MedMetrix Denials and Revenue Recovery

JSON twin: https://www.healthaidb.com/software/medmetrix-denials-and-revenue-recovery.json

Company Name

MedMetrix

Product URL

https://www.medmetrix.com/denials-and-revenue-recovery

Company URL

https://www.medmetrix.com

Categories

• revenue Cycle
• ai Clinical Documentation Integrity
• administrative Operations
• financial Management
• Revenue Cycle Management
• Denials Management
• Ai-powered Automation
• Healthcare Financial Solutions

Summary

MedMetrix Denials and Revenue Recovery is a healthcare software solution that leverages AI and automation to manage claim denials and recover lost revenue, enhancing financial performance for healthcare providers.

Description

MedMetrix Denials and Revenue Recovery utilizes advanced machine learning and robotic process automation to automate denial and appeals management, predict denial overturn probabilities, and recover underpayments and lost charges. The platform offers pre-claim coding analysis, pre-billing reviews, and case management support to prevent denials and streamline revenue recovery processes.

Api Available

unknown

Certifications

• FDA 510(k)
• CE/MDR
• ONC
• ISO 27001

Company Founding

2010

Company Offices

• United States

Compliance

• HIPAA
• HITECH
• SOC 2
• ISO 27001

Customers

• MedMetrix Denials and Revenue Recovery customers

Data Residency

US/EU regions

Data Standards

• FHIR
• HL7 v2
• DICOM
• SNOMED
• ICD-10

Deployment Model

• SaaS
• managed_services

Features

• Denials management
• Automated appeals
• Payment variance recovery
• Transfer DRG analysis
• Pre-claim coding analysis
• Pre-billing review
• Authorization sufficiency review
• Contractual or regulatory exclusions review
• Service coverage details review
• Case management review and support
• Billing and collections
• Complex claims handling
• A/R liquidation
• Self-pay management
• Call center and patient engagement
• Reporting and business insights
• Credentialing and provider enrollment
• Vendor management
• Custom bots and AI claims status network

Id

SW1791

Integration Partners

• MedMetrix Denials and Revenue Recovery integration partners

Integrations

• EHR/EMR systems
• Claims clearinghouses
• Patient payment processors
• Third-party RCM vendors
• Call center platforms

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• Patient Intake Stack
• Revenue Integrity Stack
• Business Insights Stack
• AI Authorization Management
• AI Denials Management
• AI Automated Coding
• Scheduling Optimization
• Liability Estimation

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• BAA available
• Consent management
• Anonymization
• Data minimization

Product Code

SW1791

Product Name

MedMetrix Denials and Revenue Recovery

Ratings

• MedMetrix Denials and Revenue Recovery rating

Regions Available

• United States

Related Urls

• https://elion.health/products/medmetrix-denials-and-revenue-recovery

Release Year

2025

Security Features

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

Specialties

• General Healthcare
• Hospital Systems
• Physician Groups
• Ambulatory Practices

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• clinicians
• nurses
• admins
• healthcare providers
• revenue cycle managers

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• MedMetrix Denials and Revenue Recovery user review

Version

1.0

Alternatives

See related products

Canonical JSON

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  "product_name": "MedMetrix Denials and Revenue Recovery",
  "company_name": "MedMetrix",
  "product_url": "https://www.medmetrix.com/denials-and-revenue-recovery",
  "company_url": "https://www.medmetrix.com",
  "related_urls": [
    "https://elion.health/products/medmetrix-denials-and-revenue-recovery"
  ],
  "product_code": "SW1791",
  "summary": "MedMetrix Denials and Revenue Recovery is a healthcare software solution that leverages AI and automation to manage claim denials and recover lost revenue, enhancing financial performance for healthcare providers.",
  "description": "MedMetrix Denials and Revenue Recovery utilizes advanced machine learning and robotic process automation to automate denial and appeals management, predict denial overturn probabilities, and recover underpayments and lost charges. The platform offers pre-claim coding analysis, pre-billing reviews, and case management support to prevent denials and streamline revenue recovery processes.",
  "categories": [
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    "ai Clinical Documentation Integrity",
    "administrative Operations",
    "financial Management",
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    "Ai-powered Automation",
    "Healthcare Financial Solutions"
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  "market_segment": [
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  "specialties": [
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  "regions_available": [
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  "languages_supported": [
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  "pricing_model": "subscription",
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  "license": "commercial",
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  "company_founding": "2010",
  "deployment_model": [
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  "os_platforms": [
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  "features": [
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    "Automated appeals",
    "Payment variance recovery",
    "Transfer DRG analysis",
    "Pre-claim coding analysis",
    "Pre-billing review",
    "Authorization sufficiency review",
    "Contractual or regulatory exclusions review",
    "Service coverage details review",
    "Case management review and support",
    "Billing and collections",
    "Complex claims handling",
    "A/R liquidation",
    "Self-pay management",
    "Call center and patient engagement",
    "Reporting and business insights",
    "Credentialing and provider enrollment",
    "Vendor management",
    "Custom bots and AI claims status network"
  ],
  "optional_modules": [
    "Patient Intake Stack",
    "Revenue Integrity Stack",
    "Business Insights Stack",
    "AI Authorization Management",
    "AI Denials Management",
    "AI Automated Coding",
    "Scheduling Optimization",
    "Liability Estimation"
  ],
  "integrations": [
    "EHR/EMR systems",
    "Claims clearinghouses",
    "Patient payment processors",
    "Third-party RCM vendors",
    "Call center platforms"
  ],
  "data_standards": [
    "FHIR",
    "HL7 v2",
    "DICOM",
    "SNOMED",
    "ICD-10"
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  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
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    "HITECH",
    "SOC 2",
    "ISO 27001"
  ],
  "certifications": [
    "FDA 510(k)",
    "CE/MDR",
    "ONC",
    "ISO 27001"
  ],
  "security_features": [
    "Encryption",
    "RBAC",
    "SSO/SAML",
    "Audit logs",
    "2FA",
    "DLP"
  ],
  "privacy_features": [
    "BAA available",
    "Consent management",
    "Anonymization",
    "Data minimization"
  ],
  "data_residency": "US/EU regions",
  "customers": [
    "MedMetrix Denials and Revenue Recovery customers"
  ],
  "user_reviews": [
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  "ratings": [
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  "support_channels": [
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    "chat",
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  "training_options": [
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    "webinars",
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  ],
  "release_year": "2025",
  "integration_partners": [
    "MedMetrix Denials and Revenue Recovery integration partners"
  ],
  "id": "SW1791",
  "slug": "medmetrix-denials-and-revenue-recovery",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/medmetrix-denials-and-revenue-recovery.json"
  }
}