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More room for the care you believe in.

Your EHR, scribe, membership billing and texting on one patient record, for one price. Built for direct primary care.

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30-day free trial of Practice Pro. No credit card.

  1. 1Record
  2. 2Draft
  3. 3Code and check
  4. 4Review and sign
  1. ClinicianHow has the tingling in your feet been since we started gabapentin?
  2. PatientBetter. Mostly gone at night now.
  3. ClinicianAny lows? What are your morning sugars running?
  4. PatientNo lows. Usually one-twenty to one-thirty.
  5. ClinicianLet’s add metformin, and I’ll see you in three months.

Lucas Tran · visit noteDemo patient

  1. SubjectiveBilateral foot tingling improved since starting gabapentin. Denies hypoglycemic episodes; home fasting glucose 120–130 mg/dL.
  2. AssessmentType 2 diabetes mellitus without complicationsE11.9
  3. PlanStart metformin. Follow up in 3 months.RxNorm 6809Check: Dose and frequency missing

Signed · fixedUnsigned. Not fixed until you sign.

Illustrative demo data from a synthetic clinic. Not real patients.

The note is drafted while you and the patient talk, then coded and checked.

Safety checks are fixed rules, not model output. The clinician reviews, edits and signs; nothing is final until she does. The scribe is included from practice. How the scribe works

  1. Record

    Start the scribe in the encounter, in the room or on a telemedicine follow-up, or upload a recording. Your voice and the patient’s are kept apart in the transcript.

  2. Draft

    The draft arrives in your template, with the chart’s problems, medications, allergies and prior notes as context.

  3. Code and check

    Diagnoses and medications resolve to ICD-10, SNOMED and RxNorm. Then fixed checks flag missing doses or frequencies, allergy conflicts and drug–drug interactions, by severity.

  4. Review and sign

    Select any statement to see the transcript line behind it. Edit, or regenerate with your own instructions, then sign. An after-visit summary draft is ready to send.

Calls, voicemail and texts, on the patient’s chart.

A day on the clinic line. Each call, text, fax and voicemail hangs where it belongs: on Maria Leone’s chart.

  1. 10:40AM

    In phone hours

    A patient calls while you are in a visit.

    1. Clinic number
    2. Ring group: Front desk
    3. Waiting, with music and place in line

    CallAnswered by the front desk · 4 min

  2. 12:15PM

    In phone hours

    A call goes unanswered.

    1. Clinic number
    2. No answer
    3. Missed-call text, once per caller per day

    Text“Just wanted to ask about my refill.”

  3. 3:30PM

    In phone hours

    A consult note arrives by fax.

    1. Fax line
    2. Name and date of birth match one patient
    3. Filed, hidden from the portal

    FaxCardiology consult note · 4 pages

  4. 2:07AM

    After hours

    The 2am call goes where you decided.

    1. After-hours menu
    2. Dr. Okafor’s enrolled phone
    3. On-call (512) 555-0177
    4. Voicemail, transcribed

    VoicemailTranscript on Maria Leone’s thread

  5. 8:00AM

    In phone hours

    The morning inbox has an owner on every thread.

    1. Messages
    2. Assigned: Dr. Okafor
    3. Overdue clock, then a task to the owner

    ThreadAssigned to Dr. Okafor

Illustrative demo data from a synthetic clinic. Not real patients. Scroll the line sideways on a phone.

Fax is included in every plan, and texting from Practice up. Calling is $24 per provider per month, staff included, where we serve your state. We confirm that first and set up your number with you.

  • Recording is off unless your clinic turns it on, and everyone hears a spoken notice first.
  • The transcript is kept; the audio is deleted once it is transcribed.
  • Each number carries a registered 911 address. Service is internet-based, and availability depends on the state.

Coming soon an after-hours voice assistant that takes the caller’s name, callback number and reason in fixed, reviewed words, gives the 911 instruction first, and files the message. It is not a chatbot on your phone line.

Phones & texting, in full

The critical result first. The routine ones in a batch.

Inbox Intelligence reads every lab result, refill request and patient message against the patient’s chart before you open it.

Critical thresholds, refill protocols and emergency keywords are fixed rules, so the most dangerous items never wait on a model’s judgment. Result summaries and replies stay drafts until you approve them.

Inbox Intelligence is part of Practice Pro. How it sorts

The inbox, as it arrived

  1. LabHemoglobin A1c — 7.9 %Soloman BergamelExpectedRead against the chartAbnormal, and expected for this patient’s conditions. Sorted to the bottom to close with the batch.
  2. LabTSH — 2.1 mIU/LLinda SullivanNormalRead against the chartResulted, in range.
  3. RefillLisinopril 10 mgLucas TranIn protocolFixed ruleLabs current, a recent enough visit, a supporting diagnosis on file. Approve in one click.
  4. LabPotassium — 6.4 mmol/LKara WhitesideCriticalFixed ruleAbove the fixed critical threshold. Goes straight to the top.
  5. Message“New dizziness since yesterday”Patient on warfarinUrgentRead against the chartUrgency scored against the chart: new dizziness reads differently on warfarin. A reply is drafted for you to edit.

Illustrative demo data from a synthetic clinic. Not real patients.

Ask the chart. Get the answer with its sources.

It never prescribes, sends a refill or messages a patient. Interaction verdicts come from the certified checker in e-prescribing, not the model.

What the assistant can do
“Catch me up before her 2:00.”
Problems, medications, allergies, latest vitals, recent labs, care gaps and visit history, each with its source.
“Draft the GI referral.”
A letter with the reason, relevant history, medications and results from the chart, for you to edit and send.
“Recheck her potassium in two weeks.”
A task card with patient, assignee and due date. Nothing is created until you approve it.

A typical DPC stack runs $983–$1,190 a month. Notive, with calling, is $273.

The same four jobs on one record, with one login. Every competitor figure comes from the vendor’s own published pricing.

JobVendorWhat you buyMonthly
EHR & e-prescribingCerbo source$281 provider + 2 × $63 staff + telemedicine ($14–27) + portal ($0–79)$421–$513
AI scribeHeidi source$110 billed yearly, $150 month-to-month$110–$150
Membership billingHint source$110 for 100 members + 6 × $45 per additional 50$380
Phones, texting & faxSpruce source3 users × $24 (Basic) or $49 (Communicator)$72–$147
Four subscriptions$983–$1,190
Notive · Practice + calling, one provider. Staff seats free.$273

Observed November 2026. 1 physician, 2 staff, 400 members. List prices, monthly. Card processing, taxes and one-time setup fees excluded on both sides.

Built by a family physician. Owned by its founders.

A family physician and her husband, a software engineer, built Notive for independent practices. No venture capital, and no investors to answer to.

Our future board won’t be investors. It will be DPC doctors, the people who use what we build.

Replace the patchwork, not the physician.

Why we built Notive
Drummond Certified EPCS Integration 2026 seal — Notive Health 1.0

From $99 per provider. Staff seats are free.

Per provider, per month. Annual billing is two months free.

  1. Launch

    $99per provider / month

    For a practice opening its doors.

    Charting, scheduling, the portal, e-prescribing with EPCS, telemedicine, memberships and fax. No AI or texting.

  2. Practice

    $249per provider / month

    For a practice that wants the note written in the room.

    Adds the scribe, the clinical assistant and unlimited texting.

  3. Practice Pro

    $349per provider / month

    For the work between visits.

    Adds Inbox Intelligence, the scribe’s chart review, dictation, and assistant recall and memory.

    The free trial runs on this plan.

Calling: +$24 per provider per month, staff included.Staff seats free on every plan.Compare plans in full

Opening a new practice? It’s free until you open your doors. Then Practice Pro is $99 per provider per month for your first year or until 50 patients, whichever comes first. Tell us your opening date

Before you start

What’s in the free trial?

Thirty days of Practice Pro, with the scribe, the clinical assistant and Inbox Intelligence, in a demo clinic loaded with synthetic patients. No credit card.

Is the scribe included?

Yes, from Practice at $249 per provider per month. Launch at $99 covers charting, e-prescribing with EPCS, telemedicine and fax, without the scribe or texting.

Are phones included?

Fax is included in every plan, and texting from Practice up. Calling is $24 per provider per month with staff included, available where we serve your state. We confirm that first and set up your number with you.

Do staff need paid seats?

No. Staff seats are free on every plan. You pay per provider.

Can we talk before we start?

Book a demo and tell us how your practice runs and which tools you use today. We’ll show you the parts that matter to you.

Four subscriptions, or one record.

Thirty days of Practice Pro in a demo clinic that’s already set up. Or walk through it with us first.

Start free trialBook a demo

No credit card required.