Let's make every checklist

invisible.

autonomous.

instant.

effortless.

invisible.

Finally, a clinical checklist that completes itself.

Your team signs off, we’ve already done the work.

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Pre-procedural processing, simplified.

Shouldn’t your pre-procedural operations prevent delays, cut denials, and keep your staff focused? We think so.

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Automatically gathers and routes documentation through a central hub for hands-off processing.

Builds and updates readiness checklists directly from patient charts.

Evaluates cases against payer policy and procedural protocols.

Flags missing labs, consults, or authorizations early to prevent back-and-forth.

Real-time case status in workflow with labs, clearances, and authorizations tracked.

From Request to Recovery

Our Tri-Engine System

The ExactRx architecture processes unstructured clinical records alongside 10,000+ payer and guideline rules using (1) a Clinical Data Extraction Layer to structure patient records and (2) a Rules Parsing Layer to interpret criteria. It then applies (3) a Reasoning Core to generate clear, evidence-backed recommendations that show what’s needed and why.

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Step 1

the bottom line

No denials.
No delays.
Humans-in-the-loop.

Fewer First-Pass Denials

We evaluate the documentation that already exists, use a hub-and-spoke approach to collect what’s missing, and create a complete bundle for submission through fax or other channels.

Reduced Delays To Care

We surface what’s incomplete before cases hit the schedule, running policy and protocol checks through an API-first model to ensure patients move through and providers get paid.

Recover Revenue

We keep providers and facilities happy by cutting down the back-and-forth, requiring no training or workflow changes, since everything runs quietly in the background.

Replace denials, with revenue.

Your operations should catch gaps before they stall a case, stop downgrades before they hit revenue, and make sure providers are paid. We make that happen.

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Current Pre-Authorization Process

Manual verification for Total Knee Arthroplasty

Verify CPT 27447 eligibility
Avg time: 15min
Match ICD-10 codes (M17.11–M17.12)
Avg time: 8min
Document 12+ weeks non-surgical treatment
Avg time: 12min
Cross-reference insurance requirements
Avg time: 20min
55 min
Average completion
23%
Error rate

The ExactRx Effect

Automated Verification for Total Knee Arthroplasty

Verify CPT 27447 eligibility
Completed in: 0.1s
Match ICD-10 codes (M17.11–M17.12)
Completed in: 0.2s
Document 12+ weeks non-surgical treatment
Completed in: 0.3s
Cross-reference insurance requirements
Completed in: 0.4s
1.0 second
Average completion
0.1%
Error rate
Financial Clearance Automation

Clean Pre-Auth Packets

Our platform builds submission-ready pre-authorization packets automatically. We validate CPT and ICD codes against payer policies, confirm medical necessity, and bundle all supporting documentation into one complete file. The result: fewer denials, faster reimbursement, and less back-and-forth for your team.

Medical Necessity Assessment for Utilization Management
SCA (Single Case Agreement) Tracking and Eligibility
accelerated clinical clearance

Foundational Pre-Procedural Clearance

We support pre-procedural clearance by extracting labs, consults, and authorizations from the chart, checking them against gold-standard clinical guidelines, and flagging gaps before scheduling to prevent procedural delays and denials.

NCCN, ASCO, and other specialty society guidelines
ACC/AHA and ASA perioperative guidelines
case study

From doing the work to reviewing the work.

ExactRx automates the heavy lift of pre-procedural clinical and financial clearance. It understands complex clinical processes, parses unstructured notes, and speaks healthcare in a way that feels native because it was built with clinicians. Every recommendation is double checked by a second, more powerful model running offline. Think of it as an independent auditor: it re-analyzes patient data, cross references guidelines, and flags mismatches. By the time it reaches your team, the work is already done. Your job is simply to review and confirm.

Who we integrate with

API-First, no training required.

We are API-first, designed to plug directly into existing workflows. Our platform integrates with major EMRs like Epic, HST, and AthenaHealth using FHIR standards, ensuring real-time access to chart data without adding new steps for staff.

Find a partner, not a vendor.

Exactrx is built with enterprise IT in mind—with robust APIs and FHIR-First connectivity, clean documentation, and secure infrastructure that fits with your existing stack. Our forward-deployed clinicians and engineers work side-by-side with your teams to ensure success. You stay in control, we help you move faster.

Less paperwork, more patient care.

We power the most efficient care facilities.