Maya · On-Premise Co-Clinician

The co-clinician that lives in your clinic.

Maya is a photorealistic digital human who greets your patients, prepares your physicians, and drafts the documentation — paired with a private medical-AI reasoner that runs on hardware inside your walls. In air-gapped mode, patient data never leaves the building.

Reasoning · MedGemma 27B Scribe · MedASR Imaging · MedSigLIP Posture · Human-in-the-loop
2 hrs : 1 hr
Documentation time vs. face-to-face care today
On-prem
Inference runs on your hardware
Drafts only
A clinician signs before anything is final
Public cloud AI PHI blocked CLINIC LAN · PHI BOUNDARY Maya System 1 · the empathetic face Reasoning hub System 2 · MedGemma, local EHR · FHIR (local) PACS · DICOM Nothing inside makes an outbound call
Why this matters

Clinicians are drowning in documentation. The cloud fix makes a privacy problem.

The case for conversational AI in the clinic is overwhelming. The blocker is rarely the use case — it's the data path, and the burnout it's meant to solve.

THE BURDEN

Two hours of admin for every hour of care

Clinicians spend over 2 hours on documentation, record searches, and intake for every hour of face-to-face patient time. That friction is a leading driver of provider burnout and lost clinical capacity.

THE TRAP

Cloud AI streams PHI out of the building

Most conversational and scribe vendors send patient recordings to cloud servers. For a covered entity that means third-party compliance barriers, ransomware exposure, and breaches of sensitive intake feeds.

THE OUTAGE

Cloud tools stop when the internet does

A scribe that depends on bandwidth fails exactly when a clinic can least afford it — during an outage, a network slowdown, or an external provider's downtime.

THE STALL

Pilots die in security review

Clinicians love the demo. Then the data-flow diagram reaches InfoSec, an arrow points out of the building, and the project quietly stalls for months.

Meet Maya

An empathetic face, with a deliberate clinical mind behind her.

Maya pairs a fast, warm conversational front with a slow, careful medical reasoner — both running on the clinic's own hardware. It's the dual-process design that lets her be human at the bedside and rigorous in the record.

System 1 · Fast & empathetic

Maya, the conversation host

The photorealistic talking avatar patients actually engage with — low-latency dialogue, reading cues like distress and hesitation, holding the thread of the whole visit.

System 2 · Slow & deliberate

The clinical reasoning hub

A private medical-AI stack built on Google's MedGemma models — tracking symptoms against protocol, drafting notes and codes, reading images, all behind the clinic firewall.

Maya ships as a self-contained clinic appliance: the avatar host you may already own, paired with a compact on-site inference box. Plug it into the clinic LAN and it's running.

Built by a founder who spent sixteen years in data governance and regulatory compliance inside one of the world's most regulated pharmaceutical companies — so the product starts from the compliance constraint instead of bolting security on at the end.

The conversation with your security team is short, because there's no external inference path to review.

What Maya does

End-to-end clinical support, on the edge.

Patient-facing

Interactive onboarding

At a kiosk or exam-room tablet, Maya takes patient histories, confirms intake records, and captures the chief complaint empathetically — before the clinician walks in.

Physician-facing

Intelligent physician prep

Reads local EHR records and labs into a concise huddle sheet of abnormals and gaps, delivered to the clinical workstation so the physician walks in already oriented.

Documentation

Ambient scribe

Captures the consultation with a medical-tuned ASR, then drafts the SOAP note offline and populates local EHR fields — no API round-trip, no cloud transcript.

Imaging

Image-to-report support

Multimodal models read X-ray, derm, fundus, CT/MRI, and pathology locally — flagging low-quality scans instead of guessing, and surfacing prior images for context.

Back office

Coding & prior-auth

Drafts ICD-10 and CPT codes and a prior-authorization justification from the cleaned transcript and findings — the revenue-cycle work that quietly eats clinician time.

Reliability

Runs through outages

Because inference is local, Maya keeps working when the internet drops or an external server goes down — uninterrupted, with no cloud-lag.

See her work

Maya, in a diabetes follow-up visit.

A real walkthrough of Maya conducting a follow-up consultation — running on local hardware, drafting as she goes.

Empathetic front

A clinician patients open up to

Maya holds a natural, unhurried conversation — the kind of rapport that gets a fuller history and reduces onboarding anxiety.

Working behind the scenes

Scribing and reasoning as she talks

While Maya speaks, the local reasoner tracks symptoms against protocol and builds the draft note in the background.

Local by default

Nothing in this visit left the building

Speech, dialogue, and documentation all ran on-site. The recording never touched a third-party cloud.

One encounter

How a visit moves through the system.

Fast, empathetic dialogue up front. Deliberate reasoning behind it. A human gate before anything is finalized.

01

Pre-visit prep

The hub reads records and labs into a concise huddle sheet of abnormals and gaps.

Reasoner
02

History-taking

Maya greets and takes history while the scribe captures it and the reasoner tracks symptoms against protocol.

Maya + scribe
03

Imaging

Any images are interpreted locally; low-quality scans are flagged rather than guessed at.

Imaging
04

Documentation

SOAP note, ICD-10/CPT codes, and prior-auth are drafted from the cleaned transcript and findings.

Back office
05

Sign-off

The clinician reviews, edits, and signs. Only then is anything written to the EHR — and every step is audited.

Clinician
The difference

Why Maya wins where cloud scribes and EHR portals can't.

Capability
Maya · local edge
Cloud AI scribes (DAX, Nabla)
Traditional EHR portals
Data sovereignty (cloud-free)
On-premise execution
Exposes cloud latency & risk
Basic local database
Empathetic visual avatar
Embodied digital human
Audio-only scribe
Form inputs only
Full offline autonomy
Runs during outages
Requires high bandwidth
Local network portals
Turnkey onboarding & intake
Kiosk-native
Ambient scribe only
Manual forms only
Compliance posture

Reliable and compliant by construction.

Running inference on-premise collapses most of the HIPAA surface. With the conversation kept local, no third party touches PHI — so there's no inference-time business associate to trust in the first place.

C1

Data stays on-prem

All models run on the clinic's own hardware. In air-gapped mode, no PHI crosses the firewall — eliminating the inference-time BAA dependency entirely.

C2

Security Rule safeguards

Encryption at rest and TLS in transit on the LAN; role-based access with unique IDs and automatic logoff on every node.

C3

Audit & provenance

Every AI output is tagged with model, version, inputs, timestamp, and the clinician's accept / edit / reject decision — a defensible record of who relied on what.

C4

Human-in-the-loop by design

Outputs are drafts. A clinician signs off before anything is finalized. These models assist clinical judgment — they don't replace it, and aren't used as clinical-grade decision-makers.

Design decision · the conversation boundary

The honest fork: richer cloud voice would cross the PHI boundary and require a cloud BAA plus de-identification. So the standard deployment is air-gapped — local speech-to-text, local dialogue, local text-to-speech — keeping the boundary unbroken. Cloud voice is offered only as an opt-in tier under a signed BAA. We ship air-gapped first, by default.

"I spent sixteen years in data governance and regulatory compliance at Eli Lilly. I've seen exactly where AI projects die in a regulated environment — it's almost always the data path. We built Maya so that conversation never has to happen."

Ram
Founder & CEO, The Pennar
Why now

Secure conversational health systems are becoming essential.

$59.1B
Conversational AI in healthcare by 2030, up from $18.8B in 2025
25.7%
Projected CAGR, 2025–2030
44%
Of healthcare orgs plan voice deployments within 24 months
$12B
Projected annual U.S. savings from streamlined documentation by 2027

Put a co-clinician in your clinic.

Tell us about your environment and we'll set up a working pilot — including exactly how Maya clears your security review.