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Medonix

Service

Medical Billing services for U.S. healthcare practices.

Charge capture through payment posting, built around the MGMA 95%+ first-pass clean-claim benchmark. Medonix's Medical Billing service combines AI agents with senior AAPC- and AHIMA-credentialed operators and a written SLA tied to your collections, onboarded in 30 to 60 days with zero revenue disruption.

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95%+Clean-claim target (MGMA)
<30dA/R target (HFMA)
<5%Denial rate target
60dTime to full handover

Why this matters

Why medical billing is harder than it looks.

Medical billing is the workflow most people picture when they think about getting paid: charge entry, claim scrubbing, payer submission, payment posting. Done well, it produces a 98%+ first-pass clean-claim rate and a single-digit denial rate. Done badly, it leaks 6 to 14% of revenue. Medonix runs medical billing as a discrete service or bundled into full RCM, with the same SLA either way.

How it runs

The four-step medical billing workflow.

Every engagement runs the same four-stage process. Volume, complexity, and specialty mix change. The structure does not.

  1. Step 01

    Charge capture

    Lossless capture from your EHR with missed-charge analytics. AI flags charges that should have been billed but were not.

  2. Step 02

    Coding & scrubbing

    AAPC-credentialed coders scrub against payer-specific rules before claims leave the clearinghouse.

  3. Step 03

    Submission & follow-up

    24-hour submission SLA. Rejections worked same-day, denials worked within 48 hours.

  4. Step 04

    Posting & reporting

    Daily payment posting with line-item adjudication. Live dashboard with clean-claim rate, days in A/R, and denial mix.

Specialties served

Specialty-engineered medical billing playbooks.

Each specialty gets its own CPT/ICD logic, payer edits, and dedicated credentialed coding team. Drag to explore.

Drag · scroll · 12 specialties

Frequently asked

Medical Billing, answered.

The questions practice owners ask before they outsource this service. Book a 30-minute call if yours is not here.

Medical billing is the workflow that converts a clinical encounter into a paid claim: capturing charges, applying CPT and ICD-10 codes, submitting the claim to the payer, working any rejections or denials, and posting the eventual payment. It is one workflow inside the broader revenue cycle.

Related services

Often combined with medical billing.

See all 26 services

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  • 30-day parallel-run guarantee
  • Targets written into the contract
  • HIPAA · SOC 2 Type II · HITRUST
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