AI documentation built for pain management
Stop spending evenings reconstructing procedure notes and medication logs. Eluve listens to your consultations and procedures, then generates everything — from SOAP notes to procedure reports to PDMP-compliant prescribing documentation — in real time.
75%
less time charting
2 min
average note turnaround
99%
documentation accuracy
Built for your workflow
Ambient Procedure & Visit Notes
Eluve captures your patient encounter — whether it's a follow-up consultation or a fluoroscopy-guided injection — and generates structured documentation including pain assessments, functional status, and treatment response without you typing a word.
Auto Billing & Coding
CPT codes for epidural injections, nerve blocks, radiofrequency ablation, and trigger point injections are suggested automatically alongside ICD-10 codes for radiculopathy, spinal stenosis, and chronic pain syndromes. Each suggestion includes supporting documentation for audit readiness.
Interventional Procedure Reports
Procedure notes for injections, ablations, and implants are generated with the detail payers require — including fluoroscopic or ultrasound guidance, needle placement, injectate volume, and patient tolerance. Ready to review and sign in seconds.
Opioid Risk & Compliance Documentation
PDMP query results, opioid risk assessments, informed consent discussions, and treatment agreements are documented automatically from the encounter — keeping you compliant with DEA and state prescribing regulations.
Referral & Prior Auth Letters
Referral letters to surgeons, physical therapists, and psychologists are drafted from the visit context. Prior authorization letters include failed conservative treatments, clinical rationale, and supporting imaging — ready for payer submission.
Medication & Treatment Summaries
Medication changes, tapering schedules, and multimodal treatment plans discussed during the visit are captured automatically. Generates patient-friendly summaries with dosage instructions, expected timelines, and warning signs to watch for.
Every encounter type, one AI scribe
Pain management spans consultations, procedures, and medication management — all with distinct documentation requirements. Eluve handles every one with specialty-tuned templates.
New Patient Evaluation
Comprehensive pain history, physical exam, imaging review, opioid risk assessment, and treatment planning
Follow-Up Visit
Treatment response assessment, medication adjustment, functional status update, and PDMP review
Epidural Steroid Injection
Interlaminar, transforaminal, and caudal epidurals for radiculopathy and spinal stenosis
Medial Branch Block
Diagnostic facet joint nerve blocks for cervical, thoracic, and lumbar facet-mediated pain
Radiofrequency Ablation
Thermal neurotomy of medial branch nerves for long-term facet joint pain relief
Trigger Point Injection
Myofascial trigger point injections for chronic muscle pain in the neck, back, and shoulders
Joint Injection
Intra-articular injections for sacroiliac, hip, knee, and shoulder joint pain
Spinal Cord Stimulator Trial
Temporary SCS lead placement, programming, and trial assessment documentation
Medication Management
Opioid titration, tapering plans, non-opioid alternatives, and controlled substance documentation
Nerve Block
Peripheral nerve blocks including occipital, intercostal, and genicular nerve injections
How a pain management visit works with Eluve
Patient history and imaging at your fingertips
Eluve pulls together the patient's pain history, prior interventions, current medications, imaging reports, PDMP data, and functional assessments into a concise pre-visit summary. You know their treatment trajectory before they walk in the door.
You treat, Eluve documents
Whether it's a 10-minute medication management follow-up or a fluoroscopy-guided lumbar epidural, Eluve captures the encounter in the background. Pain scores, functional status, procedure details, injectate specifics, and patient tolerance are all documented in real time. Billing codes are identified as the encounter unfolds.
Procedure notes, scripts, and letters — done
Review your finished procedure report or visit note, confirm suggested CPT and ICD-10 codes, generate prior authorization letters for advanced interventions, update the treatment plan, and produce patient-friendly visit summaries — all from the same encounter. Sign off in under a minute and move to your next patient.
Better documentation means fewer denied claims and more revenue captured
You're already performing the procedures. The gap is in documentation — and that gap costs pain management practices tens of thousands per provider each year.
More
complete documentation per visit
When the ambient scribe captures the full encounter — every condition addressed, every clinical decision, every procedure — your documentation supports the true complexity of each visit without extra work.
Fewer
denied claims
Documentation that captures the clinical reasoning, medical necessity, and payer-specific detail from the start means fewer gaps for payers to deny on — and less time spent on appeals.
2x
More ancillary codes captured per procedure
When documentation captures every billable element — fluoroscopic guidance, contrast injection, multiple levels — practices see significantly more complete coding per encounter.
3 hrs
Saved per clinician per day
Less time on procedure notes, coding, and compliance documentation means you leave the clinic on time — or fit in the additional procedures that were backing up your schedule.
If you ever get audited, your notes are ready
Pain management is among the most scrutinized specialties for billing audits, opioid prescribing reviews, and payer clawbacks. Eluve structures every note so it holds up under scrutiny.
Procedure Documentation Standards
Every procedure note includes the elements auditors look for — indication, consent, technique, guidance method, injectate details, and post-procedure assessment. No more reconstructing notes hours after the procedure.
Opioid Prescribing Compliance
PDMP queries, opioid risk tool scores, treatment agreements, and informed consent discussions are captured and documented automatically — keeping you aligned with DEA and state-level prescribing requirements.
Prior Authorization Trail
Eluve documents the conservative treatment timeline, imaging correlations, and functional limitations that payers require before authorizing interventional procedures — creating a clear medical necessity trail.
Audit-Ready Clinical Reasoning
Auditors don't just check that you billed a procedure — they check whether your note shows why it was medically necessary. Eluve documents the clinical rationale, failed alternatives, and expected outcomes for every intervention.
HIPAA-Compliant by Default
All data is encrypted in transit and at rest. Eluve is SOC 2 Type II certified and operates under a BAA with every practice. Your patient data is never used to train AI models.
See what Eluve generates
Every clinic is different. Switch between note styles to see how Eluve adapts to your preferred level of detail.
Interventional Procedure Report
Procedure
Right L4-L5 transforaminal epidural steroid injection under fluoroscopic guidance
Indication
Right L5 radiculopathy secondary to L4-L5 foraminal stenosis with MRI-confirmed right lateral recess narrowing. Failed 6 weeks of conservative management including physical therapy, NSAIDs, and gabapentin. NRS pain 7/10 with functional limitation.
Informed Consent
Risks, benefits, and alternatives discussed with the patient including but not limited to bleeding, infection, nerve injury, dural puncture, allergic reaction, and transient increase in pain. Patient verbalized understanding and signed written informed consent.
Procedure Details
Patient positioned prone on fluoroscopy table. Timeout performed confirming patient identity, procedure, and site. Right L4-L5 foramen identified under AP fluoroscopy. Skin prepped with chlorhexidine and draped in sterile fashion. Skin and subcutaneous tissue anesthetized with 3 mL 1% lidocaine. A 22-gauge, 3.5-inch spinal needle advanced under intermittent fluoroscopic guidance using a subpedicular approach to the right L4-L5 foramen. AP and lateral views confirmed needle tip position in the right L4-L5 foramen, inferior and medial to the pedicle. Negative aspiration for blood and CSF. 0.5 mL Omnipaque 240 contrast injected under live fluoroscopy demonstrating epidural spread without vascular uptake. 1 mL dexamethasone 10mg/mL and 1 mL 0.25% bupivacaine injected. Needle removed intact. Hemostasis achieved with direct pressure. Sterile bandage applied.
Post-Procedure
Patient monitored for 20 minutes in recovery. Vital signs stable. No immediate complications. Motor and sensory function intact in bilateral lower extremities. Ambulated independently. Discharged with post-procedure instructions: avoid driving for 24 hours, ice to injection site PRN, resume normal activities in 24–48 hours. Follow-up in 2–4 weeks.
Billing
CPT: 64483 (Transforaminal epidural injection, lumbar/sacral, single level), 77003 (Fluoroscopic guidance) ICD-10: M54.16 (Radiculopathy, lumbar region), M48.06 (Spinal stenosis, lumbar region)
Generated from a fluoroscopy-guided injection procedure
Frequently asked questions
Yes. Eluve is purpose-built for interventional pain management workflows and understands the specialty's unique terminology, procedure documentation requirements, and regulatory landscape. It recognizes injection techniques, spinal anatomy, fluoroscopic guidance language, and the compliance documentation that pain practices require — generating notes that match how pain physicians actually practice.
Eluve captures pain scores (NRS, VAS), functional status assessments, PDMP review documentation, opioid risk tool results, and treatment agreement discussions from the natural conversation. It structures these compliance elements into the visit note automatically, ensuring that every controlled substance prescribing decision is supported by the documentation that DEA regulations and state-specific prescribing guidelines require.
Yes. Eluve tracks the patient's treatment history and threads prior diagnostic medial branch block results — including dates, levels treated, and percentage of relief — into the current procedure note when you proceed to radiofrequency ablation. This creates the documented treatment pathway that Medicare and commercial payers require before authorizing ablation procedures.
Yes. Eluve is trained on pain management encounters and recognizes specialty-specific terminology including transforaminal epidural steroid injections, medial branch blocks, radiofrequency ablation, spinal cord stimulator trials, trigger point injections, and joint injections — across cervical, thoracic, lumbar, and sacral regions.
Yes. Eluve generates detailed interventional procedure reports including patient positioning, fluoroscopic guidance technique, needle placement, contrast confirmation, injectate composition and volume, and post-procedure monitoring — formatted to meet payer documentation requirements.
Eluve captures opioid risk assessments, PDMP review documentation, treatment agreement discussions, and informed consent from the encounter. It flags when required compliance elements are missing — helping you stay aligned with DEA regulations and state prescribing guidelines.
Yes. Eluve suggests CPT codes for interventional procedures (64483, 64490, 64633, 77003, 20553, and more) alongside ICD-10 codes for chronic pain, radiculopathy, spinal stenosis, and other pain diagnoses. Each code is linked to supporting documentation in your note for audit readiness.
Eluve drafts prior authorization letters that include documented failed conservative treatments, clinical rationale, supporting imaging findings, and functional limitations — the specific elements payers require before approving epidurals, ablations, and implantable devices.
Eluve is HIPAA compliant and SOC 2 Type II certified. All data is encrypted in transit and at rest. We offer a Business Associate Agreement (BAA) for every practice. Your data is never used to train AI models.
Most pain management practices are up and running within a day. Eluve integrates with your existing EHR — including all major platforms — and comes pre-loaded with pain management documentation templates, procedure note formats, and specialty-specific billing code libraries.
Yes. Eluve is built for practices performing 20+ procedures per day. Procedure notes, visit documentation, and billing codes are generated in real time so you never fall behind — even on your busiest procedure days.
Ready to finish charting before you leave the clinic?
Join hundreds of pain management physicians who've eliminated after-hours documentation, procedure note backlogs, and coding headaches with Eluve.
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