Everything the revenue cycle needs, in one system.
PrismIQ runs the full cycle — patient access, eligibility, prior authorization, coding, claims, denial management, remittance, and patient collections. Here is what it does at each phase, and the outcome it moves.
Stop the denial before it starts.
Referrals, faxes, and intake forms are read, structured, and validated at the front door — not after a claim bounces back 30 days later.
Real coverage details at the moment of scheduling — deductibles, co-insurance, procedure-specific pre-cert rules — not just an active/inactive flag.
PrismIQ reads the chart, matches it to the payer's clinical coverage policy, and files a complete authorization packet. No portal logins. No hold queues. No missed documents.
Get it right the first time.
Clinical documentation is cross-checked against charges before submission — catching under-coding, missed charges, and documentation gaps that trigger denials downstream.
Every claim is scrubbed against payer-specific edit rules and your own historical denial patterns. Fewer first-pass rejections. Faster cash.
Recover what you're owed.
PrismIQ reads the patient record, maps the clinical narrative to the payer's own published policy language, and drafts a complete appeal — chart citations, regulatory references, supporting documentation included.
Every 835 ERA file is parsed in real time. Underpayments, contract shortfalls, and silent zero-balance write-offs are flagged before they settle into an aging bucket.
Accurate patient estimates delivered up front. Automated balance follow-up after. Patient responsibility doesn't quietly become bad debt.
See this running on your claims, not our slides.
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.