All Medlytix services operate on a contingency fee basis, meaning we are only compensated when our clients receive payment and involve no setup fees.
Medlytix® proudly partners with over 1,600 leading health systems, hospitals, physician groups, billing companies, and ancillary healthcare providers nationwide.
Our mission is to enhance payment processes by identifying third-party payers, facilitating coordination of benefits (COB) when multiple payers are involved, and managing the submission and processing of claims to liability insurers. Importantly, Medlytix does not engage in direct patient collections — this remains solely at the discretion of our provider clients.
Our comprehensive suite of solutions is offered through Rev iQ®, which includes the following services:
Medlytix Payer iQ®
Identification rates typically range between 4% to 12% of the self-pay population. Additionally, claims can be re-checked prior to going to Collections, capturing retroactive coverage opportunities and enhancing recovery potential.
Medlytix Coverage iQ®
Coverage iQ evaluates pre-submitted Medicaid and Medicaid Managed-Care claims, proactively identifying available commercial or Medicare coverage that may be primary under coordination of benefit (COB) rules. This is especially valuable as Medicaid is considered the “payer of last resort,” and proper identification of primary coverage allows providers to optimize reimbursement, reduce the risk of take-backs, and avoid timely filing issues.
Identification rates typically range from 1% to 3% of Medicaid claims, benefiting not only providers but also patients by potentially reducing their financial responsibility and ensuring claims are processed by the appropriate payer.
Medlytix Denial iQ®
Denial iQ targets claims denied due to eligibility issues, using our advanced tools to uncover alternative active health insurance that may have been missed initially. By resolving these denials with accurate coverage information, Denial iQ not only boosts provider revenue but also minimizes the financial impact on patients, helping prevent unnecessary collections and ensuring a more patient-friendly billing experience.
Providers utilizing Denial iQ typically see conversion rates of 10% to 25% on previously denied claims.
Medlytix TPL iQ®
TPL iQ offers a fully outsourced solution for managing claims related to healthcare expenses arising from accidents or injuries covered under liability policies. This includes:
- Auto iQ (Motor Vehicle Accidents)
- Workers Comp iQ (Workers’ Compensation claims)
- Other third-party liability scenarios
Our solution identifies potential liability coverage, locates the responsible carrier, and assists with claim submission and processing—whether in “at fault” or “no fault” situations.
TPL iQ enables providers to secure higher reimbursements while reducing patient out-of-pocket obligations and employer-sponsored plan costs. Additionally, our automated batch and electronic submission processes ensure timely claim filings, preserving the full value of available benefits and avoiding claim denials due to exhaustion or time-barred filing windows.
Medlytix Deductible iQ®
Deductible iQ monitors deductible fulfillment for commercial claims, strategically holding claims until the patient’s deductible balance is met or until the mutually agreed upon maximum monitoring period is expired. Approximately 12% to 18% of commercial claims are identified for this process, with claims monitored daily—typically for up to 45–75 days—to ensure submission at the most advantageous time.
By aligning deductible application across all patient’s claims, Deductible iQ maximizes insurance payments, streamlines provider revenue cycles, and significantly reduces the cost related to patient billing, statements, and patient collections activities. The solution is fully automated, requiring no manual intervention.
Medlytix Payment iQ®
Payment iQ applies predictive analytics to forecast patient payment behavior. Integrating both client and external data, we create a healthcare-specific score that segments patient populations into actionable groups. This allows providers to prioritize collections strategies more efficiently, improving recovery rates while maintaining a patient-centric approach.
Medlytix Charity iQ®
Charity iQ uses predictive analytics to estimate patient financial capacity, enabling providers to identify individuals who may qualify for financial assistance, write-downs, or other account adjustments. By systematically managing charity care programs, providers can enhance both internal financial management and public reporting of their community service efforts—demonstrating their commitment to supporting patients with limited means.
