How much does CodaMetrix cost?

No pricing is published; CodaMetrix sells through a meeting request.

What are the best alternatives to CodaMetrix?

Based on documented capability coverage across the Agentic Index 14 point taxonomy, the closest alternatives to CodaMetrix among healthcare agents are Nym, Tennr, Assort Health, Anterior. Each is graded on the same public evidence, and no vendor pays for placement.

Does CodaMetrix give you tracing and observability into agent runs?

Partial under the Agentic Index verification standard. CodaMetrix publishes some public evidence of logging or observability, but narrower than full tracing and auditability across agent runs. Evidence basis: CMX Insights reports automation performance in real time with benchmarking, and real time audit capabilities work as a feedback loop. CodaMetrix names no record per case of what the automation read and coded. CodaMetrix, codametrix.com and. Graded from public evidence only against the Agentic Index 14 point capability taxonomy. No vendor pays for placement.

Does CodaMetrix require human approval before an agent acts?

Partial under the Agentic Index verification standard. CodaMetrix publishes some public evidence of guardrails or oversight, but narrower than a documented human approval step before an agent acts. Evidence basis: Cases are coded and billed touchlessly with no human intervention, while human review stays in place where needed and coders work in their own environment, so some cases stay with coders. CodaMetrix names no approval step or threshold that. Graded from public evidence only against the Agentic Index 14 point capability taxonomy. No vendor pays for placement.

Back to vendors

CodaMetrix

Q: Who is CodaMetrix for?

health systems, academic medical centers, hospitals

Also known as: CMX, CMX Automate, CMX CARE

Visit site

Healthcare agentindependentVerified 2026-09-29

Entry priceContact sales; no pricing publishedFull pricing detail

Autonomous medical coding for health systems. The CMX CARE platform builds a longitudinal patient timeline from EHR and ancillary data and codes and bills cases touchlessly. It is Epic Toolbox approved and 2026 Best in KLAS for autonomous coding.

CodaMetrix, built with Mass General Brigham, sells autonomous medical coding to health systems through its CMX CARE platform. It ingests clinical notes (including ambient documentation), registration events, surgical schedules, orders, charges and provider information from the EHR and ancillary systems, unifies them into a longitudinal patient timeline across providers, encounters and facilities, and identifies services, diagnoses, documentation gaps and missing charges.

CMX Automate codes and bills cases touchlessly as soon as the data is present, with human review retained where needed. CMX Amplify feeds every coder reviewed decision back into the platform, and CMX Insights reports automation performance and benchmarks. Coding accuracy is measured against Rosetta, the company's coding quality framework reviewed by a Coding Quality Council. CodaMetrix is Epic Toolbox approved, covers radiology, pathology, endoscopy and inpatient professional fee coding, and was named 2026 Best in KLAS for autonomous medical coding.

Vendor details

Canonical URL

https://www.codametrix.com

Funding status

$109M total; $55M Series A (SignalFire), $40M Series B Mar 2024 (Transformation Capital, Frist Cressey)

Company status

independent

Use cases & customers

Primary use cases

autonomous medical codingfacility and professional fee codingcoding denial reductioncoding audit and compliance

Target customers

health systemsacademic medical centershospitals

Deployment options

SaaS

Integrations

Ingests from the EHR and ancillary systems (clinical notes, registration events, surgical schedules, orders, charges) and works inside Epic-recommended integration standards as an Epic Toolbox approved product. No public API is published.

In practice

A health system's coders are weeks behind on radiology and pathology cases. CMX Automate codes the routine cases touchlessly as soon as the documentation is present and leaves the rest for coders to review in their own Epic workflow.

Coding related denials keep climbing. CodaMetrix codes from a longitudinal view of each patient across providers and settings, and reports 60% fewer coding denials at its customers.

A revenue cycle leader needs proof the automation is accurate before widening it. Every coder correction flows back through CMX Amplify, accuracy is measured against the Rosetta framework, and CMX Insights shows performance in real time.

Sources & related URLs

Research sources

https://www.codametrix.com/ https://www.businesswire.com/news/home/20240311136641/en/CodaMetrix-Announces-40M-Series-B-Financing-to-Advance-Medical-Coding-Quality-and-Clinically-Enrich-Claims-Data-Through-AI https://www.codametrix.com/codametrixs-ai-platform-now-available-in-epic-toolbox-to-transform-20b-medical-coding-sector/

Agentic Index coverage score

6.5 / 14 capabilities · 46%

Integrations & Tool Calling	Full
CMX CARE ingests clinical notes, registration events, surgical schedules, orders, charges and provider information from the EHR and ancillary systems, is Epic Toolbox approved, and codes and bills cases touchlessly inside the health system's workflow while coders stay in their native environment. Health systems using it include Mass General Brigham, Mayo Clinic, Cedars-Sinai, UCSF, Yale New Haven Health, Emory Healthcare and Henry Ford Health. SourceCodaMetrix, codametrix.comread 2026-10-06
Workflow Orchestration	Full
CMX CARE ingests data across the care continuum, unifies the patient story across providers and facilities, and identifies services, diagnoses and documentation gaps. CMX Automate then codes and bills cases touchlessly with human review retained where needed, for both facility and professional fee coding. SourceCodaMetrix, codametrix.com and /our-solutionread 2026-10-06
Knowledge Grounding & RAG	Full
CMX CARE turns clinical documentation from the EHR and ancillary systems into a longitudinal timeline centered on the patient, spanning days, providers and settings, and the coding draws on it. Clinical notes, registration events, surgical schedules, orders and charges all feed that timeline. SourceCodaMetrix, codametrix.com and /our-solutionread 2026-10-06
Human Oversight & Guardrails	Partial
Cases are coded and billed touchlessly with no human intervention, while human review stays in place where needed and coders work in their own environment, so some cases stay with coders. CodaMetrix names no approval step or threshold that decides when a touchless code goes through without review. SourceCodaMetrix, codametrix.comread 2026-10-06
Security, Identity & Governance	Not documented
Security detail sits in a Vanta trust center at trust.codametrix.com. CodaMetrix shows SOC, AWS and A-LIGN compliance logos in its website footer without naming a report or certificate. It names no SSO, roles or other access model. SourceCodaMetrix, codametrix.com and trust.codametrix.comread 2026-10-06
Observability & Auditability	Partial
CMX Insights reports automation performance in real time with benchmarking, and real time audit capabilities work as a feedback loop. CodaMetrix names no record per case of what the automation read and coded. SourceCodaMetrix, codametrix.com and the Series B announcement on codametrix.com/resourcesread 2026-10-06
Memory & State Persistence	Not documented
The platform learns from the health system's coding decisions, and the longitudinal record it builds is the patient's own record. CodaMetrix names no memory layer and does not say what one would keep or for how long. SourceCodaMetrix, codametrix.com/our-solutionread 2026-10-06
Deployment & Data Residency	Not documented
CodaMetrix does not say where the platform is hosted. No hosting region is published, and CodaMetrix names no region choice, customer environment or on premises option. An AWS compliance logo sits in the site footer. SourceCodaMetrix, codametrix.com and /our-solutionread 2026-10-06
Prebuilt Agents, Templates & Packs	Partial
CMX Automate (touchless coding), CMX Amplify (feedback workflow) and CMX Insights (performance reporting) are modules of the one CMX CARE platform and depend on each other rather than standing alone. Coverage spans radiology, pathology, endoscopy, emergency medicine and inpatient professional fees within that one platform, with no separate agent sold for each specialty. SourceCodaMetrix, codametrix.com and /our-solutionread 2026-10-06
Triggers & Channel Coverage	Full
The platform applies codes as soon as the relevant data is present rather than when a coder is available, working from registration events, orders and charges as they arrive, with no one prompting it. SourceCodaMetrix, codametrix.com/our-solutionread 2026-10-06
Model Flexibility & Routing	Not documented
The platform is called AI powered, but CodaMetrix names no model provider and no way for the customer to choose a model. Sourcecodametrix.com/our-solutionread 2026-09-29
APIs, SDKs & MCP Extensibility	Not documented
The CMX platform has no published API, SDK or MCP server. Integration follows Epic Toolbox standards. Sourcecodametrix.comread 2026-09-29
Testing, Debugging & Optimization	Full
CMX Amplify feeds every coder reviewed decision back into the platform, which learns in real time from the health system's coding decisions and keeps improving after deployment. Coding accuracy is validated through Rosetta, CodaMetrix's coding quality framework, and a Coding Quality Council of industry experts reviews real world performance. CodaMetrix reports 70% less manual coding, turnaround five times faster, 60% fewer coding denials and 30% lower coding costs. SourceCodaMetrix, codametrix.com and /coding-quality-accuracy-benchmarkread 2026-10-06
Browser & Computer Use	Not documented
The platform works through EHR and ancillary system integrations. CodaMetrix names no browser, desktop or computer control. Sourcecodametrix.comread 2026-09-29

The Agentic Index coverage score grades every vendor Full, Partial or Not documented against the same 14 buyer facing capabilities, from public evidence only. Each capability links to how all vendors in the index score on it. How this evidence is graded

Pricing

Contact sales; no pricing published

What is public

No public pricing. CodaMetrix's own site reports 70 percent reduction in manual coding, 5x faster turnaround, 60 percent fewer coding denials, 30 percent savings in coding costs and 5x ROI over five years.

Variable cost rationale

No public rate. Cost likely scales with encounter volume and specialty coverage (inference, not stated by the vendor).

Sales call required

Yes, required for paid access

Free / trial

None public

Agentic Index verified 2026-09-29

Official pricing page

Related vendors

Alternatives to CodaMetrix

The closest documented capability profiles to CodaMetrix among healthcare agents tracked by Agentic Index, ordered by similarity on the same 14 point evidence the rankings use. No vendor pays for placement.

Nym7.5 / 14Adds documented Security, Identity & GovernanceCodaMetrix vs Nym →
Tennr6.5 / 14Adds documented Security, Identity & Governance
Assort Health8.0 / 14Adds documented Security, Identity & Governance and Memory & State Persistence
Anterior8.5 / 14Adds documented Security, Identity & Governance and APIs, SDKs & MCP Extensibility
Charta Health7.5 / 14Adds documented Security, Identity & Governance
Delfa5.5 / 14Adds documented Security, Identity & Governance

Similarity is computed from each vendor's Agentic Index coverage score evidence, axis by axis, not from the totals. How this evidence is graded

Compare CodaMetrix with other vendors →Compare all healthcare agents →See where CodaMetrix ranks →

Data confidence: medium

Head to head

CodaMetrix vs NymCodaMetrix vs FathomCodaMetrix vs CombineHealthCodaMetrix vs XpertDox