MEDBIX
Revenue cycle ops, with humans in control.
Claims, denials, A/R and patient pay for every practice you serve — in one workbench built for billing companies. The machine reads coverage, explains scrub findings and suggests codes or denial fixes when it can help. Your team still decides what is final. Nothing reaches a payer until a named person opens the approval gate. That keeps accountability clear when a client asks who sent a claim, and it keeps AI in a propose role — never a send role. Start with a sample-data demo, then map the loop to your own payers, specialties and practice book. If spreadsheets and portal-hopping are holding the floor together today, this is the workbench that replaces the patchwork.
Try the gate on the right — the claim will not move until you approve it.
Today's claims · Northside Billing Co.
sample data
Lakeview Ortho · Aetna
$412.00
AI suggests: Attach visit note — payer often asks with modifier 25
The gate: a person approves every claim
The floor today
Billing teams shouldn't have to live in spreadsheets.
Spreadsheets hold most billing companies together until the fifth client, the third biller, or the first time a client asks who approved a claim.
- 01
Rules live in people's heads
Which payer wants which modifier is tribal knowledge. When someone leaves, so does the rule.
- 02
Eligibility checked too late
Coverage problems get discovered when the denial arrives, not before the claim is written.
- 03
Denials in arrival order
A $2,400 precert denial waits behind a $40 deductible because that's how the spreadsheet is sorted.
- 04
Money in five different places
A/R aging, remittance and patient balances live in separate tools that never quite agree.
- 05
No one signed off
"Who approved this claim?" turns into a search through chat threads and inboxes.
- 06
AI that acts on its own
Tools that auto-submit leave the billing company accountable for decisions it never made.
The MEDBIX loop
Seven steps. One amber gate.
From coverage check to cash posted — every claim walks the same path. The amber step is a person with a name.
01
Eligibility
Coverage known before the claim exists
02
Build
Draft assembled from the encounter
03
Scrub
Rules catch what people forget
04
Approve
A named person opens the gate
05
Submit
837 leaves only after approval
06
Post
Remittance lands in one ledger
07
Collect
Denials and patient balances, prioritized
Product, not a pitch deck
Screens you can actually read.
Every mockup on this site is the real interface with synthetic data. Watch the short tour, then dig into how it works.
Eligibility · 270/271
- Plan statusActive
- Specialist copay$40
- Deductible remaining$310 of $1,500
- Prior auth (imaging)Required
Coverage confirmed before the claim is written.
Platform
35 capabilities, grouped the way billing work actually splits.
Open an area. Each feature page says what it does, who uses it, and what it deliberately doesn't do.
Claims
Build, check, approve and send claims without a spreadsheet in sight. Start from the encounter, scrub against rules, attach what the payer needs, then wait for a named person to open the gate before anything leaves. Responses land in one inbox; corrections reopen safely; denial risk surfaces before you send. Every step stays visible so when a client asks who approved a claim, you have an answer.
Eligibility & coding
Know what's covered and what to code before the claim is written.
Denials & A/R
Work denials in order of what's worth fixing, and see every open dollar.
Payments
Bring remittance in, post it once, and keep a ledger nobody can quietly edit.
Patients
Statements people understand and a pay link that just works.
Practice ops
Run many client practices from one company account, cleanly separated.
- Multi-practice tenancy
- Roles & permissions
- Client & CSV import
- EHR data ingest
- Specialty billing profiles
The rule
AI proposes.
Your team decides.
We use AI where it saves time — reading coverage, suggesting codes, explaining scrub findings, surfacing denial fixes you have already solved. We never let it finalize money or coding.
- Explains scrub findings
- Suggests ICD & procedure codes
- Interprets 271 responses
- Proposes denial fixes
- Flags denial risk
- Suggests new scrub rules
- Approve claims for submission
- Accept codes, one at a time
- Apply fixes to drafts
- Post payments
- Activate new rules
- Resubmit denials
Northside Billing Co.
tenant · 12 staff
Lakeview Ortho
patients · claims · statements
Bayside Derm
patients · claims · statements
Cedar Family Med
patients · claims · statements
Multi-practice
One company. Many practices. Walls that hold.
Your billing company is the tenant. Each client practice sits underneath with its own patients, claims and statements — enforced in the database, not just the UI.
Who it's for
Built for the people who do the billing.
Billing companies are the primary customer. Practices that bill for themselves run as their own tenant.
Medical billing companies
Run every client practice from one workbench. Claims, denials, A/R and patient pay sit under your company account with clean walls between clients. Supervisors see what's waiting; billers work prioritized queues; accountants post remittance once. Nothing reaches a payer until someone on your team approves it — so accountability is built in, not hunted down in chat threads.
- One tenant, many practices
- Prioritized denial queues
- Named approval on every send
- Reports clients actually ask for
Offshore billing teams
Structure and accountability across time zones.
See how it fits →US-based billing firms
Premium service, backed by a premium system.
See how it fits →Practice managers
Run billing for your own practice like a pro.
See how it fits →Solo providers
Professional billing tools for a practice of one.
See how it fits →Writing
Recent pieces from the team.
Operations
One workbench for every practice you bill.
Stop hopping between clearinghouse portals, shared drives and aging spreadsheets. MEDBIX keeps claims, denials and patient balances in one place your whole team can trust.
- Practice-scoped queues so billers only see their book
- Status that updates when remittance posts — not when someone remembers
- Search that finds a claim by patient, payer or control number
Approval
Nothing leaves until a named person opens the gate.
AI can draft and explain. Submission still needs a human signature in the log — so when a client asks who approved a claim, you have an answer in seconds.
- Required approval step on every outbound claim
- Immutable record of who approved and when
- Return-to-biller path when something still looks wrong
Cash flow
Denials and A/R ranked by money, not arrival time.
Work the $2,400 precert before the $40 deductible. Aging, remittance and patient balances finally sit in one ledger your accountants can reconcile.
- Denial queue sorted by dollars at risk
- ERA posting that lands in the same place as aging
- Patient statements and pay links from the same patient record
Team fit
Built the way billing companies actually split the work.
Admins configure. Supervisors approve. Billers work the queue. Accountants post and reconcile. Each role sees what their job needs — nothing more.
- Role-based access that matches real job titles
- Audience pages for companies, billers and finance
- Honest limits so sales calls stay short
Common questions
Is MEDBIX an EHR?
No. MEDBIX is a revenue cycle and medical billing platform. It can take in billing-relevant data from EHRs, but it doesn't do clinical charting, prescriptions or labs.
Does the AI submit claims automatically?
No. AI agents suggest codes, explain scrub findings and propose denial fixes. A person on your team has to review and approve every claim before it goes to the clearinghouse.
Who can see our data?
Your billing company is the tenant. Practices under you are separated by permissions, and other billing companies can't see your data at all, because PostgreSQL row-level security enforces it.
Can a solo practice use it?
Yes. A solo practice onboards as its own tenant, with the provider or office manager as the tenant admin.
Which clearinghouse do you use?
Stedi, a modern JSON clearinghouse API, for eligibility (270/271), claims (837) and remittance (835).
Want to walk MEDBIX against your real claim mix?
Thirty minutes with sample data. We'll follow one claim through the gate, then talk about your payers, practices and where the rework hurts today.
Notes from the billing floor
Occasional, practical writing on denials, A/R and running a billing company. No spam, unsubscribe any time.