement required to get started. Larger multi-provider practices benefit from the same platform with additional configuration for each provider's NPI and payer contracts.

Does ERPClaw integrate with existing EHR systems?

ERPClaw exposes HL7 FHIR-compatible endpoints for patient demographics, encounter summaries, and lab data. Practices that want to run ERPClaw alongside an existing clinical EHR can exchange patient and billing data through these endpoints. ERPClaw is designed to own the back-office and RCM layer; it can complement a clinical EHR rather than replace it if that is the preference.

Does ERPClaw support ASC 606 revenue recognition for healthcare grants?

Yes. FQHCs, rural health clinics, and nonprofit health systems receive grant funding, capitation payments, and fee-for-service revenue under different recognition rules. ERPClaw tracks performance obligations for grants, allocates capitation over the service period, and recognizes FFS revenue on a claim basis. Donation revenue follows the same ASC 606 framework with donor-restriction tracking.

What does MIPS quality reporting look like in ERPClaw?

ERPClaw tracks Merit-based Incentive Payment System quality measures as a built-in compliance feature, not a paid add-on. Measures are calculated automatically from clinical data as encounters are recorded. The CMS Quality Payment Program defines the current measure set; ERPClaw maps clinical actions to those measures and produces reporting-period summaries.

Can ERPClaw handle billing for multiple clinic locations?

Yes. Multi-site healthcare organizations can configure separate NPI numbers, tax identification numbers, payer contracts, and fee schedules per location. Claims submit under the correct billing entity for each site, and the GL consolidates all locations into a single chart of accounts for financial reporting at the parent organization level.

Start managing your practice

Install ERPClaw and say:

"I run a medical practice"

That's the entire setup.

Related: read the architecture in AI-native ERP, the books-side detail in AI accounting, or honest comparisons against NetSuite and Sage Intacct for healthcare practices. Get install steps in core docs.