Why practices choose it
Better models, lower cost, and you own the whole thing.
A small practice ends up with something most hospital systems don't have: current open medical models, tuned to its own way of working, running on hardware it owns, with someone who knows the office on call.
You own it, so the savings compound
No per-seat licence and no per-query meter. You buy the hardware once and pay a flat fee for support. Every month after that, the difference stays in the practice instead of leaving it.
Compliant by construction
Records never leave the building, so the riskiest part of using AI in healthcare simply doesn't happen. A BAA is signed with the practice, and the setup is documented for your HIPAA security risk analysis.
Open models built for medicine
The strongest open-source medical models available, chosen for clinical language rather than general chat. No vendor deciding what you are allowed to run, or changing it underneath you.
Fine-tuned on your practice
Then trained on how your office actually writes: your narratives, your fee schedules, your carrier rules, your templates. It answers like your best admin, not like a search engine.
Every new model, as it ships
Open medical models get meaningfully better every few months. When a stronger one lands, it is tested and rolled onto your machine as part of support, not sold back to you as an upgrade.
A consultant, not a vendor
You get someone who knows your office and stays involved: sizing the system, retuning it as the practice changes, and saying plainly when something isn't worth automating.
The advantage: by deploying your own AI on-site, on hardware you own, the work gets faster every quarter and no record ever leaves the building.
Works alongside the software your office already runs
Lumofuse doesn't replace your practice-management system or ask it to change. It works from the documents and exports your system already produces, so nothing about how your office charts or bills has to move.
The problem
What we hear from every practice.
Three things come up in almost every conversation. None of them get better on their own.
Insurance paperwork takes hours every week
Claim narratives, predeterminations, appeals on denials. It is steady, repetitive work, and it comes out of the time your team could be spending with patients.
Staff are already using AI, with nothing protecting you
People paste patient details into free chatbots because it saves them time. There is no agreement covering it, no record of what was sent, and no way to pull it back.
Cloud AI charges you every month, forever
The bill grows as more of your team uses it, the price is set by the vendor, and after years of paying you still own nothing.
The risk: a subscription can be cancelled. Patient information already typed into someone else's system cannot be taken back.
The work
What it takes off the front desk.
Repetitive, document-heavy work that eats hours your staff would rather spend on patients. Dental offices feel it first because the insurance load is heaviest there.
Insurance claim narratives
Draft the narrative for a claim from the chart and the procedure codes, in the language carriers actually expect to read.
Predeterminations and appeals
Pull supporting detail out of the record and assemble a complete submission, including appeals on claims that come back denied.
Dictation into chart notes
Speak the note after a visit and get structured text back, from a speech model tested against your specialty's vocabulary.
Treatment explanations patients understand
Turn a proposed plan into something a patient can read at the kitchen table, at whatever reading level you set.
Front-desk policy questions
Answer staff questions about your own fee schedules, carrier rules and office policies, drawn from documents you already have.
Whatever your office does twice a day
The system is tuned per practice. If there's a form your team rewrites constantly, it becomes part of the install.
Versus the cloud
What a BAA doesn't buy you.
The large AI companies now sell HIPAA-ready healthcare products aimed at exactly this work, and they will sign a business associate agreement. Two things that signature does not cover.
It assigns blame, it doesn't prevent a breach
A BAA decides who is liable after your records are exposed. It does nothing to keep them out of an incident at a company holding millions of other patients' files. The only records that can't be taken from a vendor are the ones that were never sent.
Their product changes on their schedule
Models get retired, prices get revised and terms get rewritten by people you will never meet. A system on hardware you own changes when you decide it should, and not before.
Own your AI
Rent it forever, or own it outright.
Most AI for healthcare is rented by the seat. The difference shows up in what you're holding after three years, who gets to change the terms, and where the records sat the whole time.
| Comparison | A cloud AI subscription |
Lumofuse
|
|---|---|---|
| How you pay | Per seat, every month, for as long as you use it | One time |
| As your team uses it more | The bill grows with seats and usage | No increase in cost |
| After three years | You own nothing. Stop paying and it's gone. | You still own everything. |
| Who sets the price | The vendor, on their schedule | Fixed in your agreement |
| Where patient data sits | Their cloud, under their controls | A machine in your building |
| When it breaks | A help center and a ticket number | A real person you trust supports it |
Get the numbers for your practice. A walkthrough is free, takes about thirty minutes, and you leave with a real figure. Book one
The install
What arrives, and what stays.
In the box
- A Mac Studio sized to your practice, configured and burned in before it reaches the office
- Open-source models selected for clinical language, plus dictation tested against your terminology
- Your documents indexed and searchable: policies, fee schedules, carrier rules, templates
- Battery backup, encrypted backup drive, full-disk encryption, wired network
- On-site training for the people who use it daily, and a support agreement with a name on it
Coverage
Installs are hands-on, so every practice gets someone who drives out. Lumofuse is available now in Louisville, Cincinnati, Nashville, Indianapolis, St. Louis, Chicago, and Raleigh-Durham.
Lumofuse works with independent practices that don't have IT staff. Dental offices first, where the insurance paperwork is heaviest and most repetitive, then other small healthcare practices.
You own it. The hardware is yours outright, not a subscription you lose access to. One flat monthly fee covers support and updates, not a meter that climbs with usage. A BAA is signed with every practice, and support means a named person who shows up in person, not a ticket queue.
Security & compliance
Built so the records never travel.
The privacy argument only holds if the engineering backs it. Here is what is actually true of a standard install.
On the machine
- Inference runs locally. Answering a question makes no outbound request, so there is no third party to trust with the contents.
- Full-disk encryption on the machine and on the backup drive, with the practice holding the keys.
- Individual logins rather than one shared password, and an audit log of what was asked and what came back.
- Wired network, battery backup, and an encrypted local backup you can carry to a safe.
On paper
- A Business Associate Agreement signed with the practice before any patient material is indexed.
- The management channel carries system health and configuration. It is logged, and it is not a path to your patient records.
- A fully air-gapped configuration is available if you want no outside connection at all.
- Written documentation of the setup for your own HIPAA security risk analysis.
Lumofuse is one control inside your compliance program, not a substitute for it. Your risk analysis, policies and training stay yours.
Getting started
Small first step, easy exit.
This is a new kind of purchase from a small company, and it should not require a leap of faith to try.
The walkthrough is free
About thirty minutes, run against your real paperwork rather than a demo script. You see what it does with your forms before any money moves.
A pilot before the full install
Start with one workflow, usually claim narratives, and measure it against the hours it replaces. Expand only once that one is carrying its weight.
The hardware is yours either way
If you stop the support agreement, the machine stays, the models stay and the system keeps answering. Ending the relationship doesn't switch anything off.
It doesn't depend on any one person
Every install is documented well enough for another competent engineer to pick up, and the software underneath is open-source rather than ours to revoke. That documentation lives with the practice, not only with us.
Questions
The things people ask before signing.
What happens when the hardware gets old?
A machine sized for this work has a long service life, and the models it runs keep improving faster than it ages. When a refresh does make sense it's a new machine and a migration, not a new system: your documents, your tuning and your history move across. You never re-buy the software.
Who owns the fine-tuned model?
You do. The base models are open-source and the tuning is done on your own material, on your own machine. None of it is licensed back to you and there is no key we can turn off. If we stop working together it keeps running exactly as it did.
What if we change practice-management software?
The system works from the documents and exports your office produces rather than burrowing into one vendor's database, so a switch is a re-point rather than a rebuild. That's the same reason nothing about how you chart or bill has to change when Lumofuse arrives.
How many people can use it at once?
The whole office. It's a machine serving your network, not a per-seat licence, so adding someone at the front desk or a second hygienist costs nothing. Sizing is matched to the practice so it stays quick at your busiest hour, not just at eight in the morning.
How much work is this for my staff?
Very little. You hand over documents you already have — fee schedules, carrier rules, templates, policies — and we do the indexing and the tuning. The staff time that counts is training on install day, and that is measured in hours rather than days.
Does it need an internet connection?
Not to answer questions. Inference runs entirely on the machine in your office, which is the whole point. A standard install keeps a monitored management channel so we can support it without driving out for every small change, and that can be removed entirely with the air-gapped configuration.
What if it gets something wrong?
It drafts, a person sends. Every answer is grounded in your own documents and shows which ones it used, so a narrative or an appeal can be checked against the source in seconds. It is built to raise what's missing — a gap in the charting, an expired clearance — rather than write around it.
We have more than one location. Does that work?
Yes, and it's worth planning rather than retrofitting. Practices with a second site usually want one system per building rather than one shared across a link, so the records stay where the patients are. Bring it up at the walkthrough and we'll size it properly.
Get in touch
See it on your own paperwork.
Tell us what your week looks like and we'll show you the system working on your own forms. Walkthroughs are free and take about thirty minutes.