AI-Powered Revenue Cycle Management Fused Intelligence™

Human Expertise
Agentic Execution

Your billing runs. You collect more. Without the manual work.

Consultex Health automates the entire billing cycle — from patient encounter to payment — for healthcare providers across the country and around the world. Robi® handles claims, denials, and remittance. Your team handles patients.

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93%
First-pass billing
match rate
$2–$5
Per claim · pay only
for what's processed
$125K
Average annual revenue lost
from unworked denials

Most healthcare providers are billing manually — and losing 25–30% of claims on first submission. We fix that.

Human Expertise. Agentic Execution.

Consultex Health is powered by Robi®, an AI consultant that connects to your clinical systems, generates claims automatically, and manages every denial — without adding staff.

The Problem

Revenue is leaking at every step of your billing process.

Every manual handoff between your clinical system, billing staff, and clearinghouse is an opportunity for error, delay, or denial. Most providers don't know how much they're losing until it's already gone.

01
Manual claim entry

Billing staff spend hours manually entering claim data from patient encounters — creating delays, errors, and denials before a single claim is submitted to a payer.

02
25–30% denial rates

Industry average first-pass denial rates mean nearly one in three claims requires rework. Without automated denial management, most of that revenue is never recovered.

03
Disconnected systems

Your clinical system, billing system, and clearinghouse don't talk to each other. Every handoff is manual. Every handoff is a chance to lose revenue — permanently.

04
No financial visibility

Most providers don't know their denial rate, average days to payment, or payer performance patterns. What you can't measure, you can't fix — and you can't optimize.

How It Works

Robi® connects your clinical systems to your revenue — automatically.

We build the integration once. After that, every claim flows from encounter to payment without your team touching it.

01
We connect to your system

Our team integrates with your EHR, PACS, or clinical system via HL7 or FHIR. One-time setup. No ongoing manual data entry from your team.

02
Claims generate automatically

When a patient encounter or study completes, Robi® generates the 837 claim file — CPT coded, ICD-10 validated, and scrubbed for errors before submission.

03
Eligibility verified and submitted

Real-time 270/271 eligibility checks before submission. Claims route automatically through the clearinghouse to the correct payer every time.

04
Denials are fought automatically

When a payer denies a claim, Robi® categorizes the denial, corrects what can be corrected, and resubmits — without your staff doing anything.

05
Leadership receives a monthly briefing

Robi® delivers a live monthly Strategic Briefing to your leadership — denial trends, payer performance, cash flow. No dashboards to interpret. Just answers.

Automated Billing Pipeline
01
Patient Encounter / Study
EHR · PACS · HL7 Feed
Auto
02
837 Claim Generated
CPT · ICD-10 · Error scrubbed
Auto
03
Eligibility Verified
Real-time 270/271 check
Auto
04
Submitted to Payer
Clearinghouse · All payers
Auto
05
ERA Received & Posted
835 Remittance · QuickBooks sync
Live
06
Denials Worked
Auto-corrected & resubmitted
Auto
07
Robi® Briefing Delivered
Monthly · Live · Leadership
Live
93%
Billing match rate across 150,000 patient records. Eight months of backlog cleared in minutes.
Healthcare Client
$962K
Annual savings delivered to an Alabama state agency through workflow automation.
AIDT · Alabama
70%
Staff workload reduction deployed at an Alabama institution without adding headcount.
Higher Education · Alabama
$200M
Annual federal Rural Health Transformation funding available to Alabama providers annually through 2030.
Federal RHT Program
What You'll See Every Morning

Your RCM Dashboard. Live.

Robi reconciles both sides of your revenue cycle — AP vendor invoices, claims, and remittance — and AR patient billing, denials, and collections — overnight. Your team walks in to a clear picture of what to work today.

Ask Robi®
Ask Robi® a specific question about your reconciliation data (optional…)
⠿ AP Dashboard ▾
PERIOD · FEB 5 — MAY 6
Filters to Jump to
7.00%
AP Discrepancies
$840K flagged
74,400
100% Matched Records
fully reconciled rows
93.00%
Match Rate
invoiced vs verified
Reconciliation Status
Match Performance
93% Match Rate
AP Issues
7.00%  ·  5,600 rows
Matched
93.00%  ·  74,400 rows
Discrepancy Details Daily · last 90 days
Discrepancy Trend
100% 75% 50% 25% 0% Apr 12 AP Discrepancies: 7.00% Matched: 93.00%
Feb 5Feb 19Mar 5Mar 19Apr 2Apr 16Apr 30
AP Discrepancies
Matched
Total Invoiced ⓘ
$12.0M
80,000 rows
Discrepancy $ ⓘ
$840K
5,600 flagged rows
Verified Revenue ⓘ
$11.16M
74,400 clean rows
Avg Match Rate ⓘ
93.0%
across the period
Robi's Take · this morning

"$840K flagged on the AP side, $310K aging on the AR side. Three vendors and four payers account for most of it — I prioritized appeals by recoverable amount and posted overnight ERAs to AR. Your queue is sequenced for the day."

Hire Robi →
Live cash position Match-rate trend Robi's pick of what to work next
Robi — Consultex AI Consultant
Your AI Consultant

Hire Robi®

When you bring Robi on, you're not buying software. You're adding a senior revenue cycle consultant — one who reviews every claim, briefs your leadership, and never takes a Friday off.

01
Examines

Robi connects to your existing systems — claim files, ERAs, the practice management stack — and reads every transaction the way a senior CFO would. Patterns surface in hours, not quarters.

02
Explains

Each month, Robi delivers a live Revenue Cycle Intelligence Briefing to your leadership. Denial trends, payer behavior, cash flow projections — explained in plain English. No dashboards to interpret.

03
Executes

Robi works claims, drafts appeals, posts ERAs, and reconciles AP and AR continuously. Your billing team is freed from the queue and elevated to the exception cases that actually need a human.

“

Robi is the consultant we couldn't have hired in person — Fortune 500-grade judgment applied to every claim, on duty around the clock.

Human Expertise  ·  Agentic Execution
Hire Robi for Your Practice See how Robi works
Who We Serve

Built for healthcare providers across the country and around the world.

We serve providers across every care setting — from independent imaging centers and specialty practices to rural hospitals, FQHCs, and government payer networks including TRICARE and VA CCN.

Diagnostic Imaging
Imaging Centers & Radiology Groups

High-volume per-study billing with complex payer rules. We connect directly to your PACS system and automate every claim from study completion to payment.

Rural & Safety-Net
Rural Hospitals, FQHCs & RHCs

Understaffed billing departments and Medicaid complexity. We handle the full cycle so your team can focus entirely on patient care.

Government Payers
TRICARE & VA Community Care

Military and veteran healthcare billing requires specialized expertise. We handle TRICARE, VA CCN, and PGBA with precision and full compliance.

Specialty Practice
Cardiology, Orthopedics & Surgery

Complex CPT coding, high-dollar denial exposure, and prior authorization burdens. Robi® manages every step of the high-complexity billing cycle.

Post-Acute Care
Home Health & Hospice

Complex Medicare and Medicaid billing with frequent regulatory changes. We keep you current, compliant, and fully collected on every claim.

Behavioral Health
Mental Health & Substance Use

The highest denial rates in all of healthcare. We specialize in behavioral health billing, telehealth modifiers, and session-based claim optimization.

About Consultex Health

Built by consultants, for the work that pays.

Consultex Health is the healthcare practice of Consultex — an AI-native consultancy built on a simple thesis: human expertise paired with agentic execution outperforms either alone.

For decades, enterprise-grade revenue cycle management was the privilege of large hospital systems with seven-figure billing departments. Independent providers — imaging centers, specialty practices, FQHCs, correctional health contractors — were left with paper claims, manual posting, and denials no one had time to work.

We built Consultex Health to close that gap. The same caliber of strategy and execution that defines Fortune 500 finance operations, delivered as a service, priced for the way independent providers actually run.

Robi® is the named partner on every engagement. The team behind Robi — engagement partners, project managers, AI specialists, customer success leads — is the human spine that makes the AI accountable.

SOC 2 Type II
Certified · annual audit
HIPAA · HITECH
PHI encrypted at rest, audited on access
1,000+
Pre-built integrations
Fused Intelligence™
Trademarked, patent-claim language
Pricing

Simple. Transparent. Aligned with your success.

You pay per claim — never a percentage of collections. No hidden fees, no long-term lock-in, no surprises. Market rate: $4–$10 per claim or 5–10% of gross collections. Consultex charges neither.

One-Time
Implementation

Everything required to connect your systems, enroll your payers, and validate your pipeline before going live.

Starting at
$15K
One-time · Scope varies by agents & integrations
  • EHR / PACS / HL7 or FHIR integration
  • Clearinghouse setup & enrollment
  • Payer enrollment — all active payers
  • ERA enrollment & QuickBooks connection
  • Test claim validation before go-live
Schedule an Assessment
Ongoing Monthly Service
Full RCM Service

Complete automation of your revenue cycle, from claim generation through payment posting and monthly strategic reporting.

$2–$5 /claim
$2 standard claim · $5 complex claim · billed on actual monthly volume
Pay only for what gets processed — not a percentage of what you collect.
  • Automated claim generation & submission
  • Real-time eligibility verification
  • Denial management & resubmission
  • 835 ERA processing & payment posting
  • Monthly Robi® Strategic Briefing
  • Payer contract analysis & optimization
  • HIPAA-compliant · SOC 2 Type II certified
Get Your Free Assessment

Find out what you're not collecting.

Schedule a free 30-minute Revenue Cycle Assessment. We'll analyze your current billing process, identify the gaps, and show you exactly how much revenue Consultex Health can recover — before you commit to anything.

Schedule Free Assessment Call (866) 671-8656
Contact Information
Email info@consultex.health
Phone (866) 671-8656
Service Area Nationwide
BAA Available upon request
Compliance HIPAA · HITECH · SOC 2 Type II