Revenue cycle management
Eligibility before the visit. Claims after it.
Real-time 270/271, 837P claims, 277 status, and 835 ERA auto-posting — plus a denial queue Mox helps you actually clear. All inside the same chart.
The problem
Your revenue cycle is split across three different systems.
Eligibility checks, claim submission, and patient communication rarely share the same record — so staff spend the day logging in, copying out, and chasing down answers.
Eligibility lives in one portal
Staff log into a payer or clearinghouse site to check benefits. The result is copy-pasted into a note, or worse, memorized.
Claims live in another system
Codes are exported, reformatted, and uploaded somewhere else. Status checks mean phone calls or a second login.
Patient communication is separate again
Copay questions, prior-auth updates, and denial notices travel through personal phones, email, or portals no one checks.
Reconciliation is a staff task
When the ERA finally arrives, someone manually posts it to the ledger, chases down discrepancies, and explains the balance to the patient.
What we built
The full RCM loop, from booking to balance.
Eligibility checks run before the patient even arrives. Claims generate from the visit, status updates flow in, and payments reconcile against the same record. Mox works the loop so staff do not have to.
Eligibility verified
Real-time 270/271 runs at booking and again before arrival. Plan, copay, deductible state — the fine print aggregated readably.
Claim generated
Charges captured in the chart during the visit flow straight into an 837P claim. No export, no reformatting.
Status tracked
277 responses stream into the queue. Accepted, rejected, pending — visible without a phone call to the payer.
ERA auto-posted
835 ERAs post against the claim, the invoice, and the patient balance in one pass. Manual posting becomes the exception.
Denial queue cleared
Denials land with the reason, payer, and Mox's suggested fix. Rework happens in-line instead of stacking up.
Fair pricing
Per-check metering for verified benefits. No per-provider claim seats, no upload limits, no volume tiers to negotiate.
Why this is different
One system, one spine, one chart.
Mox automates claim generation, balance reconciliation, and patient follow-ups on the same record as the visit. No staff interference, no separate logins, and no reconciliation between tools that were never built to talk.
What you get
The full RCM loop, without a second system.
Real-time eligibility (270/271)
Every appointment runs an eligibility check the night before and again on arrival. Copay, deductible, and coverage status show right in the schedule.
One-click 837P claims
Codes flow from the note. Scrub, submit, and track — no separate claims tool, no double entry.
Claim status without phone calls
277 responses stream back into the queue automatically. You see 'accepted', 'rejected', or 'pending' without dialing a payer line.
ERA auto-posting (835)
When the payer pays, the ERA posts against the claim, the patient balance, and the ledger. Manual posting becomes an exception, not a workflow.
A denial queue that gets worked
Denials land in a sortable queue with the reason, the payer, and Mox's suggested next step. Rework happens in-line instead of piling up.
Verification as an add-on
Front-desk teams can also request verified benefits (deductibles remaining, plan year, prior-auth flags) on demand for a flat per-check price.
What billing costs
A price tag, not a stake in your revenue.
Most billing services charge 4–9% of everything you collect. For a ten-provider practice collecting $600,000 a month, a 6% contract is roughly $432,000 a year — a bill that grows every time you do. Flat-priced claims and verification on modern clearinghouse rails changes the shape of that number entirely.
Without Moxcares
With Moxcares
4–9%
Percentage RCM
Priced on your collections. The better your practice performs, the larger the invoice.
$3–$12
Per-claim services
Flat per claim, but still an outsourced queue — and cost still scales with volume.
Flat
Moxcares claims
Flat monthly plus cents per claim. Payers pay your bank directly — we never touch your money.
We published the full line-by-line comparison, with our assumptions stated, in your biller shouldn't own a percentage of your revenue.
Denial prevention
The cheapest denial is the one you never generate.
Industry initial denial rates reached 11.8%, rework averages about $25 a claim, and roughly 65% of denied claims are never reworked at all. Yet an estimated 86% of denials are avoidable — registration and eligibility errors alone drive nearly 27%. So we spend our engineering on prevention, not appeals.
Deterministic scrub before submit
Every claim is checked for valid ICD pointers, age and sex logic, date conflicts, missing identifiers, and duplicate charges. Hard errors block submit; soft issues warn.
Cited CPT suggestions, never silent automation
Each proposed code shows its rationale, comes only from the legal set for that visit, and requires a human click to accept. Nothing is applied silently.
Eligibility before the visit
Real-time eligibility runs at booking and again at check-in. It catches expired plans, wrong member IDs, and coverage gaps — the single largest cause of denials.
Modern clearinghouse rails
Claims, eligibility, status, and ERAs run on Stedi's API-first network. It covers 3,500+ payers with a 99.9% uptime SLA and same-day acknowledgments.
Keep reading
Your biller shouldn't own a percentage of your revenue
RCM charges 4–9% of collections. Modern clearinghouse rails make flat pricing possible.
The real cost of a no-show at an independent clinic
An honest way to price a missed slot — and what actually brings the rate down.
AI medical scribe pricing: what it should cost (2026)
Per-provider scribe pricing, the multi-location fee nobody quotes, and the ROI math.
EHR switching cost: what small practices actually pay
Implementation, migration, training, overlap — the full line-by-line switching bill.