A single multi-hop travels through four stages — signed, gated, anchored, verified — and emerges as something a payer, regulator, or successor clinician can independently check.
Each layer is independently engineered and independently verifiable. They compose into a single system that sits beneath the workflows clinicians already use.
Every gate checks. Every batch anchors. The layer counts are pulled from the alpha cohort and audit index every 30 seconds; they change when the backend emits new records.
Behavioral health crosses state lines every day. Each indexed multi-hop can carry clinician authority, patient consent reference, and an audit batch reference; the public ledger verifies the batch anchor, not every aggregate count shown here.
Signed actions enter the audit index. Batch roots anchor to the public ledger. You can watch the indexed stream here and verify the public batch transaction later.
This is a simulated feed for demonstration. The production stream emits the same event shapes, with the same signatures, anchored to the same chain that the Verify layer can independently confirm.
SmartConsent is the proof layer that sits beneath every behavioral health workflow. Each layer has a name. Each name corresponds to verifiable engineering in production today.
Every clinical action produces an indexed record. Records roll into Merkle batches, and batch roots anchor to the public ledger. The public transaction verifies the batch anchor; the index provides the live aggregate counts.
A SmartConsent claim arrives at adjudication carrying its own evidence. Four components. One bundle hash. Independent verification at every step.
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.
Each percentage point in the observed denial-rate delta can be modeled against billed claim value. This view estimates alpha-period revenue impact; it is not a guarantee of future payer results.
Counts update as the alpha cohort and audit index change. The public proof is the latest anchored batch: transaction, block, and verification status.
Infrastructure for organizations that move behavioral health across systems, states, and payers.
Embed cross-state continuity without building the rails. Ayra adds license checks, gated Multi-Hop flows, and audit-anchored claim evidence behind your network.
Add white-label multi-hop and audit infrastructure. Produce verifiable records on demand without owning chain infrastructure or licensing-board integrations.
Support multi-state care, training, and studies with audit records, license attestation, and erasure proofs that survive outside review.
Enter new states with authority checks and safety gates already in the workflow.
Receive SmartConsent bundles with verification evidence attached before adjudication.
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Talk to usWe describe what the infrastructure does. We don't claim how impressive it is.
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.
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.
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
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.
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.
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.
Audit, Authority, Safety, Erasure, Verify, Payer Proof. Each layer is independently engineered, independently verifiable, and composable into a single operating layer. Open-source verifier removes counterparty risk.
Digital health platforms, EHR vendors, payers, academic medical centers, telehealth operators. B2B infrastructure distribution. Aligned with FTC enforcement direction and HHS oversight expansion.
