Your denials
have a pattern.
This finds it.
Codex turns millions of claim lines into visual patterns — flagging undercoded E/M visits, bundling errors, and denial trends before your RCM team opens their morning coffee.
Revenue Leakage Estimator
94.2%
Avg Recovery Rate
First-pass appeal
38 hrs
Time to Insight
From go-live
$2.4B+
Revenue recovered
847M+
Claims analyzed
4,200+
Practices benchmarked
38 hrs
Avg time to first insight
Every denial has
a fingerprint.
Codex maps 847,000+ claim lines per month into payer-specific denial signatures — so your team stops guessing and starts appealing the right ones first.
Top Denial Reasons by Volume
UnitedHealth
+2.1pp YoY14.2%
Denial Rate
42d
Avg Days AR
Medical Necessity
Top Denial
Aetna
+0.8pp YoY11.8%
Denial Rate
38d
Avg Days AR
Bundling
Top Denial
BCBS
-1.2pp YoY9.4%
Denial Rate
31d
Avg Days AR
Timely Filing
Top Denial
Cigna
+3.4pp YoY13.1%
Denial Rate
45d
Avg Days AR
Auth/Referral
Top Denial
OIG auditors see
patterns, not claims.
Codex runs continuous statistical deviation checks against national benchmarks — surfacing anomalies before they become audit triggers.
Composite Audit Risk Score
0
/ 100
OIG Watchlist Patterns
4 ActiveE/M Level Distribution Outlier
ACTIVEPlace of Service Mismatch (11 vs 22)
MONITOREvaluation of Modifier -25 Usage
ACTIVEIncident-to Billing Compliance
REVIEWHigh-Risk CPT Flags
99215
High-complexity office visit
Upcoding Pattern
87
risk
93000
ECG with interpretation
Unbundling Alert
74
risk
99232
Subsequent hospital care
E/M Mismatch
68
risk
96413
Chemo admin, IV push
Bundling Error
91
risk
45378
Colonoscopy diagnostic
Modifier Missing
62
risk
You can't improve what
you can't compare.
Codex benchmarks your E/M distribution, RVU productivity, and charge capture against 4,200+ same-specialty practices in real time.
E/M Level Distribution
Level 1
99211
Level 2
99212
Level 3
99213
Level 4
99214
Level 5
99215
Level 5 (99215) undercoded by 8pp vs. national average — estimated $312K annual leakage for your panel size.
Key Performance vs. National Median
Metric
Practice
National
Gap / Opp.
RVU per Provider/Day
18.4
21.2
$312K
E/M Level 4-5 Rate
52%
53%
$89K
Avg Charge per Visit
$284
$318
$224K
Procedure Bundle Rate
34%
29%
Risk
Total Identified Opportunity
$625K+
Connects to the stack
you already run.
No rip-and-replace. Codex reads your existing EDI 835/837 files, EHR claims exports, and clearinghouse feeds — live within 48 hours.
EHR Systems
6 CertifiedEpic
Full HL7 FHIR R4 + Claims API
Cerner
Millennium Claims & Remittance
Athenahealth
athenaClinicals & Collector
eClinicalWorks
Direct EDI 837/835 feed
Meditech
Expanse Claims Module
NextGen
Enterprise PM Integration
Clearinghouses
Change Healthcare
Availity
Waystar
Trizetto
Optum
Office Ally
Payer Remittance Feeds
EDI 835 DirectUnitedHealth
835 + Eligibility
Aetna
835 + Prior Auth
Cigna
835 + Remittance
BCBS (All Plans)
835 + Denial Reason
Humana
835 + Analytics
Medicare FFS
FISS + EDI 835
Medicaid (42 states)
State EDI 835
Centene
835 + Eligibility
Live in 48 Hours
Our integration team handles the EDI mapping, FHIR authentication, and data validation. You see your first denial pattern on day 2.
Your denials have a pattern.
This finds it.
No form. No sales call. Load your specialty, and Codex maps your first denial cluster in under 3 minutes — with your real payer data, in a sandboxed environment.