Voice-first operating system for going independent

You hold the dial.

Set how much you do yourself — anywhere from 0% to 100% human involvement. Move it any time.

Built for clinicians going independent — MD/DO, NP, PA, and therapists. Elf runs the back-office and setup of your practice — you own it and stay in control.

Your involvement
Operator A balanced split — you steer; Elf preps, our team executes.
50%
Payer enrollment & follow-upsOur team
Entity, EIN & licensing prepElf
Phones, scheduling & intakeYou
Vendor calls & portal loginsYou

Turn the dial up and the cash-gap valley gets shallower — Elf and our team carry more of the build. Your price scales with the dial — never with your revenue.

Typical research puts the cash gap around $90k–$450k over ~90–180 days. Estimate based on your inputs and typical timelines — not a promise. We refine it as we learn more.

Mission control

The whole arc, on one board.

Exit, Launch, Fill, Sustain — every task carries a status and an owner, so you always know what is moving and who has it. Some tasks wait on a third party; Elf tracks those too.

Stage 01

Exit

Review your employment & non-compete terms
DoneCounsel
Notice timeline & handoff plan
In progressYou
Stage 02

Launch

Form the entity & file for EIN
DoneElf
State medical license update
Waiting on third partyElf
Brand, site & phone line live
In progressElf
Stage 03

Fill

Payer enrollment & credentialing
Waiting on third partyElf
Scheduling & new-patient intake flow
In progressElf
Local referral outreach
QueuedYou
Stage 04

Sustain

Claims submitted & tracked
In progressBiller
Overdue payers flagged & followed up
In progressElf
Monthly owner dashboard
QueuedElf

Elf tracks every payer, flags overdue ones, and drafts the follow-up; turn up the dial and our team works the calls and portals.

Next best action

The one thing that moves you forward today.

Elf reads the whole board and surfaces a single step — so independence is never an overwhelming to-do list. Today: confirm your target launch month so payer enrollment can start (it has the longest lead time).

How we charge

Aligned with you owning it — not with what you earn.

Flat fee. We never take a percentage of your practice. When you grow, you keep all of it.

  • The dial sets your price. Hand more to our team and the fee reflects that work — your revenue never enters the math.
  • You own the entity, the patient relationships, and every dollar of upside. Elf runs the back-office and setup of your practice — you own it and stay in control.
  • Turn the dial down whenever you want to take the wheel back. No lock-in to a single way of working.