MedFlux LogoMedFlux Enterprise

Modern billing + RCM workflows for practices and billing teams

MedFlux Suite: Billing + RCM + DMS that accelerates collections

MedFlux delivers a modular suite of standalone healthcare applications. Medical Billing software, RCM software, and Document Management System (DMS) software are each independent solutions, supported by additional applications for eligibility verification, clean claim validation, denial prevention, ERA processing, operational work queues, and real time reporting. Together, these applications streamline operations, minimize rework, and accelerate time to payment.

HIPAA ready workflowsRole based accessReal time visibilityDMS for billing teams

Claim visibility

End to end

Denials handling

Work queues

Reporting

Real time

Security

RBAC + audit

Designed for modern clinics and billing teams

Built to replace spreadsheets, manual follow ups, and outdated billing workflows.

EligibilityClaimsDenialsERA/835AR AgingPayer Analytics

MedFlux Suite

Software we are selling

Choose the product that fits how you operate today practice first billing or full RCM workflows for scale.

MedFlux Billing

Medical Billing SaaS

Primary

Practice first billing workflows charge capture, clean claims, denials, ERA posting, and real time reporting.

  • Charge entry + claims
  • Denials + AR workflows
  • ERA/835 posting + reconciliation
  • Dashboards + exports

MedFlux RCM

Revenue Cycle Management

RCM operations for billing teams multi client visibility, QA workflows, submission pipelines, and analytics.

  • Multi client workspace
  • Advanced work queues + QA
  • Payer performance analytics
  • Integrations ready APIs

Everything you need to run billing like a modern operation

Clean claims, denial prevention, payment posting, and reporting organized into workflows your team will actually use.

Clean claim validation

Catch missing payer data, coverage mismatches, and formatting issues before submission to reduce rejections.

Denials & AR workflows

Work queues, follow ups, notes, and resubmissions in one place built for billers and managers.

ERA posting & reconciliation

Streamline payment posting and matching so you can reconcile faster and spot underpayments.

Real time dashboards

Track billed, paid, pending, denied, and AR aging with actionable payer performance analytics.

Security first access

Role based access, audit ready activity trails, and optional 2FA (TOTP) for modern healthcare teams.

API ready integrations

Designed for EHR and payer connectivity start manual today, integrate tomorrow without replatforming.

Stop guessing what's paid, what's denied, and what's delayed.

MedFlux organizes the revenue cycle into clear, trackable steps so your team spends less time chasing status and more time resolving the items that move cash.

MedFlux DMS

Document Management built for billing and RCM teams

Organize payer letters, appeals, HR docs, accounting records, and team workspaces in one place. Keep compliance friendly access control while giving teams the sections they need to move faster.

  • Fast filing by sections like Inbox, #team, Partners, Accounting, and HR
  • Restore from Recycle Bin to recover accidental deletes
  • Dashboards and reports to see document activity and storage trends

Workspace sections

Organized spaces and tools to keep everyone aligned.

  • Inbox for incoming documents and notices
  • #team spaces to coordinate on tasks
  • Projects, Partners, Accounting, and HR folders for organized filing
  • Personal ‘My Folder’ for drafts and working docs
  • Create new sections on the fly for campaigns or clients

Admin tools

Organized spaces and tools to keep everyone aligned.

  • Manage users and user groups with the right permissions
  • Recycle Bin with restore so nothing is lost by mistake
  • Dashboard & Reports to monitor activity and storage
  • More tools available for compliance and audit needs

Document handling

Control and movement of files across teams.

  • Upload, categorize, and tag key billing and clinical documents
  • Track document status across teams (reviewed, pending, archived)
  • Secure sharing across practices, partners, and finance

MedFlux Revenue Cycle Module

Main application module built for RCM teams

From dashboard visibility to work queues and payments, every part of the revenue cycle lives in one place. Teams can move from intake to paid claim without bouncing between systems or spreadsheets.

Operational clarity

Dashboards + reports

Queue coverage

Unbilled → Denials → Follow up

Financial rigor

Eligibility + ERA + EOBs

Governance

Audit logging + roles

Main

High level visibility across the revenue cycle with leadership ready views.

  • Dashboard

    Overall metrics, KPIs, and trends in one place.

  • Reports

    Library of operational, financial, and compliance ready reports.

Work Queues

Purpose built queues to keep billing, follow ups, and QA on track.

  • Unbilled Encounters

    Surface encounters that still need claim creation.

  • Scrubber Errors

    Resolve claim scrubber errors before submission.

  • Rejections (999/277CA)

    Triage clearinghouse rejections and fix quickly.

  • Denials

    Work denied claims with reasons, notes, and next steps.

  • Pending / Follow up

    Own and track follow ups with due dates and reminders.

Core Operations

Daily billing motions to submit, track, and reconcile claims.

  • Claims

    Create, submit, and batch claims with payer rules applied.

  • Claim Response

    Monitor payer responses and route issues to queues.

  • Explanation of Benefit

    EOB review for adjustments, patient balance, and posting.

  • Eligibility

    Real time eligibility checks before you bill.

  • Payments / ERA

    Post ERAs, reconcile payments, and match to encounters.

  • Patients

    Single source for patient details tied to billing activity.

Patient & Scheduling

Patient context plus scheduling signals to keep claims flowing.

  • Patient Demographics

    Update coverage, guarantor, and contact data.

  • Encounters / Visits

    Visit history with coding, charges, and claim status.

  • Scheduling

    Appointment view to confirm documentation and charge capture.

  • Intake Forms

    Capture required data upfront to prevent downstream holds.

Clinical

Clinical context connected to billing so nothing gets lost.

  • Clinical Documents

    Track signed notes, attachments, and coding support.

  • Orders

    Order tracking to ensure claims carry required documentation.

Data Masters

Reference data to keep payer and provider information clean.

  • Provider Directory

    Practice wide directory with NPIs and specialties.

  • Payers

    Payer profiles with IDs, submission rules, and contacts.

  • Providers

    Provider records aligned to credentialing and billing.

Platform & Security

Governance and auditability baked into the revenue cycle.

  • Audit Logging

    Access and activity trails for every action taken.

MedFlux RCM

RCM operations for billing companies and growing groups

Build consistent processes across clients work queues, QA, analytics, and integrations ready workflows.

Work queues that scale

Standardize follow ups with queues, ownership, notes, and SLAs across many clients and payers.

Submission + status pipeline

Track submission, acceptance, payer processing, rejections, and next actions without spreadsheets.

Client level analytics

Compare AR, denials, and payer performance across practices to identify where margin is leaking.

Audit ready operations

RBAC and activity trails to support QA, compliance, and client reporting expectations.

Built for outpatient specialties and billing teams

Start with the workflows you need today. Add integrations and automation as you scale.

Family Medicine
Internal Medicine
Pediatrics
Urgent Care
Behavioral Health
Dermatology
Cardiology
Orthopedics
PT/OT
Pain Management
Gastroenterology
Pulmonology
OB/GYN
Imaging / Radiology
Surgery Practices
Endocrinology
Oncology
Neurology
Sleep Medicine
Specialty Clinics

How MedFlux works

A simple, repeatable billing loop designed to reduce denials and shorten time to payment.

Capture charges

Enter charges quickly or integrate your workflow.

Verify & validate

Eligibility checks and clean claim rules prevent rejects.

Submit & track

Track claims through submission, acceptance, and payer processing.

Post & resolve

Post ERA payments and work denials via queues and tasks.

Pricing

Choose the plan that matches how you operate today and scale without switching systems later.

Pricing built for solo practices and small clinics

Start simple, get to first paid claim fast, then scale. Transparent monthly pricing with clear add ons.

Starter

Best for 1 to 2 providers

$199/provider/mo
  • Charge entry + claim creation
  • Claim status tracking (submitted/accepted/rejected)
  • Core reporting (AR aging, collections)
  • Role based access (basic)

Professional

Best for growing teams

Most popular
$399/provider/mo
  • Eligibility + clean claim checks
  • Denials work queues + resubmission flows
  • ERA posting support
  • Advanced dashboards + exports
  • Optional 2FA (TOTP)

Enterprise

Best for multi site groups

Custom
  • Multi location + advanced roles
  • Custom reporting + data integrations
  • Priority onboarding + support
  • SLA options (as available)

Tip: Offer a 'go live guarantee' internally focus onboarding on claim readiness (payer data, eligibility, scrub rules) so customers see results quickly.

Built with healthcare trust in mind

MedFlux supports security first workflows with access controls, audit ready activity trails, and operational practices aligned to healthcare expectations.

  • Role based access control (RBAC)
  • Audit ready activity visibility
  • Optional 2FA (TOTP) for accounts
  • Secure handling practices for sensitive data

Ready to see MedFlux in action?

Get a walkthrough tailored to your specialty and workflow.

Typical onboarding: small practices can start quickly once payer data and workflows are configured.

Compliance posture (positioning)

Present as “HIPAA ready workflows” (access controls, audit trails, least privilege). Avoid claiming certification unless you have formal audits and attestations in place.