In development · built for one roof, several practices
More than one therapist under one roof, without one of them reading the others' notes.
Real practices are not one shape. A clinic can hold clinicians who are part of it and clinicians who merely rent a room from it, at the same time, on different money — and the wall between them has to be enforced by the software rather than promised in a contract, because the owner is often a practising clinician too.
Clinics and group practices
One roof, several practices, and a wall the software keeps.
A clinic is a customer in its own right here, not a therapist account with extra logins. It signs its own agreement, is paid in its own name under its own tax number, and is billed for its own therapists. The hard part is not the money — it is the confidentiality wall, and that is a thing the software has to enforce rather than something a contract promises.
Three ways a therapist inside a clinic gets paid
An agreed percentage, everything to the clinic, or everything straight to the therapist — decided with each therapist when they join. Pexido never divides a payment. Where the share is a percentage, the money arrives whole and Pexido reports what the agreed share comes to; the clinic settles it and records a dated settlement. Fees follow the money: whoever was paid is the one charged.
Whose record is it
For a therapist the clinic employs, the record is the clinic's. For a therapist working independently inside it, the record is theirs. Either way the clinic reads a therapist's records only where that therapist and the clinic agreed it may — and only records written during a period that agreement covered. A note written while the record was closed stays closed, even if the arrangement opens later. Every reading is recorded against the name of the person who did it.
Nobody joins a clinic by somebody else's decision
A clinic invites; the therapist accepts. There is no route by which an administrator adds a clinician who has not agreed to be added — which matters, because membership is what decides who can read what.
The clinic sets its own roles
Whoever opens a clinic administers it, need not be licensed and need not be a therapist. They grant other people individual permissions, confirming in each case that the person is authorised. Four things can be granted to nobody: the clinic's tax number, where its money is paid, accepting the clinic agreement, and granting access to others.
One ledger, two kinds of owner
The clinic has a balance of its own and withdraws from it, on the same append-only ledger as a solo therapist's. Its statement breaks down by therapist, so what each person brought in is a figure rather than a negotiation. Money moving inside a clinic is not allowed to happen quietly — somebody is told.
Supervision is a relationship between two named people
Not a role somebody holds over everybody. A supervisor is recorded against a particular supervisee, sees that supervisee's clients and no others, and every chart they open is written to the access log under their own name. Where the client agreed to it, a supervisor can also listen to the hour itself and read what the assistant heard. The supervisee's note is not final on their own signature — it waits for the co-signature, and the record page describes how that signature is bound to the one it countersigns.
A client can move between two clinicians
Handing a client from one therapist in the clinic to another is a supported act with its own trail, instead of a second record for the same person. Where the clinic can see a therapist whose records are closed to it, it sees sums of money with no client named.
The dangerous case, named: a clinic owner who is also a practising psychologist must not be able to read an independent therapist's notes. That is why the wall is in the permission model and tied to the period an agreement covered, rather than written into the agreement and trusted.
Keep reading
The rest of the therapist side.
A first group of therapists is being invited now.
Early profiles are free, and the people in that first group help shape what gets built next. Send your name, your state and your specialty — or just ask to be told when it opens, and we will leave it there.
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