The math you're already living in
You have underpayments right now.
You just can't see them.
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.
Validate the claim against payer rules, coverage, authorizations, coding standards, and billing policy before it reaches the payer.
- Eligibility for date of service
- Prior authorization vs. billed services
- Coding against payer rules
- Documentation completeness
29881 billed without documented laterality. Operative note for 07/29 does not specify knee. This payer denies the line, not the claim.
No real patient or payer file appears in any of these.
How it works
Your systems stay.
xOPS sits on top.
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.
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.
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.
- EHR / practice management
- Clearinghouse & 835s
- Payer contracts, docs
- xOPS Claimspre-submission review · appeals
- xOPS Contractscontracted rates · recovery
- xOPS Cadence nextshift records · census
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.
You send a year of remittance files. Nothing leaves your control — it lands in your own single-tenant instance.
The Brain runs the sweep: underpayments against contracted rates, denial patterns, and everything that was never appealed.
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 shippedNext: 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.
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.
HIPAA & 42 CFR Part 2 built into the platform — single-tenant, your own instance, your own data.
CRUSHABLE