Quadax

by Quadax
VISIT OFFICIAL WEBSITE →

OVERVIEW

A leading provider of AI-powered revenue cycle management (RCM) software and services for healthcare organizations.

Quadax is a healthcare information technology leader providing comprehensive, AI-powered revenue cycle management (RCM) software and services. The company, founded in 1973, offers a suite of over 40 software solutions designed to optimize every stage of the revenue cycle, from patient access to final payment.

The core of the offering is the intelligent platform, which leverages AI (iQ: Intelligence by Quadax) for predictive analytics, smart automation, and denial avoidance. Key solutions include:

  • Patient Access: Real-time insurance eligibility verification (ICV All-Payer) and Prior Authorization software to prevent pre-claim denials.
  • Claims Management (Xpeditor): An intelligent clearinghouse platform that automates workflow, routes claims efficiently, and uses the XpressBiller rules and editing system to scrub claims and achieve a reported 99.7% first-pass acceptance rate with payers.
  • Reimbursement & Denials Management: Tools for automating remittance, identifying underpayments, and managing the appeals process.
  • Patient & Client Engagement: Solutions like the Patient Portal for managing financial responsibilities and processing payments.
  • Revenue Cycle Analytics: Business intelligence tools that provide real-time data analysis and predictive insights for continuous financial and operational improvement.

Quadax serves a diverse clientele, including Hospitals & Health Systems, Laboratories & Pathology Groups, Physician & Specialty Practices, Durable Medical Equipment (DME) providers, and Telehealth services. The company emphasizes a hands-on customer service model and seamless integration with existing EHRs and billing systems.

RATING & STATS

User Rating
3.8/5.0
Customers
1,000+
Founded
1973

KEY FEATURES

  • AI-Powered Revenue Cycle Automation (iQ)
  • Claims Management (Xpeditor)
  • Denials and Appeals Management
  • Patient Access and Eligibility Verification
  • Prior Authorization Software
  • Revenue Cycle Analytics & Business Intelligence
  • XpressBiller (Claim Scrubbing/Editing)
  • Patient Payment Portal

PRICING

Model: enterprise
Pricing is customized based on the size of the healthcare organization, complexity of the setup, and specific solutions required. Contact Quadax for a custom quote.

TECHNICAL DETAILS

Deployment: saas, cloud
Platforms: web
🔌 API Available

USE CASES

Revenue cycle optimizationPatient access managementReimbursement managementClaims management and clearinghouseBilling process outsourcing

INTEGRATIONS

EHR systemsBilling applicationsExternal APIs

COMPLIANCE & SECURITY

Compliance:
HIPAASOC 1SOC 2
Security Features:
  • 🔒TLS Encryption
  • 🔒Firewalls
  • 🔒Access Restrictions
  • 🔒Data Backups
  • 🔒Business Continuity & Disaster Recovery Plans

SUPPORT & IMPLEMENTATION

Support: email, phone, tickets, dedicated account teams
Target Company Size: small, medium, enterprise
TRAINING AVAILABLE

PROS & CONS

✓ Pros:
  • +High first-pass acceptance rate (99.7%) for claims
  • +AI-powered intelligence for denial avoidance and prediction
  • +Comprehensive, end-to-end RCM solution
  • +Seamless integration with EHRs and billing systems
  • +Highly experienced team (50+ years in RCM)
✗ Cons:
  • -User interface is functional but not modern or intuitive
  • -Higher cost compared to some alternatives
  • -Stock system reports are not very useful for decision making
  • -Occasional glitches reported in the system

TRY IT OUT

ABOUT QUADAX

Other software by Quadax:
Quadax Decision Intelligence (Denials Management & AppealsRoot cause analysis)