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Infinx

Also known as: Infinx Healthcare, Patient Access Plus, Healthcare Revenue OS

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Healthcare agentindependentVerified 2026-07-22

Healthcare Revenue OS with named agent suites: a 98 percent accurate authorization determination agent, payer portal and EDI initiation, and follow up agents on Availity and EviCore APIs that re-engage every 6 hours until decisions post to the EMR.

Infinx's Healthcare Revenue OS runs agent suites across patient access and revenue cycle: its authorization determination agent decides whether prior authorization is required with over 98 percent accuracy from payer guidelines and CPT codes, initiation runs through payer APIs, 278 EDI clearinghouse rails, or payer portal automation, and named follow up agents with direct Availity and EviCore API integrations track every case, auto assigning themselves on status changes and re-engaging at set intervals (such as every 6 hours) until a final decision posts back to the EMR. Document Capture Plus, a GenAI agent suite, classifies, extracts, and validates data from referrals and faxes. The model is deliberately hybrid: certified specialists handle exceptions, complex clinical submissions, and peer to peer payer reviews. Listed in the Epic App Orchard with X12 278 and SMART on FHIR workflows, serving hospitals, imaging centers, specialty practices, and laboratories.

Vendor details

Canonical URL

https://www.infinx.com

Category

Healthcare agent

Funding status

Established payment lifecycle company serving hospitals, imaging centers, specialty practices, and laboratories; funding not disclosed in retrieved materials

Company status

independent

Use cases & customers

Primary use cases

prior authorization determination and initiationauthorization status follow up automationeligibility and benefits verificationdocument capture and data extractiondenial and A/R recovery

Target customers

hospitalsimaging centersspecialty practiceslaboratories

Deployment options

SaaS

Integrations

Epic App Orchard listed (X12 278 interface plus SMART on FHIR workflow); dedicated follow up agent integrations with Availity and EviCore APIs; payer API, clearinghouse (278 EDI), and payer portal automation channels; HL7, X12, and FHIR across EMR, PM, LIS, and RIS systems.

Capability coverage

8.0 / 14 capabilities · 57%

Integrations & Tool CallingEpic App Orchard listing with X12 278 and SMART on FHIR, dedicated Availity and EviCore API agent integrations, clearinghouse and payer API channels, and HL7/X12/FHIR connectivity across EMR, PM, LIS, and RIS systems, Infinx materials 2026-07-22 Full
Workflow OrchestrationEnd to end PA workflow from determination through multi channel initiation and continuous follow up with EMR writeback, orchestrated across AI, automation, and human agents on the Revenue Cycle Agent Platform, Infinx materials 2026-07-22 Full
Knowledge Grounding & RAGThe determination agent references payer guidelines and CPT codes with over 98 percent accuracy on an extensive data set, though the knowledge architecture is rules plus ML rather than a documented retrieval system, Infinx materials 2026-07-22 Partial
Human Oversight & GuardrailsDeliberate hybrid escalation design: certified specialists handle exceptions, complex clinical submissions, and peer to peer payer reviews while agents run the routine path, Infinx materials 2026-07-22 Full
Security, Identity & GovernanceNo security attestations or governance program documentation in retrieved materials despite Epic marketplace distribution, Infinx materials 2026-07-22 Unable to verify
Observability & AuditabilityReal time analytics and status reporting track every case with unified dashboards and instant EMR status visibility, short of a per action audit console, Infinx materials 2026-07-22 Partial
Memory & State PersistenceNo documented persistent memory capability, Infinx materials 2026-07-22 Unable to verify
Deployment & Data ResidencyCloud SaaS delivery; no self host or residency options documented, Infinx materials 2026-07-22 Partial
Prebuilt Agents, Templates & PacksShips named agent suites (Patient Access Plus, Document Capture Plus) with function specific agents including determination and per clearinghouse follow up agents, Infinx materials 2026-07-22 Full
Triggers & Channel CoverageStatus change events automatically assign follow up tasks to agents, which re-engage payer systems at set intervals such as every 6 hours until a final decision, with instant EMR status updates, Infinx follow up agent pages 2026-07-22 Full
Model Flexibility & RoutingGenAI, machine learning, NLP, and RPA technology mix documented, without customer model choice, Infinx materials 2026-07-22 Partial
APIs, SDKs & MCP ExtensibilityAPI based integration into any EMR or practice management system is documented, though as an integration surface rather than a developer extensibility platform, Infinx materials 2026-07-22 Partial
Testing, Debugging & OptimizationNo customer facing testing or evaluation tooling documented, Infinx materials 2026-07-22 Unable to verify
Browser & Computer UsePayer portal automation is a documented initiation channel and the platform handles payer portal work on the customer's behalf, alongside API and EDI rails, Infinx materials 2026-07-22 Partial

Pricing

Contact sales

Contact onlyMedium variable cost

What is public

No pricing is published. The site offers an ROI savings calculator and demo scheduling; the offering bundles the software platform with certified specialist services for exception handling.

Variable cost rationale

Hybrid platform plus service engagements typically price per authorization or case volume with service tiers; Infinx does not publish its basis.

Sales call required

Yes — required for paid access

Free / trial

None public

Verified 2026-07-22

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