Healthcare doesn’t need more software.
It needs execution.
A clinical intelligence engine that codes the chart, prevents denials before submission, drafts cited appeals, and recovers revenue on closed claims. Execution you measure, not one more system to log into.
- HIPAA-aligned
- SOC 2 Type II readiness
- Human-in-the-loop
Point the agent at a step
Prevention upstream. Recovery downstream. One loop.
Neurex reads the chart, scores every claim against learned payer behavior, drafts the cited appeal, and re-opens closed accounts. One engine drives all of it: CIRCLE, the Clinical Intelligence in Revenue Cycle reinforcement Learning Engine (patent-pending). Meet the engine
Claims processed today
12,431
simulated feed
Dollars at risk flagged
$412K
1,284 claims
96 prevented
38 drafted
$128K found
What it is
Most healthcare AI describes the work. Neurex does it: reading every chart, coding every claim, contesting every denial, and recovering revenue you had already written off.
One colleague
Three kinds of AI, working as one.
Neurex drafts like a generative model, takes the next-best action like an agent, and answers your team like a copilot, with a human in the loop on consequential actions. One teammate at the worker’s desk, not three more tools to manage.
Generative
Drafts queries, appeals, summaries.
It writes
Agentic
Takes the next-best action.
It acts
Conversational
Answers your team, plainly.
It answers
From the first note to the last dollar
It reads the chart.
Clinical documentation flows in, and the gaps that lead to denials surface with the evidence attached, while the record is still open to fix.
It codes every line.
ICD-10, CPT, and HCC, assigned and verified against the documentation, with the evidence linked to every suggestion.
E/M 4
level
+0.318
RAF capture
$237
charge
It stops denials first.
Every claim is scored against learned payer behavior before it files, so fixable defects get corrected pre-bill instead of appealed post-denial.
4%
denial risk
was 31%
NCD / LCD aligned
Medical necessity met
Prior auth on file
Modifier 25 missing, fixed before submission
It writes the appeal.
When a payer pushes back, Neurex drafts the payer-specific argument with policy citations, ready for your reviewer's sign-off.
Claim #84120 · denied: medical necessity
Per NCD 1.2, the service meets medical-necessity criteria for this presentation[1]. Documentation supports moderate complexity under InterQual[2] and MCG guidelines[3].
It pulls the money back.
Closed claims are re-examined for underpayments and missed charges, recovering revenue already written off.
From the first note to the last dollar
It reads the chart.
Clinical documentation flows in, and the gaps that lead to denials surface with the evidence attached, while the record is still open to fix.
- Document
- Code
- Prevent
- Appeal
- Recover
The proof
Measured against the payer’s own decisions.
Remittance outcomes are the ground truth Neurex learns from. These are the numbers it runs against today.
in A/R under active management
production healthcare organizations
appeal overturn rate on the cases we pursue
days from first remittance signal to a payer-drift alert
Payer-drift alerts typically land about 6 days before the payer publishes its bulletin, and 17 days before in one documented pattern. Documented deployment observations, not an SLA.
Responsible AI by design
Autonomous never means unaccountable. PHI is processed under executed BAAs, model learning is de-identified and tenant-scoped, and a human stays in the loop on every consequential action.
Outcome-aligned, by design
See it on your own denials.
Start with a pilot where you set the success criteria, with a $0-upfront option for recovery engagements. Neurex is paid on the revenue it recovers.