
You know AI is coming. X-rays are a good start, but nobody has walked you through the business side. That's what we do, together, starting with what matters most to you.
Or get a plan for the tools you already have: an hour with the founders, yours to keep either way →Clinical AI reads X‑rays. Point tools do one task. Neither holds all your practice data, so neither can run the business.
Four copies. No record.
Visit, claim, conversation and decision, in one place.
A year in, she knows your practice better than any consultant.
Vella stays in the administrative lane. She never sees anything outside your practice software, anything a patient hasn't consented to share, or your clinical judgment.
Think of week one as a comprehensive exam for the back office. Vella reads your practice software, clearinghouse, bank and insurance fee schedules without changing a single record. You see what she found. Then you choose what she treats first.
Eligibility checked before the visit, pre‑determinations sent, and where PPO fee schedules and insurance payments disagree.
Who's booked, who should be, who fell off.
Which conversations need a decision today.
Treatment presented, never scheduled.
Trust is granted one task at a time.
“After 24 years of doing this, I would not bet money on my guesses. As soon as I think one thing, the payer has another policy in place.”
Natalie Maddox
Office manager for 24 years, now COO of Canopy

Four things happened last night. None needed you. Every line is labeled fact, forecast or result, and connects straight back to the patient chart, claim or ledger entry it came from.
Payment discrepancies need your ERAs and your fee schedules — Vella asks for both before she promises a number.
Four seats, three places to stand, one place to start.

Every conversation about a patient, in one place.
“Everyone is selling me something with AI in the name. I can’t tell what is real.”
Six demos in, nobody can say whether your practice is healthy.
“Which fire do I put out first?”
Every system has an alert. None agree on today.

What does my day look like, and what needs me first?
The group CFO“Twelve locations, twelve versions of the truth.”
Each acquisition brought its own definitions. The board pack is still built by hand.
“I can’t underwrite a number I can’t verify.”
Every business case was written by someone who benefits from it.
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Is the practice healthy, and what should the next dollar go toward?
Understand your data first. Then let Vella work on the claims.
Whichever seat you sit in, the first session is the same.
One record for every seat, authority earned one task at a time. Revenue cycle reaches every altitude, so it came first.
Associate or hygienist next? Decided on your numbers.
Which location needs me this week. Where the next dollar goes.
Forecasts frozen before the money moves, measured after. EBITDA you can defend.
A clinician signs those.
Every number traces to a row and a date.
No practice starts at Act. Vella cannot promote herself.
Read‑only tonight. Within the week, findings you can check against your own EOBs and fee schedules. Nothing in your practice software changes until you say so.