Nobody owns the session.
Until now.

The session layer for psychedelic medicine

Prior auth, REMS, and eight-hour session days run by agents, inside your own cloud account, on top of the EHR you already have.

Built for clinics and health systems that own their prescribers. Sits on top of Epic, Osmind, or whatever you already run.

days until January 2027, the window in which the first psilocybin approval is expected. Live on Spravato programs today. Ready for psilocybin on day one.

One patient. One dose. Eight hours. Five ways it breaks.

Spravato already shows the pattern: the clinical work is under control and the administrative work is where programs stall. Psilocybin makes every one of those problems bigger.

Prior auth is already the bottleneck

Spravato programs lose weeks per patient to payer back-and-forth. Psilocybin adds a longer session, a higher price tag, and payers with no precedent to follow.

REMS is manual and unforgiving

Enrollment, certification, and reporting live in a separate portal, tracked by hand. One lapse can pause an entire site.

The EHR assumes a 30-minute visit

An eight-hour, two-clinician session needs its own operating rhythm. No general psychiatry chart was built for it.

Four layers make a psychedelic program. Three of them have owners.

The drug, the clinician, and the chart are solved problems with incumbents. The session — the six hours between approval and payment — belongs to nobody. That is the whole company.

Agents run the administrative day. Clinicians run the clinical one.

Each agent owns one workflow end to end, works from your own data, and hands off to a person the moment a decision needs one.

  1. Authorization

    Assembles the payer packet from the chart, drafts the medical-necessity letter, submits, tracks, and escalates denials with the right appeal language for each plan.

  2. REMS compliance

    Verifies site, prescriber, and patient enrollment before every dose. Files required reports on time. Flags anything that would put certification at risk.

  3. Session operations

    Schedules rooms and two-clinician coverage, runs the session-day checklist, captures timed observations, and confirms discharge criteria are met.

  4. Documentation and claims

    Turns session data into the record each payer expects, attaches it to the claim, and keeps a defensible audit trail for every step.

  5. Readiness

    Maps your current Spravato workflow, shows exactly where psilocybin will add load, and models staffing, room time, and revenue before your first patient.

Sits on top of Epic. Runs in your cloud. Ready for every drug in the pipeline.

Health systems don't rip out their EHR to launch a treatment. Kelmara reads and writes to the chart you have, runs in your own AWS account, and is configured per treatment rather than rebuilt per launch.

Works with your EHR

Epic, Oracle Health, and specialty psychiatry systems via standard interfaces. Your chart stays the source of truth.

Deployed in your AWS account

Your data never leaves your environment. HIPAA-eligible services, your keys, your logs, your security review.

Drug-agnostic by design

Spravato now. Psilocybin next. Whatever follows. One operating layer for all of it.

Built for the enterprise buyer

BAAs, SSO, security questionnaires, and audit logs from day one. Made for health systems and multi-site programs.

Five design partners. Then the door closes.

We're building Kelmara with a small group of health systems and multi-site programs that intend to deliver psilocybin in its first year. Partners shape the product and run it first.

  • A psychedelic launch readiness assessment of your current Spravato or ketamine workflow, delivered on a call
  • Deployment in your AWS environment at no license cost through the design period
  • A direct line to the team, and a vote on what ships first

Book a readiness call

Twenty minutes. We'll walk your current workflow and show where a 2027 launch would strain it.

Please don't include patient information. This form collects contact details only.

Request received

We'll reply within one business day with times for the call.