For hospital systems, ambulatory surgery centers, and physician groups, Lumiknox provides facility and profee coding, CDI concurrent support, denials & appeals, AR follow-up, and prior authorization — anchored by agentic AI where the work is deterministic.
IDNs, community hospitals, ambulatory surgery centers, multi-specialty groups, large primary care groups.
Whether you’re running one line of business or all of them, our pods configure to your platform, your accreditation calendar, and your commercial model. We don’t force you onto our process — we embed inside yours.
AHIMA-credentialed inpatient coders are scarce and expensive. We staff at scale from Hyderabad with onshore QA leadership.
Payer denials are up year over year. Our denials agents draft first-level appeals from documentation in minutes, not days.
Discharged-not-final-billed and aged AR are leaking cash. Concurrent CDI plus agentic follow-up keeps the pipeline tight.
Staff hours lost to portal status checks. Our agents work prior auths overnight, escalating exceptions in the morning.
Inpatient, outpatient, profee, and HCC coding by AHIMA- and AAPC-credentialed coders. Concurrent or retrospective. Onshore-supervised, with …
ExploreSolution 05 · BillingLumiknox agents triage rejections, work denials, post payments, and reconcile cash — under supervision from a human Ops Lead. Built for hosp…
ExploreSolution 06 · ClaimsLumiknox claims AI is built for TPAs and self-funded plan administrators who need to lift first-pass adjudication rates without inviting lea…
ExploreSolution 07 · IntelligenceOur applied-AI team builds, trains, and operates predictive models that live inside your operations — HCC recapture propensity, member lapse…
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