Everything your practice needs. One platform.
9 AI agents, bulk billing operations, denial management, predictive analytics, and HIPAA-compliant security — purpose-built for small and independent practices.
Real-Time Pipeline Agents
These 4 agents run in sequence on every encounter, completing in about 30 seconds. Paste a note, get codes.
CDI Agent
Clinical Documentation Improvement
Reviews documentation quality before coding begins. Identifies missing elements, ambiguous language, and documentation gaps that could lead to coding errors or denials.
- Analyzes clinical note completeness against specialty-specific requirements
- Flags missing diagnoses, procedures, and supporting documentation
- Generates real-time queries to providers for clarification
- Tracks query response rates and documentation improvement over time
- Decisions: PASS (ready for coding), QUERY (needs clarification), RETURN (needs rewrite)
Coding Agent
Core ICD-10 & CPT Code Assignment
The core AI engine. Uses a ReAct reasoning loop with 5 specialized tools to assign accurate ICD-10 and CPT codes from clinical documentation.
- Semantic search over 72K+ ICD-10-CM and CPT codes via pgvector embeddings
- ReAct loop: Think → Tool Use → Observe → Repeat until confident
- 5 tools: code search, guideline lookup, NCCI edit check, MUE validation, modifier analysis
- Confidence scoring for every code assignment with supporting evidence
- Handles complex multi-diagnosis encounters and E/M level selection
Compliance Agent
Audit Defense & Regulatory Compliance
Validates every code assignment against current regulatory requirements, payer policies, and compliance best practices.
- Checks against OIG Work Plan focus areas for current year
- Validates modifier defensibility with documentation requirements
- Flags statistical outlier patterns that could trigger audits
- Monitors compliance with LCD/NCD policies per payer
- Generates compliance confidence scores and risk flags
Denial Prevention Agent
Pre-Submission Claim Scrubbing
Performs a final pre-submission scrub using learned payer rules, NCCI edits, and LCD/NCD policies to catch denial-causing issues before claims go out.
- NCCI edit pair validation (Column 1/Column 2, mutually exclusive)
- MUE (Medically Unlikely Edit) threshold checks
- Payer-specific rule matching from learned denial patterns
- Prior authorization requirement detection
- Timely filing deadline warnings based on payer contracts
Coding Intelligence
Every suggestion is explainable, and every correction makes the system smarter for your practice.
Evidence-Backed Code Suggestions
Every suggested code shows the exact clinical note text that supports it, plus a full reasoning chain explaining why it was chosen. No black box — you see the evidence.
Code-Level Feedback Loop
Accept, modify, or reject each code individually. Tell us why — wrong code, missing modifier, undercoded. MedveriCodex learns from your corrections and improves suggestions for your practice over time.
Payer Intelligence
Payer-specific validation with rule provenance you can trust. Clinical coding and payer compliance are clearly separated.
Enhanced Payer Intelligence
Not just payer names — MedveriCodex understands your specific payer entity, plan type, line of business, and state. Anthem BCBS California Commercial PPO gets different rules than BCBS Illinois Medicaid. 14 BCBS-specific entities, MAC contractor awareness for Medicare, and plan-level rule matching.
4-Tier Rule Classification
Not all rules are equal. Official payer policies carry the most weight. Verified internal rules come next. Observed denial patterns inform but never block. Related payer hints are shared for awareness only. You always know where each rule comes from.
Smart Payer Validation Output
Every encounter shows 5 clear sections: Suggested Codes (clinical), Payer Validation (payer-specific checks), Payer-Specific Risks, Missing Documentation, and Submission Readiness. Clinical coding and payer compliance are separated so you see both clearly.
Practice Intelligence
Scheduled agents that continuously analyze your practice's performance, find missing revenue, and forecast your financial future.
HCC Gap Analysis
Medicare Advantage Risk Adjustment
Identifies Hierarchical Condition Category gaps to ensure proper risk adjustment factor scores for Medicare Advantage patients.
- RAF weight gap identification across your patient panel
- Priority-ranked recapture worklist with patient outreach plans
- Year-over-year HCC comparison for risk adjustment accuracy
- Pre-visit checklists so providers can recapture gaps during scheduled visits
- Estimated revenue impact for each identified gap
Revenue Optimization
Find Missing Revenue
Analyzes your practice’s coding patterns to identify systematic undercoding, missed opportunities, and revenue leakage.
- E/M level distribution analysis — flags systematic undercoding
- Modifier optimization (missed -25, -59, -76 opportunities)
- Add-on code recovery (commonly missed billable services)
- Benchmarking against specialty-specific coding distributions
- Quantified revenue impact for every recommendation
Provider Scorecards
Performance Analytics & Education
Generates per-provider performance dashboards with coding pattern analysis, letter grades (A–F), and targeted education recommendations.
- Per-provider coding accuracy, denial rate, and revenue metrics
- A–F grading based on composite performance score
- Comparison to specialty benchmarks and peer performance
- Targeted education plans for common coding issues
- Documentation quality scoring and CDI response rate tracking
Predictive Intelligence
Revenue Forecasting & Scenario Planning
Provides 90-day revenue forecasting, what-if scenario modeling, and anomaly detection to help you plan with confidence.
- 90-day revenue projection based on encounter trends and payer mix
- What-if scenario modeling (add providers, change payer contracts, etc.)
- Anomaly detection — flags unexpected revenue dips or spikes
- Accounts receivable aging analysis and collection probability
- Practice health dashboard with key financial indicators
AI Report Assistant
NewNatural Language Practice Analytics
Ask any question about your practice data in plain English. Get instant answers with charts, tables, and actionable recommendations. Why did our denial rate spike? Which provider has the best coding accuracy? How much revenue are we losing to undercoding? Just ask.
- Ask questions in plain English — no SQL or report building required
- Generates safe, read-only queries against your practice data
- Visualizes results with charts, tables, and metric cards
- Provides actionable recommendations based on findings
- Practice plans: 5 questions/day. Clinic plans: unlimited
Denial Management
From the moment a denial arrives to the moment revenue is recovered, MedveriCodex automates triage, document analysis, appeal generation, and pattern learning.
AI Triage & Categorization
Every denial is automatically categorized by root cause, assigned a triage tier (Auto-Resolve, Standard Appeal, Clinical Appeal, Peer-to-Peer, Write-Off), and ranked by recovery potential.
Denial Document Analysis
Upload a denial letter PDF or paste EOB/ERA text. AI extracts patient info, denied codes, CARC/RARC reasons, amounts, and deadlines — automatically linked to the original encounter.
Side-by-Side Comparison
See exactly what was coded versus what was denied. AI highlights the gaps and generates a targeted remediation plan using your own documentation as evidence.
AI-Generated Appeal Letters
One-click appeal generation that references your clinical documentation, coding rationale, and payer-specific guidelines. Supports multi-level appeals with deadline tracking.
Denial Analytics & Trends
Track denial rates by payer, code, provider, and reason category. Identify systemic patterns, monitor appeal success rates, and quantify revenue recovered.
Self-Learning Flywheel
Every resolved denial feeds back into prevention rules. The system learns payer-specific patterns, NCCI edit traps, and documentation gaps to reduce future denials automatically.
How it works
Biller Command Center
Purpose-built for billing companies and billing managers who process high volumes of encounters daily. Upload a CSV, get AI-audited results in minutes.
Bulk CSV Upload
Upload up to 100 clinical charts at once via CSV drag-and-drop. Each chart runs through the full 4-agent pipeline with concurrency-controlled processing.
AI Triage Grid
Dense, sortable data grid with color-coded results: green (clean), amber (flagged), red (blocked/high-risk), gray (processing). Filter, search, and sort by any column.
KPI Dashboard
Real-time metrics at a glance: charts processed, denials flagged, found revenue from undercoding, and clean claim rate — updated as each chart completes.
Slide-Out Detail Panel
Click any row to see the full AI audit: clinical note, suggested codes with confidence scores, CDI findings, compliance flags, and denial risk breakdown.
Bulk Actions
Select multiple clean claims and mark them ready for submission. Send CDI queries for flagged encounters. Accept, modify, or flag individual results from the detail panel.
Batch History
Full history of every batch you’ve run with status, chart counts, clean/flagged/blocked breakdown, clean claim rate, and found revenue. Click any batch to review results.
Team Review Queue
Lead coders and billing managers can review flagged encounters, assign work to team members, and track which codes were accepted or changed. Built for real practice operations, not solo use.
ROI Dashboard
See exactly what MedveriCodex is doing for your practice: time saved, acceptance rate, documentation gaps caught, denials prevented, undercoding found, and total revenue impact. Exportable as PDF for practice owners.
Batch processing flow
Workflow Tools
Meet your team where they already work — in the EHR, on the spreadsheet, and during onboarding.
Chrome Extension
Highlight a clinical note in your web-based EHR, click one button, and get AI-coded results in 30 seconds. No copy-paste, no tab switching. Works with Epic, Athena, DrChrono, SimplePractice, TherapyNotes, and any web-based EHR.
Illustrative Impact Calculator
Estimate the annual impact of claim rework and coding inefficiencies on your practice. Three transparent buckets: claim rework cost, coding/documentation opportunity, and manual review time. Industry-sourced assumptions, fully disclosed.
Voice-Guided Demo Tour
Take a narrated walkthrough of every feature. 25 steps with professional voice narration, spotlight highlighting, and automatic page navigation. Resume anytime, jump to any section, bookmark features, share specific steps with colleagues.
Security & Compliance
Built for healthcare from day one. Every layer of the stack is designed with HIPAA compliance, data isolation, and auditability in mind.
HIPAA Compliant Architecture
End-to-end encryption, strict Content Security Policy, HSTS, X-Frame-Options DENY, and BAAs with all infrastructure providers (Supabase, Vercel).
Row-Level Security & Multi-Tenancy
Every database query is automatically scoped to your organization via PostgreSQL Row-Level Security. No practice can ever access another’s data.
Immutable Audit Logs
Every AI decision, code assignment, and user action is logged to an append-only audit trail. No UPDATE or DELETE allowed — full accountability for compliance reviews.
Role-Based Access Control
Three permission levels (Viewer, Editor, Admin) control who can view results, run audits, manage team members, and configure practice settings.
Shadow Mode
Run MedveriCodex alongside your current workflow with zero risk. Compare AI results against your human coder for 30 days before going live.
User Experience
Designed so your team can be productive from day one — no training manuals required.
Contextual Help Tooltips
Info icons throughout the app explain key metrics, triage tiers, compliance scores, and workflow concepts — no need to leave the page.
Help & Guide Panel
Sidebar help section with quick-start guide, FAQ, and contextual documentation links. Everything you need to get productive fast.
In-App Feedback
Submit feedback, feature requests, and bug reports directly from the app. Your input shapes the roadmap.
Specialty Roadmap & Waitlist
Deep specialty training is what makes the AI accurate. See which specialties are live, which are coming, and sign up to be notified when yours launches.
Why AI-powered coding?
30 seconds vs 8 minutes
AI coding is 16x faster than manual coding. Your staff focuses on patient care, not code books.
95%+ accuracy
Consistent, evidence-based code assignment with full audit trail. No more coder variability.
Pays for itself in days
Reduced denials, recovered undercoding revenue, and eliminated labor costs deliver 10–20x ROI.
Specialty Roadmap
We go deep, not wide. Deep specialty training is what makes the AI accurate. Here's where we are and where we're headed.
Live Now
Coming Soon
Don't see your specialty? Let us know and we'll prioritize based on demand.
Code from Any EHR
Highlight a clinical note in your EHR, click one button, and get AI-coded results in 30 seconds. No copy-paste. No tab switching. Works with any web-based EHR.
How It Works
Select text in your EHR
Highlight the clinical note — works with Epic, Cerner, athenahealth, or any web-based system.
Click 'Code with AI'
A floating teal button appears near your selection. Click it, right-click, or press Ctrl+Shift+M.
Review AI-coded results
ICD-10 diagnoses, CPT procedures, denial risk score, and compliance flags — all in the extension popup.
Copy codes back to your EHR
One-click copy of all codes formatted for your billing system. Paste and submit.
Floating Action Button
A smart button appears when you select clinical note text — just click to start coding.
Full Pipeline in 30 Seconds
CDI review, AI coding, compliance check, and denial prevention — all run automatically.
Quick Copy to Clipboard
Copy ICD-10 codes, CPT codes, or all codes formatted for easy paste-back into your billing system.
Side Panel Mode
Keep results open alongside your EHR tab. View codes on the right while the patient chart stays on the left.
Same Security & Limits
Extension enforces the same HIPAA safeguards, billing limits, and plan tiers as the web app.
Keyboard Shortcut
Press Ctrl+Shift+M (Cmd+Shift+M on Mac) to instantly code your selected text.
Chrome Web Store listing coming soon. Install via developer mode for now.
See it all in action
Start your free trial and paste your first clinical note. Results in 30 seconds.
Start Free Trial