Built by a physician who got tired of cosigning notes at 11pm.
CosignMD is the AI agent for the rest of your practice — notes, calls, messages, faxes, tasks, billing. It does the legwork and drafts the next step; you review and sign off. One login. One system that actually talks to itself. Built during rounds, not in a boardroom.
I'm Alfredo Lee Chang, a pulmonologist and intensivist. For years I thought my problem was the notes — that if I could just finish charting by 11pm, I'd have my life back.
Then one Tuesday I finished a note at 10:45. I still had three voicemails, a fax I never saw, bills to be submitted and a prior auth my staff had re-drafted twice. The notes weren't the problem. The notes were just the last thing I did every day, after surviving everything else.
I tried every tool on the market. Each one fixed one thing and ignored the other five. So I built the thing I actually needed — one system where the note, the call, the fax, the message, and the PA all know about each other. Because they're all me.
The rest of your stack, replaced.
Independent physicians run their practice on six separate subscriptions that don't talk to each other. CosignMD is the layer that retires all of them, with one context the AI actually understands.
Before · six tools, six logins
- AI scribe $99–700/mo
- Patient messaging $200–400/mo
- Call management $300–800/mo
- Fax / Rx service $100–250/mo
- Staff messaging $150–400/mo
- Prior auth labor $500–2,000/mo
After · one layer
Three surfaces. One context.
The advantage isn't that it does six things. The advantage is that the AI knows what happened on the other five when you ask about the sixth.
Defensibility catches the queries before they hit your inbox.
Type, etiology, acuity, link to treatment — flagged before you sign. Billing codes suggested with severity and rationale. Not a checklist. A read of your note the way an auditor reads it.
Calls, texts, and faxes that draft their own replies.
Incoming pharmacy call gets AI-transcribed, cross-referenced against today's note, and a draft reply is ready before you check your phone. Patient and hospital texts and calls are triaged by clinical urgency, not arrival time — like having an operator.
Faxes and prescriptions, handled in the same layer as the note.
Inbound faxes routed and read against the chart. Refills and Rx coordination without the back-and-forth. Need a prior-auth letter? Ask, and the AI drafts the medical-necessity letter — pulling diagnosis and prior treatments from the patient's note when you want it — for you to review, sign, and fax.
The intelligence on top.
Once your notes, calls, and faxes share one context, the AI agent can do things no single tool can — propose your next steps, read what you snap, catch you up, and send the day's bills out the door. You confirm everything before it counts.
The follow-ups you dictated, proposed back to you.
Tap Review Note and the AI reads what you just wrote, then proposes the follow-ups you already said out loud — "recheck CBC," "call cards" — as a short checklist (up to five), each with a reason and an urgency. You check which to keep; nothing is created until you confirm. One Tasks list for the whole service, fed by your voice, your notes, your census, and manual entry — with stat / today / later / someday urgency.
Snap a board. Or a facesheet.
Photograph the ward whiteboard or a printed census sheet and the AI reads every room, name, and diagnosis — messy handwriting and multi-photo boards included — then builds the census for you to confirm before it's added. Or snap one patient's facesheet: the AI reads the room and name and adds that patient to your census, pre-filled with demographics and insurance.
"Catch me up on room 312."
Ask, or just open the patient, and get a computed longitudinal summary built from your own prior dictations — active problems, recent labs, active medications, open plans, and how many times you've seen them. It's assembled from facts the AI pulled from your past notes.
It sends your day's bills, too.
When you close out the day, CosignMD compiles the full day's billing across your census and sends it to your biller for you. Need one sooner? Ask the agent to send any patient's billing summary on demand.
If any of these sound like you.
CosignMD is built for a specific kind of clinician. If it fits, you'll feel it in the first session.
- You finish your charts after your kids are in bed.
- You pay for three or more tools that don't talk to each other.
- You've been queried for vague documentation more than once.
- You know you're under-coding but never have time to fix it.
- You want your practice data to belong to you — not your hospital.
- You'd rather pay one platform than orchestrate six.
Answered, plainly.
A small group of physicians shaping the next year of the product.
Founding physicians get direct access to the founder, lifetime-locked pricing at $99/mo, and a seat at the table on what gets built next. In exchange, we ask you to actually use it and tell us what's broken.
This isn't a launch funnel. It's a handful of physicians helping shape a platform before it opens to everyone. Spots are limited by how many people one founder can personally support.
Lifetime-locked rate. Direct founder access. A seat at the table on what gets built.
Ongoing rate for new subscribers once early access closes.
Your whole practice, one layer.
Built by a physician. Used by physicians. For physicians who'd rather be practicing medicine.
Apply for founding access →