Built in Nashville
Precision Revenue Cycle Management for Tennessee.
Backed by Techstars and Northwestern Medicine. Inside your EMR in 10 days.
Trusted by leading healthcare organizations
The Revenue Cycle Challenge in Tennessee
TennCare Complexity
Medicaid managed care creates unique denial patterns that generic RCM tools miss. Tennessee providers need payer-specific intelligence.
Payer Consolidation
BlueCross BlueShield of TN dominates the market. Their rules require specialized handling that national RCM vendors don’t prioritize.
Rural Access Gaps
Tight margins at rural hospitals and clinics mean every denied claim hits harder. Automation isn’t a luxury, it’s survival.
Staffing Shortages
Billing staff turnover across the state makes manual processes unsustainable. Software handles volume so your team can handle complexity.
How Exactrx Helps Tennessee Organizations
Precision RCM
The revenue cycle partner that works like a team member. Inside your EMR. No new systems. No disruption. Software handles volume, humans handle complexity.
- ✓Charge capture and denial prevention
- ✓Underpayment recovery and contract compliance
- ✓Live in 10 days, zero IT lift
- ✓Outcomes-based pricing
Analytics
Real-time visibility into denial trends, payer performance, and revenue leakage across your Tennessee operations.
- ✓Root-cause analysis by payer, contract, and adjustment code
- ✓Contract compliance monitoring
- ✓Pattern recognition across your full claims volume
Seen Around Nashville.

Nashville Health Care Council Conference
Attended alongside healthcare leaders, investors, and operators shaping the future of Tennessee healthcare. Produced by the Nashville Health Care Council.

Pediatric General Surgery Faculty Retreat
Invited to speak at Monroe Carell Jr. Children’s Hospital at Vanderbilt on how emerging technology and new operational models can drive a culture of innovation in pediatric surgical care.
What Nashville Leaders Are Saying
“We evaluated several platforms. Exactrx was the only one that operated directly inside our existing EMR without requiring a separate workflow layer. The audit logic is payer-specific and keeps up with rule changes automatically.”
Revenue Cycle Leader
Regional Health System
“RCM comes up every quarter at the board level and the conversation never changes. Denials are up, collections are delayed, and the billing team needs more resources. At some point you have to ask whether more headcount is actually the answer. We do high-volume, high-acuity cases. A denied claim at this center is a real hit to physician distributions. What drew me to Exactrx is the idea of fixing the claim before it leaves the building.”
Board Member
Multi-Specialty Ambulatory Surgery Center
Frequently Asked Questions
Yes. Our rules engine is built to handle the specific denial patterns and submission requirements of TennCare managed care organizations. We monitor payer rule changes and update our system so your claims go out clean the first time.
BCBS-TN has specific modifier, authorization, and documentation requirements that differ from other BlueCross plans. Our system maintains payer-specific rule sets and validates every claim against them before submission.
Yes. We offer outcomes-based pricing, so you pay based on results, not headcount. This makes professional-grade revenue cycle management accessible to practices of any size.
Yes. Exactrx is fully HIPAA compliant with strict data access controls and auditability. Visit our Trust Center at trust.exactrx.ai for details on our security posture.
Ready to optimize your revenue cycle?
30-minute conversation with our Nashville team. No pitch deck, just your questions.