For growing medical billing companies
Medex agents code, work claims, follow billing SOPs, move data, and handle denials and appeals inside the systems you already use. Your team handles exceptions. Medex handles the queue.
Anonymized customer result
Live in 2 weeks.
Billing never stopped.
Keep the software you have
Agents sign in, navigate work queues, read the permitted context, enter approved updates, and document results like a trained operator—without a platform migration.
Health
System access and permitted actions vary by customer environment. Vendor marks are shown only to identify compatible software; no endorsement or partnership is implied.
What is Medex
Medex is an RCM automation tool for medical billing companies. It is not a replacement platform: its AI agents do defined coding and billing work inside your current systems and send only the exceptions to your people.
Weeks, not months
A Medex deployment starts with one measurable queue—not a platform migration. The agent is configured around that client’s existing software, SOP, rules, and exception path, then validated alongside your team before it takes on production work.
Give the agent a queue
Medex is useful when the work repeats at volume but still crosses client-specific systems, rules, and handoffs.
Start with one queue that already has a measurable volume, turnaround time, manual touch rate, and exception owner.
Read the permitted chart context, prepare CPT and ICD-10 recommendations, apply configured checks, and write approved work into the destination workflow.
Your people keep: ambiguous charts, audits, and final approval rules.
Follow client-specific billing SOPs across EHRs, PM systems, clearinghouses, and portals—moving approved data and documenting each handoff.
Your people keep: approvals, ambiguous records, and true exceptions.
Read the denial context, identify the configured next action, assemble supporting material, and draft the appeal package for review.
Your people keep: judgment calls and approval-required submissions.
A fast path to production
The agent works through the software and SOP you already have, so the first deployment focuses on the work rather than replacing the underlying system.
Pick one repeatable workflow with known inputs, outputs, volume, and exception owners.
Use approved access through the interface, available APIs, or scheduled files.
Compare the agent’s work with the current process before production actions expand.
Let the agent handle the routine queue and route exceptions with supporting context.
Why it moves quickly
A well-scoped first workflow can be deployed in weeks. Exact timing depends on access, workflow complexity, and validation requirements.
Customer story · Identity withheld
A billing company brought Medex into its largest client account. Agents took production work from two clinical systems through coding and claim preparation into the existing billing PM—without pausing billing or losing revenue during the transition.
Read the full customer story →*Estimated per 5,000-claim week: 583.3 hours for coding and claim decisions, plus 17.5 hours for eligibility and payer-state work at the documented patient incidence—600.8 hours, rounded to 601. Straight data transfer and Medex’s own QA/readback are excluded.
Build the business case
Use your own operating assumptions. The calculator estimates capacity value—it does not promise savings.
Illustrative annual impact
Illustrative estimate only. “Operating value” is addressable labor capacity plus revenue you enter; it is not a guarantee of cost savings or collections.
Our point of view
Traditional software gives your team another dashboard, queue, and implementation project. Medex is designed to take an existing queue off the team and return completed work plus the exceptions that need judgment.
No forced EHR, PM, clearinghouse, or client-workflow migration.
The automation navigates the work instead of asking your team to operate a new portal.
Exceptions arrive with context, evidence, and the configured next step.
Expand proven automations across more clients and more work.
Plain answers
Have a workflow that does not fit neatly here? Ask us directly.
AI agents complete defined, multi-step revenue-cycle work across client accounts: record intake, validation, coding support, claim preparation, writeback, reconciliation, denial analysis, and appeal drafting. Medex configures each agent around the billing company’s client rules, systems, and human approval points.
No. Medex is an RCM automation tool, not a replacement EHR, PM system, clearinghouse, or staff-facing platform. Its agents do work inside the systems and workflows your billing company already uses.
No. Medex handles defined, repeatable work and routes exceptions to the billing team. People retain control over client rules, approvals, audits, and unusual cases. The goal is to give a strong team more capacity.
Medex can work across systems including Epic, athenahealth, Oracle Health and Cerner, eClinicalWorks, NextGen Healthcare, CollaborateMD, and ModMed. Depending on the customer environment, agents can use available APIs, scheduled files, or the same software interface a human operator uses. Each connection and write action is scoped and validated before production use.
A well-scoped first workflow can be deployed in weeks rather than months because the agent works with the software already in place. Exact timing depends on system access, workflow complexity, and validation requirements.
Yes. Medex can support coding workflows and downstream billing work, including claim preparation, safe writeback, reconciliation, denial analysis, and appeal drafting. The exact scope depends on the client’s systems, rules, and control requirements.
Medex is software automation, not a staffing vendor. It standardizes configured workflows, operates across systems, produces an operational trail, and sends exceptions to your existing team. It is also not an EHR or clearinghouse.
Start with a free billing, coding + SOP audit for one high-volume account or painful workflow. We map the process, estimate the manual effort, identify automation-ready work, and propose measurable success criteria before implementation.
Free billing, coding + SOP audit
Bring one client workflow. We’ll map the SOP, estimate the manual effort, and show what Medex agents could take over inside the systems you already use.
