The back office, staffed.
Elf is your practice's administrator, CFO, and marketing desk in one place — a companion to your office manager where you have one, coverage for the seat where you don't. It tracks the payers, watches the renewals, keeps the numbers, and drafts the follow-ups, so the people in your office spend their day on patients.
Your practice. Your name. You're in control. Elf handles the business and administrative operations; the medicine and the decisions are yours.
- Aetna re-credentialing — no response in 34 daysFollow-up drafted
- CAQH re-attestation window opensDue in 12 days
- Malpractice renewal quote receivedNeeds your call
- Referral letter to Dr. Osei's officeAwaiting approval
Illustrative. Drafts wait in your approval queue — nothing goes out unless you send it, or you've set the dial to let Elf act.
Three desks your practice pays for — or goes without.
Switch Elf between three working modes. In the product they're labeled Administrator, CFO, and Marketing: same board, same trackers, same memory of your practice, a different chair at the desk.
The desk that keeps it running
- Payer tracker — every enrollment and re-credentialing on one board, overdue ones flagged, the follow-up drafted
- Compliance calendar — CAQH re-attestation, license and DEA renewals, malpractice, estimated taxes, tracked with dates
- Vendors and contracts in one place, so renewals stop arriving as surprises
- A Weekly Brief: what moved, what's stuck, and the few things that need your decision
Elf runs the back-office tracking — you own the practice and stay in control.
The numbers, kept honest
- Overhead, burn, and runway from your real figures — and a plain "that number is missing" when one is
- Obligations as a cash calendar: what's due, when it lands, whether it fits
- Contracts and recurring commitments folded into the burn figure, not lost in a drawer
- "Can I afford a medical assistant?" answered from your numbers, not a hunch
Estimates, always — Elf is not your accountant, and says so when a question needs one.
Getting patients in the door
- Referral one-pagers, outreach letters to referring offices, and service-line descriptions — drafted into your documents
- Directory and map presence worked as board tasks, not a someday list
- Channel thinking that fits your practice: referrals, cash-pay paths, the payers you're live on
- Every send waits for your approval — Elf drafts, a person sends
Elf has no ad accounts and no patient data — it drafts and organizes; you and your staff execute.
Track. Draft. You approve. Then it moves.
Elf tracks every payer, flags the moment one's overdue, and drafts the follow-up. Turn up the dial and our team makes the calls and works the portals — Elf keeps your board current the whole way.
Built for a practice that already exists.
Sign up, choose "I already have a practice," and the board starts from where you actually are — not from a launch checklist you finished years ago.
No invented numbers: your payer statuses and financials start where real data starts — with you. Elf asks, records, and works from there.
- A board scoped to operating work — filling the schedule, sustaining the business, growing it. No exit or launch lanes, because you're past them.
- Your real payer list, not a template — you're already enrolled, so Elf starts from the statuses you record instead of guessing.
- The compliance calendar seeded — CAQH re-attestation, license renewal, malpractice renewal, estimated taxes, DEA where it applies.
- A Weekly Brief from week one — what moved, what's stuck, and the decisions waiting on you, in one page.
Launchers graduate. Nothing migrates.
PracticeElf also carries clinicians from employed to independent — and the Elf that walks you across the credentialing gap is the same Elf that runs your back office after, with you in control the whole way. The board, the trackers, the history: already yours on day one of operating.
Three ways to staff the desk.
One difference between them: how much of the work people on our side carry. You choose, and you can change your mind.
Your staff runs the desk; Elf keeps the board, the trackers, and the drafts moving. Everything Elf produces waits for your approval.
Elf tracks and drafts; turn the dial up and our team works the payer portals and makes the calls. You keep every decision.
The full back-office desk — credentialing specialists, billers, and practice executives working what agents can't, coordinated through Elf.
Pricing is scoped to your practice — talk to us and the quote comes back with the recommendation.
Asked by every practice owner we talk to.
Does Elf run my practice?
Elf handles the business and administrative operations — the medicine and the decisions are yours. You own the practice and stay in control: Elf tracks, drafts, and organizes, and nothing goes out without your approval unless you've turned that dial up yourself.
We already have an office manager. Where does Elf fit?
Alongside them. Elf is a companion to the person already running your front office — it carries the tracking, the reminders, and the first drafts so their day is spent on judgment calls, not paperwork. If nobody holds that seat today, Elf covers it until someone does.
Can Elf send things without me?
Not unless you tell it to. The default is draft-first: Elf writes the follow-up, the letter, or the outreach, and it sits in your approval queue. An autonomy dial — set by you, per capability — decides whether Elf may act on its own, and you can turn it back down any time.
What does it cost?
Pricing is scoped to your practice — how much of the desk Elf carries, and how much our team does on your behalf. Tell us about the office below and the quote comes back with the recommendation, usually within one business day.
Tell us about the practice.
A few basics and what's eating the most admin time. We'll come back within one business day with where Elf would start — which desk, which tracker, what the first week looks like.
Prefer to just look around? Sign in and choose "I already have a practice" — the board sets itself up for an operating practice.
Got it — we're on it.
Within one business day you'll hear back with where Elf would start for a practice like yours. No card, no commitment.