mdhub

mdhub is a San Francisco-based health technology company that sells an AI-native operating system for behavioral health clinics, combining a purpose-built EHR, CRM and revenue cycle management (RCM) system with software "AI workers" that execute admissions, clinical documentation and billing tasks alongside clinic staff [0][6]. The company markets three named AI workers: Emma, an AI clinical assistant that drafts structured session notes, applies CPT codes, pre-charts sessions and assists with treatment planning; Sarah, an AI admissions coordinator that answers inbound calls, texts and faxes 24/7, collects intake details, verifies insurance eligibility and matches and schedules patients with providers; and Eric, an AI billing agent that handles coding, claims submission, denial management and prior authorizations [0][6]. The website also references Remi, an AI phone agent used by a customer for lead qualification [0].

The platform is positioned as a replacement for the fragmented legacy stack that mid-to-large behavioral health clinics run on, with admissions, clinical and billing work flowing through one system and modules that can be used independently or together [0][6]. mdhub's EHR product covers charting and notes, scheduling, billing and claims, patient intake, insurance and prior authorization, reporting and analytics, secure HIPAA-compliant messaging, care plans, a branded patient portal, provider management and credentialing, workflow automation and integrated telehealth [4]. The company advertises enterprise-grade security, HIPAA compliance and SOC 2 certification [0]. A companion mobile app on Google Play records in-person or virtual patient conversations and returns transcripts, structured notes and patient-friendly summaries via a secure portal; the listing states the product is a documentation and workflow support tool that does not provide clinical decision support or medical advice [3].

Earlier positioning centered on a single clinical AI assistant for mental health clinicians that captured the patient-clinician conversation to automate clinical documentation, after-visit reports, pre-charting and treatment planning [7]. Successive YC launches trace the progression from "clinical AI assistant for mental health clinics" to "AI agents for mental health clinics" to the full AI-native operating system [6].

Founding story

Co-founders Dominik Middelmann (CEO) and Efrén A. Lamolda (CTO) had worked together since 2018 at a hyperscale start-up, where Efrén was a founding engineer and Dominik the first hands-on operator. Efrén holds an MSc in Computer Science; Dominik was previously Director of Product Operations at TIER Mobility and worked at BCG, and holds a Masters in Management from London Business School. They founded mdhub in 2023 in San Francisco to address the administrative burden that leaves mental health clinicians spending only about half their time with patients [6][7].

Business model

B2B software sold to behavioral health clinics, characterized as subscription SaaS with a services and consulting element [5]. Customers range from solo and group practices to enterprise, CCBHC and multi-site behavioral health organizations, and mdhub also runs a structured four-week implementation program covering data migration from an existing EHR, workflow and template configuration, role-based staff training and a supported go-live with a dedicated implementation manager [0][4].

Software platform sold to clinics on a subscription basis, with modular AI workers (admissions, clinical, billing) that can be purchased independently or as a unified clinic operating system, plus implementation and onboarding support [0][4][5].

Traction

The company website states that more than 10,000 clinicians nationwide use mdhub and that 98% of clinics report improved efficiency [0]. In its full-stack launch, mdhub reported that Emma had been used in over 3 million patient sessions across more than 1 million patients in the prior year, returning over 500,000 hours of administrative work, and that Sarah had booked over 100,000 patients into care [6]. Customer references include Family Care Center, whose director cited more than 600 clinicians using mdhub and over 50,000 sessions per month, and University Health Kansas City, which reported documentation savings of 6 to 20 minutes per note [0]. The Google Play app listing shows 1,000+ downloads [3]. Marketed outcome claims include 30% more patients scheduled, a 55% reduction in denials, roughly two clinician hours saved daily, a 70% reduction in documentation time per provider and 40% lower administrative cost per patient visit [0][4].

Latest developments

mdhub launched its full stack as an AI-native operating system for behavioral health clinics, adding three products beyond its AI workers: mdhub EHR (documentation, intake, treatment planning, e-prescribing and billing), mdhub CRM (admissions pipeline and automated follow-up) and mdhub RCM (claim submission through collections) [6]. A third-party market-data profile records an April 2026 signal describing the launch of an AI-native platform for behavioral health clinics [5]. The company is hiring for growth, engineering, deployment and sales roles in San Francisco [6].