From charge entry to final payment, Mindlox AI manages claim creation, scrubbing, submission, and follow-up so your practice sees fewer rejections and faster reimbursement.
Medical Billing
Clean claims out the door, every day, with follow-through until paid.
- First-pass acceptance focus
- Daily claim submission cadence
- Rejection triage within one business day
Stages 06 · 07 · 08 of 14
Every stage expands to show exactly what Mindlox AI does there. This is how your claims are worked — and how you see them in your dashboard.
- Patient VisitEligibility Verified
- CodingCPT / ICD Review Complete
- Claim SubmissionSubmitted
- PayerAdjudicated
- PaymentPaid $156.60
- ReconciliationPosted
Patient Visit · Eligibility Verified
Coverage confirmed 48 hours before the appointment. Copay and remaining deductible were shared with the front desk so the balance could be collected at check-in.
What Mindlox AI did here
- 270/271 eligibility check
- Benefit summary to front desk
- Auth requirement screened — none for 20610
Coverage confirmed 48 hours before the appointment. Copay and remaining deductible were shared with the front desk so the balance could be collected at check-in.
- 270/271 eligibility check
- Benefit summary to front desk
- Auth requirement screened — none for 20610
Submitted, adjudicated, paid, posted — with the day it happened and the person who touched it. You never have to call to ask where a claim is.
- #MLX-1047199213 · Office visit, establishedCommercial A$92.40PostedDay 16
- #MLX-1047293306 · Echocardiogram, completeMedicare$231.80PaidDay 16
- #MLX-1047345378 · Colonoscopy, diagnosticCommercial B$418.60AdjudicatedDay 12
- #MLX-1047490834 · Psychotherapy, 45 minCommercial C$118.25AdjudicatedDay 12
- #MLX-1047529881 · Knee arthroscopyMedicaid$604.10SubmittedDay 1
- #MLX-1047671046 · Chest X-ray, 2 viewsCommercial A$34.70SubmittedDay 1
Specialists own every step. Automation handles the repetitive work. Nothing waits in a queue nobody is watching.
Charge capture & entry
Encounters are reconciled against the schedule and charges entered within 24–48 hours with CPT, ICD-10-CM, and HCPCS validation.
Scrub & submit
Claims run through payer edits, NCCI/MUE checks, and specialty rules, then transmit as 837P/837I through your clearinghouse.
Track & correct
999 and 277 acknowledgments are monitored daily; rejections are corrected and resubmitted within one business day.
Post & follow through
835 remittances are posted, secondaries filed, and unpaid claims worked on a payer-specific cadence until resolved.
AI-assisted pattern detection and decision support that works alongside our billing professionals — never instead of them.
Denial-risk scoring flags claims likely to reject before they leave the door.
Rejection patterns are categorized automatically so recurring payer edits get fixed at the source.
Specialists review every flagged claim — AI prioritizes, humans decide.
Specialty-aligned specialists who know your payer rules.
If it's not here, an RCM specialist will answer it directly.
Clean claims are typically submitted within 24–48 hours of charge entry, in daily transmission batches. Exact timing is confirmed in your service agreement.
A structured review of denials, A/R aging, coding, and underpayments — findings are yours to keep, whether or not we work together.
- · Findings you keep, whether or not we work together
- · No patient information requested
- · A named RCM specialist, not a sales queue
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