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Claims Submission & Charge Entry
Eligibility checks, coding validation, payer edits, and rejection handling to keep clean-claim rate high.
- Eligibility & pre-scrub
- 24–48h rejection rework
- Clean-claim rate tracking
Medical Billing · RCM · Analytics
Keep cash flowing. Claims clean. Denials down.
Operator-led RCM teams delivering outcomes with SLAs, QA, and clear dashboards for U.S. clinics.
0%
Clean Claim Rate
0h
Rejection Rework TAT
0%
Denial Overturn Uplift
0d
DSO Reduction
Trusted by leaders in healthcare
Clinics
Radiology
Cardiology
Orthopedics
Urgent Care
Buy outcomes
Full-Service Billing (RCM)
End-to-end billing and collections with SLAs, QA sampling, and dashboards tied to outcomes.
- SLAs & QBRs
- FPY / Rework %
- Backlog & TAT
Visibility
Reporting & Analytics
RCM dashboards with definitions and evidence links — reduce metric drift and speed decisions.
- KPI definitions
- Drill-to-evidence
- Trend alerts
Specialties We Serve
Domain-led RCM across major specialties.
Multi-Specialty Clinics
Front desk, coding, RCM.
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Health Systems:
Modality mix, prior auth, edits.
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ASCs
Modifiers, device edits, auths.
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FQHC & Community Health
Worklists, implants, appeals.
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Imaging & Diagnostics
Eligibility, POS, retail pay.
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Home Health & Hospice
Vaccines, EPSDT, payer rules.
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What Clients Say
A few words from clinic leaders.
“Carenox made RCM measurable — SLAs, QA, dashboards. Overturns up 27% in two quarters.”
“Clean-claim rate jumped, denials fell, and cash flow stabilized without adding headcount.”
Join Carenox
We hire U.S.-based RCM specialists and leads.
Ready to move?
We’ll propose a pilot and show a sample metrics dashboard.