Quarterly labs, controlled-substance inventory, cash-pay billing, AI lab interpretation, telehealth. Designed by a TRT operator, for TRT operators.
Why TRT clinics outgrow generic EHRs
Athena, eClinicalWorks, DrChrono, Epic — these systems were built and priced for primary-care practices billing insurance. Their workflows assume CPT codes, ICD-10 specificity that maps to a payer fee schedule, and a billing department that lives inside a clearinghouse. None of that describes a TRT clinic. You're cash-pay. Your typical patient buys a monthly membership and a quarterly lab panel. You don't need a superbill — you need a Stripe subscription that doesn't break.
Then there's the quarterly bloodwork cycle. Every TRT patient on protocol needs labs at intake, six weeks in, three months in, and then quarterly forever. That cadence has to fire automatically — reminders to the patient, a draw order sitting in the chart, a portal nudge if they ghost. Most generic EHRs make you build that yourself out of templates and tasks. By month six you've got a spreadsheet shadow system tracking who's overdue.
Controlled-substance inventory is where it really falls apart. Testosterone cypionate is Schedule III. You need vial-level tracking, lot capture at dispense, a DEA-compliant ordering trail, and reconciliation reports that survive an audit. Almost every general-purpose EHR forces you onto a separate inventory app — usually one that costs as much as the EHR itself and doesn't talk back to the chart. Now your MA is double-entering every injection.
Lab interpretation is the daily friction. Quest and LabCorp deliver results as PDFs or downloadable CSVs that need parsing, matching to the patient, flagging the out-of-range markers that actually matter for TRT (estradiol, hematocrit, SHBG, PSA — not the irrelevant standard ranges the lab prints). Screen-scraping that workflow gets old fast. The right tool ingests the file, matches the patient, surfaces the flags, and lets you draft a patient summary in one click.
Cash-pay is the throughline. Every insurance-coded EHR is fighting your business model. You don't want to "support cash-pay as an option" — you want billing built around Stripe subscriptions, membership tiers, and one-off charges, with a patient portal that handles payment friction without a biller in the middle.
Built for the TRT workflow
No add-ons. No third-party tracking apps. No "we'll get to that on the roadmap."
Memberships, one-off charges, payment links. No claims, no clearinghouse, no AR aging. Funds land in two business days.
Vial-level tracking, lot-number capture on dispense, DEA-compliant ordering audit trail. Built for Schedule III testosterone from day one.
CSV import from Quest, LabCorp, Genova, and Vibrant. Auto-match by name and DOB. TRT-relevant abnormal flags surfaced and summarized.
Auto-fire reminders at any cadence per protocol — six weeks, three months, quarterly. SMS and email. Patients see what's due, when.
No Doxy.me, no Zoom plugin. Video lives in the same calendar as in-person visits. Same chart-note flow for both modalities.
ScriptSure integration with EPCS certification. Send testosterone, anastrozole, HCG, sermorelin directly from the chart.
Patients see their labs the moment you sign them off. Trend graphs over time. Payment links for outstanding balances. Branded to your clinic.
Ask "Who's overdue for follow-up labs?" or "Show me patients with hematocrit over 52." Get a clickable list in seconds. No reports to build.
What you'll see in the demo
"We built Moonshot Clinic because every EHR we tried buried the TRT workflow under generic primary-care templates. Quarterly labs, controlled-substance flow, cash-pay billing, telehealth follow-ups — it should all just work. So we built it."
— Tom Kashul, founder of Moonshot Medical & Moonshot Clinic
Related Features
Ask your EHR anything in plain English. Patient lists, lab cohorts, revenue cuts.
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