Why It's Different

Most RCM tools automate steps. PrismIQ closes the loop.

Revenue cycle management has been automated in pieces. One vendor handles eligibility. Another handles prior auth. Another handles denials. They each do their job. None of them talk to each other.

So a claim gets denied, your billing team appeals it and wins, but the intake error that caused it never gets flagged — and it happens again next month. PrismIQ is built to close that gap.

The part no one else does.

Every denial, underpayment, and rejection your back-end team resolves gets fed back to the front end automatically — updating intake validation, eligibility checks, and authorization rules across every practice location you manage.

Other tools fix problems. PrismIQ eliminates the pattern that created them.

Intake / EligibilityClaimsDenials / Remittancerules updated automatically
Integration Architecture

It plugs into what you already run.

The closed loop only works if every phase shares the same data. PrismIQ connects directly to your existing systems rather than asking you to rip them out.

Sits on top of your existing systems

PrismIQ connects to your EHR and practice-management system directly — it doesn't replace them. Your team keeps the tools they already know.

Reads and writes through API & FHIR

Structured, bidirectional integration with Epic, athenahealth, NextGen, and eClinicalWorks — so data flows both ways instead of being re-keyed between portals.

One shared model of every claim

Intake, authorization, coding, submission, and remittance all operate on the same record — which is what makes the feedback loop possible in the first place.

Integrates directly with
Epic
athenahealth
NextGen
eClinicalWorks
via API & FHIR

Autonomous where it's safe. Supervised where it counts.

PrismIQ acts on the routine work and routes judgment calls to your team. Every stage has a defined level of human oversight — laid out in full on the Trust page.

See the oversight model

Send us 90 days of denials. We'll show you the pattern.

Send a de-identified remittance sample. We'll come back with the recurring root causes, what they cost you, and which ones are preventable upstream. About a week. No call required.