DeCodeX

JSON twin: https://www.healthaidb.com/software/decodex.json

Company Name

Encore Health

Product URL

https://encore.health/

Company URL

https://encore.health/

Categories

• administrative Operations
• revenue Cycle
• Administrative
• Revenue Cycle Management
• Clinical Denials Management

Summary

DeCodeX is an AI-driven enterprise case management platform developed by Encore Health to manage clinical claim denials and enhance revenue cycle performance.

Description

DeCodeX leverages artificial intelligence to streamline the management of clinical claim denials, offering tools for classification, prioritization, and workflow management. It aims to improve financial performance and prepare revenue cycles for value-based reimbursement models. The platform adheres to SOC 2 Type II and HIPAA standards, ensuring security and compliance. DeCodeX is available as a Software as a Service (SaaS) solution, with pricing details available upon request from the vendor.

Api Available

unknown

Certifications

• SOC 2 Type 2

Company Founding

2023

Company Offices

• United States

Compliance

• HIPAA
• SOC 2 Type 2

Customers

Data Residency

Data Standards

Deployment Model

• SaaS

Features

• AI-driven clinical denial case management
• Clinically-intelligent appeals workflow
• Automated prioritization of denial cases
• Case tracking and status management
• Clinical review support
• Revenue cycle optimization insights
• Support for value-based care reimbursement preparation
• Document capture and management for appeals
• Team/collaboration tools for appeals

Id

SW1291

Integration Partners

Integrations

Languages Supported

• English

Last Updated

2025-10-11

License

Proprietary commercial

Market Segment

• enterprise
• smb

Optional Modules

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

enterprise_quote

Privacy Features

• BAA available
• consent mgmt
• anonymization
• data minimization

Product Code

SW1291

Product Name

DeCodeX

Ratings

Regions Available

• United States

Related Urls

• https://elion.health/products/encore-health-decodex

Release Year

Security Features

• Encryption
• RBAC
• SSO/SAML
• audit logs
• 2FA
• DLP

Specialties

• Clinical Denials Management
• Revenue Cycle Optimization
• Value-based Care Reimbursement Preparation

Support Channels

System Requirements

Target Users

• revenue cycle managers
• denials managers
• billing specialists
• finance/admin staff
• health system administrators

Training Options

Type

product

User Reviews

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "DeCodeX",
  "company_name": "Encore Health",
  "product_url": "https://encore.health/",
  "company_url": "https://encore.health/",
  "related_urls": [
    "https://elion.health/products/encore-health-decodex"
  ],
  "product_code": "SW1291",
  "summary": "DeCodeX is an AI-driven enterprise case management platform developed by Encore Health to manage clinical claim denials and enhance revenue cycle performance.",
  "description": "DeCodeX leverages artificial intelligence to streamline the management of clinical claim denials, offering tools for classification, prioritization, and workflow management. It aims to improve financial performance and prepare revenue cycles for value-based reimbursement models. The platform adheres to SOC 2 Type II and HIPAA standards, ensuring security and compliance. DeCodeX is available as a Software as a Service (SaaS) solution, with pricing details available upon request from the vendor.",
  "categories": [
    "administrative Operations",
    "revenue Cycle",
    "Administrative",
    "Revenue Cycle Management",
    "Clinical Denials Management"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "revenue cycle managers",
    "denials managers",
    "billing specialists",
    "finance/admin staff",
    "health system administrators"
  ],
  "specialties": [
    "Clinical Denials Management",
    "Revenue Cycle Optimization",
    "Value-based Care Reimbursement Preparation"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "Proprietary commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2023",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "AI-driven clinical denial case management",
    "Clinically-intelligent appeals workflow",
    "Automated prioritization of denial cases",
    "Case tracking and status management",
    "Clinical review support",
    "Revenue cycle optimization insights",
    "Support for value-based care reimbursement preparation",
    "Document capture and management for appeals",
    "Team/collaboration tools for appeals"
  ],
  "optional_modules": [],
  "integrations": [],
  "data_standards": [],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "SOC 2 Type 2"
  ],
  "certifications": [
    "SOC 2 Type 2"
  ],
  "security_features": [
    "Encryption",
    "RBAC",
    "SSO/SAML",
    "audit logs",
    "2FA",
    "DLP"
  ],
  "privacy_features": [
    "BAA available",
    "consent mgmt",
    "anonymization",
    "data minimization"
  ],
  "data_residency": "",
  "customers": [],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [],
  "training_options": [],
  "release_year": "",
  "integration_partners": [],
  "id": "SW1291",
  "slug": "decodex",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/decodex.json"
  }
}