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.
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.
Directly Integrated With
and many regional payers
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.
Eligibility Guardrails
Surface plan rules, copay/coinsurance, frequency limits, and prior-auth warnings from 270/271 to stop denials upstream.
Clean Claim Engine
837P with payer-aware modifiers, POS validation, ICD ↔ CPT pointers, units/time sanity, and dual insurance routing.
Live Status + Remits
276/277 + 277CA for real-time acceptance; 835 parsing to learn CARC/RARC patterns and trigger fixes or appeals.
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 Firestore security rules, private keys server-side only, and immutable trails for every payer call.
HIPAA + SOC2 posture
Encryption in transit/at rest, backups, and breach playbooks baked in.
Secrets stay server-side
No service role key exposure; rotateable keys and env-only credentials.
Row-level security
Per-tenant RLS for claims, patients, remits, and attachments.
Full audit trail
Every eligibility, claim, status, and remit event is timestamped and signed.
Least-privilege roles
Separate service vs client roles; scoped access to prevent leakage.
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
Success-based pricing on clean, paid claims.
0.6%–1.2% of paid claims
Recovery
Contingency on recovered revenue from denials and underpayments.
5%–12% of recovered dollars
Enterprise
Custom pricing and managed rollout for large groups.
Volume-based rates