xOPS CRUSHABLE

Rural South Carolina healthcare

The AI brain at the center of your apps, data, and workflows.

Connecting rural communities to healthier futures starts somewhere unglamorous: the administrative work burying the people you cannot replace. xOPS does that work — claims, coverage, authorizations, contracts — and hands it back for your approval.

AI drafts. Humans approve. Everything is audited.

The math you're already living in

You have underpayments right now.
You just can't see them.

A denial comes back ten days later. Sometimes thirty. By then the claim isn't a correction, it's a research project — and the people who could work it are already behind on this week's batch.
Three people are covering every payer you bill. Multiple plans, multiple states, and a state portal with no pre-submission validation at all. Everything they catch, they catch by memory.
The clinical staff you can't replace spends the afternoon on paperwork. In a rural system, one nurse pulled into billing questions is a measurable reduction in care.

None of that is a staffing problem. It's a visibility problem — almost every one of those errors is knowable before the claim leaves the building, before the shift closes, before the appeal window does.

Watch it work

Four jobs off your team's desk.
Nine seconds each.

Not a diagram of what the software could do — the software doing it. A claim reviewed before it reaches the payer, a shift that closes itself, the pile that arrives by fax and portal and spreadsheet, and a year of remittances priced against your own contracts. Every one of them ends the same way: at a person.

xOPS Medical — Claims / Pre-submission review Idle
Task queue
Queue clear — waiting on the next claim.

Validate the claim against payer rules, coverage, authorizations, coding standards, and billing policy before it reaches the payer.

Payer
BlueChoice HealthPlan SC
Date of service
07 / 29 / 2026
Billed
$4,182.60
Codes
29881 · 99213 · J1885
Cleared this hour
C-30979 Rebilled with corrected modifier CLEARED 09:07
C-30980 Eligibility + auth verified CLEARED 09:09
C-30981 Coding validated, no exceptions CLEARED 09:11
xOPS AI brain — standing by
  • Eligibility for date of service
  • Prior authorization vs. billed services
  • Coding against payer rules
  • Documentation completeness
No exceptions open on this claim.
Standing by
RULES BlueChoice SC edit pack v2026.07
MODEL xOPS brain, single-tenant v4.2
LAST 09:11 · 3 claims cleared NO FLAGS
AUDIT Immutable log, 42 CFR Part 2 ON
Issue flagged — before submission

29881 billed without documented laterality. Operative note for 07/29 does not specify knee. This payer denies the line, not the claim.

Denial likelihood High Value at risk $1,240 Fix time ~4 min
Draft ready for D. Whitfield — hold line 29881, request laterality
AUDIT 2026-07-30 09:14:02Z · d.whitfield · approve_draft · C-30982 · hold_line+request_doc · brain v4.2 · sha 7f3c19be
Claims reviewed
before submission
Issues flagged
for human review
Avg review
vs 10+ day denial cycle
Autonomy score
AI drafts. Humans approve. Everything is audited. Nothing is corrected quietly. Every finding ends at a person.

No real patient or payer file appears in any of these.

How it works

Your systems stay.
xOPS sits on top.

01 — THE CORE

Free, and shared by everything

Identity, The Brain, automation, reporting, document intelligence, audit trail. It's the layer that holds context across systems that were never designed to talk.

02 — THE APPS

The billable unit

Claims and Contracts first, then Cadence — verticalized, built around the way your team already works, then extended continuously by our team, not by a change order.

03 — YOUR EHR

Still the system of record

xOPS mirrors it and works across it. No migration project, no rip-and-replace, no asking a rural IT staff of two to run a platform transition.

Your EHR and practice management system, your clearinghouse and 835 remittances, and your payer contracts and documents all feed The Brain, which classifies, diagnoses, drafts, chases and resolves — driving three apps: xOPS Claims (pre-submission review and appeals), xOPS Contracts (contracted rates and recovery), and xOPS Cadence (shift records and census), which is next up and not yet shipped. EHR / practice mgmt Clearinghouse & 835s Payer contracts, docs THE BRAIN classify · diagnose draft · chase · resolve xOPS Claims xOPS Contracts pre-submission review · appeals contracted rates · recovery xOPS Cadence shift records · census NEXT
Your sources
  • EHR / practice management
  • Clearinghouse & 835s
  • Payer contracts, docs
THE BRAIN classify · diagnose · draft · chase · resolve
The apps
  • xOPS Claimspre-submission review · appeals
  • xOPS Contractscontracted rates · recovery
The platform is free. You pay per app — and the price includes the development, forever. No implementation project. No change orders. No hourly bills. No version upgrades to buy. Flat monthly cost per app, which is the shape a grant budget line already takes.

Start here — free

Start with your own number.

Run the valuation sweep over last year's remittances — the product quantifies its own business case. You don't have to take a claim about ROI on faith when the first thing we do is measure yours.

01

You send a year of remittance files. Nothing leaves your control — it lands in your own single-tenant instance.

02

The Brain runs the sweep: underpayments against contracted rates, denial patterns, and everything that was never appealed.

03

You get a dollar figure on the call, itemized by payer and by cause — yours to keep whether you buy anything or not.

The demo is how you get your number. Thirty minutes, no deck — we open the product, run the workflows you just watched, and walk your data.

What we're building next

Roadmap · not yet shipped

Next: the clinical side.

Everything running in production today is administrative. The next build is grant-funded: chronic disease prevention and management workflows for rural South Carolina — the conditions that decide whether a rural population ages at home or in a hospital.

COPDIn development
Type 2 diabetesIn development
Heart diseaseIn development
StrokeIn development

If you're a rural hospital or clinic that wants to change the trajectory of chronic disease in your community, we want to build this with you — your protocols, your panel, your reality, on the ground floor.

Greenville, South Carolina

Let's run the future of healthcare operations in South Carolina.

Schedule a demo calendly.com/d/d3w5-7k8-zyv/xops-demo

HIPAA & 42 CFR Part 2 built into the platform — single-tenant, your own instance, your own data.

CRUSHABLE