Autonomous Revenue Optimization

Stop Processing Claims.Start Optimizing Revenue.

Romadix automatically corrects claim errors, generates secondary billings, and monitors revenue risk—so your team can focus on complex cases that need human expertise.

HIPAA Compliant
SOC 2 Type II
256-bit Encryption
The Challenge

Revenue Cycle Inefficiency

  • 40% of billing staff time spent fixing preventable errors
  • Secondary claims ignored when processing costs exceed claim value
  • Revenue lost to timely filing deadlines and underpayments
Our Approach

Autonomous Optimization

  • Auto-correction of known error patterns before submission
  • Automated secondary claim generation and routing
  • Proactive monitoring of filing deadlines and contract compliance

Seamless integration with major platforms

TebraPMS
DrChronoEHR
MedisoftLegacy
AdvancedMDPMS
LytecLegacy
NextGenEHR
athenahealthEHR
eClinicalWorksEHR
Office AllyVia SFTP
TebraPMS
DrChronoEHR
MedisoftLegacy
AdvancedMDPMS
LytecLegacy
NextGenEHR
athenahealthEHR
eClinicalWorksEHR
Office AllyVia SFTP

Built for Your Infrastructure

Modern API or legacy file transfer—we adapt to your environment without forcing a platform migration.

RESTful API

JSON-based integration for modern tech stacks. Comprehensive documentation and webhook support.

File-Based Integration

SFTP, secure file transfer, or desktop agent for legacy systems. Works with existing export workflows.

Enterprise Security

HIPAA-compliant infrastructure with encrypted data transmission and comprehensive audit logging.

12345678910111213
const claim = await romadix.submit(({
provider_npi: '1234567890',
patient_id: 'PT-88492',
services: [
{ cpt: '99214', amount: 150.00 }
]
});
// Auto-corrections applied
// Response: { status: 'validated',
// corrections: ['Added Modifier 25'] }
Automated Recovery

Capture Revenue You're Currently Writing Off

When manual processing costs $8-12 per claim, small-value secondary claims often go unbilled. Romadix eliminates the labor constraint, making every secondary claim economically viable.

The system monitors primary payments, identifies secondary coverage, generates compliant secondary claims, and routes them automatically—without human intervention.

Typical Recovery Scenario

Primary claims/month1,000
Claims with secondary coverage150 (15%)
Average secondary reimbursement$30
Monthly additional revenue$4,500

Automated Workflow

1

Primary Payment Detected

ERA processed, payment posted

2

Secondary Coverage Identified

Eligibility database checked

3

Secondary Claim Generated

X12 837 built with adjustments

4

Routing & Submission

Sent to appropriate payer

5

Payment Posted

Automatic reconciliation

Centralized Dashboard

Supervise, Don't Micromanage

Your team focuses on exceptions that require clinical judgment. Routine processing happens automatically.

Auto-Processed
95%
No manual intervention
First-Pass Rate
98.4%
Auto-corrected pre-flight
Secondary Claims
147
Auto-generated this week
Exceptions
62
Requires review

Real-Time Processing Feed

CLM-8847Dr. Anderson
auto-corrected2m ago
CLM-8846Dr. Martinez
processing5m ago
CLM-8845Dr. Chen
auto-secondary8m ago
CLM-8844Dr. Johnson
needs review12m ago

Complete Revenue Cycle Infrastructure

From pre-submission validation to payment reconciliation, built for scale and reliability.

Pre-Submission Validation

Advanced rules engine catches modifier mismatches, age/gender/POS conflicts, and authorization requirements before transmission. Reduces rejections by 85%.

Pattern-Based Correction

Machine learning identifies provider-specific error patterns. Automatically applies corrections based on historical acceptance data from payers.

Timely Filing Monitoring

Payer-specific deadline tracking with configurable alert thresholds. Prevents revenue loss from expired filing windows.

Authorization Management

Automated session tracking with unit decrementation. Proactive alerts for authorization expiration and remaining unit thresholds.

Intelligent Denial Routing

Automatic categorization of denials by root cause. Prioritized workqueues enable targeted resolution strategies by denial type.

Payment Reconciliation

Automated ERA processing with contract rate validation. Flags underpayments and contractual discrepancies for review.

Ready to Optimize Your Revenue Cycle?

Learn how Romadix can reduce manual processing, capture unbilled revenue, and give your team better visibility into revenue operations.

We'll respond within 24 hours to discuss your requirements.

HIPAA Compliant
Bank-Level Encryption
SOC2 Type II