The operating system for metabolic private practices
1
pilot practice, running eligibility, charting, claims and supply on auro
41 s
average verification call, on a real payer line
98%
of claims paid on first pass
Prove, gather, sharpen, own
auro is founder-led and built with one pilot practice, a metabolic private practice that runs its eligibility calls, charting, claims, supply and patients on it every day. The thesis is in four words. Prove: one practice, every workflow, on the record. Gather: what a year of real visits, calls and claims teaches. Sharpen: strip each product to what the practice actually used. Own: the whole operating layer of the practice, from the payer line to the shelf, so the dietitian is back in the room. Six products share one record.
“The practice should run itself. The dietitian should be in the room.”
Kanna Iyyappan
Founder and CEO, auro
How we work
01
Every default is the strict one. When a setting could be lenient or strict, we ship strict and let the practice loosen it, with the change in the audit log.
How trust is built02
Flag, don’t guess. When the payer rep is unsure, Lana flags the visit. When the note is uncertain, the draft says so. Nothing is invented to look finished.
How Lana calls03
The receipt travels with the number. Every line on the ledger links to the visit, the call or the invoice it came from, so the owner and the auditor see the same thing.
How the ledger postsHow auro got here
One practice, in the order it happened. Everything below is something that shipped and was used, not something that was planned.
- 2025
The question
A year spent watching one practice, counting where the hours actually went. Not to the visits. To the phone, the note, the claim and the shelf.
- January 2026
One record
The chart, the schedule and the ledger stop being three systems that have to be reconciled by a person on a Friday.
- March 2026
The payer line
Lana works a real provider line end to end: through the IVR, the member ID read back, the benefit recorded and filed against the visit.
- May 2026
Wired in
Office Ally, Helcim, Microsoft 365 and Zoom, connected to the same record, so nothing has to be typed into a second place.
- June 2026
The close, in an afternoon
Claims leave the night of the visit and remittances post to the line they left from. The month stops being a weekend.
- July 2026
The shelf, and the Academy
auro Supply restocks from real dispensing and drafts the purchase order. Twenty-four lessons open, each written against the screen it is about.
- August 2026
Savoir, and Aureum
The model auro post-trained on the back office, and the layer that re-checks every assertion the practice makes against what it can prove.
- September 2026
Year one
The pilot publishes what it ran through auro in its first year: the calls, the notes, the claims and the close, with the numbers as they landed.
Built with a pilot practice. One practice ran a year on auro before anyone else was asked to.
Read the pilot, year one









