About
AboutWe exist to recover every dollar U.S. providers earn.
Medonix is the AI-native medical billing and revenue cycle management company for U.S. healthcare. Founded by RCM operators and AI engineers, we combine 11 specialized AI agents with senior AAPC- and AHIMA-credentialed coders. Every engagement is built around MGMA top-performer benchmarks (95%+ clean claims, sub-30-day A/R), with specific service-level targets written into each contract.
Our mission
Close the gap between what providers earn and what they actually collect.
U.S. healthcare practices lose 6 to 14% of revenue every year to denied claims, downcoded charges, timely-filing breaches, and payer underpayments (MGMA, 2024). For a practice collecting $5M, that is roughly $300,000 to $700,000 walking out the door annually. Multiply across the U.S. and the leakage runs into tens of billions of dollars.
Medonix exists to close that gap. We do it with AI agents that never sleep and senior human operators who understand the difference between Modifier 25 and 59. The work is split deliberately: AI handles the repetitive volume work (eligibility checks, claim scrubs, posting), and credentialed humans handle the judgment calls (appeal letters, payer escalations, edge-case coding).
We are not the cheapest billing vendor in the U.S. We are the one whose contract makes us responsible for the outcome.
Operating principles
Six things that govern every Medonix engagement.
These are the rules the team works by, every contract, every claim. They show up in how we hire, how we price, how we report, and how we escalate.
- Principle 01
AI-native, not bolted-on
Every workflow is built around agentic AI from day one, supervised by senior credentialed humans. We did not retrofit AI onto a 20-year-old billing platform; the platform was designed for the AI agents that run on it.
- Principle 02
Specialty-engineered
Thirty-five-plus purpose-built billing playbooks across primary care, surgical, hospital-based, behavioral, and rehab disciplines. Coders are assigned only to specialties they have prior production experience in.
- Principle 03
Outcomes built into the contract
Performance-based pricing with engagement-specific service-level targets on clean-claim rate, A/R days, and denial rate, aligned to MGMA top-performer benchmarks. If we miss the agreed targets, our fee drops. Your downside is capped, ours is not.
- Principle 04
U.S. healthcare exclusively
We serve U.S. healthcare providers only. The team understands U.S. payer behavior, state Medicaid variation, and the regulatory load that comes with HIPAA, SOC 2, HITRUST, and the No Surprises Act.
- Principle 05
Human-in-the-loop on every escalation
AI handles the repetitive work. A senior AAPC- or AHIMA-credentialed human reviews every escalation, every appeal, and every payer-policy edge case. No claim leaves the platform without a human pair of eyes when the AI is uncertain.
- Principle 06
CFO-first reporting
Every client gets a single live dashboard with the KPIs your CFO already tracks: clean-claim rate, days in A/R, denial mix, payer behavior, and SLA attainment. Monthly walk-through with the account lead, quarterly review with leadership.
Our story
From one specialty playbook to a national practice network.
- 2019
Founded
Founded by a team of RCM operators and AI engineers tired of watching practices lose 6 to 14% of revenue to billing inefficiency.
- 2020
First specialty playbook
Launched the cardiology and orthopedics playbooks with the first AI Coding agent in production.
- 2022
AI Suite v1
Shipped the 11-agent AI Suite covering eligibility, prior auth, coding, claim scrubbing, denial work, posting, statements, and the AI receptionist.
- 2024
HITRUST CSF
Achieved HITRUST CSF certification on top of existing SOC 2 Type II and HIPAA compliance, completing the healthcare-grade compliance trifecta.
- 2026
Founding cohort live
Founding cohort of 30+ U.S. client practices live on the platform, with every engagement built around MGMA top-performer benchmarks (95%+ clean claims, sub-30-day A/R) and service-level targets written into each contract.
Frequently asked
About Medonix, answered.
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- 30-day parallel-run guarantee
- Targets written into the contract
- HIPAA · SOC 2 Type II · HITRUST