Infinx

AI powered healthcare revenue cycle management platform combining automation, AI agents, RCM specialists, healthcare system integrations, analytics, and managed services.

About Infinx

Infinx is a healthcare revenue cycle management company that combines AI agents, automation, workflow orchestration, and RCM specialists to support hospitals, health systems, physician groups, and other healthcare providers. Its technology spans patient access, medical coding, revenue integrity, medical billing, revenue acceleration, and broader revenue cycle workflows.

The Infinx Healthcare Revenue OS connects with existing provider and payer systems and coordinates automated processes with human expertise. Routine steps can be handled through automation while exceptions can be routed to specialists for review. The platform supports workflows such as eligibility verification, prior authorization, document capture, payment posting, A/R recovery, denial management, and revenue cycle analytics.

Infinx also provides a Revenue Cycle Agent Platform that combines generative AI, natural language processing, machine learning, robotic process automation, and human intervention. Its agents can retrieve information from healthcare systems, process data, coordinate tools, execute workflow steps, and write results back to supported systems.

Key Features

Healthcare Revenue OS: Connects AI agents, automation, RCM specialists, payer connections, provider integrations, workflow execution, human review, and analytics within a unified revenue cycle environment.
Revenue Cycle AI Agents: Agents can analyze information, reason about tasks, coordinate automation and human resources, execute workflow steps, and update connected systems.
Human in the Loop Workflows: Complex or judgment intensive cases can be routed from automated processes to RCM specialists for manual review and exception resolution.
Patient Access Automation: Patient Access Plus supports eligibility verification, benefits checks, patient pay estimates, and prior authorization workflows.
Revenue Cycle Management: Infinx supports payment posting, credit balance resolution, A/R recovery, denial management, insurance discovery, appeals, collections, and other revenue cycle processes.
Healthcare System Integration: Supports APIs, webhooks, scheduled polling, HL7, FHIR ready patterns, secure file exchange, and RPA for connecting with EHR, EMR, PMS, LIS, and RIS environments.
Workflow Orchestration: AI agents can coordinate data retrieval, RPA, machine learning models, LLMs, human review, and task execution based on workflow requirements.
Analytics and Reporting: Patient Access Plus includes real time dashboards for monitoring approval and denial rates, turnaround times, payer delays, authorization outcomes, and service level performance.

Pricing

Annual engagements typically start at $5,000 per month, with monthly billing under an annual engagement. Final pricing depends on scope, volume, workflow complexity, integrations, reporting requirements, and the selected engagement model.

Available pricing approaches include:

Transaction Based: Pricing per unit of work such as a CPT, case, or page, with tiered discounts as volume increases.
FTE Deployment: Dedicated specialists priced according to capacity, volume, service levels, and workflow complexity.
Subscription Retainer: Monthly platform access and a defined scope, potentially with usage based overages.
Managed Services: End to end delivery combining the Infinx platform and specialists under agreed service levels and governance.
Contingency Fee: Recovery focused engagements can be priced as a percentage of the amount Infinx helps recover.

Use Cases

Automating healthcare eligibility verification, benefits checks, and prior authorization workflows
Managing A/R recovery, denied claims, appeals, and revenue acceleration
Automating document capture, classification, data extraction, and updates to healthcare systems
Connecting AI assisted revenue cycle workflows with existing EHR, EMR, PMS, LIS, RIS, billing, and payer systems
Coordinating automated tasks with human RCM specialists for exception handling
Monitoring patient access and revenue cycle performance through analytics dashboards

Pros & Cons

Pros:

Combines AI agents, automation, and human RCM specialists within coordinated healthcare revenue workflows.
Supports multiple healthcare integration methods including APIs, webhooks, HL7, FHIR ready patterns, secure file exchange, and RPA.
Covers multiple stages of the revenue cycle including patient access, medical billing, denials, A/R recovery, payment posting, and analytics.

Cons:

Annual engagements typically start at $5,000 per month, which establishes a relatively substantial minimum engagement level.
Integration capabilities and writeback vary by provider system, interface availability, workflow, and system configuration, and some systems require custom interface work.

Integrations

Advanced Data Systems Corporation (ADS), Allscripts, athenahealth, Cerner, Centricity EMR, DrChrono, eClinicalWorks, Epic, eRad, Exa, Exemplar LIMS, Imagine, Konica Minolta, MedicsPremier, Merge, ModMed, NextGen, Open Doctor, PX Technology, Raintree, Royal, Salesforce, ScriptSender, Surgimate, Synapse EIS, Greenway, Urochart

FAQ

What is Infinx?

Infinx is a healthcare revenue cycle management company that combines AI agents, automation, healthcare system integrations, analytics, and RCM specialists across patient access and revenue cycle workflows.

What revenue cycle workflows does Infinx support?

Infinx supports workflows including eligibility verification, prior authorization, document capture, medical coding, payment posting, credit balance resolution, A/R recovery, denial management, appeals, insurance discovery, collections, and revenue cycle analytics.

Does Infinx use AI agents?

Yes. Infinx provides revenue cycle AI agents that can analyze information, reason about tasks, access connected data, coordinate automation and human review, and execute workflow actions.

Can Infinx integrate with existing EHR and healthcare systems?

Yes. Infinx supports integration methods including APIs with webhooks or scheduled polling, HL7, secure file exchange, RPA, and FHIR ready patterns where supported. Integration capabilities vary by system and configuration.

Does Infinx support human review?

Yes. Infinx uses human in the loop orchestration so workflows requiring judgment or exception handling can be assigned to RCM specialists.

How much does Infinx cost?

Annual engagements typically start at $5,000 per month. Final pricing depends on factors such as workflow complexity, integrations, reporting requirements, volume, and the selected engagement model.

What pricing models does Infinx offer?

Infinx documents transaction based pricing, FTE deployment, subscription retainers, managed services, and contingency fee arrangements.

Does Infinx provide revenue cycle analytics?

Yes. Infinx provides analytics and reporting, including dashboards for prior authorization and eligibility workflows with metrics such as approval rates, denial rates, turnaround times, payer delays, and service level performance.

Categories:

Healthcare IT Software Healthcare Revenue Cycle Management Software