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CircusScale

The EHR that adapts to healthcare

Healthcare software finally caught up.

An intelligent, completely customizable EHR built around how your organization actually works. Configure your workflows. Connect anything. Automate what nobody should be doing by hand. Give your team AI that genuinely understands clinical work.

  • No walled gardens.
  • No decade-old interfaces.
  • No mystery pricing.
Search patients, orders, reports, settings…⌘K
AR
Primary care · Chart
MK
Maya KesslerPenicillin allergy

44 y · MRN 40-19827 · Continuity, prevention, and a problem list that stays true

Problem listpinned
  • Type 2 diabetes mellitus · since 2019
  • Essential hypertension · since 2021
  • Vitamin D deficiency · since 2023
Medicationsauto
Health maintenanceauto
Recent resultsauto
Care gapsauto
At a glance
BP
128/78
A1C
6.8%
BMI
27.4
Assistantreview before use

A1C rose above goal 14 months ago and has trended down since the regimen change. Retinal screening is overdue by 4 months.

Order retinal screeningDraft patient message
Templates
Acute visitAnnual wellnessChronic follow-upMedicare AWV

Everything about this person, arranged your way

400+
integrations and apps
installed, not implemented
6 wks
typical time to go live
not eighteen months
100%
of the product, in the API
if the UI can do it, so can you
$0
to export your own data
any time, in standard formats

Why teams move

Four things every other EHR makes hard.

Not a longer feature list — a shorter distance between what you want to change and the change being live.

Configure it yourself

Charts, encounter layouts, forms, templates, dashboards, navigation, terminology, permissions, and schedules are yours to change — in the product, in minutes, without a services engagement.

See the configurator

AI where the work happens

Ambient documentation, chart search in plain language, coding assistance, inbox triage, and agents that finish the administrative work — inside the workflow, not in a separate tab.

Explore the AI

Connect anything

Labs, imaging, pharmacies, clearinghouses, payments, CRM, data warehouses, devices. Install from the marketplace in a few clicks — or build your own and list it.

Browse the marketplace

Know the price before the demo

Published plans, a calculator that gives you a real number, and implementation pricing that is a line item rather than a negotiation. Nothing is hidden behind a sales call.

See pricing

Configuration, not compromise

Your workflows shouldn’t have to fit inside someone else’s software.

This is a real settings panel, wired to a real chart. Toggle something on the left and watch the product change on the right — that is the whole difference between configuration and a customization request.

Settings · Chart layout

live

Change it here. It changes there. No ticket, no downtime.

Sections in this chart
Terminology

In the product this panel also covers 6 groups — chart, documentation, workflow, front office, data, access — with the same immediacy.

Search patients, orders, reports, settings…⌘K
AR
Primary care · Chart
MK
Maya KesslerPenicillin allergy

44 y · MRN 40-19827 · Continuity, prevention, and a problem list that stays true

Problem listpinned
  • Type 2 diabetes mellitus · since 2019
  • Essential hypertension · since 2021
  • Vitamin D deficiency · since 2023
Medicationsauto
Health maintenanceauto
Recent resultsauto
At a glance
BP
128/78
A1C
6.8%
BMI
27.4
Assistantreview before use

A1C rose above goal 14 months ago and has trended down since the regimen change. Retinal screening is overdue by 4 months.

Order retinal screeningDraft patient message
Templates
Acute visitAnnual wellnessChronic follow-upMedicare AWV

Every change above is a real setting, applied instantly, versioned and reversible.

AI-native healthcare

AI shouldn’t be another tab. It should be everywhere you need it.

Eight capabilities, all inside the workflow they belong to — labeled, explainable, reviewable, and yours to switch off.

Explore the AI
When did this patient’s A1C first exceed 7?
Answer

14 March 2024 — A1C 7.2% (Quest, ordered by Dr. Aguilar). It had been 6.4% at the prior draw in September 2023.

Because of
  • Lab result · 14 Mar 2024
  • Progress note · 21 Mar 2024
  • Flowsheet · A1C trend

Model and version are recorded with this answer, and the whole exchange appears in your audit log.

A1C over time (%)
Sep ’23: 6.4%Mar ’24: 7.2%Sep ’24: 7.6%Mar ’25: 7.1%Sep ’25: 6.8%Sep ’23Mar ’24Sep ’24Mar ’25Sep ’256.8%
Document

Ambient documentation

The visit becomes a structured note — history, exam, assessment, plan, plus discrete data that lands in the right fields, not a wall of text you have to re-key.

Understand

Clinical intelligence

Relevant history, medications, trends, and care gaps surface at the moment they matter, with the reasoning and the source visible behind every suggestion.

Find

Chart search in plain language

Ask “when did this patient’s A1C first exceed 7?” and get the answer with the result that proves it — across scanned documents, notes, and structured data.

Triage

Inbox intelligence

Results, refills, and messages summarized, categorized, prioritized, and drafted — so the inbox is a review queue instead of an evening.

Code

Coding assistance

Documentation improvements and coding suggestions with the supporting text quoted, so the coder is checking work rather than hunting for it.

Communicate

Patient communication

Personalized instructions and follow-ups at the reading level and in the language the patient actually uses, reviewed before they send.

Automate

Workflow agents

Build agents that carry out the repetitive administrative work — prior auth packets, referral follow-through, recall lists — with defined stopping points.

Analyze

Conversational analytics

Ask about your own operations and get a chart back. “Which providers’ average wait time rose more than 20% this quarter?”

Automation

If a human doesn’t need to do it, they shouldn’t have to.

Build workflows the way you would sketch them on a whiteboard: a trigger, some conditions, the steps — including the ones you want a person to approve.

  • Triggers on anything that happens in the platform
  • Conditions, branches, and waits
  • AI steps with the reasoning attached
  • Human approval wherever you want a person
  • Full audit on every automated action
How automations are built
Search patients, orders, reports, settings…⌘K
AR
Automations · Post-visit close-out · Enabled
  1. Appointment completedAny location · any visit typeTrigger
  2. Check documentationNote signed, orders reconciledCondition
  3. AI reviews chart completenessFlags gaps against the visit typeAI step
  4. Suggest codingE/M level + diagnoses, with rationaleAI step
  5. Biller approvesHuman-in-the-loop · 1 clickHuman approval
  6. Submit eligible claimsClearinghouse of your choiceAction
  7. Send patient follow-upTheir language, their channelAction
  8. Schedule recommended follow-upHonors provider preferencesAction
31 steps
removed from a typical post-visit day
0
tickets filed to change any of it
Full audit
on every automated action

Integrations marketplace

Connect healthcare to everything.

407+ integrations and apps across labs, imaging, pharmacy, revenue cycle, payments, devices, analytics, and developer tooling. Install in a few clicks — no interface engineer, no per-connection fee on anything marked included.

Explore the marketplace

44 shown · 407 listed

NIncluded

National Reference Lab Connector

Bidirectional orders and results with the major reference networks, including AOE prompts and reflex rules.

Platform team4.93.1k
HIncluded

Hospital Lab Interface (HL7 v2)

ORM/ORU interface builder for hospital and regional labs, with a mapping UI instead of an interface engineer.

Platform team4.71.4k
PPaid

Point-of-Care Analyzer Bridge

In-office analyzers post results straight to the encounter, no transcription step.

Benchside4.6820
PPaid

Pathology Reports & Images

Structured synoptic reports with whole-slide image links attached to the chart.

Histology Partners4.5410
DIncluded

DICOM Study Router

Order, receive, and view studies from any modality or PACS, with priors resolved automatically.

Platform team4.82.2k
RPaid

Radiology Group Worklist

Send orders to your reading group and get structured reports back with critical-finding alerts.

Aperture Imaging4.6640
407 and counting

Can’t find your integration? Build it.

Every integration in this marketplace is built on the same public API you get on day one — and anything you build can be listed for every other organization here.

Build an integration

The open platform

Your data. Your workflows. Your platform.

We don’t believe interoperability should require a sales call. REST, GraphQL, FHIR, HL7 v2, SMART on FHIR, webhooks, bulk export, and event streams — on every plan, documented, with a sandbox you can open right now.

Read the developer docs
01Experience
ClinicianStaffPatientDeveloper

Every surface built on the same public API.

02Platform
EHRSchedulingRevenue cycleMessagingAnalytics

The complete product, not a starter kit.

03Intelligence
AIAutomationAgentsDecision support

Applied inside workflows, with human checkpoints.

04Services
Workflow engineAPIsEventsPermissionsAudit

What your configuration and your code both run on.

05Interoperability
FHIRHL7RESTGraphQLWebhooksMarketplace

Multiple front doors, one clinical record.

06Ecosystem
LabsPharmaciesPayersHospitalsDevicesApps

The rest of healthcare, already connected.

Patient experience

Your patients shouldn’t hate your software either.

The patient side is built to the standard of a good consumer app, because that is what it is competing with for attention.

Book in 40 seconds

Real availability, real rules, no phone tag — on the phone they already have in their hand.

Intake that remembers

Forms pre-filled from what you already know, saved between sessions, finished in the waiting room or the week before.

Messages, not portals

Threaded conversations with the practice, with routing and templates on your side.

Pay without calling

Estimates, balances, plans, and receipts — card on file, no separate portal login.

Results they understand

Plain-language context alongside the values, released on the rules you set.

Care plans that follow up

Instructions, reminders, and check-ins that adapt to whether the patient is actually doing them.

Old way / this way

There’s the old way. And there’s this.

Both approaches can eventually get you to the same place. The difference is what stands between you and the change you want to make.

See all eleven
Traditional EHRCircusScale
CustomizationSubmit a customization request.Change it yourself, in the product, today.
IntegrationsAsk whether an integration exists.Install it — or build it and list it.
APIsAPI access is an enterprise line item.Every plan. If the UI can do it, the API can too.
AIA separate product, in a separate tab, at a separate price.Inside the workflow, labeled, reviewable, and switchable off.
AutomationFile a ticket and wait for the release train.Build the workflow yourself and turn it on.
ImplementationTwelve to eighteen months and a change order.Weeks, with a fixed fee quoted up front.
User experienceA manual, a class, and a lot of clicking.A command palette and a team that stops complaining.

Ready to see why your team stops complaining about the EHR?

Bring your messiest workflow, your longest integration wish-list, and your migration inventory. We would rather earn this on specifics than on slides.

Every demonstration environment uses synthetic patient data. No PHI, ever.