S-1041Payer A
50 · Medical necessity not established
$1,850
Work more of your denied claims.
Medarix AI finds denied insurance claims, drafts the appeal with a list of the documents it needs, and tracks it to a decision. Your team approves each appeal before it goes out.
Flat monthly subscription. Never a percentage of what you recover.
Product preview. Sample data.
Denials pile up
Each denied claim needs someone to find out why, gather the right documents, write the appeal and follow up. When the front desk is busy, some of that work does not get done. Medarix AI does the preparation, so your team can spend its time deciding.
Documentation
$3,150S-1042Payer B
16 · Missing information
$1,300
Coding
$2,960S-1043Payer C
97 · Bundled with another service
$1,420
S-1046Payer C
18 · Duplicate claim
$1,540
Authorization and timing
$3,130S-1045Payer B
197 · Authorization absent
$2,150
S-1044Payer A
29 · Filing time limit
$980
Sample total$9,240
How a denial moves through Medarix AI
We pick up denials from the information your practice already receives, such as denial notices and remittance advice (the statement that explains each payment and denial). Then we sort them by reason.
Sample data. A fictional practice and fictional claims, shown to illustrate how the service works.
For each one, Medarix AI drafts the appeal and lists the documents the insurer is likely to want to see.
Sample data. A fictional practice and fictional claims, shown to illustrate how the service works.
Your team reviews each appeal. It goes out only when someone at your practice approves it.
Sample data. A fictional practice and fictional claims, shown to illustrate how the service works.
Each appeal is followed until the insurer decides.
Sample data. A fictional practice and fictional claims, shown to illustrate how the service works.
Approve from your phone
Review each drafted appeal in the mobile app and approve it from wherever you are. Your team approves each appeal before it goes out.
Tracking
Sample recovered
$3,270Sample figure for illustration
Appeal for claim S-1041
Built around your practice
Set up around your practice's payers and workflow.
Medical and dental practices that bill insurance and want denied claims worked more consistently. Your front-office and billing team would use it.
MedicalSample data
| Code | Reason | Payer | Amount |
|---|---|---|---|
| 50 | Medical necessity not established | Payer A | $1,850 |
| 197 | Authorization absent | Payer B | $2,150 |
| 16 | Missing information | Payer B | $1,300 |
Documents the appeal asks for
- Clinical notes
- Prior authorization record
- Referral
Draft wording
The attached clinical notes support the need for the service.
You stay in control
Medarix AI prepares. People decide.
Nothing is sent without your approval.
It goes out only when someone at your practice approves it.
You can edit any draft.
Change the wording or the documents before you approve.
You see each step.
You can see why each claim was denied, what the appeal says and which documents support it.
You can stop any appeal.
Pause or withdraw an appeal before it goes out.
Security and privacy
Built for HIPAA-regulated work.
Every practice signs a Business Associate Agreement with us before any patient information is shared.
Business Associate Agreement
PracticeMedarix AI
Signed by both parties (sample)
Safeguards
- Business Associate Agreement signed before any patient information is shared
- Encryption in transit and at rest
- Access limited by role, and only to what each person needs
- A log of every view and every action
- Nothing is sent to an insurer without your approval
HIPAA specifics
What we sign
- Each practice signs a Business Associate Agreement with Medarix AI.
- It is signed before any patient information is shared.
- Your practice keeps a signed copy.
- If a breach happens, we report it to your practice as the agreement requires.
How data is protected
- Data is encrypted in transit and at rest.
- Each practice's data is kept separate, with its own access.
- Data is backed up regularly.
Who can see what
- Access is limited by role.
- Every view and every action is logged.
Audit logSample data
| Action | Role | Time |
|---|---|---|
| Viewed claim S-1041 | Billing lead | 09:02 |
| Drafted appeal for S-1041 | System | 09:03 |
| Attached referral (sample) | Front desk | 09:05 |
| Approved appeal for S-1041 | Practice manager | 09:07 |
| Exported tracking report | Billing lead | 09:12 |
What we never do
- We never send anything to an insurer without your approval.
- We never ask visitors to submit patient information through this website.
- We never use a practice's data to train models for other practices.
There is no official HIPAA certification, so we do not claim one. Here is what we do instead.
Plain pricing
Medarix AI is a flat monthly subscription. There is also a one-time setup fee. We never take a percentage of what you recover, so our price does not rise as your recoveries do. We discuss the price on a call.
How the price is made up
- Monthly subscription
- Flat
- Setup
- One-time fee
- Share of what you recover
- None
Questions
What does Medarix AI do?
It helps your team work denied insurance claims. It finds them, drafts each appeal, lists the documents each one needs and tracks each appeal to a decision.
How is it priced?
It is a flat monthly subscription. There is also a one-time setup fee. We never take a percentage of what you recover. We discuss the price on a call.
Does it send appeals without us?
No. Your team reviews each appeal, and it goes out only when someone at your practice approves it.
Do we have to change our billing software?
We start from the denial information you already receive. On the call we look at what you use and tell you plainly what connects and what does not.
Will you promise a recovery amount?
No. Results depend on the claims, the insurers and the documentation. We do not promise a figure.
Do you need patient information to talk to us?
No. You do not need to share any to book a call or read this website. If we work together, we will agree in writing how patient information is handled before any is shared.
What happens on the call?
You tell us how your practice handles denials today and we ask questions. We tell you honestly whether we can help.
Which practices is it for?
Medical and dental practices that bill insurance.
Start with a conversation.
Tell us how your practice handles denials today, and we will show you how Medarix AI would handle them.
Book a call (opens in a new tab)Patient information
This website does not collect patient information, and we ask that you do not send any through it, the booking page or email. If we work together, patient information would be shared only after a written agreement is in place.