The revenue cycle your organization deserves, run by people who own the outcome.
We come from the software side of this industry — the EHR, clearinghouse, and RCM platforms your claims already move through. Now we run the revenue cycle itself: eligibility through final payment, automation on the repetitive work, experienced people on everything that needs judgment.
No black boxes. You see the same dashboard we work from, and a named lead who answers for it.
Most providers aren’t underpaid. They’re under-followed-up.
The money is usually already earned. It leaks out in the quiet places: a stale eligibility check, a modifier nobody caught, a denial that aged past the appeal window while the front desk was busy being a front desk.
End-to-end, or the part that’s broken.
We run the full cycle for most clients. If you only need denials and legacy A/R worked, that’s a real engagement too.
Eligibility, benefits & prior auth
Verification before the visit, benefit detail your staff can actually read to the patient, and authorizations tracked to approval.
Coding & charge capture
Experienced coders review documentation for specificity and modifier accuracy, and flag missed charges back to the provider.
Claim scrubbing & submission
Payer-specific edits applied before the claim leaves, so rejections get caught in minutes instead of weeks.
Denials, appeals & A/R follow-up
Every denial is categorized by root cause, appealed on the payer’s timeline, and fed back upstream so it stops recurring.
Payment posting & patient balances
Accurate posting with contractual variance checks, plus patient statements and support that sound like your organization, not a collector.
Reporting & revenue integrity
Weekly performance review, payer trend analysis, underpayment detection against your contracted rates.
Legacy A/R cleanup
Switching billers, or sitting on aged claims nobody has touched in months? We’ll work the old book in parallel while we run the new one.
Live in 30 days, without pausing your cash flow.
Transitions are where organizations get hurt. Ours is sequenced so claims keep going out the door the entire time.
Assessment
We review your A/R aging, denial history, fee schedule, and payer mix, then tell you plainly where the money is sitting.
Build
EHR and clearinghouse access, payer edit rules, workflow ownership, escalation paths, and your reporting cadence.
Parallel run
We take live claims while your existing process winds down. Nothing goes dark, nothing gets dropped between systems.
Manage & report
Weekly metrics, monthly review with your named account lead, and root-cause fixes pushed back into the front end.
Automation where it’s reliable. People where it counts.
We use AI and rules-based automation for the high-volume, low-judgment work — status checks, eligibility, document intake, denial triage. It never decides a code, writes an appeal, or talks to your patients on its own. A person reviews the work that carries risk.
We built this side of the business ourselves — our co-founder ran AI and engineering for a national EHR and practice-management platform. And we work inside the system you already own: no rip-and-replace, no new PM system to learn, no data held hostage if you ever leave.
Ask how it would work in your EHR →Eligibility & claim status checks
Run continuously against payers instead of once a week by hand.
Denial triage & routing
Every denial classified by root cause and routed to the right specialist the day it lands.
Payer-specific claim edits
Rules learned from your denial history, applied before submission.
Coding, appeals, patient calls, and your account
Judgment work stays with experienced staff. You always have a named human to call.
Every payer, every place of service.
Commercial, Medicare, Medicaid, and managed care — each with its own rules, timelines, and reasons to say no. We build the workflow around your actual payer mix.
Physician practices
Solo, small group, and multi-specialty organizations under one tax ID.
Surgical & procedural
Implant carve-outs, multi-procedure reductions, and auth-heavy caseloads.
Behavioral health & therapy
Visit limits, unit-based billing, and authorization cycles that never stop.
Facilities & post-acute
Institutional claims, per-diem and case-rate contracts, and complex coordination of benefits.
Small on purpose. Accountable by design.
Cortex Solutions LLC was started on a simple observation: the large RCM firms are excellent at scale and mediocre at attention. Clients become a queue. Questions become tickets. The person who knows your account changes every quarter.
We built the opposite. A deliberately small book of clients, each with a named lead who knows your payers, your providers, and your aging by heart — supported by automation that gives a small team the throughput of a much larger one.
We don’t ask for long lock-ins. We’d rather earn the next month than trap you in the next three years. If your metrics aren’t moving, you should be able to leave, and you should be able to take your data with you.
We built the systems your claims run through. Now we’ll run the billing.
Most billing companies are users of healthcare software. We came from inside it — one of us engineering the claim and remittance pipelines, the other running revenue cycle operations for the platforms practices depend on. You work with both of us directly.
Noushin Satarian
Co-founder & Chief Operating OfficerNoushin has spent fifteen years watching revenue cycles succeed and fail from inside the software practices bill on, most recently running revenue cycle management for a national behavioral health platform. She has seen the same denial patterns repeat across an entire book of practices, which is why she can usually name your problem before the first report is run.
Nothing about your transition will be improvised. She has moved practices onto new billing operations for years, and she builds your workflow around what your payers actually pay — not a template.
Houman Satarian
Co-founder & Chief Technology OfficerHouman knows where claims stall in transit, because he built the plumbing they travel through. He led AI and engineering at a national EHR and practice-management platform, writing the eligibility, claim, and remittance pipelines that providers bill on every day.
Our automation is engineered in-house, not licensed and hoped for. When a payer changes a rule or your remits stop posting cleanly, it gets fixed here that week — not filed as a ticket with a software vendor and waited on.
Before you ask
Do we have to change our EHR or PM system?
No. We work inside the system you already use. If you’re between systems, we’ll advise, but we don’t sell software and we don’t require a migration.
What happens to our current billing staff?
Most clients keep their front-desk and patient-facing people and hand us the back-office volume. We’ll tell you honestly which roles we replace and which we make more effective.
How is pricing structured?
Percentage of collections for full-cycle work, so we only do well when you get paid. Project scopes for A/R cleanup and assessments. We quote after we’ve seen your actual volume — never off a template.
How do you handle PHI?
A signed BAA before any access, least-privilege credentials scoped to the work, access logging, and staff trained on HIPAA annually. We’re glad to walk your compliance officer through it.
You’re a new firm. Why take the risk?
Fair question, and we’d rather answer it than dodge it. The company is new; the people aren’t. Our founders have spent their careers on the vendor side of RCM — running revenue cycle operations and building the claim and remittance infrastructure itself. You get that attention directly, with no multi-year lock-in and metrics reported weekly from day one. Judge us on the trend, not the pitch.
A free look at your revenue cycle.
Send us an A/R aging summary and a denial report. We’ll come back with a written read on where your money is stuck, what it’s worth to fix, and what we’d do first. No obligation, no pressure to switch.