JSON twin: https://www.healthaidb.com/software/medmetrix-denials-and-revenue-recovery.json
Med-Metrix
https://www.med-metrix.com/services/revenue-collection/denials-revenue-recovery
Med-Metrix Denials and Revenue Recovery is an AI-enabled denials management and revenue-recovery service that automates appeals, identifies underpayments and payment variances, and provides managed recovery operations.
A combined technology and operations offering that uses proprietary Denial AI (ML + RPA) and experienced operators to classify and appeal denials, predict AR return timing, recover payment variances and missing reimbursements, and identify systemic contract or billing issues to prevent future leakage. Offers pre-claim coding checks, pre-billing review, payment variance recovery, transfer DRG analysis and managed services for end-to-end revenue recovery.
unknown
2010
P1044
2025-09-07
commercial/proprietary
Contact vendor for pricing. Offering includes contingency/no-fee-unless-success models for variance recovery and tailored enterprise quotes; request a demo for details.
enterprise_quote
product
1.0
{
"company_name": "Med-Metrix",
"company_url": "https://www.med-metrix.com/",
"company_offices": [
"United States",
"Philippines"
],
"company_founding": "2010",
"product_url": "https://www.med-metrix.com/services/revenue-collection/denials-revenue-recovery",
"categories": [
"revenue-cycle-management",
"administrative",
"ai-denials-management",
"revenue-integrity",
"billing-and-collections"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://www.med-metrix.com/",
"https://www.med-metrix.com/services/revenue-collection/denials-revenue-recovery",
"https://www.med-metrix.com/tech-stacks/revenue-collection-stack",
"https://www.med-metrix.com/tech-stacks/revenue-integrity-stack",
"https://elion.health/products/medmetrix-denials-and-revenue-recovery",
"https://www.med-metrix.com/about",
"https://www.med-metrix.com/contact-us",
"https://www.linkedin.com/company/med-metrix",
"https://www.prnewswire.com/news-releases/med-metrix-secures-capital-investments-from-am-capital-partners-hackensack-meridian-health-and-existing-management-in-support-of-growth-initiatives-including-a-merger-with-miller--milone-301385574.html",
"https://www.med-metrix.com/privacy-policy"
],
"summary": "Med-Metrix Denials and Revenue Recovery is an AI-enabled denials management and revenue-recovery service that automates appeals, identifies underpayments and payment variances, and provides managed recovery operations.",
"description": "A combined technology and operations offering that uses proprietary Denial AI (ML + RPA) and experienced operators to classify and appeal denials, predict AR return timing, recover payment variances and missing reimbursements, and identify systemic contract or billing issues to prevent future leakage. Offers pre-claim coding checks, pre-billing review, payment variance recovery, transfer DRG analysis and managed services for end-to-end revenue recovery.",
"target_users": [
"revenue cycle managers",
"billing and coding teams",
"revenue integrity analysts",
"financial operations / CFO office",
"managed care/contracts teams",
"hospital administrators",
"physician group administrators"
],
"specialties": [
"acute care/hospitals",
"hospital-employed physician groups",
"private physician practices",
"LTAC",
"revenue cycle management"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing. Offering includes contingency/no-fee-unless-success models for variance recovery and tailored enterprise quotes; request a demo for details.",
"license": "commercial/proprietary",
"deployment_model": [
"SaaS",
"managed_services"
],
"os_platforms": [
"Web",
"iOS",
"Android"
],
"features": [
"Automated denials and appeals management",
"Proprietary Denial AI with ML predictive modeling",
"Robotic Process Automation (RPA) for workflow automation",
"Denial segmentation and overturn prediction",
"Automated appeals generation (ready-to-send or clinical draft)",
"Pre-claim coding analysis (registration, eligibility, COB)",
"Pre-billing review (authorizations, coverage, exclusions)",
"Payment variance identification and recovery",
"Aggregation of multi-source data for underpayment detection",
"Managed care contract load and enforcement",
"Recovery analytics and reporting on systemic issues",
"Transfer DRG analysis to identify missing reimbursements",
"Dedicated expert operations team for appeals and follow-up"
],
"optional_modules": [
"Payment Variance Recovery",
"Transfer DRG Analysis",
"Managed Care Contract Services"
],
"integrations": [],
"data_standards": [],
"api_available": "unknown",
"system_requirements": "",
"compliance": [],
"certifications": [],
"security_features": [],
"privacy_features": [],
"data_residency": "",
"customers": [
"The Brooklyn Hospital Center"
],
"user_reviews": [],
"ratings": [],
"support_channels": [],
"training_options": [],
"release_year": "",
"integration_partners": [],
"id": "P1044",
"slug": "medmetrix-denials-and-revenue-recovery",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/medmetrix-denials-and-revenue-recovery.json"
}
}