Ayra Health

Why proof matters

Denials are expensive.
Proof arrives too late.

Behavioral health needs a shared record both sides can inspect before revenue, care continuity, or authority is disputed.

Denial pressure

Claim denials create a visible revenue leak before care teams ever reach appeal.

15-25%

Appeal upside

Appeals often succeed, which means proof was needed earlier in the workflow.

70-82%

Unworked denials

Denied claims that never get resubmitted turn preventable friction into lost revenue.

60%

How it works

Four steps.
One verifiable record.

A consent gated multi hop moves through four stages: signed, gated, anchored, and verified. The result is a record a payer, regulator, or successor clinician can check.

~10ms

Clinician signs

Every action signed with the clinician's key and bound to their authority.

~25ms

Safety gates check

Agent Safety Gates run deterministic consent, licensure, and documentation checks before the consent-gated multi-hop is permitted to leave.

L2 sequencing

Local attestation

Events bundle into a Merkle batch for real-time local attestation; the public receipt is anchored asynchronously.

on demand

Verifier recomputes

Ayra Verifier recomputes proof bundles against public DLT receipts. Public source release is planned after pilot hardening.

The architecture

Six layers stacked.
One operating layer.

Each layer is engineered for review and recomputation through Ayra Verifier. They compose into a single system that sits beneath the workflows clinicians already use.

Output · payer adjudication

06L6

Payer Proof

Verifiable claim attachment bundles for adjudication. Where workflow automation meets review-ready evidence.

Validation active

05L5

Verify

Ayra Verifier recomputes workflow decision timelines against public DLT receipts without raw patient data or production secrets.

Validation active

04L4

Erasure

Sovereign erasure. Cryptographic deletion proofs preserve audit structure without keeping readable PHI.

Validation active

03L3

Safety

Agent Safety Gates. Deterministic guardrails check licensure, consent, coding, and documentation before action; clinical judgment routes to a person.

Validation active

02L2

Authority

License and jurisdiction attestation for clinicians practicing across state lines.

Validation active

01L1

Audit

Tamper-evident multi-hop records anchored to public DLT receipts at the moment of emission.

Validation active

Input · clinical event

Backend operations

Six layers,
running in validation.

Every gate check is deterministic. Every batch is receipted. This is a read-only benchmark snapshot from the validation environment and audit index; counts move only when the backend emits and anchors new records.

Core engine benchmark · read-only polling

Indexed events 31,308 across 55 receipt batches Latest event current snapshot Latest receipt block 42,028,382 · current snapshot Backend heartbeat live · online

Verify receipt record

01Audit

Active

3,204

events / 24h

Indexed audit events; latest receipt batch is reviewable.

Latest proof ID 0xeaddfebc…

02Authority

Active

7,272

attestations / 30d

License and jurisdiction attestation for clinicians practicing across state lines.

Authority role 0x0dFCBB88…

03Safety

Active

1,291

gates / 30d

Agent Safety Gates. Deterministic guardrails check licensure, consent, coding, and documentation before action; clinical judgment routes to a person.

Routed 912 for review or block

04Erasure

Active

operations / 30d

Sovereign erasure. Cryptographic deletion proofs preserve audit structure without keeping readable PHI.

Proof spec AUDIT-EVENT-SPEC v2.0.1

05Verify

Active

6,321

verifications / 30d

Ayra Verifier recomputes workflow decision timelines against public DLT receipts without raw patient data or production secrets.

Anchor contract 0x8000D00f…

06Payer Proof

Active

6,907

bundles / 30d

Verifiable claim attachment bundles for adjudication. Where workflow automation meets review-ready evidence.

SmartConsent 0xCA6fA226…

Recent backend events · anchored evidence Polling

19:47:12 Audit · Anchor 0xeaddfebcaad22020… Verified

19:46:58 Payer Proof · Bundle 0x4439b4cd… Verified

19:46:44 Safety · Gate Pass 0x73fb79c7… Verified

19:46:30 Authority · Attest 0x47AAd5af… Verified

19:46:14 Safety · Gate Block 0x2cde1e7a… Blocked

The network

Care travels.
Authority travels with it.

Behavioral health crosses state lines every day. Each indexed consent-gated multi-hop can carry clinician authority, patient consent reference, and an audit batch reference; the public DLT receipt verifies the batch anchor, not every aggregate count shown here.

Jurisdictions live 52

Cross-state Consent-Gated Multi-Hop flows (pilot) 1,847

Authority refusals 23

Verifier checks Sandbox

Proof checkpoint

Core engine benchmarks.
Validation snapshot.

Metrics reflect historical cryptographic finality across the behavioral-health validation matrix. Counts move only when platform events are emitted; reading this page does not create a receipt.

Refreshed current snapshot

Validation events indexed 31,308 Current validation-sandbox total.

Receipt batches 55 Public batch roots in the receipt environment.

Latest receipt 55 Most recent anchored receipt batch.

Latest block 42,028,382 Block reported by the public receipt.

Proof ID 0xeaddfebc... Open the tracker or receipt to inspect the proof ID.

Backend heartbeat live Read-only polling signal.

The infrastructure

Six layers.
One operating layer.

SmartConsent is the proof layer that sits beneath every behavioral health workflow. Each layer has a name. Each name corresponds to verifiable engineering in operation today.

Audit

Consent-gated workflow records roll into tamper-evident batch anchors.

Authority

License and jurisdiction attestation for clinicians practicing across state lines.

Safety

Agent Safety Gates. Deterministic guardrails check licensure, consent, coding, and documentation before action; clinical judgment routes to a person.

Erasure

Sovereign erasure. Cryptographic deletion proofs preserve audit structure without keeping readable PHI.

Verify

Ayra Verifier recomputes workflow decision timelines against public DLT receipts without raw patient data or production secrets.

Payer Proof

Verifiable claim attachment bundles. Submit with evidence. Adjudicate with the same record.

Layer 01 · Audit

Tamper-evident
by emission.

Every consent-gated workflow action produces an indexed record. Records roll into Merkle batches, and batch roots anchor in the receipt environment. The public receipt verifies the batch anchor; the index provides aggregate counts.

Validation events indexed

31,308

Status

Operational

Layer Six · Payer Proof

Where claims become reviewable.

A Payer Proof bundle carries the evidence needed to check whether a claim was complete, authorized, and unaltered before submission.

Submit with
evidence.

Every Layer Six bundle carries the components a payer needs to verify the claim is authentic, complete, and unaltered since the moment the clinician signed. Open the bundle. Run the verifier. The result is binary.

Redacted payloadSealed

Redaction proof0xdbfe4ea8…

Consent referenceActive

Receipt reference55

Proof ID0xeaddfebc…

Verifier resultVerified ✓

Four denial vectors — checked upstream.

Validation active · refreshed every 30s

Validation active 70% auto-fix

Authorization expired

Validates prior auth status against payer rules. Auto-extends or routes to ops.

412 +12%

caught / 30d

287 auto-fixed 125 to ops

Validation active 100% auto-fix

Duplicate claim

Dedupes by patient + CPT + date + amount before EDI transmission.

189 -4%

caught / 30d

189 auto-fixed 0 to ops

Validation active 0% auto-fix

Medical necessity

Checks CPT–ICD pairing against AMA CCI tables. Flags incompatible combos.

256 +8%

caught / 30d

0 auto-fixed 256 to ops

Validation active 37% auto-fix

Missing documentation

Verifies time spent, NPI, place of service. Pulls from session transcript if missing.

855 +18%

caught / 30d

312 auto-fixed 543 to ops

Modeled validation impact

Validation model · refreshed snapshot

Modeled validation impact. Not realized revenue.

These figures model claim-value exposure from validation-cohort variance. They are not collected revenue, realized savings, or guaranteed payer results.

4,662 +1,697 / 7d

Modeled claims avoided

in the last 90 days, modeled from the pilot cohort variance

Read-only model · pilot cohort

$1,397,320 +$508,634 / 7d

Modeled current period

at average claim value across this cohort

Read-only model · value × variance

$5,666,909 +368.0%

Modeled annualized impact

annualized from the current validation-period model; not realized revenue

Read-only model · annualized view

Anchored evidence receipt 55 · block 42,028,382 · 0xeaddfebc… Verify

Evidence over explanation

Don't take our word.
Take the receipt.

Counts update as the pilot cohort and audit index change. The latest proof record shows status first, with proof IDs available for technical review.

3.6%

27.7%

pilot variance

24.1 point modeled variance

3.6%

Adjudication variance · SmartConsent guardrails

6,907 validation bundles · current window

27.7%

Parallel control cohort

5,463 claims · parallel de-identified evaluation set

19%

Historical market baseline

Anonymized payer dataset · market context, not an Ayra Health source

Verified at 19:47:18 UTC

Claim ID DEMO-00000

Block 42,028,382

Proof ID 0xeaddfebc…

Verify receipt record

Voice

Quiet. Precise.
Confident.

We describe what the infrastructure does. We don't claim how impressive it is.

Say this

Verifiable consent at the moment of submission.

Not this

Generic AI claims without reviewable evidence.

Say this

Every consent-gated multi-hop creates a review-ready record.

Not this

Revolutionary AI-powered audit infrastructure for the modern era.

Say this

SmartConsent guardrails enforced.

Not this

Opaque cryptographic protocol claims.

The founders

Two founders.
One discipline.
Plus clinical authority.

Ayra was started by two people from opposite sides of behavioral health — one building infrastructure, one practicing clinically. The brand discipline comes from that combination.

Co-Founder · CEO

Alex Thornton

The proof layer behavioral health needs didn't exist yet. So we built it.

Disabled Marine Corps combat veteran, LLM / Generative AI Engineer, and 15+ years in insurance and startup experience. Built Ayra to be the proof layer that workflows can stand on.

Co-Founder · Clinical

Katie Thornton

The infrastructure has to respect what real care requires. That's where I come in.

Licensed Clinical Social Worker and EMDR-trained therapist with 15+ years of trauma-focused experience. Built a thriving practice across 8 states and brings clinical practice directly into the infrastructure layer.

Advisor · UPenn

Lily Brown

Research discipline belongs inside the infrastructure, not outside it.

Assistant Professor of Psychology in Psychiatry and Director at Penn's Center for the Treatment and Study of Anxiety. Her research focuses on treatment development and implementation to mitigate suicide risk in patients with anxiety disorders and PTSD.

For investors

Categories
get defined
once.

Behavioral health is being rebuilt around verifiable infrastructure. Ayra is the layer that doesn't exist yet — and the regulatory environment is making it inevitable.

01 · The wedge

Cross-state
behavioral health.

The highest-friction workflow in the highest-regulated specialty. Telehealth expansion turned every clinician into a multi-jurisdiction operator. The audit gap is real, expensive, and growing.

02 · The moat

Six patent-pending
layers.

Audit, Authority, Safety, Erasure, Verify, Payer Proof. Each layer is independently engineered and composable into a single operating layer. Ayra Verifier creates an independent verification path for reviewers.

03 · The market

Five buyer
categories.

Digital health platforms, EHR vendors, payers, academic medical centers, telehealth operators. B2B infrastructure distribution. Aligned with FTC enforcement direction and HHS oversight expansion.

Where infrastructure categories live · behavioral health

2010s

EHR adoption

2018-22

Telehealth scale

2022-25

Cross-state expansion

2025-26 · now

Audit infrastructure

2027+

Verifiable AI in care

Direct conversation

Talk to the founders.

Diligence materials, financial detail, and pilot context shared under NDA. We respond to every investor inquiry within 48 hours.

hello@ayrahealth.com

Proof, made
verifiable.

Receipted before review.

Denials are expensive.
Proof arrives too late.

Four steps.
One verifiable record.

Six layers stacked.
One operating layer.

Six layers,
running in validation.

Care travels.
Authority travels with it.

Core engine benchmarks.
Validation snapshot.