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RCM Technology + Staff

Automate. Prioritize. Eliminate.

Turn a fragmented revenue cycle into one system that runs itself, protects your cash flow, and bills your patients clearly. Built exclusively for Primary Care.
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For Investors

Built to meet the standards Primary Care answers to.

HIPAA Compliant

Every billing workflow protects patient data

CMS Rule-Cited

Every coding decision traces to a specific rule

U.S.-Based Oversight

A named US-based lead on every account

Audit-Ready by Design

Documentation ready before an auditor asks

The Model, at a Glance

Run your revenue cycle faster than you can chase it.

Claims Automation

Every claim scrubbed and submitted without a person behind it.

Denial Prioritization

Denials worked in order of dollar impact, not arrival time.

Coding Precision

Every coding gap cited to a specific, checkable CMS rule.

Patient Clarity

Statements and portals that match what patients were told.

Full RCM, built to run itself.

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From a denied claim to a resolved one, automatically flagged.

Claims get scrubbed against payer rules → Denials get sorted by dollar impact → Coding gaps get flagged and cited.
See How It Works

96%

Clean Claim Rate

7-Day

Denial Resolution

Coding Precision

Clean claim rate, A/R days, and denial trends, delivered every billing cycle, not just at month end.

Patient Billing Clarity

Statements and a portal that show a real, current balance, so patients pay knowing what it means.

The Operating Principle

mediCLARUS automates the routine, prioritizes what protects cash flow, and eliminates the friction Primary Care and patients feel most.

Automate the Repetitive Work

Eligibility checks, claim scrubbing, and coding gap detection run automatically.

Prioritize What Protects Cash

High-dollar denials and aging A/R get worked first, ahead of the tasks that can wait.

Eliminate Friction, End to End

Fewer errors for your staff, fewer confusing bills for your patients, fewer surprises for both.

The Old Way vs The New Way

Put the two models side by side.

The gap is the revenue you’re losing right now.

The Old Way

  • Clean claim rate stuck at 82 to 85 percent, the industry average
  • Denials triaged manually, worked in whatever order they come in
  • Patients get a confusing bill and call the front desk to ask what it means
  • Patient portal sits unused because it does not show anything useful
  • Coding gaps in risk-adjusted patients go unnoticed until the payer catches them

The New Way, with mediCLARUS

  • Clean claim rate above 96 percent, automated into the workflow
  • Denials prioritized by dollar impact, resolved in 7 business day
  • Patients get a clear statement that matches what they were told at the visit
  • Portal adoption climbs with a clear balance and an easy way to pay
  • Coding gaps get flagged and cited to a specific CMS rule before you submit

Our Technology

Trust an answer you can verify.

mediCLARUS leverages neurosymbolic and deterministic technology to automatically identify HCC coding gaps, while maintaining 100% transparency and auditability.
Explore the Technology

01

No Hallucinations, Ever

Deterministic logic only. Every output is reproducible, not a probabilistic guess

02

Cited to a Specific CMS Rule

Every coding gap traces to the exact rule behind it, ready for any auditor to check.

03

Millions in Recovered Revenue

Early results show million-dollar annual recovery for a typical Primary Care practice.

Our Technology

Trust an answer you can verify.

mediCLARUS leverages neurosymbolic and deterministic technology to automatically identify HCC coding gaps, while maintaining 100% transparency and auditability.
Explore the Technology

01

No Hallucinations, Ever

Deterministic logic only. Every output is reproducible, not a probabilistic guess

02

Cited to a Specific CMS Rule

Every coding gap traces to the exact rule behind it, ready for any auditor to check.

03

Millions in Recovered Revenue

Early results show million-dollar annual recovery for a typical Primary Care practice.

How mediCLARUS Works

Get from first call to your first clean cycle, fast.

Step 1
Audit Your Revenue Leaks

We map your denial patterns, payer mix, and
claim history to find exactly where revenue is lost.

Step 2
Build Your Exact Workflow

SOPs get configured to your practice's E&M codes,
payer contracts, and risk-adjusted patients.

Step 3
Go Live in Under 4 Weeks

A named U.S. compliance lead owns your account
before your first claim goes out the door.

Step 4
Track Every Dollar, Every Cycle

Get clean claim rate, A/R days, and denial trends
in a report you can act on, not just read.

Trust someone who's lived on both sides of this desk.

Our founder, Ruben Cardenas, spent two decades inside Fortune 500 health plans, building the systems that approve and deny claims. Then he ran a Primary Care clinic and absorbed the cost of those same systems himself.

He built mediCLARUS to close a real gap.

Start getting paid for what you earn.

One conversation about what’s actually happening to your revenue.
Get an RCM Assessment

Get an RCM assessment

Response within 24 hours.

We'll review your practice details and reach out within 24 hours to schedule your assessment.