What We Do
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What We Do
- Patient Access
  
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  Patient Access
  Get patients the care they need fast by automating financial clearance and authorizations prior to service.
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  Prior Authorization
  
  Eligibility Verifications & Benefits Checks
  
  Patient Pay Estimates
  
  Insurance Discovery
  
  Patient Access Analytics
  
  Document Capture
  
  Prior Authorization Support For Referring Physicians
  
  Patient Scheduling
- HIM & Medical Coding
  
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  HIM & Medical Coding
  Ensure patient encounters get coded accurately on time with AI, OCR, automation and workforce management leveraged by document capture experts and coding specialists with the right clinical expertise.
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  Medical Coding Support
  
  Clinical Documentation Improvement (CDI)
  
  Provider Credentialing
- Revenue Integrity
  
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  Revenue Integrity
  Convert patient encounters to maximum recoverable revenue by ensuring all possible charges get captured before claims get submitted by leveraging AI, charge auditors, billing specialists and payer compliance experts.
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  Charge Capture Optimization
- Medical Billing
  
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  Medical Billing
  Reduce billing errors and improve cash flow with accurate payment posting and credit balance resolution leveraging billing experts and automations.
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  Payment Posting
  
  Credit Balance Resolution
  
  Soft Patient Collections
- Revenue Acceleration
  
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  Revenue Acceleration
  Accelerate maximum claim reimbursements, overcome denials and reduce future denials with AI, automation, intelligent workflow management, advanced analytics and billing specialists.
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  A/R Recovery & Denials Management
  
  Insurance Discovery
  
  Soft Patient Collections
  
  Appeals Management
  
  Denials Prevention
  
  Revenue Cycle Analytics
- Healthcare Contact Center
  
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  Healthcare Contact Center
  Optimize patient interactions with specialized support for scheduling, patient inquiries, and soft collections to enhance practice efficiency and patient experience.
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  Patient Scheduling
  
  Patient Soft Collections
  
  Patient Service
- Full Service RCM Optimization
  
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  Full Service RCM Optimization
  Need help with it all? Our revenue cycle experts will audit, advise, and optimize your organization's EHR system and revenue cycle workflows so that cash flow improves in a matter of months.
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  RCM Assessment
  
  Revenue Cycle Outsourcing
Revenue Cycle Managed With Intelligence & Automation
Accelerate patient access, improve claim accuracy and charge integrity, reduce denials, and maximize reimbursements with the latest revenue cycle technology leveraged by specialists with RCM, clinical and compliance expertise.
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Our Platform
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Our Platform
- Healthcare Revenue Operating System
  
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  Healthcare Revenue OS
  The Operating System for Healthcare Revenue. Connect systems, automate routine steps, route exceptions with control, and reduce denials, A/R days, and cost to collect.
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  Our Approach
  
  Revenue Cycle Agents
  
  RCM Specialists
  
  Payer Connections
  
  Provider EHR Integrations
  
  Security & Compliance
  
  Workflow Execution
  
  Workforce Orchestration, Human-in-the-Loop
  
  Analytics & Insights
- Revenue Cycle Agents
  
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  Revenue Cycle Agent Platform
  Our Revenue Cycle Agent Platform offers various types of agents from reasoning to mundane execution and human-in-the-loop processes, each designed to tackle unique challenges and bring efficiency, precision, and expertise to your revenue cycle workflows.
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  Our Approach
  
  Agent Catalog
- EHR Provider Integrations
  
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  EMR, EHR, PMS, LIS, RIS Integrations
  Compatible with provider systems using HL7, X12, APIs, RPA and FHIR-ready standards.
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  Allscripts
  
  athenaHealth
  
  Centricity
  
  Cerner
  
  eClinicalWorks
  
  Epic
  
  eRad
  
  Exemplar LIMS
  
  Greenway
  
  Imagine
  
  MedicsPremier
  
  ModMed
  
  NextGen
  
  Open Doctor
  
  Proprietary EMRs
  
  PX Technology
  
  Raintree
  
  Salesforce
  
  Scriptsender
  
  Surgimate
  
  Urochart
- Payer Connections
  
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  Payer, Clearinghouse & Benefit Manager Connections
  2800+ payer connections and growing, spanning eligibility, authorizations, claims, denials, posting, and A/R, with coverage varying by workflow and plan configuration.
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  Evicore
  
  AIM
  
  Availity
  
  Optum
  
  NIA Magellan
  
  HealthHelp
- Security & Compliance
  
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  Security & Compliance
  Health-grade security safeguards to protect PHI across operational workflows.
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  HITRUST
  
  HIPAA
  
  SOC 2 Type II
  
  ISO 27001
- Custom Solutions
  
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  Custom Solutions
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  Our Approach
Our Operating System for Healthcare Revenue
Connect systems, leverage AI for reasoning, automate routine steps, route exceptions to humans with control, to reduce denials, A/R days, and cost to collect.
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Our Solutions
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Our Solutions
- Document Capture Plus
  
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  Document Capture Plus
  Agent suite that intelligently classifies, extracts, and accurately inputs patient data from any document directly into your patient records system—backed by expert support when you need it.
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  Our Approach
- Patient Access Plus
  
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  Patient Access Plus
  Get quicker financial clearance for patients before care with Patient Access Plus that provides complete coverage for obtaining eligibility verifications, benefit checks, patient pay estimates and prior authorization approvals, all in one agent suite.
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  Prior Authorization
  
  Eligibility & Benefits Verification
  
  Patient Pay Estimate
  
  Insurance Discovery
- RCM Plus
  
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  RCM Plus
  Maximize reimbursements from A/R inventory and denied claims, as well as reduce future denials with AI, automation, intelligent workflow management, predictive analytics and billing specialists.
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  Our Approach
Supercharge RCM With Technology
Leverage our agent suites and tech-enabled services maximize reimbursements for your organization.
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Our Agents
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Our Agents
- Revenue Cycle Agent Platform
  
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  Revenue Cycle Agent Platform
  Our Revenue Cycle Agent Platform offers various types of agents from reasoning to mundane execution and human-in-the-loop processes, each designed to tackle unique challenges and bring efficiency, precision, and expertise to your revenue cycle workflows.
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  Revenue Cycle Agent Platform
  
  Agent Catalog
- Agent Catalog
  
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  Agent Catalogs
  Choose from our agent catalog or let us customize one for your unique needs
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  Our Agents
Revenue Cycle Agent Platform
Reasoning plus execution inside Healthcare Revenue OS, AI that decides the next step and automation that completes it.
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Who We Help
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Who We Help
- Specialties
  
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  Tackling RCM Challenges Unique To Specific Specialties
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  Radiology
  
  Cardiology
  
  Pathology
  
  Orthopedic
  
  Gastroenterology
  
  Oncology
  
  Pain Management
  
  Laboratory
  
  Physical Therapy & Occupational Therapy
  
  Behavioral Health
  
  Dental
  
  Durable Medical Equipment (DME)
  
  Ear, Nose & Throat (ENT)
  
  Ophthalmology
  
  Rheumatology
  
  Neurology
  
  OB & GYN
  
  Sleep
  
  Urology
  
  Sports Medicine
  
  Home Health
  
  Infusions & Injections
  
  Long Term Care (LTC) Pharmacy
  
  Medical Device
  
  Pharmacy Benefit Medication
  
  Specialty Drugs
  
  Specialty Pharmacy
  
  Speech Therapy
  
  Wound Care
- Ambulatory Surgery Centers (ASC)
  
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  Ambulatory Surgery Centers (ASC)
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  Our Approach
- Acute Care Hospitals
  
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  Acute Care Hospitals
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  Our Approach
- Rural Hospitals
  
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  Rural Hospitals
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  Our Approach
- Physician Groups
  
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  Physician Groups
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  Our Approach
- LTC Pharmacies
  
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  LTC Pharmacies
  Capture more revenue for your LTC pharmacy with prior authorizations, Rx processing, billing and mail order support.
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  Our Solution
- Dental Practices
  
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  Dental Practices
  Increase dental practice revenue by 20% and reduce overhead by 25% with automation and billing specialists.
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  Our Solution
We Work With All Provider Types & Specialties
We continue to expand our revenue cycle technology platform and in-house team capabilities to handle unique needs of specific provider types and specialties. Contact us to see how we can help your organization.
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Pricing
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Pricing
- Pricing Options
- ROI Assessment Tools
  
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  ROI Assessment Tools
  Talk To A Solutions Expert
  
  Prior Authorization Calculator
  
  A/R Recovery Calculator
Custom Pricing, Scoped To Your Needs
Annual engagements start at $5,000 per month. Start with discovery, then get a recommended solution mix and pricing approach, plus the inputs needed for a clear quote. Depending on scope, pricing may be structured around volume, dedicated capacity, outcomes, or managed services.
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Resources
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Resources
- Webinars
  
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  Webinars
  Watch sessions with our executives and solution experts on topics that matter to our clients. Below are a few that were recently posted online.
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  Reducing Cost to Collect The AI Wave and How to Multiply Its Impact
  
  Driving Radiology Growth Through Smarter Prior Authorization
  
  A New AI Agent for Medical Necessity
  
  Autonomous EM Coding And Breakpoints That Drive RCM Outcomes
  
  Live Demo: Prior Authorization Verification Using the Follow Up AI Agent
- Case Studies
  
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  How We Help Our Clients
  Learn how we our revenue cycle management work helps our clients become more efficient and profitable.
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  Academic Medical Network Scales Revenue Operations with 159% Growth and 40%+ Faster Processing
  
  How a Radiology Network Boosted Throughput by 50% With AI-Driven Document Intake
  The organization was already partnering with Infinx to support their document intake process manually. As volumes rose and complexity increased, both teams saw an opportunity to improve efficiency through automation. […]
  
  How an Academic Health Network Achieved a 70% Revenue Growth & 88% Increase in Charge Volume
- Articles
  
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  Articles
  Access helpful information designed to educate your staff to overcome revenue cycle challenges they may be facing.
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  Building Stronger Prior Authorization Vendor Partnerships in Orthopedics
  
  AI-Powered Payer Mapping That Drives RCM Automation Success
  
  The Patient Access Metrics Every Hospital Should Be Tracking
- White Papers
  
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  White Papers
  Deep dives into specific topics requested by our clients.
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  Implementing a Successful Appropriate Use Criteria and CDSM Strategy for Advanced Imaging Procedures
  Implementing A Successful Appropriate Use Criteria And CDSM Strategy For Advanced Imaging Procedures Executive Summary Recognizing the challenges brought by Covid-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) […]
  
  Positively Impact Orthopedic RCM With Artificial Intelligence And Automation
  Bringing Industry-Leading Automation to Improve RCM While it’s the generating of healthcare revenue that gets a lot of the spotlight, billing and collecting that revenue can be the real workhorse. […]
  
  A Guide to Robotic Process Automation in Patient Access & Revenue Cycle Management
- Podcast
  
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  Revenue Cycle Optimized Podcast
  Check out our podcast on iTunes for actionable insights on the latest revenue cycle challenges.
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  Building a Strong Foundation in Soft Collections & Patient Services In this episode of RCM Insights, Stuart Newsome leads an engaging discussion with Ramesh Reddy, AVP of Client Services, and Kirtan Chittoor, Vice President at Infinx. They explore how to effectively manage soft collections and patient services, providing actionable strategies for setup, operations, and compliance.
  
  RCMinutes: AI Agents Transforming Revenue Cycle Management AI agents are reshaping healthcare revenue cycle management by automating tasks like eligibility verification, prior authorizations, and denial management. Learn how these tools enhance efficiency, reduce costs, and evolve into an essential part of our everyday lives.
  
  Seamless Outsourcing: Mastering Onboarding, Implementation & Resource Reallocation Discover strategies for smooth outsourcing transitions with Bo Bowman and Christina Harkins. Learn how to master onboarding, implementation, and resource reallocation to maintain efficiency and drive success. Brought to you by www.infinx.com
- Free Tools
  
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  Free Tools
  
  Prior Authorization ROI Calculator
  
  A/R Recovery Calculator
All Of Our Resources In One Place
We continue to prepare helpful content for our clients and make them available to our community. Feel free to contact us if you would like more information on any revenue cycle topic.
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Events
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Events
- Trade Shows
  
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  Trade Shows
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  HFMA Revenue Cycle Conference 2026 March 18–20, 2026
  
  2026 RBMA PaRADigm April 15–16, 2026
  
  2026 NAHAM Annual Conference April 28–May 1, 2026
- Office Hours
  
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  Weekly Office Hours
  Join us in a weekly virtual session with our executives. We’ll discuss latest challenges and developments in the healthcare revenue cycle space, as well as answer any questions about our AI-powered patient access and RCM solutions.
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  Past Office Hours
We’re Always Available To Answer Your Questions
Find out where we’ll be next and come talk to us in person, or sign up for one of our seminars and get a deep dive on a particular topic or how our solutions can help your organization become more profitable.
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News
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News
Reviews
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Reviews
About Us
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About Us
- Our Mission
  
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  Our Mission
  We work closely with healthcare providers to overcome their revenue cycle challenges by leveraging automation and intelligence to increase reimbursements for patient care delivered.
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  Why Us
  
  Our Team
- Join Our Team
- Our Partners
  
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  Our Partners
  Learn More
  
  EMHs
  
  Digital Health
  
  Trade Associations
  
  Become A Partner
- Our Results
  
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  Our Results
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  High Volume
  
  Performance Rate
- Media
  
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  Media
  Contact Us
  
  News
Learn Why Infinx Is A Valuable Partner
We nurture our relationships with our clients, partners as well as our employees. Learn more about how this culture helps us be a better partner.
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Press

February 10, 2022

Infinx Partners with athenahealth’s Marketplace Program to Automate Prior Authorizations

Source: Newswire

By Infinx Healthcare

News

Integration minimizes manual prior authorization workload for athenahealth users SAN JOSE, Calif., February 10, 2022 (Newswire.com) – Infinx, a provider of patient access and revenue recovery technologies in healthcare, today […]

August 12, 2021

Will your Medicare reimbursement survive CMS’s New CDSM mandate?

Source: Health Care Business Today

By Navaneeth Nair

News

The new CMS Mandate on CDSM takes effect on January 1, 2023. Is your organization ready for compliance when ordering outpatient advanced imaging? As a late addition to the “Protecting […]

July 22, 2021

Infinx Prior Authorization Software Now Available in the Epic App Orchard

Source: Newswire

By Infinx Healthcare

News

Improve prior authorization workflow and the patient’s experience without risking revenue. San Jose, California, July 20, 2021 — The Infinx Prior Authorization Software is now available in the Epic App […]

July 18, 2021

Will the New CMS Mandate on CDSM Impact Your Medicare Reimbursement?

Source: Health Care Business Today

By Navaneeth Nair

News

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