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Medonix

Solution

Reduce Claim Denials.

Slash denial rate to under 4% with AI root-cause analysis. A packaged Medonix solution running on AI agents, senior AAPC-credentialed coders, and a written SLA tied to your collections, typically achieved within 60 to 90 days of go-live.

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<4%Target denial rate
90dTime to target
63%Avg denial reduction
$0Risk to revenue

The problem

Why this is harder than most vendors make it look.

Most U.S. practices live with a denial rate between 8 and 15%. Each one costs roughly $25 to rework, and a quarter of denied claims never get reworked at all. The money walks. Medonix moves you under 4% denial rate within 90 days by attacking root causes, not symptoms, with AI agents categorizing every denial and senior coders rebuilding the scrub rules that should have caught the claim in the first place.

How it runs

The four-step path to the outcome.

Every reduce claim denials engagement runs the same four-stage path. Numbers and timelines are sized to your specialty mix and claim volume.

  1. Step 01

    Denial audit

    We pull six months of remits and categorize every denial by CARC code, payer, CPT family, and root cause. The output is a one-page heat map of where your money is leaking.

  2. Step 02

    Scrub-rule rebuild

    Each top denial reason gets a scrub rule built before submission so the same claim does not deny twice. AI agents apply the rules at the clearinghouse layer.

  3. Step 03

    Appeal queue cleanup

    Aged denials get worked in priority order with payer-specific appeal templates. Most clients clear the existing backlog within 60 days.

  4. Step 04

    Monthly drift review

    Payer behavior changes. Each month we review denial mix shifts, update scrub rules, and report the dollar value recovered against the prior baseline.

Frequently asked

Reduce Claim Denials, answered.

The questions decision-makers ask before they sign on this solution. Book a 30-minute call if yours is not here.

Three moves. First, categorize every denial by root cause (eligibility, coding, modifier, prior auth, timely filing) instead of treating them all as "denials." Second, build pre-submission scrub rules that catch the top reasons before the claim leaves. Third, work the back-end queue with payer-specific appeal templates so existing denials get overturned. Most practices see denial rate drop by half within 60 days and to the target band by 90.

Other solutions

Browse the rest of the playbooks.

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See your projected revenue lift in 60 seconds, or talk to a senior RCM strategist now. No commitment. Same-day slots available.

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