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Behavioral health EHR · 2–10 providers

The note writes itself.
The claim goes out clean.

MIYO is an AI-first EHR for small behavioral health practices. Eleven modules on one record — and agents that draft the note, check eligibility, code the encounter, and submit the claim while you're still saying goodbye to the client.

Book a 30-minute demo Explore the modules

HIPAA42 CFR Part 2Live in 2–4 weeksMigration included

The MIYO network 20+ states 1M+ sessions delivered 10,000 providers Inc. 5000 Fast Company Best Workplace for Innovators

Why small practices stall

A four-provider clinic runs the same admin load as a hospital — with none of the staff

Enterprise EHRs are priced and scoped for health systems. The lightweight ones stop at scheduling and a note template, so billing and prescribing end up somewhere else. Either way, someone in your practice is re-keying data at 7pm.

A clinician charting on a tablet between sessions

Four tools, one client

Notes here, scheduling there, billing with a third vendor, telehealth on a fourth. Nothing reconciles, so everything is entered twice.

Documentation after hours

Notes get written between sessions or after dinner. The backlog is the single biggest driver of clinician burnout in small practices.

Denials nobody has time to work

A missed eligibility check or a wrong modifier becomes a denial, and with no dedicated biller the appeal window quietly closes.

Compliance you can't prove

42 CFR Part 2 demands segmented access and a real audit trail. Spreadsheets and shared drives can't produce one on request.

The platform

Eleven modules. One record. One login.

This is the whole EHR — not a starter tier. Turn modules on as you need them; every one writes to the same chart, and an AI agent works inside each.

Clinical record

Care delivery

Revenue cycle

Module 01 · Intake

Intake, screeners & consents

New clients complete registration, history, and consent before they walk in. Everything lands in the chart already structured — no front-desk retyping.

  • Configurable intake packets by service line
  • PHQ-9, GAD-7, AUDIT, DAST and more, auto-scored
  • Versioned consents with legally binding e-signature
  • Automatic renewal reminders before expiry
  • Guardian and release-of-information workflows
  • Insurance card and ID capture from a phone
AI in this module

Screener results are read against intake history and flagged for acuity, so a client scoring in the severe range is triaged to the right clinician instead of the next open slot.

Module 02 · Assessment

Clinical assessments

Forty-plus validated instruments built in, from biopsychosocial history to withdrawal risk and social determinants — scored, trended, and attached to the record.

  • Biopsychosocial and psychiatric intake templates
  • Co-occurring and SUD screening instruments
  • Withdrawal risk (CIWA, COWS) with scoring logic
  • SDOH capture tied to referral resources
  • Longitudinal score trends on one chart
  • Re-assessment schedules driven by care level
AI in this module

Scores are compared against the client's own baseline and against similar profiles in the network, so meaningful change surfaces before the next scheduled review.

Module 03 · Documentation

Notes & documentation

The core of an AI-first EHR. MIYO drafts the note from the session, in your format, with the diagnosis and procedure codes already attached. You read, edit, and sign.

  • SOAP, DAP and BIRP formats per clinician
  • Ambient drafting from in-person or telehealth sessions
  • Group, family, and collateral note types
  • Co-signature routing for supervisees and interns
  • Note locking, amendments, and full version history
  • Every draft flagged as AI-assisted in the audit log
AI in this module

The documentation agent cuts note-writing time by up to 70% across MIYO practices. It never signs on your behalf — a licensed clinician reviews and attests to every note.

Module 04 · Planning

Treatment plans

Individualized plans with measurable goals from the Wiley planner library, linked directly to the notes and assessment scores that evidence them.

  • Wiley Practice Planner goal and objective library
  • Measurable targets with review dates
  • Progress logged from the note, not re-entered
  • Client and guardian signature capture
  • Medical-necessity language for payer review
  • Plan versioning across the episode of care
AI in this module

Opening a new plan pre-populates suggested goals and interventions from the client's assessment profile and what has worked for similar presentations — cutting care-planning time by around 40%.

Module 05 · Medication

e-Prescribing & medication management

Prescribers work inside the same chart as therapists. DEA-ready e-Rx with controlled-substance support, PDMP checks, and MAT protocols built for behavioral health.

  • EPCS-capable e-prescribing via DoseSpot
  • State PDMP query in the prescribing flow
  • MAT protocols with induction and taper tracking
  • Medication reconciliation and full med history
  • Interaction and allergy checking at the point of order
  • Drug-disposition and refill request handling
AI in this module

Adherence gaps — a refill that never got picked up, a missed med-management visit — are surfaced to the prescriber rather than discovered at the next appointment.

Module 06 · Scheduling

Scheduling & calendar

One calendar for the whole practice — rooms, clinicians, telehealth, and groups — with the reminder and waitlist logic that keeps small-clinic utilization high.

  • Multi-provider and multi-location views
  • Recurring series with exception handling
  • Group and family session scheduling
  • SMS and email reminders with confirm-or-cancel
  • Waitlist auto-fill on cancellation
  • Availability rules by license, specialty, and payer
AI in this module

The scheduling agent matches clients to clinicians on availability, specialty, language, and preference — and predicts likely no-shows early enough to backfill the slot.

Module 07 · Telehealth

Teletherapy

HIPAA-compliant video that opens from the appointment and charts to the encounter. No separate subscription, no separate login, no copy-pasting a link.

  • Browser-based sessions — nothing to install
  • Launched directly from the schedule
  • Group and family video rooms
  • Screen and document sharing in session
  • Virtual waiting room with consent capture
  • Place-of-service and modifier applied automatically
AI in this module

Telehealth sessions feed the documentation agent directly, so the draft note is waiting the moment the call ends.

Module 08 · Engagement

Client portal & messaging

Clients complete forms, message their clinician, book appointments, and see their balance — which removes most of the calls your front desk fields today.

  • Secure two-way messaging with the care team
  • Self-scheduling within clinician-set rules
  • Forms, screeners, and consents on any device
  • Statements and online payment
  • Outcome surveys and satisfaction feedback
  • Practice branding on portal and notifications
AI in this module

Missed sessions, unanswered messages, and portal inactivity combine into a disengagement signal — MIYO practices see roughly a third fewer unplanned case closures.

Module 09 · Eligibility

Insurance & eligibility

Coverage is verified before every appointment, not after the claim comes back. Benefits, copay, deductible, and authorization status sit on the chart where staff can see them.

  • Real-time 270/271 eligibility checks
  • Automatic re-verification ahead of each visit
  • Copay, coinsurance, and deductible display
  • Authorization tracking with unit countdown
  • Coordination of benefits for secondary payers
  • Self-pay and sliding-scale fee schedules
AI in this module

Authorizations nearing exhaustion trigger a renewal task with the supporting documentation already assembled, so sessions don't stop while paperwork catches up.

Module 10 · Revenue

Claims & billing

Signed notes become scrubbed claims. MIYO generates, validates, and submits to the clearinghouse, then works the remittance — the part small practices most often outsource.

  • Charge capture straight from the signed note
  • Payer-specific scrubbing before submission
  • 837 submission and 835 remittance posting
  • Denial worklist with reason-code grouping
  • Client statements, payment plans, and card on file
  • Aging, collections, and payer-mix reporting
AI in this module

The claims agent codes the encounter from the note, catches the errors that cause denials before submission, and drafts the appeal when one comes back anyway.

Module 11 · Analytics

Dashboards & reporting

Caseload, utilization, outcomes, and revenue in one place — refreshed continuously, not exported to a spreadsheet at month end.

  • Clinician caseload and utilization views
  • Documentation compliance and unsigned-note aging
  • Revenue, AR aging, and denial-rate trends
  • Outcome tracking by instrument and cohort
  • Ad-hoc report builder for practice owners
  • Payer-ready and grant-ready report exports
AI in this module

The reporting agent produces compliance, utilization, and outcome reports on request — and maps session data into the language payers and grant funders expect.

Full module detail, integration by integration →

Clinical workflow

One pass through the record, start to finish

No paper, no re-keying, no swivel between systems. Each step hands its data to the next.

Step 01

Intake & assessment

Biopsychosocial history, co-occurring screening, withdrawal risk, and SDOH — 40+ validated instruments built in and scored on submission.

→ populates the plan
Step 02

Treatment planning

Individualized plans with measurable goals from the Wiley library, with AI-suggested objectives drawn from the assessment profile.

→ frames every note
Step 03

Session & documentation

In person or over video. The note is drafted as the session ends, in your format, with codes attached and goal progress already logged.

→ becomes the charge
Step 04

Claim & outcome

Signing the note releases a scrubbed claim. Retention, adherence, and goal completion roll up into payer-ready outcome reporting.

→ closes the loop

Solutions

One EHR, tuned to your service lines

Outpatient therapy, structured IOP weeks, and Part 2-governed SUD care each get their own workflows on the same record.

Outpatient mental health

Therapy, counseling, and medication management for mild-to-moderate needs, scheduled around daily life.

How MIYO supports it →

Intensive outpatient (IOP)

Multi-session weeks of group, individual, and family therapy — with attendance-driven billing and auth tracking.

How MIYO supports it →

Outpatient SUD

Relapse-prevention focused care with MAT, toxicology, and 42 CFR Part 2 consent built into the record.

How MIYO supports it →

AI-first, not AI-added

Six agents that do the administrative work

Most EHRs bolted a chatbot onto a 2009 architecture. MIYO's agents run inside the modules themselves, on data already in the chart — no extra data entry, no new workflow to learn.

dashboard

Documentation

Drafts clinical notes from session data in SOAP, DAP or BIRP — cutting documentation time by up to 70%. A clinician reviews and signs every one.

Claims

Codes the encounter, validates against payer rules, submits, and drafts appeals — reducing denials and shortening days in AR.

Scheduling

Matches clients to providers by availability, specialty, language, and preference, and keeps the calendar full through waitlist auto-fill.

Reporting

Produces compliance, utilization, and outcome reports on demand, in the language payers and grant funders expect to read.

Risk flagging

Watches attendance, screener trajectories, and portal engagement in real time, and alerts the care team before a client disengages or escalates.

Workflow automation

Orchestrates the multi-step chores — consent renewals, authorization requests, supervisor co-signatures — end to end.

How the agents work — and where humans stay in the loop

Made for the people in the room

Software should give the hour back to the session

Every automation in MIYO exists so a clinician can look at the person across from them instead of a screen — and so the owner of a small practice can go home when the practice closes.

Meet the platform
A clinician in a one-on-one conversation with a client in a bright office
A small practice team talking and laughing around a meeting table
A smiling clinician in a modern clinic

The evidence

Outcomes you can put in front of a payer

Measured across practices and programs operating on MIYO.

82% Intake completion rate vs. 48% baseline
70% Less time writing notes documentation agent
+26% More billable sessions range of +18–26%
90%+ Provider retention in the MIYO network
12–18 hrs saved per clinician / month 3× higher treatment completion 92% MAT adherence +$63K average annual revenue uplift

Built for your size

Sized for 2–10 providers, not scaled down from a hospital

The same platform runs statewide networks — but the configuration, pricing, and onboarding here are built for a practice without an IT department.

What a small practice needs
Typical enterprise EHR
MIYO
Time to go live
Six to twelve months, with a paid implementation partner
Two to four weeks, migration handled by our team
Billing and prescribing
Separate modules, separate contracts, separate logins
Included in the same record from day one
Admin and front-desk seats
Billed per named user, like clinicians
Unlimited admin users at no charge
Configuration changes
A support ticket and a change-order fee
Settings you change yourself — configuration, not code
42 CFR Part 2 handling
Bolted on after the fact, if available
Segmented records and consent-gated disclosure by design
Room to grow
Replatform when you add a second location
Add sites, service lines, and programs as configuration

Every setting, one platform

Outpatient, intensive outpatient, residential, and case management — with workflows configured per level of care.

Every service line

Mental health, substance use disorder, dual diagnosis, ABA therapy, and early childhood intervention.

Every role

Therapists, prescribers, case managers, billers, and owners each see exactly the record they're permitted to see.

Trust & security

Architected for substance-use privacy — not patched for it

42 CFR Part 2 was designed into the record model. Sensitive SUD material is segmented at the data layer and disclosed only against a specific, current, versioned consent — and every access is logged.

Read the security overview

Granular consent

Versioned consents with e-signature, scoped disclosure, and automated renewal reminders.

Segmented access

Part 2 records walled off from the general chart and released only where consent permits.

Complete audit trail

Every view, change, and disclosure timestamped and attributable, including AI-assisted actions.

Encryption & RBAC

Encrypted in transit and at rest, with role-based permissions down to the field.