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Medonix is an AI-native medical billing and revenue cycle management (RCM) company serving U.S. healthcare providers exclusively. Founded in 2019, Medonix closes the gap between what practices earn and what they collect. U.S. practices lose 6 to 14% of revenue annually to denials, downcoding, timely-filing breaches, and payer underpayments (MGMA 2024): $300,000 to $700,000 for a $5M practice.
Medonix runs the full revenue cycle on one contract: eligibility and benefits verification, prior authorization, CPT and ICD-10 coding, charge entry, claim scrubbing and submission, denial management and appeals, A/R recovery, ERA/EOB posting, and patient billing. It also includes a 24/7 AI receptionist and a CFO-grade analytics dashboard.
The platform pairs 11 AI agents with senior, U.S.-based AAPC- and AHIMA-credentialed coders. AI handles high-volume repetitive work: eligibility checks, claim scrubs, posting, statements, and first-pass denial categorization. Coders handle every appeal, payer escalation, and edge-case decision, and review any claim the AI flags as uncertain.
Specialty depth sets Medonix apart from generalist vendors: 35-plus billing playbooks spanning primary care, surgical, behavioral health, rehabilitation, and ancillary care, including cardiology, orthopedics, and OB-GYN. Coders work only in specialties they have prior experience in.
Every engagement is anchored to MGMA top-performer benchmarks: 95%+ clean-claim rate, sub-30-day days-in-A/R, and denial rate under 5%, written into each contract as SLAs. Miss the target, the fee drops. Pricing is performance-based: a percentage of collections, with no setup fees or minimums.
Medonix is HIPAA-compliant, SOC 2 Type II audited, HITRUST CSF certified, and PCI DSS Level 1. Every client signs a BAA before kickoff; AI trains on de-identified data only. It integrates with Epic, Cerner, athenahealth, NextGen, eClinicalWorks, and other major EHRs; migration completes in 30 to 60 days.
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Min project size
$5,000+
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Hourly rate
$50 - $99 / hr
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Employees
50 - 249
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Locations
Wilmington, DE
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Year founded
Founded 2019
1 Locations
- Wilmington , DE
Service Lines
No Focus Areas have been added yet…
Industries
- Medical
- 100%
Clients
No Clients have been added yet…
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Our Story
We are Medonix, a U.S.-focused RCM team of senior AAPC‑credentialed coders and operators delivering end-to-end medical billing, specialty playbooks (35+), denial management, and workflow services. Built like an in‑house billing team, we pair rules-driven automation with named specialists, HIPAA/SOC 2/HITRUST compliance, and outcome SLAs tied to MGMA benchmarks. We serve 1,200+ practices and 14 systems, driving cleaner claims, faster A/R, and verified revenue lift.
Meet the Team
Nayab RaheelCEO
What Sets Us Apart
AI-native medical billing, not a call center Body
Medonix runs U.S. medical billing and revenue cycle management on 11 specialized AI agents paired with senior credentialed coders. AI clears the high-volume work: eligibility, claim scrubs, posting. Coders own every appeal and payer escalation. Faster cycles, lower denials, no guesswork.Performance-based pricing, SLA-backed Body
Every engagement is anchored to MGMA top-performer benchmarks: 95%+ clean-claim rate, sub-30-day A/R, denial rate under 5%, written into the contract as SLAs. Miss the target, the fee drops. Clients pay a percentage of collections, with no setup fees and no minimums.Specialty-matched coders, 35+ playbooks Body
Generalist billing vendors miss specialty nuance. Medonix maintains 35-plus billing playbooks across primary care, surgical, behavioral health, and ancillary care. Coders are assigned only to specialties they have prior production experience in. HIPAA-compliant and SOC 2 Type II audited.Locations (1)
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