verified_userEligibility • Claims • Status • Appeals

Stronger Appeals.
Faster Results.
More Revenue.

Clinix is the all-in-one platform that helps healthcare providers, hospitals, and billing teams recover lost revenue by automating insurance denial appeals and resubmissions.

0%

Claim acceptance rate

$0.0M+

Revenue recovered

0hrs

Average appeal time

Directly Integrated With

Aetna
Blue Cross Blue Shield
Cigna
Humana
Oscar Health

and many regional payers

How it Works

From intake to payment—Clinix automates claims, denials, and appeals in one workflow.

STEP 1

Ingest Claims + EOBs

Upload 837/835/EOB documents or connect your clearinghouse feed to start analysis.

STEP 2

Spot Denials + Root Causes

Clinix flags denial drivers, missing info, and coding issues—prioritized by dollars and urgency.

STEP 3

Generate Corrections + Appeal Packets

Auto-draft corrected claims, letters, and supporting documentation tailored to payer policy.

STEP 4

Track Status + Recovery

Monitor claim status, outcomes, and revenue recovery with reporting built for RCM teams.

Solutions

Built to stop denials before they start

Clinix AI combines Stedi rails, payer-specific rules, and ML signals from eligibility, status, and remits. The result: fewer reworks, cleaner cash, and faster appeals.

verified_user

Eligibility Guardrails

Surface plan rules, copay/coinsurance, frequency limits, and prior-auth warnings from 270/271 to stop denials upstream.

description

Clean Claim Engine

837P with payer-aware modifiers, POS validation, ICD ↔ CPT pointers, units/time sanity, and dual insurance routing.

sync

Live Status + Remits

276/277 + 277CA for real-time acceptance; 835 parsing to learn CARC/RARC patterns and trigger fixes or appeals.

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Appeal Intelligence

Template the right 275 attachments, narratives, and evidence; track overturn rates to prioritize what actually wins.

Security

HIPAA-grade, audit-first

End-to-end encryption, audit logging, and least-privilege access. We keep PHI fenced with RLS, private Supabase keys server-side only, and immutable trails for every payer call.

health_and_safety

HIPAA + SOC2 posture

Encryption in transit/at rest, backups, and breach playbooks baked in.

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Secrets stay server-side

No service role key exposure; rotateable keys and env-only credentials.

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Row-level security

Per-tenant RLS for claims, patients, remits, and attachments.

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Full audit trail

Every eligibility, claim, status, and remit event is timestamped and signed.

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Least-privilege roles

Separate service vs client roles; scoped access to prevent leakage.

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Data residency options

Regional hosting with encrypted object storage for PHI artifacts.

Pricing

Aligned to clean claims

Simple, transparent pricing. No per-seat surprises—just throughput-based billing with success incentives.

Paid Claims

5%

of paid claims

  • check_circleUnlimited users
  • check_circleClaims + remits workflow
  • check_circleAnalytics + AR aging
  • check_circlePriority onboarding
Get Started

Eligibility Checks

$1

per eligibility check

  • check_circleEligibility links
  • check_circlePlan rule alerts
  • check_circleCoverage summaries
  • check_circlePatient-ready intake
Get Started

Dedicated Support

Custom

hands-on operations help

  • check_circleDedicated CSM
  • check_circleWeekly workflow reviews
  • check_circlePriority SLAs
  • check_circleCustom playbooks
Get Started

Ready to automate your medical billing?

Launch your dashboard and start submitting clean claims with AI-powered validation and denial prevention.