What is Decoda Health building?

An AI-native operating system built for the next generation of clinical care. We're empowering medical practices with the tools they need to thrive in an AI-native world. From autonomous front desks to intelligent charting, we've got you covered.

What are the new med spa laws in 2026?

State legislatures are regulating med spas directly for the first time. Indiana's SB 282, Texas's Jenifer's Law, California's SB 351, and New Jersey's S2996 — each has specific requirements, deadlines, and a 2026 compliance checklist.

How can med spas reduce no-shows?

Cut your med spa no-show rate below 5%. See which reminders, deposits, and card-on-file rules to use for each appointment — with research, a copy-paste cancellation policy, and a plan for backfilling empty slots.

How much does it cost to open a med spa in 2026?

Med spa startup costs in 2026 run $150K–$500K. See the full cost breakdown, medical director requirements, and how long until a new med spa is profitable.

How can med spas set up VIP memberships and patient wallets?

Modern med spas can set up custom membership tiers, auto-convert recurring charges to patient credit, and split payments across wallets, gift cards, and physical cards at checkout.

What's the best way to manage recurring memberships for a med spa without a separate CRM?

A purpose-built med spa EMR like Decoda handles multi-tier memberships natively — including per-item rollover, tiered discounts, configurable billing cycles, and automatic credit conversion — so you never need a separate CRM or spreadsheet to track member benefits. Membership configuration that most general-purpose tools fail to deliver is built directly into the checkout and patient profile.

How do I set up and conduct telehealth or virtual follow-up visits inside my practice management software without letting patients self-book them?

You can configure virtual locations within your scheduling settings and restrict them to staff-initiated booking only, keeping telehealth appointments — like post-operative follow-up calls — fully internal. The virtual visit lives inside the same scheduling and clinical documentation environment as your in-person care, so notes and records stay in one place.

What are the biggest software switching triggers for elective-care clinics in 2026?

The most common reasons independent practices switch software are poor customer support, fragmented tools that don't talk to each other, missing or broken membership features, and compliance gaps in clinical documentation. Multi-location growth and new state licensing requirements in 2026 are also pushing owners to find a single system that works across locations.

Can I manage high-risk payment processing — like peptides, semaglutide, or ketamine — through my med spa software?

Yes — Decoda supports high-risk payment processing through its Rainforest integration, which covers services and products like peptides, semaglutide, GLP-1, ketamine, and TRT/HRT. If you currently have a merchant relationship with Stripe or Square, it's worth verifying compatibility before assuming your existing setup covers high-risk categories, since those processors routinely freeze funds for these service types.

How do I reduce the time my front desk spends on phone calls without losing the personal feel patients expect?

An AI front desk answers missed calls, texts patients back immediately, and handles routine booking and follow-up questions 24/7 — so your staff focuses on the patients already in the room. Clinic partners using this approach see a 70% reduction in inbound call volume on average, which gives the front desk time to deliver the attentive experience that keeps patients coming back.

What should I look for in a med spa EMR if I'm running GLP-1 or weight loss programs?

Look for billing cycles that match your program cadence — 6-week, 10-week, and 12-week options are standard for structured weight loss and GLP-1 protocols — along with automated patient follow-ups and high-risk payment processing for compounding medications. Clinical note templates and care plan timelines purpose-built for weight loss workflows prevent the documentation gaps that create compliance risk.

Will patients see my personal or work email address when they join a telehealth video call?

No — telehealth video calls initiated through Decoda are conducted within the platform's virtual visit environment, so your personal or work email address is not exposed to patients. The invite and join flow is handled through the scheduling and communications layer, keeping your contact information private.

How long does it actually take to migrate from an existing EMR to a new practice management system?

A well-managed migration from an existing EMR takes three to four weeks when the new vendor handles the heavy lifting — data transfer, appointment history, and team training. The practices that report painful migrations are almost always ones where the vendor handed them a checklist and disappeared; white-glove migration support, where the team configures the system to match how your practice actually runs, is the difference between chaos and a clean cutover.

What does a system of record actually mean for an independent med spa, and why does it matter?

A system of record means every patient interaction — calls, bookings, clinical notes, payments, inventory usage, and follow-ups — lives in one place and feeds the same patient profile. For an independent med spa, this matters because fragmented tools create data silos where rebooking reminders don't fire, membership credits get miscounted, and providers walk into appointments without full patient history. One connected record is how a small team operates like a much larger one.

Decoda Health Raises $4.5M Seed Round

Q: How much did Decoda Health raise and who led the round?

Decoda Health Raises $4.5M to Build the Operating System for Modern Care, led by Y Combinator.

Q: AI-native EMR vs. legacy EMR with AI added on — what's the real difference for a med spa?

A legacy system that bolts AI on top can only apply intelligence to what its rigid architecture allows — typically scheduling or chat. An AI-native system is built so that AI understands context across the full patient journey, from the first phone call through clinical notes, inventory, and follow-up campaigns. For a med spa, that difference shows up in charting speed, front desk automation, and inventory tracking — not just appointment reminders.

Healthcare has advanced clinically, but the software powering clinics hasn't kept up. Outdated Electronic Medical Records (EMR) force teams into manual work, fragmentation, and burnout. Clinics need technology that thinks with them, not tools built decades ago.

Today, we’re excited to share that Decoda Health has raised a $4.5M seed round led by Y Combinator, with participation from The Fintech Fund, Graphene Ventures, and experienced operators across healthcare. This funding allows us to accelerate our mission: building the AI-native operating system for modern clinical care.

Why Now

AI is transforming how work gets done. In healthcare, where workflows are dense and interconnected, the gap between AI-powered clinics and those relying on manual operations will widen quickly. Practices can't sustainably hire more administrative staff for every additional patient, they need intelligent systems that automate and coordinate work.

Administrative costs account for up to 25% of U.S. healthcare spending and physicians spend nearly 6 hours a day in legacy PMSs. AI for complex workflows is only now ready for healthcare, while clinics cannot keep hiring more administrative staff as they grow. The timing could not be better for a platform built from the ground up with intelligent automation.

Our Solution

Decoda is an AI-native Operating System (OS) built around intelligent agents rather than legacy workflows. We started with two core products:

AI Receptionist that answers calls, books appointments, and updates records automatically
AI Scribe that generates structured clinical notes and extracts key details like procedures and follow ups

From there we built the full set of modules every clinic needs. Decoda includes scheduling, intake and consent forms, a unified communication suite, charting and documentation, inventory and checkout, patient messaging, and reporting and analytics.

The result is a platform that goes far beyond a simple LLM wrapper. Decoda is already delivering meaningful impact at scale:

$20M additional revenue captured for customers using AI
Over 5M patient interactions handled
$100M dollars in payments processed annually
Live in 150 clinics across the US

Because these agents and modules live inside the same platform, every workflow becomes connected and actionable.

Examples:

If a patient calls about a service but doesn't book, Decoda tags them so clinics can follow up.
If the AI Scribe detects a procedure, the system auto-populates checkout, inventory changes, and future reminders.

This makes Decoda not just any regular PMS - but the operating system for modern clinics.

What the Funding Enables

With core operating infrastructure built: scheduling, forms, communication, charting, inventory, we're now weaving AI into every workflow. Imagine,

Natural language insights

“What do my revenue numbers look like?”

“Which services are driving the most growth right now?”

Provider intelligence

“What did this patient report last visit?”

“Are there any contraindications for the medication I plan to prescribe?”

Predictive operations

“What promotions should I run next quarter?”

“Which patients are at risk of not returning for follow up care?”

We started in elective care - medspas and weight-loss clinics - so we could master clinical operations without the drag of insurance complexity. Now, as we roll out our insurance-billing infrastructure, we’re expanding into cosmetic surgery, dermatology, optometry, behavioral health, physical therapy, and dentistry.

Our goal: when clinicians think "I need AI in my practice", they think Decoda.

Team & Hiring

We're growing the team across engineering, operations, growth, and customer support.

Engineering - Frontend, Backend, LLM (5 roles)
Ops, Growth, Support (5 roles)

View our careers page →

Huge thanks to the clinics who trusted us early, the providers doing the hard work every day, and the investors who believe in this mission. We're building the operating system for modern care. And we're just getting started.

Frequently Asked Questions

What is Decoda Health and what problem does it solve?

Healthcare has advanced clinically, but the software powering clinics hasn't kept up. Outdated Electronic Medical Records (EMR) force teams into manual work, fragmentation, and burnout. Decoda is an AI-native Operating System (OS) built around intelligent agents rather than legacy workflows — built for the next generation of clinical care.

How much did Decoda Health raise and who led the round?

Decoda Health has raised a $4.5M seed round led by Y Combinator, with participation from The Fintech Fund, Graphene Ventures, and experienced operators across healthcare.

What are Decoda's core products and what impact have they had?

Decoda started with two core products: an AI Receptionist that answers calls, books appointments, and updates records automatically, and an AI Scribe that generates structured clinical notes and extracts key details like procedures and follow ups. The platform has already delivered: $20M additional revenue captured for customers using AI, over 5M patient interactions handled, $100M in payments processed annually, and is live in 150 clinics across the US.

Why is now the right time for an AI-native clinic operating system?

What specialties and clinic types does Decoda serve?

Decoda started in elective care — medspas and weight-loss clinics — so they could master clinical operations without the drag of insurance complexity. Now, as they roll out their insurance-billing infrastructure, they're expanding into cosmetic surgery, dermatology, optometry, behavioral health, physical therapy, and dentistry.

What does Decoda plan to do with its new funding?

With core operating infrastructure built — scheduling, forms, communication, charting, inventory — Decoda is now weaving AI into every workflow, including natural language insights, provider intelligence, and predictive operations. They are also growing the team across engineering, operations, growth, and customer support with 10 open roles.

What happens to my clinic's patient data if I decide to leave Decoda?

Your data is always yours — Decoda does not hold it hostage or charge you to export it. You can take your full patient records with you if you ever decide to leave, which is a commitment many legacy EMR vendors quietly avoid making.

AI-native EMR vs. legacy EMR with AI added on — what's the real difference for a med spa?

A legacy EMR with AI bolted on can only do what its original rigid architecture allows — the AI sits on top of forms and clicks that were never designed for intelligence. An AI-native system like Decoda is built from the ground up so the AI understands context across your entire patient journey, from the first phone call to the follow-up reminder, which produces meaningfully better automation.

How does Decoda handle telehealth and virtual follow-up visits inside the platform?

Decoda lets you configure virtual locations and conduct virtual appointments, such as post-operative follow-up calls, inside the same scheduling and charting environment you use for in-person care. You can also restrict virtual visit types so patients cannot self-book them, keeping that workflow fully staff-controlled.

What is the fastest way to get support when something breaks during a busy clinic day?

Every Decoda customer gets a dedicated Slack channel with a sub-5-minute response time — you can call, text, or message anytime. If a feature exists, the team walks you through it; if a setting needs adjusting, they configure it for you; and if something needs to be built, they scope and ship it in days, not weeks.

Can Decoda's AI receptionist handle calls in languages other than English?

Yes — Decoda's AI front desk operates with multilingual capability, so patients who prefer to communicate in a language other than English are not left stranded. This is especially relevant for elective-care practices in diverse metro markets where a significant share of patients may not be fluent English speakers.

How does the AI scribe protect my practice if a patient disputes what was discussed during a visit?

Because the ambient scribe generates a structured, time-stamped clinical note of what was said and decided during the appointment, you have a reliable record to reference in any dispute. Many providers using Decoda independently discover this as a layer of protection against "he said / she said" situations before the benefit is ever formally pitched to them.

Should I replace all my existing tools at once or can I add Decoda modules gradually?

Decoda is built as a full-stack system where every module shares one patient record, so the compounding benefits come from consolidation — clinics running scheduling, billing, notes, and communications in one place see the biggest gains. That said, Decoda's onboarding team handles the migration over 3 to 4 weeks so the switch does not have to feel like ripping out everything overnight.

How does lab ordering work inside Decoda, and which lab networks does it connect to?

Decoda supports native lab ordering directly within the platform, including a native integration with Quest Diagnostics, so lab orders and results are accessible inside the patient profile without a separate tool or login. This keeps the full clinical picture in one place instead of forcing providers to toggle between systems.

What kind of membership configurations can Decoda actually support for a med spa or weight-loss clinic?

Decoda supports advanced memberships with per-item rollover, tiered discounts, multi-frequency services, and credits, with billing cycles that include 6-week, 10-week, and 12-week options alongside standard cadences — designed specifically for GLP-1, structured wellness, and aesthetic treatment programs. Membership configuration depth is consistently the feature that stops demos cold, with practice owners noting that no other platform they evaluated could match it.

How does Decoda's inventory tracking work for high-volume injectables like Botox units?

Decoda tracks inventory down to the unit and ties deductions directly to patient treatments, so Botox units drawn for a specific patient automatically reduce your stock count without manual entry. You can also take a photo of a packing slip or product box to auto-populate inventory on receipt, which cuts out one of the most tedious parts of restocking.