Protecting the value of care, from the first claim to the last dollar.
Medical billing, coding, denial management, credentialing and PCMH transformation for practices across the United States. Inside your systems, visible in one dashboard.
The revenue cycle, watched end to end
The visit happens
Eligibility is confirmed before the patient arrives, the copay is collected at the desk, and every arrived appointment is logged so nothing seen goes unbilled.
- Eligibility verified two days before the visit
- Arrived appointments reconciled every week
- Authorizations on file before procedures
The note is signed
Unsigned notes are the most common reason a visit never becomes a claim. Providers get a short list every Monday of what is still open.
- Unsigned encounters older than 3 days flagged
- Documentation queries sent the same day
- Charge capture checked against the schedule
Diagnoses and procedures are coded
Codes are assigned or validated from the documentation, with quality review on the codes that cause denials most often.
- ICD-10, CPT and HCPCS from the note
- Modifier and bundling review
- Provider queries when documentation is unclear
The claim is built and submitted
Claims are scrubbed and submitted daily. Clearinghouse rejections never sit: they are corrected and resent the same day, well inside filing limits.
- Daily submission
- Rejections corrected the same day
- Timely filing tracked per payer
The payer decides
Every denial is categorized by the step that caused it and either corrected, appealed before the deadline, or written off with a reason and a name. Underpayments are checked against your contract.
- Denials categorized by root cause
- Appeals filed before the window closes
- Allowed amounts compared with contracted rates
Payment is posted and reported
Remittances are posted, patient balances go out on a fixed cycle, aging is worked by payer, and you see all of it in your dashboard and monthly report.
- Payments posted and reconciled to deposits
- Patient statements on a 30-day cycle
- AR aging worked by payer, reported monthly
Every service explained in full before you talk to anyone.
Built by people who have run revenue cycle operations inside practices. We work inside your systems, say exactly what is included, and show you everything in one place.
All servicesCredentialing & Provider Enrollment
Get every provider enrolled with every payer, with the paperwork tracked to the effective date.
Medical Coding
Accurate diagnosis and procedure coding from your documentation, with questions routed back to the provider the same day.
Medical Billing
From charge to payment: claims submitted daily, rejections worked the same day, and a monthly report you can actually read.
Denial Management
Every denial categorized, worked and traced back to its cause, so the same denial does not come back next month.
Closing Gaps in Care
Organized outreach and documentation tracking for the care gaps your payers are measuring this year.
PCMH
Readiness assessment, workflow redesign, evidence organization and submission support for Patient-Centered Medical Home recognition, nationwide.
RCM Audit & Revenue Leakage Analysis
Find the encounters that never became claims, the claims that never got paid, and the process gaps behind both.
Healthcare Website Design & Development
A practice website patients can actually use: request an appointment, complete forms, send a message, find the office, on any phone.
Why practices choose Revelrex
Most billing companies submit claims. Revelrex runs the process around the claims: the reconciliations, the follow-up rhythm and the reporting that tells a practice where money was lost and what to change.
You see everything
Claims, denials, credentialing status, agreements, invoices and support tickets in one client dashboard. No waiting for a monthly email.
Nothing hidden in the scope
Each service page lists what is included, what is not, what your practice provides and what you receive. Your service order records exactly that.
Process, not just claims
Weekly schedule-to-claim reconciliation, same-day rejection correction and denial root-cause reporting that tells the practice what to fix.
Compliance you can check
HIPAA compliant and SOC 2 compliant. Encrypted secure-access records with every reveal logged.
Built for clinicians
Plain-language pages written for physicians and practice managers, and a request process that does not require a phone call.
We train the workforce too
Our training programs run on the Revelrex EHR, the same environment our own staff use to practice.
What makes Revelrex different
These are the things practices tell us they could not get from their previous billing company, and the reasons they stay.
Schedule-to-claim reconciliation, every week
We compare every arrived appointment with a signed encounter and an accepted claim, and send the practice a short list of what is missing. Unbilled visits are found within days, not at year end.
Elsewhere: claims are counted, visits are not; unbilled encounters surface only when someone asks.
Denials reported by cause and owner
Every denial is categorized by the step where it was created (registration, authorization, coding, payer policy) and assigned to the person who can prevent the next one. The monthly report says what to change, not just what happened.
Elsewhere: a spreadsheet of denial codes and a recovery total.
Your systems, your data, your dashboard
We work inside your EMR, practice management system and clearinghouse through delegated accounts you control. Claims, credentialing status, agreements, invoices and support tickets are visible in your Revelrex dashboard at any time.
Elsewhere: data moved into the vendor's system, visibility limited to a monthly PDF.
We built the EHR our staff and students train on
Revelrex EHR is a complete outpatient training environment with pharmacy, laboratory, payer and clearinghouse workspaces. Our billers, coders and credentialing staff practice on it, and so do the students in our training programs.
Elsewhere: staff learn on your live system.
Access you can see and revoke
System-access records are encrypted per installation, masked on screen and logged on every reveal. Roles are least-privilege. You can see who has access and remove it from your dashboard.
Elsewhere: shared logins in an email thread.
A scope you can read
Every engagement has a master agreement, a service order that names the services, the providers, the start date and what counts as applicable collections, and a Business Associate Agreement. Signed electronically, stored in your dashboard.
Elsewhere: a one-page proposal and an invoice.
How an engagement works
Select, request, review, agree, onboard. No step requires a phone call, and every step is visible in your dashboard.
- 1
Select and request
Read the service pages, add what you need to a request, and tell us about your practice. It takes about five minutes.
- 2
Request and review
Submit the request. A Revelrex representative reviews it and prepares a proposal, usually within two business days.
- 3
Agree
Sign the master agreement, service order and, where required, the BAA electronically from your dashboard.
- 4
Onboard
Complete your practice profile, providers and locations, and provide secure system access.
- 5
Go live and see it all
Services activate on the effective date. Status, documents, invoices and support are in your dashboard from day one.
A complete outpatient EHR built for training
Revelrex EHR is a training simulator for outpatient care. Doctors, nurses, medical assistants, front desk staff, coders, billers, pharmacy and laboratory staff practice real workflows on synthetic patients. The pharmacy and the laboratory have their own logins, so a prescription or a lab order actually arrives somewhere, gets worked, and a result comes back.
Learn the revenue cycle by doing it.
RCM Fundamentals
The complete map of the revenue cycle, from scheduling and eligibility to payment posting and AR, explained with real examples so every later course makes sense.
- Duration
- 2 weeks
- Format
- Live online + lab
EMR Training
Hands-on training in a real EMR workflow: scheduling, registration, eligibility, charting basics, orders, charge capture and the billing hand-off, using synthetic patients only.
- Duration
- 3 weeks
- Format
- Live online + lab
Medical Coding
A complete outpatient coding program: ICD-10-CM, CPT and HCPCS with the guidelines behind them, E/M leveling, modifiers, specialty coding and the documentation review skills coders use every day.
- Duration
- 12 weeks
- Format
- Live online + lab
Medical Billing
Everything a professional biller does, practiced end to end: eligibility, charge entry, claim scrubbing and submission, clearinghouse rejections, payment posting, AR follow-up, patient statements and payer communication.
- Duration
- 12 weeks
- Format
- Live online + lab
Work we can show you.
EHRRevelrex EHR: a training EHR with pharmacy, laboratory and payer workspaces
A complete outpatient EHR built for training: 25 roles, synthetic patients, and partner workspaces where prescriptions, lab orders, claims and denials actually travel between organizations.
RCM TransformationFamily medicine group: billing and denial management transition
A three-provider family medicine group in Texas moved from an in-house biller to Revelrex billing with denial management, with a defined start date of service and weekly reconciliation.
RCM TransformationInternal medicine associates: RCM audit before a vendor change
A five-physician internal medicine group in Florida commissioned a fixed-scope RCM audit to establish a baseline before ending a vendor contract.
Built to handle protected health information responsibly.
HIPAA compliant and SOC 2 compliant. Least-privilege access, encryption at rest for secure-access records, and an audit trail on every sensitive action.
Security & ComplianceBusiness Associate Agreements, policies, workforce training and continuous monitoring.
Controls for security, availability and confidentiality. Ask us for the current scope of our documentation.
System-access records are encrypted per installation, masked on screen, and every reveal is logged.
Granular roles for staff and practice users; multi-factor authentication for privileged accounts.
Fewer surprises, more visibility.
“For the first time I can see what was billed, what is outstanding and why. The monthly report tells me what my front desk needs to fix, and the denials that used to sit for months are appealed within days.”
“The audit found unbilled visits we did not know existed and a payer that had been underpaying one code for a year. The report was specific enough to hand to our team the same day.”
“Our new nurse practitioner was enrolled with every payer before her first patient. Every application had a status I could check without calling anyone.”
Practical reading for practice leaders.
Sliding Fee Scales and Self-Pay Discounts: How to Set Them and Stay Compliant
Most practices give discounts to uninsured patients. Few have written down how. Here is how to build a sliding fee scale for a medical practice: the 2026 poverty guidelines, the tiers, the paperwork, the adjustment codes, and the payer contract and Medicare rules that decide whether a discount is a compliance problem.
Text-to-Pay and Online Patient Payments: What to Check Before You Sign a Vendor
Patient balances are a growing share of practice revenue and paper statements are the slowest way to collect them. Here is what we check before a practice signs a text-to-pay vendor: consent rules, HIPAA and card data scope, posting integration, fees, reconciliation and the four numbers that show whether it worked.
Preparing Front-Desk Collections for the January Deductible Reset
In January most patients owe the full visit cost until the deductible is met. Practices that collect at the desk in January collect it; practices that send statements in March mostly do not. Here is the fourth-quarter plan: deductible data from the eligibility response, estimates, card on file and scripts.
Serving healthcare organizations across the United States
Revelrex works remotely inside your systems, in your time zone, for practices in every state. Our teams have supported practices in California, Texas, Ohio, Missouri, Pennsylvania and Florida, among others.
Ready to see what your practice is leaving on the table?
Request services online or book a call with a Revelrex specialist.