For clinicians & care teams
Manage your thyroid
patients between every
appointment.
Daily symptom check-ins, medication adherence tracking, lab result correlation, nutrition coaching, and monthly reports - so your team sees the full picture before every appointment, not just a TSH number once every six months.
HIPAA compliant · EHR integration · Hashimoto's & hypothyroidism · CCM billing eligible · Setup in weeks
Integrates with
EpicCernerathenahealtheClinicalWorksMEDITECHNextGen+ more
Why continuous thyroid monitoring changes outcomes
A TSH result every 6 months is one number.
Daily symptom data is the story behind it.
Simple enrolment
From referral to monitored patient
in under a week.
No connected device required for thyroid monitoring - Ziva's value comes from daily symptom logging, medication adherence tracking, and lab result correlation. Isabella onboards the patient entirely.
1
Refer and set clinical parameters
Set the patient's TSH target range, medication reminder time, and lab schedule. Enter current labs if available. Under 3 minutes.
2
Patient onboards via the Ziva app
Isabella walks the patient through the daily check-in, medication reminder, and lab entry process. No device needed - smartphone only.
3
Daily symptom data flows to your dashboard
Wearable data (HRV, sleep quality, skin temperature), symptom tags, medication timing, and physical symptoms populate the patient's panel daily. You see trend changes in real time.
4
Lab results entered — Isabella correlates
Patient or provider enters TSH, Free T4, Free T3, and antibody results. Isabella overlays each result on the symptom history - so the relationship between labs and how the patient felt is finally visible.
5
You update goals and add recommendations
From the provider portal, update the patient's TSH target, medication schedule, lab interval, nutrition goals, and add clinical recommendations - reflected in Isabella's coaching immediately.
6
Monthly report compiled before every appointment
30-day symptom scores, lab trend, medication adherence, nutrition, and sleep - auto-compiled and ready in the portal and EHR before every visit.
What Isabella tracks for thyroid patients
🏷 Symptom tags & wellness logs
Brain fog, cold sensitivity, fatigue, and mood - patient-tagged and timestamped as they occur. Builds a 30-day symptom picture your appointment never could.
💊 Medication adherence & timing
Every dose timestamped - not just whether they took it, but when. Late doses flagged and correlated with upcoming TSH results.
🧬 Lab result correlation
TSH, Free T4, Free T3, TPO/TgAb antibodies entered and overlaid on symptom history. Lab trends visible over months, not just the last draw.
⌚ Wearable signals
HRV, sleep quality, resting heart rate, and skin temperature - streamed automatically from Apple Watch, Oura, or Garmin. No patient logging required.
Hashimoto's vs hypothyroidism
Ziva supports both on the same platform. For Hashimoto's patients, Isabella additionally tracks antibody trends (TPO/TgAb), gluten intake, and inflammation-related symptom patterns - with coaching parameters you set per patient.
Patricia K., 44* — Thyroid panel
Review needed
HRV trend — last 6 weeks · Apple Watch
38ms
6w ago · 62msNow · 38ms
Medication adherence — this month
61%
11 missed or late doses · pattern of late-morning takes
Last TSH (8 weeks ago)2.6 · in range
Avg HRV at that time62ms
Current avg HRV38ms ↓
Brain fog tags this month18 occasions
Isabella · Clinical summary
"Patricia's HRV has declined significantly over 6 weeks — averaging 38ms, down from 62ms six weeks ago. Brain fog tagged 18× this month. Medication adherence is 61% with a consistent pattern of late doses (taken with breakfast rather than 30 minutes before). This timing pattern significantly reduces absorption. TSH is due for recheck — likely to be elevated. Recommend ordering labs and reviewing medication timing."
Clinical dashboard
See the symptoms, labs,
and the habits driving both.
A TSH result without context tells you little. Ziva provides the context - daily symptom scores and medication adherence layered over every lab result, so you can see whether a suboptimal TSH reflects a dosing issue, a timing issue, a lifestyle pattern, or something requiring clinical adjustment.
✓HRV trends, sleep quality, and skin temperature across your full panel — flag physiological deterioration weeks before labs
✓Medication adherence with timestamped doses — distinguish missed doses from timing issues
✓Lab-to-symptom overlay — TSH results shown alongside the symptom scores from the weeks before
✓TSH target range set per patient — alerts when symptom trend suggests labs are due early
✓Antibody tracking for Hashimoto's — TPO and TgAb trend alongside symptom scores and nutrition logs
✓Update TSH targets, lab schedule, medication timing, and coaching goals from the portal — reflected immediately
*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 monitor your thyroid panel between appointments?
30-minute demo - patient setup, lab correlation, EHR integration, and a pilot design for your practice.
Monthly reports & workflow
The full picture arrives
before every appointment.
Isabella compiles a 30-day report monthly - or before any scheduled appointment - covering symptom scores, medication adherence, lab trend, nutrition, and sleep. It arrives in the provider portal and attaches to the EHR automatically. Your 10-minute appointment becomes a clinical decision, not a history-taking session.
✓30-day wellness summary — HRV trends, sleep quality, skin temperature, symptom tags, and physical symptoms charted and summarised
✓Medication adherence log — percentage on time, pattern of late doses, and Isabella's timing notes
✓Lab result correlation — TSH, Free T4, Free T3, and antibodies overlaid on symptom scores from the same period
✓Isabella's clinical summary — key observations and suggested discussion points for the appointment
✓Auto-attached to EHR pre-visit notes via HL7 FHIR R4 integration
Provider portal — update remotely
TSH target rangeAdjustable per patient
Medication reminder timeAdjustable per patient
Lab recheck intervalAdjustable per patient
Clinical recommendationsAdd notes to Isabella's coaching
Monthly report — Patricia K.*
Avg HRV (Apple Watch)38ms ↓
Brain fog tags18 this month
Medication adherence61%
Most common late-dose time8:30–9am (with food)
Last TSH2.6 (8 weeks ago)
Isabella · For provider
"HRV decline over 6 weeks (62ms → 38ms) correlates with declining medication adherence and brain fog tagged 18× this month. Late-dose pattern (taken with breakfast) significantly reduces absorption. Recommend TSH recheck and medication timing review before adjusting dose — this may be a timing issue rather than a dosing one."
Hashimoto's coaching — Maria L.*
Isabella → Patient
"Your TPO antibodies came down to 180 from 310 six months ago — a significant reduction. Your selenium intake has been consistent and your sleep has averaged 7.4 hours. Dr. Patel can see this trend. Your next antibody check is in 8 weeks — keep the same routine."
CCM billing
Thyroid patients with comorbidities
qualify for CCM billing.
Patients with hypothyroidism or Hashimoto's plus one or more additional chronic conditions - such as depression, anxiety, cardiovascular disease, type 2 diabetes, or another autoimmune condition - qualify for Chronic Care Management (CCM). Ziva's monthly reports and symptom tracking documentation support the billing requirements.
CCM Standard — 99490 / 99439
For patients with thyroid condition + 1 or more chronic comorbidities (depression, anxiety, cardiovascular disease, T2D, etc.)
99490First 20 min of CCM/month~$62/mo
99439Each additional 20 min~$47/mo
CCM Complex — 99487 / 99489
For patients requiring 60+ minutes/month - complex autoimmune cases with multiple conditions
99487First 60 min of complex CCM/month~$130/mo
99489Each additional 30 min~$67/mo
Ziva's monthly reports and symptom tracking documentation support CCM billing requirements. Review eligibility and documentation requirements with your billing team and compliance officer. Approximate Medicare rates - commercial rates vary.
CCM revenue estimate
CCM-eligible thyroid patients
30
5thyroid + 1 comorbidity150
CCM type
First 20 min/month (99490)$1,860/mo
Additional 20 min (99439)$1,057/mo
Monthly CCM revenue estimate
$2,917
$35,004 annually
Illustrative only. Approximate Medicare rates - commercial rates vary. Consult your billing team and compliance officer before go-live.
What supports CCM documentation
📋
Monthly symptom summary
Energy, brain fog, mood, physical symptom scores - 30-day log compiled automatically
💊
Medication adherence record
Timestamped dose log, percentage adherence, and timing pattern - monthly
🧬
Lab result trend
TSH, T4, T3, and antibody history correlated with symptom scores - auto-compiled
✏️
Provider recommendations log
Clinical notes and goal updates from the provider portal - timestamped and stored
Book a demo
See Ziva in action with
your thyroid panel.
30 minutes. Patient setup, symptom tracking configuration, lab correlation demo, EHR integration, and a pilot design for your practice.
✓Live walkthrough of the symptom dashboard and lab correlation view
✓Medication adherence tracking and timing alert configuration
✓Monthly report format and EHR auto-attachment demo
✓First pilot cohort enrolled within 2–3 weeks of go-live
Other conditions
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 manages both on the same platform. For Hashimoto's patients, Isabella additionally tracks TPO and TgAb antibody trends, monitors for inflammation-related symptoms (joint pain, fatigue flares), coaches nutrition factors specific to autoimmune thyroid disease (selenium, gluten intake), and notes the correlation between lifestyle factors and antibody levels. For hypothyroidism patients, the primary focus is medication adherence and timing, TSH trend, and symptom correlation. Both are configured per patient from the provider portal.
Every dose is timestamped when the patient logs it in the Ziva app. Isabella records not just whether the dose was taken, but when - and whether it was within the correct timing window (empty stomach, minimum gap before food). Late doses and doses taken with food or supplements are flagged separately from missed doses, because the clinical implication differs: a late dose is an absorption issue, not a compliance issue. This distinction is visible in the monthly report and can help inform whether a suboptimal TSH reflects a dosing or timing problem before adjusting medication.
Yes. From the Ziva provider portal, your team can enter or update TSH, Free T4, Free T3, and antibody results at any time. You can also update the patient's TSH target range, medication reminder time, lab recheck interval, nutrition coaching parameters, and add clinical recommendations that feed directly into Isabella's daily coaching. All changes are timestamped and logged for the patient record. Patients do not need to take any action - changes are reflected automatically.
Primary thyroid codes include E03.9 (hypothyroidism, unspecified), E06.3 (Hashimoto's thyroiditis), E03.0 and E03.1 (congenital and other specified hypothyroidism), and E07.9 (other thyroid disorders). CCM requires a minimum of two chronic conditions - common comorbidities include F32.x/F41.x (depression/anxiety, which are highly prevalent in thyroid patients), I10 (hypertension), E11.x (type 2 diabetes), and M06.x (rheumatoid arthritis). Consult your billing team for documentation requirements specific to your payer mix.
Ziva integrates with Epic, Cerner, athenahealth, eClinicalWorks, MEDITECH, NextGen, and more via HL7 FHIR R4. Monthly reports and provider recommendations are auto-attached to pre-visit notes. Lab results entered in Ziva can be configured to post as observations in the chart. For systems not listed, Ziva provides a standalone portal and CSV export. Contact our team to discuss your environment before the demo.
Yes. Fully HIPAA compliant, BAA available. All PHI 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.