AI Claim Scrubber
Deterministic rules + an LLM risk pass catch denial-prone claims before they leave your office.
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The product
One workspace for your entire revenue cycle.
MedIQ ships with twelve tightly-integrated modules. Every claim, denial, payment, and patient lives in the same multi-tenant data model with the same security guarantees.
Modules
Every surface your billers, providers, and admins live in.
Denials & Appeals
Track every CARC/RARC, prioritize by recoverable dollars, and auto-draft appeal letters.
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Encounters & Charge Capture
Capture CPT, ICD, modifiers, and POS at the point of service with crosswalk validation.
Payments & ERA
Post payer EFT/ERA and patient payments to the right claim line with auto-reconciliation.
Reports & A/R
Aging buckets, payer mix, denial trend, days-in-A/R — drillable, exportable CSV.
Work Queues
Tasks routed by queue, priority, and assignee — claim review, denials, missing info, payment posting.
Security & Multi-Tenancy
Per-tenant RLS, audit logs, BAA, encryption at rest, granular role-based access control.
Bring-Your-Own AI
Pick Claude, GPT, Gemini, or Llama per workspace. Bring your own OpenRouter key — we encrypt it.
Integrations
Clearinghouses, eligibility, ERA, e-prescribe, labs, imaging, FHIR, payments, storage.
Workflow
A claim's day, from charge to cash.
The platform threads encounter → claim → scrubber → submission → ERA → posting → denial → appeal → close, with status events, audit logs, and queue assignments along the way.
Encounters
POS, CPT, ICD-10, modifiers — captured with crosswalk validation.
Scrubber
Deterministic rules + LLM risk pass, with reasons and recommended fixes.
Denials
CARC/RARC tracking, prioritized by recoverable dollars.
Payments
ERA & EFT posting, patient payments, write-offs, adjustments.
Work queues
Tasks routed by queue, priority, and assignee.
Reports
Aging, payer mix, denial trend, days-in-A/R — CSV exports.
Foundations
Multi-tenant, audit-grade, AI-ready.
Tenant isolation
Every row carries a tenant_id, enforced by Postgres RLS.
BYO model
Choose Claude, GPT, Gemini, or Llama per workspace.
Open data model
Export anything to CSV; we don't hold your data hostage.
Role-based access
Provider, biller, admin, auditor, front-desk.
See it on your data.
We'll spin up a sandbox seeded with your top payers and most common procedure codes — typically within one business day.