CrossConnectX Health
Revenue recovery for specialty healthcare workflows.
Build denial recovery, underpayment detection, authorization review, payer logic, and appeals operations on a workflow system designed for evidence, auditability, and financial accountability.
What it covers
Claims and remittances
X12 837 claims and 835 remittances, with CARC and RARC reason codes, ingested idempotently and matched line by line.
Denials and underpayments
Versioned payer and contract rules flag denied and underpaid lines as findings, each with the rule version and the evidence behind it.
Authorization review
X12 278 and FHIR R4 Da Vinci prior-authorization exchanges, so authorization state is known before a claim goes out.
Appeals
Appeal packets are assembled from the case record and sent only after a reviewer approves them. Every step is in the audit trail.
Where it stands
Synthetic dataHealth pilots begin on synthetic data; production processing of protected health information is enabled only after business associate agreements are in place with every vendor in the data path.
Until then, Health work runs on generated claims and remittances that exercise the same rules, evidence, and ledger paths. Pilot conversations start now; the data boundary is part of that conversation.
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