For clinicians & care teams
Manage prediabetes and
Type 2 diabetes between
every appointment.
Continuous glucose monitoring, CGM + finger-prick support, AI nutrition coaching, sleep and exercise correlation, and medication adherence tracking - so your team sees glucose patterns and intervenes long before A1c climbs.
HIPAA compliant · EHR integration · CGM & glucometer ship to patient · Medication adherence box · Nutrition app · Sleep & exercise correlation · Setup in weeks
Integrates with
EpicCernerathenahealtheClinicalWorksMEDITECHNextGenPointClickCareAdvancedMDAllscriptsWellSky+ more
Why continuous glucose monitoring changes diabetes outcomes
A1c is a three-month average.
Time in Range tells you what's happening every day.
Based on published clinical evidence. Revenue estimates are illustrative and vary by payer mix.
Simple enrolment
From referral to monitored patient
in under a week.
Ziva works with CGM devices (Dexterity G7, Libre 3) and Ziva's own Bluetooth glucometer. Your team chooses the right device for each patient - both feed the same dashboard.
1
Refer and choose a monitoring pathway
Select CGM (continuous) or Ziva glucometer (finger prick). Set the patient's target range and alert thresholds. Takes under 2 minutes.
2
Device ships to patient within 48h
CGM sensors or glucometer + medication adherence tracker arrive pre-configured. Isabella onboards the patient step by step - no clinic visit needed.
3
Glucose data flows to your dashboard
Real-time CGM readings or daily glucometer logs populate the patient's glucose trend chart. Time in Range, variability, and alerts appear immediately.
4
Isabella coaches nutrition, activity & habits
Meal logging, carb targets, glycaemic index education, activity tracking, and medication reminders - delivered daily within the parameters your team sets.
5
You adjust — remotely, in real time
Update target ranges, carb limits, medication schedules, or coaching goals from the Ziva portal - changes are reflected in Isabella's daily coaching immediately.
6
Billing documentation generated
RPM-qualifying glucose data tracked automatically. Month-end billing summary ready for your billing team to submit.
Monitoring pathway — choose per patient
CGM — Continuous Glucose Monitor
Real-time glucose every 5 minutes. Best for patients needing insulin, complex management, or frequent fluctuations. Compatible with Dexterity G7, Libre 3, and Eversense.
Ziva Glucometer — Finger Prick
Bluetooth-connected, validated glucometer. Fasting + post-meal readings. Ideal for prediabetes, newly diagnosed T2D, or where CGM isn't indicated. Ships pre-paired to Ziva app.
Medication Adherence Tracker
Connected smart pill dispenser logs every dose of your patient's prescribed medication - posted directly to the chart and correlated with glucose readings.
Prediabetes enrolment opportunity
96 million Americans
have prediabetes - most are unaware. Ziva's glucometer + nutrition coaching programme can help reverse progression. RPM-eligible from first enrolment.
Gloria M., 58* — Glucose this week
Alert active
24h CGM trace — today (mg/dL)
180
70
312
12am8am2pmNow
Time in Range — this week
28% High (>180)
18% High-normal
28% In range
26% Unknown
Est. A1c
8.9%
Avg glucose
214 mg/dL
Meds missed
2 days
Isabella · Clinical summary
"Gloria's glucose has been consistently above 180 this week — Time in Range only 28%. She missed her medication on Monday and Tuesday, which correlates with Wednesday's spike. Reports high-carb meals at dinner over the weekend. Medication review and nutrition plan adjustment recommended."
Glucose monitoring & alerts
See glucose patterns
across meals, activity, sleep & medication.
A quarterly A1c gives you a single number. Ziva gives you the full picture - CGM or finger-prick data correlated with meals, exercise, sleep, stress, and medication adherence every single day, so pattern changes are visible weeks before the next lab.
✓Per-patient target range — set to ADA standards or individualised by clinical need
✓Hyperglycaemia & hypoglycaemia alerts — immediate notification when readings cross thresholds
✓Time in Range tracked daily — with trend, variability, and estimated A1c correlation
✓Meal logging correlated with post-meal spikes — pinpoints specific food triggers
✓Missed medication correlated with glucose excursions — visible in the same chart view
✓Your team can update targets, carb limits, and care plan goals remotely from the portal
Default alert thresholds — configurable per patient
Hyperglycaemia≥ 250 mg/dL → Urgent alert
High-normal181–249 mg/dL → Watch alert
Hypoglycaemia≤ 70 mg/dL → Urgent alert
TIRBelow 70% for 3 days → Team flag
*Stories are inspired by real patient experiences and health patterns observed in care. Names, images, quotes, and certain details have been changed or combined to protect privacy. Individual experiences and outcomes may vary.
Ready to put your diabetes panel on continuous monitoring?
30-minute demo - device options, glucose alert configuration, EHR integration, and the revenue model for your practice.
Nutrition & metabolic coaching
What your patient eats for dinner
shows up on their CGM at 2am.
Diabetes management is fundamentally a nutrition problem. Isabella coaches every meal - carb counting, glycaemic index, portion guidance, and practical food swaps - within the targets your team sets. When glucose spikes after a specific food, Isabella logs the correlation and adjusts future guidance accordingly.
✓Daily carbohydrate target set by your team — Isabella coaches every meal toward it
✓Post-meal glucose correlation — Isabella shows patients exactly which foods spiked their readings
✓Glycaemic index education — practical, meal-specific guidance not generic advice
✓Activity coaching — Isabella shows patients how a 20-minute walk lowers glucose by 15–30 mg/dL
✓Sleep & stress impact explained — nocturnal glucose patterns and dawn phenomenon flagged
✓Your team updates carb targets, food restrictions, and coaching goals from the provider portal
Post-meal coaching — Harold T.*
Isabella → Patient
"Your glucose hit 198 mg/dL 90 minutes after dinner — above your 180 target. Looking at what you logged, the white rice portion was about 2 cups, which adds roughly 90g of fast-release carbs. Switching to half a cup of brown rice plus extra vegetables would likely keep you in range. Let's try it tomorrow."
Activity coaching — Patricia N.*
Isabella → Patient
"Great walk this afternoon — your glucose dropped from 162 to 128 mg/dL over 25 minutes. That's exactly the pattern Dr. Patel mentioned. A short walk after your largest meal each day makes a meaningful difference to your Time in Range."
Provider-adjustable parameters
Daily carb targetAdjustable from portal
Glucose target rangeAdjustable per patient
Alert thresholdsAdjustable per patient
Medication scheduleAdjustable per patient
What flows into your EHR automatically
📈
CGM / glucose readings → vital signs
Every reading posts as an observation - TIR, avg glucose, and variability included
🔔
Glucose alerts → EHR notes
Threshold breaches generate clinical notes posted directly to the patient record
💊
Medication adherence → patient record
Connected adherence device logs each dose - correlated with glucose readings
📋
30-day summary → pre-visit notes
TIR, avg glucose, est. A1c, nutrition log, medication adherence, and activity auto-attached before every appointment
📊
RPM time log → billing documentation
Monthly billing summary compiled and ready to submit
Running automatically — no staff time needed
●Daily glucose check-in prompts and meal logging reminders
●Medication adherence tracked via connected device - dose-level logging to chart
●CGM sensor / glucometer supply reminders and reorders
●Weekly glucose summary sent to patient and logged to chart
●End-of-month billing documentation compiled automatically
EHR sync & automation
Fits into how you already work.
Not the other way around.
Ziva integrates with Epic, Cerner, athenahealth, eClinicalWorks, MEDITECH, NextGen, and more via HL7 FHIR R4. Glucose readings, nutrition logs, medication adherence, and billing documentation flow into your existing system - your team doesn't log into another platform or manage a separate inbox.
✓HL7 FHIR R4 — glucose readings post directly as vital signs in the chart
✓Configurable alert routing — inbox, task list, or pager by severity and glucose level
✓Pre-visit summary auto-attached — TIR, avg glucose, nutrition, adherence, and activity log
✓Remote parameter updates — change targets, carb limits, and goals from the provider portal
✓No new login — all data surfaced inside your existing tools
RPM & CCM billing
Diabetes patients qualify for
both RPM and CCM billing.
Medicare and most commercial insurers reimburse Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) separately. Diabetes patients - especially those with hypertension, CKD, or heart disease - commonly qualify for both. Ziva tracks all qualifying data and generates documentation automatically.
RPM — Remote Patient Monitoring
99453Device setup (one-time)~$19
99454Device supply, 16+ days/month~$65/mo
99457Management, first 20 min/month~$51/mo
99458Each additional 20 min~$41/mo
CCM — Chronic Care Management
For patients with 2+ chronic conditions (diabetes + hypertension, CKD, heart disease)
99490Standard CCM, first 20 min/month~$62/mo
99439Standard CCM, each additional 20 min~$47/mo
99487Complex CCM, first 60 min/month~$130/mo
99489Complex CCM, each additional 30 min~$67/mo
RPM and CCM can be billed together in the same month. Approximate Medicare rates. Commercial rates vary. Consult your billing team and compliance officer.
RPM + CCM revenue estimate
Patients on RPM50
10200
Also eligible for CCM (2+ conditions)30
0= RPM count
RPM
Device supply + management (99454/99457)$5,800/mo
Additional time (99458)$1,330/mo
CCM type
First 20 min (99490)$1,860/mo
Additional 20 min (99439)$1,057/mo
Combined monthly revenue (RPM + CCM)
$9,695
$116,340 annually
Illustrative only. RPM and CCM can be billed together in the same month. Actual revenue depends on payer mix, eligibility, and billing compliance.
Security & compliance
Built for healthcare.
Trusted by clinical teams.
Ziva was designed from the ground up for clinical environments. Every data flow, access control, and integration meets the standards your compliance team requires.
🔒
HIPAA compliant
BAA available. All PHI encrypted in transit and at rest.
✅
End-to-end encrypted
All PHI encrypted in transit and at rest. HL7 FHIR R4 compliant data exchange.
🏥
US data residency
All patient data stored and processed within the United States.
📋
Audit-ready logs
Consent records, access logs, and billing documentation stored and exportable.
Book a demo
See Ziva in action with
your diabetes panel.
30 minutes. We walk through CGM vs glucometer options, glucose alert configuration, nutrition coaching parameters, EHR integration, and design a pilot for your practice.
✓Live walkthrough of the glucose dashboard and TIR views
✓Device selection — CGM vs glucometer for your patient mix
✓Revenue estimate based on your actual diabetes panel
✓First pilot cohort enrolled within 2–3 weeks of go-live
Request a 30-minute demo
We'll walk through enrolment, alert configuration, and the revenue model for your practice.
Book my demo →No commitment. We'll follow up within 1–2 business days.
Questions
Provider FAQ
Yes. Ziva integrates with Dexterity G7, FreeStyle Libre 3, and Eversense CGM devices - data streams directly into the Ziva dashboard alongside the patient's nutrition logs, activity, and medication adherence. For patients without a CGM, Ziva's glucometer supports the same dashboard and alert features. Depending on the device, it ships either with a cellular gateway already synced with Ziva - readings transmit automatically, no pairing or smartphone needed - or as a Bluetooth device the patient connects to the Ziva app once during setup.
Yes - prediabetes is one of Ziva's best use cases. The Ziva glucometer + Isabella's nutrition and activity coaching can meaningfully slow or reverse progression. Prediabetes patients qualify for RPM if enrolled with appropriate clinical documentation. The lifestyle coaching programme is built around ADA and CDC's National Diabetes Prevention Program guidelines.
Yes. From the Ziva provider portal, your team can update a patient's glucose target range, alert thresholds, daily carbohydrate target, meal logging requirements, and medication schedule at any time. Changes take effect in Isabella's daily coaching immediately - no patient action required. All changes are logged with a timestamp for compliance.
Ziva integrates with Epic, Cerner, athenahealth, eClinicalWorks, MEDITECH, NextGen, PointClickCare, AdvancedMD, Allscripts, WellSky, and more via HL7 FHIR R4. For systems not listed, Ziva provides a standalone portal and CSV export. Contact our team to discuss your environment before the demo.
Ziva automatically tracks device supply days (CPT 99454), clinical time spent (CPT 99457/99458), and consent records. CGM readings or daily glucometer logs on 16+ days per month satisfy RPM's physiological data transmission requirement. A billing-ready summary is generated per patient per code at month-end. Ziva does not submit claims directly. Review with your compliance officer before go-live.
Yes. Fully HIPAA compliant, BAA available. All data encrypted in transit and at rest. Patient data is never sold or used for advertising. US data residency. Security documentation and DPA available for your compliance team.