Infinx
Also known as: Infinx Healthcare, Patient Access Plus, Healthcare Revenue OS
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
Target customers
Deployment options
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.
Sources & related URLs
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
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
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