Software built by the people who work the claims.
Most revenue cycle software is built by engineers who have never appealed a denial. Kitronixe runs revenue cycles, which is how we know which problems are worth automating and which still need a person. We build for the first kind.
How it connects
Two products. One revenue cycle.
The software reads and checks the data. The Kitronixe team works what it finds. Neither is much use to you without the other.
Remittance arrives
From your payers
Parsed and validated
Kitronixe Warehouse
Coming SoonGaps surfaced
Kitronixe ProofHouse
Coming SoonWorked by specialists
The Kitronixe team
Reported back
To you
The products
What Kitronixe is building.
Each product carries its current release status. Capabilities are marked as built, in development or planned.
- Coming Soon
Kitronixe ProofHouse
Claims, denial and underpayment intelligence.
Finds the money the revenue cycle already earned: appealable denials, contractual underpayments and unbilled encounters.
- Denial intelligence(Built)
- Rejection intelligence(Built)
- Underpayment analysis(Built)
- Appeals workflow(In development)
- Coding reference tools(In development)
- Revenue opportunity detection(Planned)
- Coming Soon
Kitronixe Warehouse
Healthcare EDI and remittance processing.
Turns X12 remittance into something a person can read, search and reconcile - with provenance retained at every step.
- 835 ERA processing(In development)
- Remittance exploration(In development)
- Payment and adjustment intelligence(In development)
- Reconciliation(Planned)
- Batch operations and scheduling(Planned)
- Additional transaction support(Planned)
The problems a person cannot solve at scale.
Recurring, rule-bound work that costs practices money and that a person repeating a manual process will never get through. That is where the software goes.
Every figure has a source
From remittance line to finding
- Step 1: Source transaction
835 · KX-SAMPLE-ERA-0142
The remittance line the figure was read from.
- Step 2: Rule in force
Fee schedule · SAMPLE-v3
The contract version effective on the date of service.
- Step 3: Finding
Paid below contracted rate
Routed to a Kitronixe specialist to review and work.
Claims and denial intelligence
Categorise denials by payer, code and root cause, so the pattern behind a hundred individual write-offs becomes visible and fixable.
Contract and fee schedule comparison
Compare what a payer actually paid against what the contract says it owes, line by line, instead of trusting the remittance.
Healthcare EDI and X12
Parse, validate and reconcile 835 remittance and related transactions with provenance retained at every step.
Remittance exploration
Turn an 835 into something a person can read, search and reason about, rather than a fixed-width file nobody opens.
Revenue opportunity detection
Surface unbilled encounters, underpayments and appealable denials before the filing deadline closes them off.
Provenance and effective dates
Every derived figure can be traced to its source transaction and the rule version in force when it was produced.
The reporting
Every measure in one view.
Collections, claim quality, A/R ageing, denial causes and open recovery opportunities - the measures a Kitronixe engagement reports against, shown together.
Interface Concept
Revenue cycle performance
Illustrative view of the measures Kitronixe reports against
$1.24M
Net collections, TTM
32.4
Days in A/R
6.1%
Denial rate, first pass
96.8%
Clean claim rate
Collections
Last 12 monthsClaim quality
This month- Clean96.8%
- Pending2.1%
- Denied1.1%
A/R by age
$1.34M outstanding- 0-30 days$841K
- 31-60 days$310K
- 61-90 days$128K
- 90+ days$64K
Denials by cause
Share of denials- Eligibility31%
- Authorization24%
- Coding19%
- Timely filing14%
- Other12%
Recovery opportunities
Open- UnderpaymentsAgainst contracted rates$48,500
- Appealable denialsWithin appeal window$26,400
- Unbilled encountersApproaching timely filing$9,750
Payer performance
Average days to pay- Commercial A28 days
- Commercial B41 days
- Medicare19 days
- Medicaid52 days
Collections density
By weekdayHow it works
Software and specialists, in six steps.
Where a step is what a Kitronixe product is built for, the product is named with its current release status.
Step 1: Start with the question
We agree what you are trying to find - denial patterns, short payments, unbilled work - before any tool is involved.
Step 2: Agree the data boundary
How data is shared, who can see it and where it is processed are settled first. Nothing passes through this website.
Step 3: Make the remittance readable
Remittance files are parsed and validated into a form a person can search, with every value tied to its source segment.
Built for this:Kitronixe WarehouseComing Soon
Step 4: Surface what was missed
Claims and remittance are compared against contracts and rules to find denials worth appealing and payments that fall short.
Built for this:Kitronixe ProofHouseComing Soon
Step 5: Put a specialist on it
A finding is only useful if someone works it. Kitronixe specialists review, appeal and follow up inside your existing systems.
Step 6: Report and fix upstream
Results are reported against measures agreed at the start, and root causes go back to the front of the cycle as fixes.
Your systems
Works alongside what you already run.
Kitronixe works inside the systems your team already knows. There is no rip-and-replace, and no new system for your front desk to learn.
- EHR
- Practice management
- Clearinghouse
- Payer portals
- Remittance (835)
- Fee schedules
- Payer contracts
- Your reporting
These are categories of system, not named vendors. Kitronixe does not claim a partnership with any EHR, clearinghouse or payer. Ask us about your specific setup.
Why it is built this way
A report finds it. Someone has to work it.
Software on its own
- Shows where a denial pattern is
- Lists short payments against the contract
- Leaves the appeal to your staff
- Needs someone to chase the follow-up
- Stops at the finding
Kitronixe: software and specialists
- Built by the team that works the claims
- Findings traced to their source transaction
- Specialists who appeal and follow up
- Root causes fed back as upstream fixes
- Reported against measures agreed up front
Built around the data it must not expose.
Separate infrastructure
Products run in their own secured application infrastructure, apart from this marketing website.
Role-based access
People see the data their role requires, and permissions are checked on the server, not in the browser.
Audit trails
Changes are recorded with who made them and when, so an action can be reviewed after the fact.
Encrypted secrets
Credentials the software holds are encrypted before they are stored, with the key kept outside the database.
No PHI on this site
This website holds no patient information, claim files or remittance data. Its forms ask for none.
A channel agreed first
If protected health information needs to be discussed, an appropriate channel is set up before anything is shared.
These are practices, not certifications. Where Kitronixe holds a formal attestation it will say so by name; where it does not, it will not imply one.
Keep exploring
Where to go from here.
Revenue leakage calculator
Estimate a range from your own figures. Nothing you type is sent anywhere.
Estimate itKitronixe software
Every application, with its current release status.
See productsRevenue cycle solutions
The service work the software is built to support.
ExploreTrust & Security
How Kitronixe handles access, data and security.
Read more
Technology FAQ
Questions about the software.
What the products do, how they fit alongside the service team, and how data is handled.
Can you provide RCM services in addition to eCW consulting?
Yes. Kitronixe provides revenue-cycle services from eligibility through A/R, underpayments and reporting, so system recommendations can be made in the context of how your billing actually runs.
Do you provide ongoing eCW optimization support?
Yes. Workflows change, staff change and new functionality becomes available, so ongoing support is offered as a scoped engagement based on what your organization needs.
Can you help with 340B reporting?
Kitronixe can support approved 340B reporting, data preparation and operational reporting workflows, based on your program needs and the data available. It is reporting and data support only: Kitronixe is not a 340B administrator, does not provide legal or compliance advice, and cannot certify or guarantee compliance.
Do you offer custom reporting?
Yes. Kitronixe designs reports and dashboards around the operational questions your leadership actually asks, across revenue cycle, clinical operations, productivity and patient access, using eBO and reporting tools where they are available to you.
Can you help optimize healow products we already use?
Where healow products are part of your agreement and enabled for your organization, Kitronixe can help configure and optimize the related workflows - portal, digital intake and patient communication among them.
Can you help with Work Queues and dashboards?
Yes. Work queues and operational dashboards can be designed around ownership, priority and follow-up, so outstanding work is visible without a separate spreadsheet.
Can you help with Billing Rule Engine configuration?
Yes, including billing rules that catch predictable errors before a claim leaves the practice, set up around the patterns your own denials and rejections show.
Can you assist with Clinical Rule Engine workflows?
Yes. Kitronixe can help design and configure clinical rules, alerts and decision-support logic. Clinical content and thresholds are always decided by your clinicians - the work is the configuration, not the clinical judgement.
Tell us what you are trying to find.
A conversation is more useful than a deck. Describe the problem in your revenue cycle and we will tell you plainly whether our software, our team, or both can help with it.