The questions we get most.

Lumiknox, Inc. is a Delaware C-corporation headquartered in Wilmington, DE. Delivery operations are based in Hyderabad, India and Manila, Philippines. Client-facing leadership and U.S. compliance functions are based in the United States.

Yes. Lumiknox operates under HIPAA Privacy and Security Rule controls, executes Business Associate Agreements (BAAs) with all PHI-handling clients, and maintains a SOC 2 Type II attestation. We are HITRUST CSF-aligned, with full certification targeted for Q3 2026.

After a mutual NDA and (if PHI is in scope) a BAA are executed, you upload 50 charts to our secure transfer portal. Within 48 business hours, you receive a coded delta workbook, an executive summary deck, and a recovery projection. There is no cost, no commitment, and you retain ownership of all work product.

100% of our production coders hold at least one AAPC or AHIMA credential — most commonly CPC, COC, CCS, CCS-P, or CRC. Our HCC risk-adjustment coders carry CRC; our inpatient coders carry CCS or CIC. Quarterly internal continuing education is paid time.

Yes. Our team is trained on Epic, Cerner, Meditech, Athena, Facets, QicLink, HealthRules Payor, HealthAxis, and others. We connect via your provisioned access — we do not require data egress. Where API integration is preferred, we support FHIR R4, X12 EDI, and direct database read-only access.

We will run paid engagements as small as a single coding pod of five reviewers, typically priced per-chart or per-FTE-month. The 50-chart pilot is free. Full enterprise engagements typically start at 25+ FTE pods plus agentic workflow deployment.

We default to outcome-aligned commercials wherever possible: per-chart-coded, per-gap-closed, per-claim-worked, or PMPM for hosted analytics. Subscription contracts include SLA credits tied to accuracy and turnaround targets. FTE-equivalent pricing is available for clients who prefer a fixed cost base.

Standing surge capacity is built into our delivery model. For HEDIS hybrid season, RADV response windows, and open-enrollment claims volumes, we have stood up 50-to-250-person pods inside 14 days, four times in the past two years.

No. PHI does not leave our HIPAA perimeter or the client tenant. Our agentic AI runs on models hosted inside our compliance boundary. Where a client requires further isolation, we offer dedicated single-tenant deployment, including on-prem reasoning options.

Every chart is auditable end-to-end — coder ID, time stamps, reasoning notes, source documentation. Disputes go to our Clinical Lead within 24 hours. SLA credits on subscription contracts attach to accuracy below target.

U.S.-based. Our Chief Clinical Officer, Chief Medical Officer of Risk Adjustment, and Client Success Directors are all U.S.-resident credentialed clinicians. They lead delivery; offshore pods execute. Onshore-led, offshore-scaled is our standing model.

Three things distinguish us: (1) we co-deploy credentialed humans and supervised agents on the same chassis — not BPO-only, not AI-only; (2) commercials are outcome-aligned by default; (3) every action is auditable in a real-time client portal. We’re happy to walk through a side-by-side under NDA.

Yes. We support full HHS-HCC validation, EDGE server data, and true-up modeling for ACA marketplace issuers.

English and Spanish at minimum across all outreach programs. Mandarin, Vietnamese, Tagalog, Hindi, and Punjabi are available on a market-specific basis.

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