What devices and apps does Ziva integrate with?

Most major wearables (Apple Watch, Oura, Whoop, Fitbit, Garmin) and nutrition logging apps sync automatically, so patients don’t need to adopt a new device.

Is this billable, or purely a coaching tool?

Where a patient carries a qualifying chronic condition, RPM and CCM codes can apply. For pure wellness coaching without a qualifying diagnosis, it operates as a value-add coaching tool outside insurance billing.

How is coaching personalized versus generic?

Isabella’s guidance is generated from that specific patient’s data pattern that day - a sleep-nutrition correlation unique to them, not a scripted message.

Can family members see progress?

Yes, with patient consent, designated family members can receive updates - often a meaningful driver of sustained habit change.

For lifestyle medicine practices

Habit change happens
daily. Coaching shouldn’t
wait for a visit.

Sleep, activity, nutrition, and stress all shift day to day - and the moment to reinforce a good pattern or interrupt a bad one is today, not at the next monthly check-in. Ziva keeps the loop daily.

HIPAA compliant · Wearable & nutrition tracking · Whole-person coaching protocols · RPM & CCM eligible

Book a demo How Ziva helps →

Lifestyle medicine cohort · this morning

David L., 52* · Metabolic syndrome

Sleep down to 4.5 hrs avg this week

Escalate

Karen H., 45* · Weight management

Activity plateaued 2 weeks

Watch

Tom R., 38* · Prediabetes

Nutrition & activity goals met 6/7 days

Stable

Isabella

"David's average sleep has dropped to 4.5 hours this week, down from his typical 6.5. Sleep deprivation at this level tends to undermine both his nutrition goals and his blood pressure — worth a check-in before it compounds."

*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.

The gap

The data you need arrives
at the next monthly check-in.

Behavior change is a daily process - sleep, movement, nutrition, stress - and most lifestyle medicine coaching still runs on a monthly cadence.

Habit drift

Small daily slips compound over weeks into a plateau or a reversal, often invisible until the next check-in.

Sleep-nutrition-stress interplay

These domains influence each other daily; treating them as separate monthly data points misses the real pattern.

Motivation windows

Reinforcement is most effective within days of a good result, not weeks later at a scheduled visit.

The continuous care experience

A daily whole-person
record for every patient.

Each patient has a daily point of contact and a daily data record. Isabella handles the routine; your team sees the meaningful patterns.

Wearable & nutrition sync

Sleep, activity, HRV, and logged meals sync automatically from connected devices and apps.

Daily check-in

Stress, mood, and energy captured daily in plain language alongside objective data.

Isabella correlates

Sleep against nutrition against stress against activity - the whole pattern, not one metric.

Coaching between visits

Personalized nudges and encouragement delivered the day they matter most.

Progress summary for visits

Your team sees the full month’s pattern, not a single day’s snapshot.

How Ziva helps

What Ziva does
for a lifestyle medicine practice.

Objective daily wearable data plus nutrition logging plus subjective daily check-ins - the whole-person view lifestyle medicine is built on.

Sleep

Sleep quality tracking

Nightly sleep duration and quality trended to catch drift before it undermines other goals.

Nutrition

Nutrition logging

Meal logging integrated with activity and sleep data for a genuinely whole-person view.

Activity

Activity & movement tracking

Daily step count and exercise trended against personal goals, not population averages.

Stress

HRV & stress tracking

Heart rate variability used as an objective stress signal alongside self-reported mood.

Metabolic

Metabolic risk tracking

Weight, activity, and nutrition trends combined to flag metabolic syndrome risk early.

Coaching

Personalized daily coaching

Isabella delivers coaching tailored to that day’s data, reinforcing what’s working.

Impact

Outcomes that matter
in lifestyle medicine.

Daily reinforcement changes the trajectory of habit change - catching drift while it’s still a nudge, not a relapse.

Daily

Whole-person data

Sleep, nutrition, activity, and stress on one timeline

Earlier

Habit drift detection

Plateaus and reversals flagged within days, not at the next visit

Personalized

Coaching delivery

Nudges timed to the day’s actual data, not a generic schedule

Illustrative

Program revenue

Modeled RPM/CCM revenue where clinically applicable - see below

Directional framing based on Ziva's platform capabilities; actual results depend on panel size and payer mix.

Proof

A sleep decline,
caught before it compounded.

"His sleep had quietly dropped two hours a night - and everything else was starting to slip with it."

David's wearable data showed his sleep falling to 4.5 hours a night, well below his usual pattern. Isabella flagged the trend and connected it to his nutrition adherence, which had started slipping the same week. A same-week coaching check-in got him back on track before it became a longer setback.

David, 52* — Metabolic syndrome, enrolled 5 months

Outcome

Coaching check-in within the week. Habits back on track.

Isabella · Ziva AI

David's average sleep has dropped to 4.5 hours this week, down from his typical 6.5. This level of sleep deprivation tends to undermine both nutrition adherence and blood pressure - worth a check-in.

Conditions covered

Whole-person and comorbid conditions.

Lifestyle medicine patients often carry weight, metabolic, and mental health conditions. Ziva runs concurrent protocols on the same record.

Weight Diabetes Hypertension Mental health All conditions →

Reimbursement

Lifestyle medicine can
layer in RPM where applicable.

Where patients carry a qualifying chronic condition, device-based monitoring and coaching time can be documented under RPM and CCM codes.

RPM — 99453 / 99454 / 99457 / 99458

Device-based physiologic monitoring, 16+ transmission days per month

99453One-time setup & patient education — ~$19

99454Device supply + daily transmission — ~$46/mo

99457First 20 min interactive care management — ~$48

99458Each additional 20 min — ~$39

CCM — 99490 / 99439

Patients with two or more chronic conditions expected to last 12+ months

99490First 20 min clinical staff time / month — ~$62

99439Each additional 20 min — ~$47 (up to 2×)

Ziva's time logs, monitoring records and monthly reports supply the documentation these codes require. Confirm eligibility and rates with your billing team and MAC.

Program revenue estimate

Enrolled patients 100

10typical enrollment ramp300

Program type

Device supply (99454)—

First 20 min (99457)—

Additional 20 min (99458)—

Estimated monthly program revenue

—

— annually

Illustrative national-average estimates. Actual reimbursement varies by MAC, locality, payer mix and documented time.

Self-pay option

Not billing insurance? Charge patients directly.

Set your own price for a monthly monitoring program, membership or package. Connect your payment system to Ziva and get paid directly, alongside or instead of CPT billing.

Connects with

StripeSquarePayPalYour existing system

See plans →

Get Started

Start with your
metabolic risk cohort.

Most lifestyle medicine practices begin with patients managing metabolic syndrome or prediabetes, where whole-person data has the clearest coaching value.

✓Cohort selection and eligibility analysis

✓Alert threshold design for your clinical protocols

✓Revenue modelling for your panel

✓Live in 4–6 weeks including device logistics

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.

Security & compliance

Built for healthcare.
Trusted by clinical teams.

Ziva was designed from the ground up for clinical environments - not adapted from a consumer app. 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

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.

Questions

Habit change happensdaily. Coaching shouldn’twait for a visit.

The data you need arrivesat the next monthly check-in.

A daily whole-personrecord for every patient.

What Ziva doesfor a lifestyle medicine practice.

Outcomes that matterin lifestyle medicine.

A sleep decline,caught before it compounded.