The engine behind your back office
You don't have to think about any of this — that's the point. But if you want to look under the hood, here's what's running your practice's back office.
MLE Scribe
The primary revenue driver in every engagement
Your provider records a 1–4 minute voice note after each visit. The system transcribes locally on hardware in your clinic and generates a full SOAP note with ICD-10 and CPT code suggestions. The provider reviews and approves in one click.
- ✓On-premise voice-to-SOAP transcription
- ✓Specialty-specific encounter templates with auto-detection
- ✓Anti-hallucination safeguards and pause/resume
- ✓Chiropractic spine parser that auto-populates clinical diagrams
- ✓Confidence-scored code suggestions
At one partner practice, 78% of visits were billed adjustment-only — missing an estimated $36,000–$90,000/yr in services already performed. The Scribe is built to close that gap.
Billing Dashboard
Revenue cycle management, end to end
Once codes are captured, the next problem is getting paid for them. The MLE Billing Dashboard handles the full claim lifecycle.
- ✓Real-time claim tracking from creation to payment
- ✓Pre-submission validation that flags issues before claims go out
- ✓AI denial intelligence that reads denials and suggests appeals
- ✓Automated ERA/835 processing with duplicate detection
- ✓NPI registry search and billing watchdog rules engine
- ✓Self-pay aging with statement generation
Connects to Office Ally (primary clearinghouse) and ASHLink (CIGNA-specific). Optional medical biller placement available.
AI Chat Assistant
A built-in assistant your providers and staff can ask anything — trained on your EMR. Different access levels for clinicians, front desk, and admin.
Document Scanning & Intake
Scan insurance cards, IDs, intake forms, and consent forms. The system extracts the data, matches it to the patient, and skips the manual typing. A staff review step runs before anything saves, with a full audit trail.
Patient Communication Suite
Two-way patient messaging, email appointment reminders, a front-desk widget with caller-ID screen pop and staff notes, and a call-transcript pipeline with AI sentiment analysis. SMS activates once carrier approval clears per practice.
Patient Queue
A floating real-time overlay showing where every patient is — eight status types with separate views for front desk and providers.
Clinical Diagrams
Interactive spine, full-body, and dental diagrams. Click to mark findings. Two-way sync with the AI scribe so notes and diagrams stay matched.
KPI Dashboards & Monthly Reviews
A live dashboard of collections, denial rates, AR aging, coding mix, no-show rates, and schedule utilization, with trend analysis and anomaly alerts — plus monthly KPI review sessions and quarterly business reviews with the N-Able team.
EMR & Practice Software
A free, ONC-certified OpenEMR deployment, pre-configured on a server shipped to your office. Full data migration handled — including a ChiroTouch migration toolkit validated on a 6,048-patient deployment.
Also included: calendar facelift, employee time clock, patient summary, and data export.
The management layer
Software is only half of it. A real team monitors the metrics that matter — collections, denials, schedule utilization — and steps in before small problems become big ones.
On-premise AI: your data never leaves your building
Most AI tools send your patients' information to a remote cloud to be processed. Ours doesn't. N-Able's AI runs on-premise, on hardware inside your practice.
Privacy by design
Patient data isn't traveling to a third party.
Stronger compliance posture
Fewer places your data can be exposed.
Trust you can explain to a patient
Because the answer is simply, "it stays here."
How it fits together
Everything above is one integrated system, installed and maintained by us, billed as one flat fee. You get the capability of a large group's IT and billing department without hiring one — and without stitching together five vendors who don't talk to each other.
See what your practice is leaving on the table
The Free Books Analysis is where every relationship with N-Able starts — completely free, with no obligation.