Duo EHR, AI that files your claims, writes your charts, reconciles your payments, fixes denied claims, drafts your follow-ups and builds meal plans.
What is Duo Practice?
Duo Practice is practice software for US registered dietitians who bill insurance. Hands, the AI inside it, does the billing and admin when you ask, in Duo or inside the EHR you already use, like Practice Better, and waits for your yes before anything goes out.
How does billing work?
Duo drafts the chart from your visit transcript, builds the claim and checks it. After you approve, it files the claim under your NPI through your own Claim.MD account.

What happens after a claim is filed?
Hands matches each insurer payment to its claim, and fixes and resends denied or rejected claims for you.

What else can Hands do?
Follow-ups, appointment reminders, faxes and meal plans, drafted by Hands and sent on your yes.
See how Hands writes meal plansNothing goes out without your yes.

Who is it for?
Independent US registered dietitians who bill insurance for Medical Nutrition Therapy (CPT 97802, 97803 and 97804). Duo Practice does not do prior authorizations, appeals or credentialing, and new accounts are reviewed before they open.
“Charting is significantly easier, claims are easy to submit, and I can see that I’m actually being paid for my work.”
Teresa Pangan, PhD, RDNNutrition for Midlife Women, Evanston, IL“Everything is in one place: I have the session, complete the note, sign and save it, and bill, all in one swoop. It keeps billing organized and up to date.”
Hannah Ball, RDN, CDNThriving Roots Nutrition, Rochester, NY
What does Duo Practice cost? All the tools are free. You only pay 3.9% on the billing we collect.
3.9% of what the insurer pays on each claim, so a claim paid $0 costs $0.
Common questions
Hands is the assistant inside Duo Practice. Ask for billing and admin work in plain words, like fixing a denied claim, billing this week's copays or finishing a chart, and it does the work while you watch, in Duo Practice or inside the EHR you already use, such as Practice Better, SimplePractice or Kalix. It waits for your yes before anything is sent. Duo Practice is for US registered dietitians billing Medical Nutrition Therapy (CPT 97802, 97803 and 97804); new accounts are reviewed before they open.
The account is free, with no monthly fee and no card on file. Billing costs 3.9% of what an insurer pays on each claim, so a claim the insurer pays nothing on costs nothing. To bill, you also need your own Claim.MD account, which Claim.MD bills you for directly (currently $30 to $120 a month; check Claim.MD for current plans).
No. Claims, invoices, faxes and messages all wait for your yes. Claims go out under your NPI through your own Claim.MD account, and every step Hands takes is written to an activity log.
No. Hands also works inside Practice Better, in a secure browser you can watch. You can also bring your clients and their insurance over to Duo Practice in one import. The import never writes back to Practice Better; Hands only changes what you ask, and asks first.
Duo Practice is HIPAA compliant and works as your business associate. Client information is encrypted in transit and at rest, and every action Hands takes is logged. The details are on our HIPAA page.
Put your practice on autopilot.
Free account. You pay only when insurance pays.