Meet MEGAN, Your RCM Financial Expert
Meet MEGAN, Your RCM Financial Expert
Meet MEGAN, Your RCM Financial Expert
Meet MEGAN, Your RCM Financial Expert
From Clean Claims to
Faster Reimbursement.
From Clean Claims to Faster Reimbursement.
MEGAN handles the entire claim lifecycle - from intelligent validation to submission and remittance—to deliver a 99%+ clean claim rate and accelerate your revenue capture.
MEGAN handles the entire claim lifecycle - from intelligent validation to submission and remittance—to deliver a 99%+ clean claim rate and accelerate your revenue capture.
75%
Reduction in Coding & Bundling Denials
75%
Reduction in Coding & Bundling Denials
75%
Reduction in Coding & Bundling Denials
75%
Reduction in Coding & Bundling Denials
80%
Reduction in Billing-Related Errors
80%
Reduction in Billing-Related Errors
80%
Reduction in Billing-Related Errors
80%
Reduction in Billing-Related Errors
10x
More Claims Processed Daily
10x
More Claims Processed Daily
10x
More Claims Processed Daily
10x
More Claims Processed Daily
MEGAN
MEGAN's Step by Step Process
MEGAN's Step by Step Process
From Authorized Service to Collected Cash in Four Automated Steps
Clinical Consistency Check
STEP 1:
MEGAN's first step is a sanity check. MEGAN uses clinical classification databases to ensure the ICD-10 diagnosis and CPT procedure codes make sense together, catching obvious errors before they can become "medical necessity" denials.
Clinical Consistency Check
STEP 1:
MEGAN's first step is a sanity check. MEGAN uses clinical classification databases to ensure the ICD-10 diagnosis and CPT procedure codes make sense together, catching obvious errors before they can become "medical necessity" denials.
Clinical Consistency Check
STEP 1:
MEGAN's first step is a sanity check. MEGAN uses clinical classification databases to ensure the ICD-10 diagnosis and CPT procedure codes make sense together, catching obvious errors before they can become "medical necessity" denials.
National Coding Validator
STEP 2:
Next, MEGAN validates every claim against the latest official CMS National Correct Coding Initiative (NCCI) and Medically Unlikely Edits (MUEs) databases. This process allows MEGAN to prevent the most common bundling and unit-based denials automatically.
National Coding Validator
STEP 2:
Next, MEGAN validates every claim against the latest official CMS National Correct Coding Initiative (NCCI) and Medically Unlikely Edits (MUEs) databases. This process allows MEGAN to prevent the most common bundling and unit-based denials automatically.
National Coding Validator
STEP 2:
Next, MEGAN validates every claim against the latest official CMS National Correct Coding Initiative (NCCI) and Medically Unlikely Edits (MUEs) databases. This process allows MEGAN to prevent the most common bundling and unit-based denials automatically.
Flawless 837P Generation
STEP 3:
With a fully validated record, MEGAN generates a 100% syntactically correct ANSI X12 837P professional claim file. Every required loop, segment, and data element—including the PA number from PARKER - is perfectly populated.
Flawless 837P Generation
STEP 3:
With a fully validated record, MEGAN generates a 100% syntactically correct ANSI X12 837P professional claim file. Every required loop, segment, and data element—including the PA number from PARKER - is perfectly populated.
Flawless 837P Generation
STEP 3:
With a fully validated record, MEGAN generates a 100% syntactically correct ANSI X12 837P professional claim file. Every required loop, segment, and data element—including the PA number from PARKER - is perfectly populated.
Closed-Loop Intelligence
STEP 4:
MEGAN closes the revenue cycle loop. She automatically ingests the 835 remittance advice, posts payments, and flags any denials for immediate, intelligent routing in the ONYX workbench. This payment data continuously makes our entire platform smarter.
Closed-Loop Intelligence
STEP 4:
MEGAN closes the revenue cycle loop. She automatically ingests the 835 remittance advice, posts payments, and flags any denials for immediate, intelligent routing in the ONYX workbench. This payment data continuously makes our entire platform smarter.
Closed-Loop Intelligence
STEP 4:
MEGAN closes the revenue cycle loop. She automatically ingests the 835 remittance advice, posts payments, and flags any denials for immediate, intelligent routing in the ONYX workbench. This payment data continuously makes our entire platform smarter.
The Agentic AI Platform Designed Specifically for Radiology RCM
The End of Manual Billing
Our Features & Capabilities
Agentic Platform & Engineering
ROI & Performance Accelerators
Predictive Denial Risk Scoring:
Leverages 837/835 history to predict denial risk pre‑submission, flagging high‑risk claims for review.
Clinical Consistency Validation:
Cross-references ICD-10 and CPT codes to flag clinically inconsistent pairings, preventing common medical necessity denials.
Automated Code-Edit Engine:
Proactively validates claims against the latest NCCI and MUEs to prevent bundling and unit-of-service errors.
Denial Pattern Analysis:
Ingests X12 835 remittances to spot denial trends by payer and root cause, fueling continuous learning across the platform.
The Agentic AI Platform Designed Specifically for Radiology RCM
The End of Manual Billing
Our Features & Capabilities
Agentic Platform & Engineering
ROI & Performance Accelerators
Predictive Denial Risk Scoring:
Leverages 837/835 history to predict denial risk pre‑submission, flagging high‑risk claims for review.
Clinical Consistency Validation:
Cross-references ICD-10 and CPT codes to flag clinically inconsistent pairings, preventing common medical necessity denials.
Automated Code-Edit Engine:
Proactively validates claims against the latest NCCI and MUEs to prevent bundling and unit-of-service errors.
Denial Pattern Analysis:
Ingests X12 835 remittances to spot denial trends by payer and root cause, fueling continuous learning across the platform.
The Agentic AI Platform Designed Specifically for Radiology RCM
The End of Manual Billing
Our Features & Capabilities
Agentic Platform & Engineering
ROI & Performance Accelerators
Predictive Denial Risk Scoring:
Leverages 837/835 history to predict denial risk pre‑submission, flagging high‑risk claims for review.
Clinical Consistency Validation:
Cross-references ICD-10 and CPT codes to flag clinically inconsistent pairings, preventing common medical necessity denials.
Automated Code-Edit Engine:
Proactively validates claims against the latest NCCI and MUEs to prevent bundling and unit-of-service errors.
Denial Pattern Analysis:
Ingests X12 835 remittances to spot denial trends by payer and root cause, fueling continuous learning across the platform.
The Agentic AI Platform Designed Specifically for Radiology RCM
The End of Manual Billing
Our Features & Capabilities
Agentic Platform & Engineering
Performance Accelerators
Predictive Denial Risk Scoring:
Leverages 837/835 history to predict denial risk pre‑submission, flagging high‑risk claims for review.
Clinical Consistency Validation:
Cross-references ICD-10 and CPT codes to flag clinically inconsistent pairings, preventing common medical necessity denials.
Automated Code-Edit Engine:
Proactively validates claims against the latest NCCI and MUEs to prevent bundling and unit-of-service errors.
Denial Pattern Analysis:
Ingests X12 835 remittances to spot denial trends by payer and root cause, fueling continuous learning across the platform.
