Feature · End-to-end RCM

From encounter to cash, in one workspace.

MedIQ runs the full revenue cycle — eligibility, encounters, claims, scrubbing, submission, payments, denials, appeals, reporting — on a single multi-tenant data model.

The pipeline

Every stage, instrumented.

Patient & eligibility

Demographics, insurance, eligibility checks, copay collection.

Encounter & charge capture

POS, CPT, ICD-10, modifiers — validated against crosswalks.

Scrubber

Rules + LLM risk pass with recommended fixes.

Submission

Clearinghouse-ready 837, with status events and acks logged.

Payments & posting

ERA/EFT auto-posting, patient payments, write-offs.

Denials & appeals

Ranked by recoverable dollars; AI drafts the letter.

Work queues

Tasks routed by queue, priority, and assignee.

Reports & A/R

Aging, payer mix, denial trend — drillable, exportable.

Why one platform

Because the gaps between tools are where money goes to die.

Patches between EHRs, billing systems, clearinghouses, and reporting cubes are where claims get lost, denials get stale, and A/R balloons. We close the gap.

  • Shared data model
    Patients, encounters, claims, payments — same IDs, same RLS, end-to-end.
  • Shared audit log
    One queryable history of every state change across the cycle.
  • Shared queues
    Work flows naturally from denial to appeal to payment posting.
  • Shared analytics
    A/R aging, denial trend, payer performance — all from the source of truth.

Consolidate the stack. Recover the margin.

Most pilots replace 3-5 tools and recover 15-20% of denied claims in the first quarter.