For dermatology practices
An AI-run practice. Your team, focused on patients.
Borderless answers your phones, scribes your visits, codes your claims, chases your denials, and tracks every biopsy to a communicated result—on top of the EHR you already use (ModMed, Nextech, EZDERM and more). Built for dermatology, from body diagram to biologic prior auth. Target: 30% less non-provider labor cost. No migration. Live in days.
Live in days, not months · No long-term contracts · We sign BAAs
Today · Tue, Jul 14
Schedule · Dr. Patel
- 9:00M. ChenFull body exam
- 9:20S. AdlerBiopsy follow-up
- 9:40—Open · waitlist fill
- 10:00R. NakamuraBotox · cosmetic
- 10:20J. OrtizAcne consult
- 10:40L. WeissSkin check · new pt
Team inbox
3 need reply
- Maria Chen2m
Can I move my Thursday appt to next week?
Auto-reply · offering Tue 10:40
- Sam Adler2m
Got a coupon for Aczone?
PA approved · texting portal link
- Rin Nakamura2m
Card on file for tomorrow?
Confirmed · $220 held
Borderless syncs with the systems dermatology already runs on
- ModMed EMA
- Nextech
- EZDERM
- athenahealth
- eClinicalWorks
- + yours—ask us
Bidirectional sync where supported. Read-safe by design.
The problem
Half the clinic day goes to software, not patients.
of the clinic workday goes to EHR and desk work—nearly double the time spent face-to-face with patients.
Annals of Internal Medicine
disconnected tools the typical dermatology practice pays for and retrains every new hire on.
physician + staff time consumed by prior authorizations alone.
AMA
Reminders in one tool. Intake in another. Eligibility in a portal, prior auths in a fax queue, reviews in a third dashboard, Botox loyalty in two more. Your front desk isn't slow—they're being used as a human API between systems that refuse to talk. Borderless ends the swivel chair.
Product
Everything after the exam room, in one place.
AI Voice Agent
Your phone lines, answered—24/7, in your voice.
- Answers every call, books/reschedules/cancels, verifies identity before discussing PHI
- Explains balances and sends a Square pay-by-text link—never takes cards verbally
- Places outbound reminder, recall, and balance-follow-up calls on your cadence
- Escalates to a human in under 30 seconds when confidence drops or a caller asks
Replaces: after-hours voicemail, call-center overflow, reminder services, missed-call revenue leaks.
- Priya S.now
Can I reschedule to next Fri?
AI · offered 2 slots
- Dan O.now
Refill on tretinoin?
Routed to Dr. Patel
- Alex R.now
Review request sent ★
Google review · 5★
How it works
Connect. Don't convert.
- 01
Connect your EHR
Secure connection to your existing system. No migration, no downtime, no re-keying history.
- 02
Your practice appears in Borderless
Patients, schedules, balances and recalls sync continuously—both directions where supported.
- 03
Retire tools one by one
Each module replaces a subscription (and its invoice). Your EHR fades into the background; your team works in one app.
And someday, if you're ready—Borderless can be the only system you run.
Outcomes
What one app does to the numbers.
Target: 30% less non-provider labor cost
Front desk, MAs, billers, admin—AI handles the routine, humans review the exceptions.
Every biopsy tracked to a communicated result
Specimen → path result → patient notification, with overdue flags. Zero silent drop-offs.
First-pass clean-claim rate ≥95%
Derm-aware scrubbing plus AI-drafted appeals recover the 6%+ of revenue lost to denials.
Provider sign-off in ≤3 minutes of review
Ambient scribe writes the note and proposes CPT/ICD-10/E&M—you accept, correct, or reject.
Who's building this
Built with dermatology practices, not just for them.
Borderless is a new company with a specific thesis: derm doesn't need another EHR—it needs the ops layer around the EHR to finally work. We're building it in the open with the practices that feel the pain most.
Designed with practicing dermatologists
Every module—biologic prior auth, cosmetic POS, draw-vs-billed reconciliation—is shaped by clinicians and practice managers who live inside ModMed, Nextech and EZDERM every day.
Built for real practice economics
We benchmark against the tools you actually pay for—Klara, Weave, Modernizing Medicine add-ons, Nextech add-ons—so every claim we make maps to a line item your CFO recognizes.
Founding partner cohort is open
We're onboarding a small group of derm practices as design partners. You get locked pricing, a direct line to the team, and outsized influence on the roadmap.
For groups & MSOs
One ops layer across every location—whatever EHR each one runs.
Acquisitions arrive on ModMed, Nextech, or EZDERM. Standardizing them used to mean months of painful migration per site. Borderless syncs with each location's existing system and gives you standardized front-desk workflows, consolidated billing operations, and cross-location dashboards from week one. Utilization, A/R, cosmetic mix, per-location P&L—one pane of glass for the whole platform.
Portfolio dashboard
12
locations
4
EHRs
$2.1M
MTD net
| Location | EHR | Util. | A/R days |
|---|---|---|---|
| Boston · Beacon | ModMed | 91% | 24 |
| Austin · SoCo | Nextech | 87% | 31 |
| Miami · Brickell | EZDERM | 82% | 28 |
| Seattle · Cap Hill | athena | 94% | 22 |
Security & trust
Built for healthcare from the first line of code.
- HIPAA-compliant
- We sign BAAs
- Encryption in transit & at rest
- Role-based access & full audit logs
- Read-safe sync—your EHR data is never put at risk
- SOC 2 Type II—audit in progress
Pricing
Pricing that doesn't need a sales call.
Simple per-provider pricing. Month to month. Migration and onboarding included. No per-module surprises, no auto-renew traps, no cancellation windows. If you've bought practice software before, you know exactly why we lead with this.
Founding partners
LimitedEverything included. Locked for 24 months. Standard pricing starts at $799.
- Every module—Front Desk, Messaging, Billing, Cosmetic, Analytics, AI Staff
- EHR sync included (bidirectional where supported)
- Migration & onboarding included
- Unlimited seats for your team
- BAA signed at signup
- Month to month—cancel anytime
- Founding-partner pricing locked for 24 months
Multi-location group?
Talk to us for platform pricing across your whole footprint—mixed EHRs welcome.
- Central admin across every location
- Consolidated billing operations
- Per-location P&L rollups
FAQ
Straight answers to the questions we hear most.
Your practice, without borders between its tools.
Create your account and connect your EHR today.