Zivian Health Launches Elevate, an AI Chart Review Tool for Clinical Oversight at Scale

Elevate automates the chart review cycle from end to end, delivering 90% cost savings in administrator, collaborating physician, and clinician time.

AUSTIN, Texas, Oct. 7, 2026 /PRNewswire/ -- Zivian Health, the compliance infrastructure behind multi-state clinical workforces, today announced the launch of Elevate, an AI chart review tool that enables organizations to grow their workforce and expand into new markets more quickly, with less risk, and at a fraction of the cost when compared to manual workflows. As review data accumulates, Elevate also enables organizations to build the foundation for an AI-powered clinical quality program.

Most care delivery organizations manage their clinical chart review program with spreadsheets, email, and manual follow-up. This approach consumes scarce collaborating physician, clinician, and administrator time, leaves leadership with little visibility into what has been reviewed or what the findings show, and grows more fragile with every clinician, state, and specialty added. When a payer, board, or diligence request arrives, compiling the documentation can take weeks.

Chart auditing programs also often miss the opportunity to produce one of the most direct signals an organization has about the quality of its care. When designed as spot-checks to meet compliance requirements, it's challenging to surface performance signals on whether clinicians are delivering high-quality care, where patterns of risk are emerging, or whether feedback is actually improving care.

Elevate brings agentic AI to clinical oversight, automating complex chart review workflows with specialized intelligence across regulations, organizational policy, and care delivery context. Benefits include:

• 92% lower cost per chart, with reviews running on time and without the chase. AI pre-screens every chart before it reaches the collaborating physician, so clinical operations focus on the exceptions instead of the whole list. With EHR integration, charts are delivered into Elevate, including notes, labs, and prescriptions, and Elevate manages sampling, reviewer assignment, and reminders. Because of these efficiencies, a reviewed chart in Elevate costs about $1 while manual review runs approximately $13 per chart.
• Confidence that you're reviewing the right charts in every state. Elevate applies approximately 4,000 clinical collaboration and chart review rules across 50 states, including 100% review of adverse outcomes. Sampling matches each state's actual requirement with no one maintaining a spreadsheet of rules and no over-review or under-review.
• A live view of where your workforce stands, with everyone grading against the same standard. Administrators, supervising physicians, and the clinicians being reviewed work in the same system, with questions, rubrics, and cadence configured to each specialty and service line. Administrators see who has charts outstanding, what is past due, what got flagged for patient safety or a failing score, and how performance is trending by clinician, specialty, and site.
• Audits that take minutes. Every review, score, signature, and follow-up is timestamped and exportable, so a payer delegation review, state board inquiry, or M&A diligence request becomes one filtered export.
• Elevate makes sure the review happens, and makes the next one better. Clinical chart review gets done, on time, by the right reviewer. Then, each one builds into a record of clinical performance, and as review history grows, patterns surface, including where coaching will move the needle and what an organization's strongest clinicians do differently.

"We built Elevate for organizations that recognize their compliance obligations as a strategic operational variable, helping to build a better and stronger organization at a significant fraction of the cost," said Zivian Health CEO Griffin Mulcahey. "When you can scale a clinician workforce without scaling its complexity, every chart audit becomes an investment in provider performance and patient outcomes."

CRH Healthcare, a multi-state urgent care organization, adopted Elevate to bring consistency and visibility to clinical chart review across its Advanced Practice Provider (APP) workforce. Before Elevate, its compliance and clinical leadership managed chart review with manual workflows that were difficult to track across states.

"When you're managing a clinical workforce at scale, staying compliant comes down to having a tool that gives you a window into what's actually happening," said CRH Healthcare Senior Director of Compliance Pam Reid. "Our old process was manual and difficult to track, but with Elevate everyone now grades against the same standard, which gives us an objective view of our APPs' work and helps us identify who needs support faster. For the first time, our compliance, legal, and medical leadership have a window into our chart review that we didn't have before."

Zivian provides organizations with regulatory intelligence across all 50 states, workflows to execute and maintain collaboration compliance, a physician network that activates providers without sourcing delays, and AI chart review tools for compliance and quality teams. Elevate is available now to organizations managing clinical workforces across multiple states. To learn more or request a demo, visit zivianhealth.com/contact.

About Zivian Health

Zivian is the compliance infrastructure for organizations managing clinical workforces across multiple states. The regulatory environment governing clinical workforces is one of the most operationally underestimated constraints on growth, and the complexity only compounds as organizations scale. Zivian is how organizations deploy providers faster, expand into new markets, and build a compliance program that grows with the business. Learn more at zivianhealth.com.

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SOURCE Zivian Health