MIA (Maternal Integrity Assistant) turns 90 seconds of spoken notes into a Medicaid-ready billing record, built for the community perinatal workforce.


Hospital systems have had Clinical Documentation Integrity infrastructure for decades. The community perinatal workforce has never had anything. Doulas, midwives, and lactation consultants deliver outcomes that health systems need, and have no reliable way to document them for payers.
In Oklahoma, SoonerCare covers more than 0 births annually. Up to $0 per pregnancy is available in doula reimbursement. Most of it goes unclaimed, not because care was not delivered, but because documentation fails before it reaches a payer.
Perinatal Documentation Integrity is building the infrastructure that closes that gap. MIA is the first tool in that stack.
Payers support doula care, and they do pay. Somewhere along the way the trust broke. Today, MIA is how we rebuild it, so providers and payers close the gap together, with integrity.
For Payers & MCOs
MIA produces structured, auditable records from community doula visits, giving Medicaid MCOs and state agencies the workforce visibility and compliance infrastructure to scale reimbursement confidently.
Visit records structured for HL7 FHIR interoperability, ready to plug into existing payer and state data pipelines without manual re-entry.
Aggregate anonymized outcome data across the doula workforce in the format payers can use.
Real-time credentialing and visit-volume data across your network without manual audits.
Every record validated against state-specific Medicaid documentation standards before it reaches your desk.
After a visit, open MIA and talk for 90 seconds. Describe what happened in your own words. MIA validates your note against Oklahoma's SoonerCare requirements and generates a clean, submission-ready record.
No templates. No typing. No wondering if your note will pass.
Join the waitlist for early access. Oklahoma doulas move to the front.

Mia is a U.S. veteran, entrepreneur, and practicing birth doula serving families across Oklahoma. She built PDI because she lived the gap firsthand, doing the work, delivering outcomes, and watching that work disappear into the space between community care and clinical record. MIA is the tool she needed and couldn't find.
Say what happened at the visit. MIA turns it into a record your state Medicaid plan will accept, in about 90 seconds.
Speak naturally after your visit. No templates, no clinical words.
Matched to your state's rules in real time, so you get paid.
Anonymized results across the workforce, in a form you can use.
Every visit is checked against your state's rules first.
PDI connects the community perinatal workforce to the payers who cover them, starting with documentation they can trust.
MIA is the voice documentation tool. Speak your visit notes and MIA turns them into a clean, submission-ready record.