JSON twin: https://www.healthaidb.com/software/milagro.json
Milagro
https://milagroai.com/the-product/
Milagro is an AI-driven autonomous medical coding platform that extracts clinical data from operative and ancillary notes to assign CPT/HCPCS and ICD-10 codes and detect denial risks in real time.
Milagro automates ambulatory and surgical coding using machine learning to read procedure summaries, anesthesia notes, H&P and pathology reports, producing CPT/HCPCS codes, modifiers and diagnosis lists with >95% claimed accuracy. The platform includes modules for autonomous coding (CodeGuard) and claim/denial prevention (ClaimGuard), integrates with EHRs (Epic via Connection Hub listing) and targets revenue protection by identifying downcoding, mismatches and potential denials. The company cites deployments with hospitals and ASC/RCM partners and maintains HIPAA and SOC2 Type II compliance.
yes
2020
US-based hosting (Austin, TX office) — US region
P1069
2025-09-07
proprietary/commercial
Contact vendor for pricing, demos and deployment options (no public list prices; enterprise contracts and pilots available).
enterprise_quote
2017
product
1.0
{
"company_name": "Milagro",
"company_url": "https://milagroai.com/",
"company_offices": [
"United States"
],
"company_founding": "2020",
"product_url": "https://milagroai.com/the-product/",
"categories": [
"clinical",
"administrative",
"revenue cycle",
"medical coding",
"denial prevention",
"compliance"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://milagroai.com/",
"https://milagroai.com/the-product/",
"https://milagroai.com/product/codeguard/",
"https://milagroai.com/product/claimguard/",
"https://milagroai.com/technology/",
"https://milagroai.com/about-us/",
"https://milagroai.com/resources/tampa-general-hospital-and-milagroai-drive-innovation-with-major-breakthrough-in-advanced-complex-autonomous-coding/",
"https://elion.health/categories/medical-coding/products",
"https://www.prnewswire.com/news-releases/milagro-achieves-breakthrough-results-with-tampa-general-hospital-now-available-in-connection-hub-on-epic-showroom-302436374.html",
"https://www.linkedin.com/company/milagroai"
],
"summary": "Milagro is an AI-driven autonomous medical coding platform that extracts clinical data from operative and ancillary notes to assign CPT/HCPCS and ICD-10 codes and detect denial risks in real time.",
"description": "Milagro automates ambulatory and surgical coding using machine learning to read procedure summaries, anesthesia notes, H&P and pathology reports, producing CPT/HCPCS codes, modifiers and diagnosis lists with >95% claimed accuracy. The platform includes modules for autonomous coding (CodeGuard) and claim/denial prevention (ClaimGuard), integrates with EHRs (Epic via Connection Hub listing) and targets revenue protection by identifying downcoding, mismatches and potential denials. The company cites deployments with hospitals and ASC/RCM partners and maintains HIPAA and SOC2 Type II compliance.",
"target_users": [
"medical coders",
"coding managers",
"revenue cycle managers",
"hospital administrators",
"surgical centers/ASC staff",
"clinical documentation specialists",
"billing teams"
],
"specialties": [
"surgery/ambulatory surgery",
"gastroenterology",
"cardiology",
"anesthesia",
"ENT",
"orthopedics",
"ophthalmology",
"respiratory",
"urology",
"integumentary/dermatologic procedures",
"neurosurgery"
],
"regions_available": [
"United States",
"Israel",
"North America"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing, demos and deployment options (no public list prices; enterprise contracts and pilots available).",
"license": "proprietary/commercial",
"deployment_model": [
"SaaS",
"Epic App (integrated)"
],
"os_platforms": [
"Web"
],
"features": [
"Autonomous surgical/ambulatory procedure coding",
"Clinical language understanding (NLU) for unstructured notes",
"Medical reasoning engine for code selection",
"Real-time coding",
"Automatic CPT/HCPCS and modifier assignment",
"Diagnosis list extraction",
"Down-coding detection",
"Denial risk identification",
"Supports multiple surgical specialties",
"Rapid integration/implementation (live within ~4 weeks)"
],
"optional_modules": [
"CodeGuard",
"ClaimGuard"
],
"integrations": [
"Epic (Available on Epic)",
"EHR integration (unnamed hospital EHRs/workflows)",
"Revenue cycle/claims systems (general)"
],
"data_standards": [
"CPT",
"HCPCS",
"ICD-10",
"FHIR",
"HL7 v2"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA"
],
"certifications": [
"SOC 2 Type II"
],
"security_features": [
"Encryption (in transit & at rest)",
"Role-based access control (RBAC)",
"SSO/SAML",
"Audit logs",
"2FA"
],
"privacy_features": [
"Business Associate Agreement (BAA) available",
"Data minimization",
"Consent handling (per policy)"
],
"data_residency": "US-based hosting (Austin, TX office) — US region",
"customers": [
"Tampa General Hospital",
"Ambulatory Surgery Centers (various)"
],
"user_reviews": [],
"ratings": [
"Capterra: 5.0/5"
],
"support_channels": [
"email",
"contact form",
"LinkedIn"
],
"training_options": [
"documentation",
"demo",
"webinars",
"live_online"
],
"release_year": "2017",
"integration_partners": [
"Epic",
"AVIA Marketplace",
"EHR/EMR systems (general)"
],
"id": "P1069",
"slug": "milagro",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/milagro.json"
}
}