01Automated
An inquiry arrives
A website form or a QR longevity-score page drops the lead into the pipeline with its source and priority.
WebsitePipeline
Priority sets the follow-up clock: 2, 3 or 7 days
IntroducingElevate Nexus · Medicine 3.0, operationalized
The operating systemfor the Medicine 3.0practice.
Nexus puts your clinician workspace, operations console and patient app on one live record. It connects to your EHR, Stripe and QuickBooks, and an AI agent network drafts, flags and follows up so your team can practice medicine.
Wired into
Charm EHRStripeQuickBooksSpruceGoogle MeetGoogle CalendarQuestLabcorpApple HealthWhoopVALDCronometerZelleOuraDexcomPandaDocVertex AICharm EHRStripeQuickBooksSpruceGoogle MeetGoogle CalendarQuestLabcorpApple HealthWhoopVALDCronometerZelleOuraDexcomPandaDocVertex AI
01Executive summary
Everything a new practice has to stitch together, already stitched.
Opening a Medicine 3.0 practice usually means buying an EHR, payments, bookkeeping, messaging, scheduling and a patient portal, then paying someone to glue them together. Nexus is that glue, finished: the platform LV8 Health runs its own clinic on, packaged for physicians who want to open with it already running.
Today
10 logins. 10 bills. Data in 10 places.
With Nexus
One login. One record. One team.
EHR
Payments
Bookkeeping
Secure messaging
Scheduling
Telehealth
Patient portal
E-signature
Lab results
Spreadsheets
Elevate Nexus One record behind everything
EHR
Payments
Bookkeeping
Secure messaging
Scheduling
Telehealth
Patient portal
E-signature
Lab results
Spreadsheets
Keep scrolling · ten tools become one system
Lab report
DEXA scan
Whoop
Visit notes
Meal log
MR
Marcus R.
one record
ApoB88 mg/dL
Protein128 g/day
Lean mass58.2 kg
HRV48 ms
Next labs12 weeks
One record
Every lab, scan, wearable reading and visit lands on the same chart. Nobody types anything twice.
ApoB 88
ApoB 88
ApoB 88
New lab result · updated everywhere
Change it once, everyone sees it
A new lab result updates the physician's chart, the front desk's screen and the patient's app at the same moment. No re-entering, no phone tag.
Scribe
Tasks
Orders
You
Agents that work together
One agent's output is the next one's input, and a person approves before anything reaches a patient.
02The platform · live demo
One system. Three sides. One record.
A guided tour of the real product, recreated on fictional data. Callouts point out what matters on each screen, and Live interactive demo hands you the controls.
Jump to anyone…K
Thursday, Sep 24
Central · updated 1m ago
The morning read
Good morning, Dr. Kline.
3 consults on the calendar today, and 2 active patients need you off-schedule.
Second Consult ran overnight
41 changed charts · 1 red · 3 amber
9:30AM
SeenMR
Marcus Reed
Quarterly review
Watch1 watchSummary ready
1 order to approve · 1 follow-up to log
11:00AM
NowPN
Priya Nair
Hormone follow-up
On trackTranscript pending
Recording with consent
2:30PM
AheadDO
Daniel Okafor
Cardiometabolic check-in
At risk1 urgent1 watchBriefing ready
2 refills to send · 3 overdue tasks
Off your schedule
Ranked by attention score
DO
Daniel Okafor
Visceral fat loss · last seen 3 weeks ago
93/100
TH
Tom Hartley
Metabolic endurance · last seen 5 weeks ago
84/100
MR
Marcus Reed
Metabolic endurance · last seen 12 days ago
71/100
HL
Hannah Lee
Hypertrophy · last seen 34 days ago
58/100
Due today · not booked
Hannah Lee · 2-week check-inBook
Sofia Marín · Lab reviewBook
Tasks you sent
Get Tom's nephrology recordsOn it · Care coordinator
Refill: rosuvastatin for MarcusDone
Call Daniel re: antibioticNew
01 / 17Clinician workspace
The morning read
Before the first patient, the physician sees today's consults ranked by risk, which charts the AI flagged overnight, and what each visit still needs.
All patients, staff and figures in these demos are fictional. Screens are recreated for this brochure from the live platform.
03Integrations
Everything plugs into one Nexus.
Elevate Nexus connects the EHR, labs, wearables, payments and messaging a precision practice runs on, and replaces the separate tools usually bolted on around them. Pick a hub to see what it connects.
ElevateNexusone record
01 · Clinical & labs
The clinical backbone: charts, orders, results and signatures.
- CharmHealth EHRCharts, orders and e-prescribingIncluded
- Quest · LabcorpLab orders placed through Charm
- VALD ForceDecksStrength and balance testing
- DEXA · FibroScan · RMRResults matched to the right patient
- PandaDocOnboarding forms and e-signature
Where the savings come from
Eight subscriptions you skip.
Every tool you do not buy is a login, a contract and a monthly invoice you do not have. The EHR comes set up and connected as part of the package.
Separate patient appSeparate bill
AI scribeSeparate bill
Scheduling & remindersSeparate bill
Billing & payment linksSeparate bill
Remote monitoringSeparate bill
Care-plan builderSeparate bill
Team task boardSeparate bill
Onboarding & e-signatureSeparate bill
1 subscription: Elevate NexusEHR included · one record
Wearables, built in
Whoop data that works for the practice
Recovery, HRV, sleep and resting heart rate flow into the chart, the weekly plan and the physician's brief on their own. No separate remote-monitoring platform to pay for, no screenshots, nobody re-typing numbers. Oura, Apple Health and Dexcom work the same way.
Recovery78%
HRV48 ms
Sleep7.3 h
Resting HR56 bpm
The chart
Recovery 78% · synced today
This week's plan
Strength moved to Thursday
The physician's brief
Trend flagged for the next visit
Not on Charm or Google?
Nexus ships with CharmHealth and Google Workspace connected. If your practice runs another EHR, or Microsoft 365 and Teams for the team, we scope that connector in your proposal.
Your accounts stay yours
Your EHR, Stripe and Spruce accounts are in your practice's name. Nexus plugs into them, so your data and your vendor relationships stay with you.
04For clinicians
A calmer chart for medicine that looks ahead.
Medicine 3.0 needs more than a problem list. Nexus organizes every chart around the member's goals, biological age, organ systems and the treatments addressing them.
Organ-system clocks
Five organ-system indices, each with a score, a status and how many years older or younger that system looks.
Marcus · sample member
CardiovascularHeart71-3.1 yrs
Biological age
49.1vs calendar age 52
2.9 years younger · recalculated with each lab draw
Cardiovascularmarkers behind the score
ApoB 88 mg/dLLDL 98 mg/dLHDL 48 mg/dLhs-CRP 1.1 mg/L
PhenoAge inputsLevine et al. 2018
AlbuminCreatinineFasting glucosehs-CRPLymphocytes %MCVRDWAlkaline phosphataseWBC
Nine routine labs you already draw. A missing marker is estimated and clearly labeled provisional. Wellness indices, not diagnostics.
How the numbers are made
Established research + your own data.
The clocks follow published, peer-reviewed aging science. The physician reads them together with each member's own measurements, and the markers behind every score are one tap away.
Published research+Member data=Organ-system clocks
The research it stands on
- Nature Medicine · 2026 · Wyss-Coray & TopolBiological aging clocks in health and disease
- Nature Aging · 2026 · Wang et al.Organ-specific proteomic aging clocks predict disease and longevity across diverse populations
- Nature Medicine · 2024 · Argentieri et al.Proteomic aging clock predicts mortality and risk of common age-related diseases in diverse populations
- Aging · 2018 · Levine et al.An epigenetic biomarker of aging for lifespan and healthspan (PhenoAge)
- Ground Truths · 2026 · Eric TopolMedicine is moving from calendars to clocks
The member data read with it
Blood panels
CMP, CBC, lipids, hs-CRP. Every new draw updates the clocks.
DEXA
Lean mass, fat mass and visceral fat over time.
FibroScan
Liver stiffness and liver fat, read with the liver index.
VO₂ max & RMR
Fitness and resting metabolic rate.
Wearables
HRV, sleep and resting heart rate from Whoop and Apple Health.
Visit notes
Symptoms and context captured by the AI scribe.
The physician side of the mobile app
Run the practice from your phone, between patients.
No laptop required. Today's consults, overnight AI flags, the order queue, messages and follow-ups, built into the same Nexus mobile app and designed for a thumb and a two-minute gap.
The day on one arc
Consults from your own calendar, what is still ahead, who is due to book and what is urgent.
Scribe status on every visit
Recorded, transcript ready or summary ready, on each consult card before the next call.
Sign orders between visits
Labs and refills drafted from the visit wait in one queue. Review, adjust and approve in a few taps.
Tasks, messages and follow-ups
Quick-add a task for the team, reply to members and close follow-ups, all from the same screen.
9:41
Meridian LongevitySK
Thursday · Sep 24
Good morning, Dr. Kline
3 consults AI flagged 1 overnight
1 still ahead2 due to book1 urgent
9:30
SeenMarcus Reed
Quarterly review
Summary ready1 watch
11:00
NowPriya Nair
Hormone follow-up
Transcript pending Join
2:30
AheadDaniel Okafor
Cardiometabolic
Briefing ready1 urgent
What needs you
Approve HbA1c order · Marcus
Call Daniel re: antibiotic
TodayPatientsScheduleOrdersMessagesSettings
05Intelligence · the agent network
Agents that draft, flag and follow up. You approve.
Nexus runs a network of AI agents across the practice. Each one does a narrow job, cites what it read, and stops at a human gate before anything leaves the building.
Ask the chart
Plain-language questions, answered from the record.
Every search is filtered to one patient, so answers can only come from that chart: transcripts, labs, scans, wearables and notes.
MRWhat did we decide about his ApoB?patient: MR-1042 only
Question
Scoped to one patient
Retrieve from the record
Reason on the chart
Answer with sources
Retrieved · ranked
1
Visit transcript · quarterly review
Sep 24
2
Lab report · lipid panel
Sep 02
3
Visit transcript · follow-up
Jun 12
Answer
Searching this patient's record…
Vertex AI SearchGemini on Google Cloud+ 30 structured chart records
Nine agents, one standard: show your work.
18 AI capabilities · every one human-reviewed live
Visit scribe
Turns each Google Meet visit into a pre-visit briefing and a post-visit text, email and report.
Staff approve before sending
live
Order drafting
Proposes labs and prescriptions from the transcript, each with the quote behind it, matched to the EHR catalog.
Approve, then place: two steps
live
Second Consult
Reviews every changed chart overnight for interactions, gaps, trends and missed follow-ups.
Physician triage · learns from dismissals
live
Document intelligence
Reads lab, imaging, DEXA and RMR reports into structured values with change from baseline.
Low-confidence results held for review
live
Weekly care plans
Drafts a plan for every member from wearables, nutrition, labs and the last visit, each item with its reason.
Ops approve before delivery
live
Clinical brief
Summarizes the chart when it opens: what to raise, key results with trends, care gaps.
Internal, cached for speed
live
Task extraction
Pulls action items from every transcript with an owner, a priority and a due date.
Team triage
live
Chief of staff
Files the physician's team-chat requests as tasks with suggested owners and posts updates three times a day.
Team triage · corrections feed back
live
Patient guide
Answers members' questions from their own record. Educates, never diagnoses, and routes clinical questions to the team.
Scoped to one member
Agent activity · a clinic day
09:12Lab report read · 41 values · quality 0.93
08:02Whoop sync · HRV, sleep and recovery for active members
07:45Chief-of-staff update posted to the team chat
06:10Daily briefs drafted for today's consults
Quotes checked word for word
Findings and order proposals cite the chart. A machine check confirms each quote exists before anyone sees it.
A person approves
Summaries, plans, orders and messages wait for a human. Nothing reaches a patient or a pharmacy on its own.
One patient at a time
Retrieval is filtered to a single patient, and patient logins can only ever reach their own record.
A daily AI budget
Chart reviews skip unchanged charts and run under a daily spend cap you control.
An audit trail
Chart reviews and order actions are written to insert-only logs, with the model behind each result.
Inside Google Cloud
Models run on Vertex AI in the platform's own cloud project, alongside the data they read.
06Operations on autopilot
The front desk, billing office and care coordinator, running themselves.
Follow one member from first inquiry to renewal. At every step, Nexus either does the work or prepares it for a one-click human decision.
Follow one member from hello to renewal.
AutomatedNexus does the work
Human gatePrepared for a one-click decision
Keep scrolling →
02Automated
The discovery call
Booked from a scheduling page. Call notes, outcome and an interest score land on the lead.
Booking pageGoogle Calendar
Leads get Monday and Thursday contact days
03Human gate
They become a member
Drag to Active client: the chart is created, onboarding forms go out and the first invoice is sent.
StripeEmail
A client only counts after payment
04Human gate
Labs and diagnostics
Labs are ordered from the EHR catalog. DEXA, RMR and VO₂ max are booked, and each one bills itself and books the next when completed.
Charm EHRQuestLabcorp
Physician approves every order
05Automated
Results come back
Reports are read into structured values and matched to the right patient. Anything ambiguous waits for a person.
Document AIVALDFibroScan
Biological age recalculates on every draw
06Automated
The visit
A Google Meet link on the invite, a briefing ready beforehand, and the transcript fetched afterwards.
Google MeetDrive
Completing a visit books the next one
07Human gate
Summary, tasks and orders
A text, an email and a report are drafted. Tasks get owners, orders get proposed, and staff approve before anything is sent.
SpruceEmailCharm EHR
“This is exactly what the patient receives”
08Human gate
The plan goes live
The weekly plan is approved and delivered to the app, with nutrition and training targets updated to match.
Patient appMeal plannerWhoop
Every item carries its reason
09Human gate
Follow-ups
Cadence-based check-ins go out in reviewed batches. Anyone seen recently, already booked or paused is held back.
SpruceEmail
13 hold-back rules
10Automated
Billing and the books
Memberships and refills bill on schedule. Stripe payments reconcile, Zelle receipts match, and paid invoices post to QuickBooks.
StripeZelleQuickBooks
Monday finance review, one row per patient
Day 90Renewal is the result
Every step, one record.
No exports between tools, no re-typing, and a clear owner for every task along the way.
Tonight's shift
Second Consult
Nightly
The clinic's night shift
While the team sleeps, the system works.
Reviews every chart that changed since yesterday. Unchanged charts are skipped.
Every 15 min
Calendar sync catches new bookings, cancellations and reschedules
Every hour
Meet transcripts and recordings are fetched for finished visits
Every 2 min
The physician's team-chat requests are filed as tasks
On every event
Completing a visit or a scan books the next one and bills it
07Tasks & protocol rules
Every task has an owner. Every protocol runs on time.
Tasks arrive from visits, the team chat, the physician's phone and your own protocol rules. Each one lands with the person who should do it, not in one big pile.
Visit transcript
Team chat
Quick add from the phone
Protocol rule
Routing
Routing to the right person…
Physician0
Nurse & care team0
Front desk0
Billing0
AI suggests the owner. Reassign in one tap, and every correction teaches the router. The physician's list holds only what needs a physician
Protocol rules
If this happens, Nexus does that.
IfTestosterone therapy starts
ThenBook hematocrit and PSA at 3 months
AndAlert the physician if hematocrit is above 54%
AndRemind the member two days before the draw
Examples. Your rules are set up with you during launch, for prescriptions, diagnostics, labs and billing. Anything clinical still waits for a physician to approve.
Quick add between patients
Type or dictate a task on the phone in the gap between visits. It is routed like any other.
Rules instead of reminders
Monitoring labs, rechecks, rebooking and billing follow your protocols automatically, with the physician in the loop.
Works where your team talks
Requests in Google Chat become tasks today. Microsoft Teams can be scoped for your practice.
08The patient app
The app your members actually open.
Home, Track, Coach, Care and Me. Built around what to do today, grounded in the member's own record, and styled in four directions so it can wear your practice's brand.
Visual direction
9:41
Want a few reminders?
Well-timed nudges, never a stream. Switch any of them off in one tap.
Morning protein target
After you wake · 7:30 AM
Evening log check
8:30 PM
Weekly trend recap
Sunday · 9:00 AM
Care-team replies
When they write back
Where
Push
Email
SMS
Quiet hours
Nothing in between, ever · max 5 a week
Reminders never include health details. They show a cue, not a number.
Turn on 3 reminders
HomeTrackCoachCareMe
9:41
Thursday · Sep 24
Morning, Marcus
M
MTWTFSS
2 of 3 days loggedYour brief · 6:10 AM
Recovery is up. A good day to train.
HRV is back above your weekly average after two short nights. Upper A is on the plan.
HRV
48
+4
Resting HR
56
−1
Sleep
7h18
+34m
From Whoop · Labs · DEXAStart Upper A
74
Elevate score
Preview+3 this week · +11 since Jan
Protein adherence+1.4
Zone 2 minutes+1.1
Sleep consistency+0.5
Today · do these
1 of 396
12
✓
54 g protein and 8 min Zone 2 to go.
HomeTrackCoachCareMe
9:41
Track
FuelMoveSignals
Movement · this week
3
of 4
Minutes by day
M
T
W
T
F
S
S
Zone 2 this week47 / 150 min
1 more session and 103 Zone 2 minutes to go.
Toolkit · train, test, move
Exercise library
691 exercises
Routines
Clinic, mine, templates
Fitness tests
20 longevity markers
Mobility & balance
Video routines
Cardio & VO₂
Zone 2 and Norwegian 4×4 intervals
HomeTrackCoachCareMe
Home · Obsidian · True black, one ember accent
A morning brief written from their own data, the Elevate Score with what moved it, and three things to do today.
A brief every morning
Written from last night's recovery, recent labs and the plan, with one clear action.
Answers that cite
The coach shows the member's own values behind every answer, and remembers only what they allow.
Care in a tap
Book the next visit, request a refill or message the care team without a phone call.
The same rows the team edits
Medications, scans and visit notes appear exactly as the care team keeps them. The app never keeps a copy.
Included with membership for patients: records, tracking, trends and the AI coach. No trial, no paywall.
09Security & privacy
Built for health data from day one.
Designed around HIPAA workflows: least privilege, audit trails, a person in the loop for every AI output, and no health details anywhere they do not belong.
Thursday, September 24
9:41
A typical health appnow
Marcus Reed: your HbA1c came back at 5.9%. Dr. Kline wants to change your metformin.
What we never send
Details open only inside the app, after sign-in
Access by role
Provider, nurse, front desk, ops and admin each see what their role needs. A patient login can only ever reach that patient's own record.
One secure gateway
Browsers and phones talk only to the platform's API. The EHR, payments and every other vendor are reached server-side, never from a device.
Audit trails
Every patient-portal read is logged, alongside audit tables for payments, prescriptions, documents, orders and AI reviews.
No health details in notifications
Push alerts, webhooks and onboarding links carry no health information. A link is an unguessable token, nothing more.
Nothing stored on the phone
The physician and member apps never cache patient information on the device.
A person approves every AI output
AI drafts summaries, messages, plans and orders. Nothing reaches a patient until your team approves it.
Logs that forget
More than 90 kinds of personal and health fields are redacted from logs before they are written.
Encrypted where it matters
AI conversations and wearable tokens are encrypted with AES-256-GCM.
AI inside the same cloud
Gemini runs on Vertex AI in the platform's own Google Cloud environment, next to the data it reads.
Quiet by design
Member notifications respect quiet hours, a weekly cap and a rest mode.
Staging first, instant rollback
Every change ships to staging before production on Google Cloud Run, and production can roll back in one step.
Tested on every release
125 automated test files run before a release is allowed out.
10Programs and services
Sized to where your practice is.
Pricing and the full brochure are shared on a discovery call, so every proposal fits your practice, your team and your launch date.
Feature matrix
What each program includes
Launch
Open your doors
For physicians opening in the next six months.
Most chosen
Practice
Run a membership practice
For practices growing members and staff.
Precision
The full Medicine 3.0 stack
For flagship and multi-physician practices.
Platform
Clinician workspace and consult briefs
Operations console: leads, scheduling, billing
Physician mobile app: run the practice from your phone
Patient portal on the web
Patient mobile app in your brand
Connections
CharmHealth EHR, set up and connected for you
Stripe invoicing and pay links
QuickBooks bookkeeping sync
Spruce messaging, Google Calendar and Meet
Wearables: Whoop, Oura, Apple Health and Dexcom
Diagnostic results: VALD ForceDecks, FibroScan, DEXA and RMR
Intelligence
AI visit scribe and patient-ready summaries
AI assistant grounded in each patient's record
Biological age and organ-system clocks
Weekly AI care plans with team approval
Second Consult overnight chart review
Orders drafted from visits, approved by you
Narrated weekly recap videos
Programs
Meal planner and movement library
90-day challenge with streaks and milestones
Protocol and content library tuned to your practice
Services
Launch configuration and data setup
Staff training
Brand and white-label design
Migration from existing systems
Dedicated success lead and managed operations
Pricing
Shared on your discovery call
Shared on your discovery call
Shared on your discovery call
Your accounts stay yours. Your EHR, Stripe and Spruce accounts are in your practice's name. We set them up, connect them and keep them running.
Inclusions are a starting point. We tailor every program on the discovery call.
What LV8 does for you.
Practice launch
EHR, fee schedule, visit types, payment flows and patient onboarding configured before day one.
Brand and app
Your name, colors and voice across the portal, the patient app and every message it sends.
Integrations
Charm, Stripe, QuickBooks, Spruce, Google Workspace, wearables and diagnostic devices, wired and tested.
Clinical content
Goal pathways, protocols, exercise and nutrition libraries adapted to how you practice.
Team training
Role-by-role onboarding for physicians, nurses, front desk and operations.
Managed operations
An LV8 team that keeps the system tuned, monitored and improving as you grow.
11Case study · real clinical domain
LV8 Health: a Medicine 3.0 clinic that runs on Elevate Nexus.
Nexus was not designed in a lab. It was built inside LV8 Health, a precision longevity practice, over twelve months of real clinic days. Every feature earned its place there first.
One quarterly review, end to end
Nine agents touch one visit. A person approves every step that reaches the patient.
0
months built and run inside a working clinic
0
agents working on one quarterly review
0
messages sent to a patient without a person approving
Day beforeStep 1
Visit scribe
A pre-visit briefing lands with the physician as a Google Doc: biggest risk, biggest win, trends since last time and an agenda.
09:30Step 2
Google Meet
The visit runs on the Meet link from the calendar invite. Attendance, recording and transcript are captured automatically.
09:52Step 3
Visit scribe
A text, an email and a detailed report are drafted from the transcript and the chart.
09:58Step 4
Human gate
Ops previews exactly what the patient will receive, approves it, and the text goes out through Spruce.
09:59Step 5
Task extraction
Four tasks appear with owners and due dates: one for the clinician, one for the care team, one for the patient, one for the front desk.
10:04Step 6
Order drafting
A lipid panel is proposed with the physician's own words as evidence. The physician approves it, then places it.
SundayStep 7
Weekly care plans
Next week's plan reflects the new targets. Ops approves it and it appears on the member's Home screen.
OvernightStep 8
Second Consult
The chart changed, so it is reviewed again. Nothing new is found, so nobody is interrupted.
Week 12Step 9
Document intelligence
Labs come back, values are read and matched to the chart, biological age recalculates and the app shows what improved.
“We built the system we wanted to practice in, then we practiced in it every day. Nexus is what survived.”
The LV8 team
12Frequently asked
Questions buyers ask first.
EHR compatibility, timelines, AI safety, data and pricing. If yours is not here, bring it to the discovery call.
Nexus ships with CharmHealth, set up and connected for you as part of the package, and that is the fastest path to launch. If your practice is committed to another EHR, tell us on the discovery call: we review what it can connect to and scope that connector in your proposal.
13Discovery call
See Elevate Nexus withyour practice in mind.
The full brochure, a walkthrough built around your model and pricing are shared after a short discovery call. Tell us a little about your practice and we will be in touch within one business day.
01A 30-minute discovery call
Your model, your team, your launch date.
02A tailored walkthrough
Nexus configured around your practice.
03The full brochure and pricing
A proposal sized to what you actually need.