DEMO · BILLING LEAD

Billing intelligence that starts before the claim exists.

Walk revenue cycle as one connected chain from finalized chart through clearinghouse and posted payment. The composition borrows AURA and Finstack's finance density, while the numbers and service states still come only from AdaptixCore.

Start Cortex Live Upload migration export Walk it with Joshua

Built around the operation, not the software menu

REVENUE CHAIN

ONE RECORD

Finalized ePCRClinical record closes

Claim constructionSame tenant data

ValidationHold before submission

ClearinghouseOutbound claim path

RemittancePosted back to claim

Synthetic previewBilling product preview

The workflow composition illustrates product states only. It does not invent dollar amounts, denial rates, claim counts, or payer outcomes.

WHAT ONE PLATFORM MEANS

Remove the handoff that creates the revenue problem.

BL-01

The claim starts at the chart, not at intake

Charges generate from the finalized ePCR directly. There is no export from a clinical system and no re-entry into a separate billing product — one record, one source of truth.

BL-02

Invalid claims never leave the building

Claims are validated against payer rules before submission, not after a clearinghouse rejection. A held claim is a claim your team fixes once, not a denial your team appeals.

BL-03

A denial reason has an owner when it lands

Missing signature routes to TrustSign. Missing documentation routes back to QA. Duplicate submission is held before it goes out. Nothing relies on somebody noticing a shared inbox.

PRODUCT WORKFLOW

Follow the claim through the operating surface.

The existing showcase remains the actual AdaptixCore product visualization. Its contract prohibits fabricated financial statistics.

The billing chain

From finalized chart to posted payment. Every link, in one workflow.

AdaptixCore Billing tracks the exact workflow EMS revenue cycle teams run today — clearinghouse handoff, 999/277 acknowledgments, ERA/835 processing, and a denial branch routed for appeal.

01ePCR Finalized

02Charges Generated

03Claim Validated

04Clearinghouse

05999 / 277 Received

06ERA / 835 Processed

07Payment Posted

Denial receivedRouted for appeal

One source of truth

Charges pull from the chart. Validation runs before submission.

01ePCR finalized — vitals, narrative, NEMSIS fields, signature.

02Charges generated from the chart — no double-entry, no missed codes.

03Claim validated against payer rules — ClaimApprovalGate holds invalid claims before they leave the system.

04Submitted via BillingClearinghousePanel — 837P format, full audit trail.

Workflow shown is the real billing pipeline shipped today, end to end, inside the authenticated AdaptixCore Billing workspace.

Example claim card

ClaimCLM-EXAMPLE-0001

Patient[REDACTED for HIPAA]

Transport levelALS

PayerMedicare

Form837P / CMS-1500

Submitted2026-05-29 14:07 UTC

StatusValidating

Expected paymentPayer-contracted rate

Denial intelligence

Every denial reason has an owner.

DenialRiskPanel categorizes denial reasons at intake. Each category is routed to the workflow that can resolve it — TrustSign for signatures, QA for clinical documentation, ClaimApprovalGate for duplicate prevention. The reasons below are illustrative categories, not measured frequencies.

Missing signatureRouted to TrustSign for crew capture

Medical necessity not documentedReturned to QA via ePCR

Duplicate claimHeld by ClaimApprovalGate before submission

Inside the billing workspace

The components shipping today.

Billing managers see every open claim, every denial reason, and every outstanding balance in one view. Claims pull directly from ePCR — no re-entry. Denials are categorized and routed automatically.

BillingDashboard

Operator command surface for every open claim, denial, and posting task.

ClaimReadinessScore

Per-claim readiness signal driven by ePCR completeness and payer rules.

ClaimApprovalGate

Holds invalid claims before they leave the system — no clearinghouse rejections.

DenialRiskPanel

Categorizes denial risk by reason and routes each one to the right workflow.

CMS1500VisualBuilder

Visual builder for the 1500 form, mapped from chart data and payer profile.

BillingClearinghousePanel

Submission, 999/277 acknowledgment, and ERA/835 remittance visibility in one panel.

See Billing in your operation

Office Ally clearinghouse, 837P X12 format, Medicare / Medicaid / commercial payers.

LIVE MARKET LOOKUP

Run the ZIP code instead of reading a market claim.

The payer mix surface calls the real platform market endpoint and keeps its own loading, empty, and failure states.

LivePayer mix lookup

This component calls the platform market data endpoint at request time. No placeholder payer mix is substituted for a failed or empty response.

◈ Market Intelligence

What does your market's payer mix look like?

Enter your ZIP code and service type. See the exact payer breakdown shaping your revenue — and your denial risk — before you've spoken to a single vendor.

No account required. Estimates are based on regional billing patterns — not verified payer contracts.

EVIDENCE, NOT BADGES

What the public claim registry supports right now.

EVIDENCED

0%

Billing tax on your collections — flat subscription, not a cut of revenue

Describes AdaptixCore's own pricing structure (flat subscription, not a percentage-of-collections fee). Sourced from the platform's own live plan definitions, not a third-party benchmark.

IN PROGRESS

CMS-1500 / 837P

Studio + EDI

Describes a platform capability (claim document + EDI generation), not a third-party certification. Not independently re-verified in this P0-006 audit pass; flagged for compliance review before next expiry.

IN PROGRESS

SOC 2 Type II

In progress

Audit engagement described as in progress. No completion evidence or completion date is confirmed anywhere in this repository as of the audit date below.