The IOA Suite. End to end.
Five connected modules. One operating layer. Sold modularly or as a bundle — never as rip-and-replace. Here’s what each one does.
Build the layer first.
EHR, billing, CRM, eligibility, clearinghouses, accounting — one unified data layer on AWS, mapped and monitored.
Know what the payer will pay.
Real-time analytics surface revenue leakage, contract variances, and underpayments across payers, services, and facilities.
Intelligent automation, end to end.
Eligibility, denial resolution, A/R orchestration, document routing — orchestrated, monitored, human-in-the-loop where it matters.
AdmitIQ — Real-time PFR at intake.
Quote the patient accurately the moment they walk in, with live payer benefits and facility-specific reimbursement.
Live payer feeds.
Pulls real-time benefit eligibility — coinsurance, OOP, INN/OON status — directly from payer feeds and pVerify. No more “let me call the payer.”
Facility-specific math.
Calculates estimated charges, allowables, and patient responsibility by facility — and compares projected reimbursement across your facilities so the right placement is the obvious one.
Clean handoff to billing.
Integrates with your billing system and CRM. Manages the patient financial journey via HiLite. The estimate the patient saw at intake matches the bill they get later.
What you get.
Eligibility checks · PFR estimates · facility comparisons · clean handoff to billing · audit trail per encounter.
Revenue Integrity — Close the gap.
Between what was delivered, documented, and billed. Before claims go out — not three months later at close.
Census, charges, and billing — unified.
EHR census, charge capture, and billing system feeds joined on one platform. No more spreadsheet reconciliations.
Reconciliation by day, location, payer.
Revenue billed vs. missed — broken out where the variance actually lives. Compliance flagging built in.
Exceptions routed to the right owner.
Intelligent automation flags exceptions and routes them to the person who can fix them — not a generic queue.
What you get.
Census module · missed billing reports · revenue integrity dashboards · real-time net revenue monitoring.
RCM Orchestration — A/R, denials, appeals.
Coordinated recovery across the financial workflows that actually move cash. Intelligent automation working alongside staff judgment, not replacing it.
Sits on top of what you have.
Layers over your RCM/billing systems and clearinghouses without replacing them. Works with Waystar, Change Healthcare, and direct payer feeds.
Collections, A/R, productivity, EBITDA.
Measured and improved continuously. Underpayment recovery surfaces money you’re owed but haven’t collected. Staffing analytics show where work piles up.
Denial resolution + defect recovery.
Intelligent automation classifies denials, isolates auth issues, and drives recovery workflows. Patient collections workflows handled with human-in-the-loop guidance.
What you get.
Optimized workflows · smart guidance · underpayment recovery · staffing analytics · compliance.
CFO Module — Forecasts the board trusts.
The accounting layer your RCM data has been missing. Accrual close, variance reporting, and rolling forecasts in one place.
ERP joined to RCM.
Accounting and ERP feeds — NetSuite, QuickBooks, Dynamics, others — joined to RCM and billing data. One version of the numbers.
Accrual-grade net revenue.
Budgeting, forecasting, and banking views built on accrual-grade net revenue — not cash-only proxies that mislead.
Month-end close, accelerated.
End-of-month closing procedures, accrual-based workflows, and board-ready financial decks generated from live data.
What you get.
Accurate net revenue · expected income · variance reporting · roll-forwards · cash/accrual accounting.
Deep Data Analytics — Built on AWS QuickSight.
The data layer your peers wish they had. 400+ BH facilities feeding the lake. 150K+ patient episodes accessed nationally. Role-based dashboards for every leader who needs them.
National data lake.
400+ BH facilities feeding the lake. 150K+ patient episodes accessed nationally. The largest BH RCM benchmark dataset most operators have ever touched.
QuickSight + Bedrock, BAA-covered.
AWS QuickSight for visualization, Amazon Bedrock for ML workloads. Everything inside our BAA perimeter — PHI stays in your tenancy boundary.
Leads-to-admits and beyond.
Marketing-to-intake funnels. Cross-facility benchmarking. Payer mix dashboards. Role-based views — the CFO sees what the CFO needs; the intake manager sees what they need.
AI-assisted analytics.
Natural-language analytics on the way — ask your data questions, get answers. Amazon Q integration on the roadmap; anomaly detection across facilities is in active development.
Intelligent automation today. AI agents next.
We’re honest about what ships and what’s coming. The infrastructure we’ve built — AWS-native, BAA perimeter, unified data lake — is the substrate AI needs to be trusted in healthcare. We’re adding agents on top of that foundation, not bolting them onto a legacy stack.
Intelligent Automation
Rules-driven and ML-assisted workflows running across our customer base.
- Eligibility verification
- Denial classification + resolution
- A/R orchestration + recovery
- Document routing + secure access
- Auth issue isolation
AI agents on Bedrock
Purpose-built agents for the workflows above, running inside our BAA perimeter on Amazon Bedrock.
- Appeals drafting
- Auth tracking across episodes
- Root-cause analysis
- Human-in-the-loop on every exception
- Audit trails on every agent action
AI-assisted analytics
Conversational analytics for operators — turn the data lake into a question-and-answer surface.
- Amazon Q integration
- Natural-language dashboards
- Anomaly detection cross-facility
- Forecast explainability
Plug into your stack. Don’t replace it.
API · HL7 · X12 · sFTP · flat files. 20+ years of integration DNA. 100% AWS-cloud, BAA-covered.
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From kickoff to first cash — inside one quarter.
Get the layer in.
- Kickoff + integration mapping
- EHR, billing, eligibility feeds live
- AWS environment + BAA in place
- Role-based dashboards configured
Tune the workflows.
- AdmitIQ live at intake
- Revenue integrity baseline established
- Denial workflows tuned
- First weekly executive review
Measure the cash.
- Intelligent automation in production
- Cross-facility benchmarking online
- First measured cash-flow impact
- Quarterly business review cadence
See it on your own data.
30-minute discovery, no slides. We’ll walk through the parts of your stack that hurt most and show you exactly what changes.