XpertDox
Also known as: XpertCoding
Autonomous medical coding engine (XpertCoding) for ambulatory and outpatient groups that codes encounters and submits claims, about 94 percent without human intervention and most within 24 hours, connecting to EHRs by API, FHIR, HL7 and RPA, with a BI platform tracking every change the engine makes.
XpertDox's XpertCoding is an autonomous medical coding engine for urgent care, primary care, pediatric and other outpatient groups. It pulls encounter documentation from the EHR, assigns codes with AI and natural language processing, and submits claims. XpertDox states that about 94 percent of claims go through without human intervention and most within 24 hours, with the rest sent to manual review, and reports over 99 percent coding accuracy.
It connects to NextGen, eClinicalWorks, athenahealth, Experity, ModMed, Epic and custom systems through APIs, SMART on FHIR, HL7 ADT messaging and robotic process automation that works the EHR's front end where no posting API exists, and it is listed on the athenahealth Marketplace. A companion BI platform shows every coded claim, tracks each modification the engine makes, monitors manual review and gives providers documentation feedback. XpertDox holds SOC 2 Type 2, ISO/IEC 27001 and ISO/IEC 22301 and states HIPAA compliance. It does not publish a developer API, access controls for customer users, hosting details or pricing.
Vendor details
Canonical URL
https://www.xpertdox.com
Category
Healthcare agent
Funding status
Founded 2015; funding not disclosed in retrieved materials
Company status
independent
Use cases & customers
Primary use cases
Target customers
Deployment options
Integrations
Connects to NextGen, eClinicalWorks, athenahealth, Experity, ModMed, Epic and custom EHRs by API, SMART on FHIR, HL7 ADT messaging and RPA on the EHR front end. Codes are posted back and claims submitted, and XpertCoding is listed on the athenahealth Marketplace.
In practice
An urgent care group's coders fall behind every flu season. XpertCoding codes each encounter as its data arrives from the EHR and submits most claims within 24 hours, sending only the exceptions to manual review.
A practice runs an EHR with no API for posting claims. XpertDox's RPA bots work the EHR's front end to pull the fields XpertCoding needs and post the codes back.
A revenue cycle leader needs to see what the engine changed. The BI platform shows every coded claim on one screen with an audit trail of each modification, plus HCC and quality measure dashboards.
Sources & related URLs
Agentic Index coverage score
6.5 / 14 capabilities · 46%
| Integrations & Tool Calling | Full |
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XpertCoding connects to NextGen, eClinicalWorks, athenahealth, Experity, ModMed, Epic and custom EHRs by API, SMART on FHIR, HL7 ADT messaging and RPA. It is listed on the athenahealth Marketplace and submits claims with any EHR, and connecting a major EHR takes 1 to 4 weeks. Sourcexpertdox.com/ehr-connectionsread 2026-09-29 |
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| Workflow Orchestration | Full |
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Each encounter runs from data extraction through code assignment to claim submission. One condition splits the flow. About 94 percent of claims complete without human intervention, and the rest go to manual review, which the BI platform monitors. XpertDox says the result lets a practice shrink its coding and billing team by as much as 90%. SourceXpertDox, xpertdox.com/xpertcoding and xpertdox.comread 2026-10-06 |
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| Knowledge Grounding & RAG | Partial |
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The engine reads each encounter's documentation with natural language processing and analytics and applies payor guidelines. XpertDox names no maintained knowledge structure over the customer's records or payer rules and does not say whether the engine adapts to evolving coding standards. SourceXpertDox, xpertdox.com/xpertcoding and xpertdox.comread 2026-10-06 |
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| Human Oversight & Guardrails | Partial |
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People review only the exceptions. About 94 percent of claims are coded and submitted without human intervention and the remainder go to manual review, with no approval step before automated claims commit. Sourcexpertdox.com/blog/computer-assisted-coding-vs-autonomous-medical-coding-airead 2026-09-29 |
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| Security, Identity & Governance | Partial |
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XpertDox holds SOC 2 Type 2, ISO/IEC 27001 and ISO/IEC 22301 and states HIPAA compliance. Its enterprise security features control who can access, modify or delete data, access to critical systems is reviewed periodically, and the network and servers get quarterly penetration tests. XpertDox names no SSO, roles or permissions that customers operate. SourceXpertDox, xpertdox.com/securityandcomplianceread 2026-10-06 |
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| Observability & Auditability | Full |
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The BI platform shows every claim XpertCoding coded on one screen, and its audit trail tracks all modifications the engine makes, with manual review monitoring and daily reports. Risk adjustment (HCC) and quality measures dashboards sit alongside, so each claim's changes can be traced. SourceXpertDox, xpertdox.com/xpertcodingread 2026-10-06 |
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| Memory & State Persistence | Not documented |
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Each encounter is coded from its own documentation, and XpertDox names no memory the engine keeps. SourceXpertDox, xpertdox.com/xpertcodingread 2026-10-06 |
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| Deployment & Data Residency | Not documented |
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No hosting provider or region is published, and XpertDox names no residency choice or customer environment option. SourceXpertDox, xpertdox.com/securityandcomplianceread 2026-10-06 |
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| Prebuilt Agents, Templates & Packs | Not documented |
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One coding engine comes with a companion BI platform. The urgent care, primary care and pediatric offerings are specialty segments of that engine, not separate packaged agents. Customers include Stanford University, Bon Secours Mercy Health, FastMed Urgent Care, PM Pediatrics, NAO Medical and Lone Star Circle of Care. SourceXpertDox, xpertdox.com and /xpertcodingread 2026-10-06 |
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| Triggers & Channel Coverage | Full |
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Encounters arrive through HL7 ADT messaging, FHIR, API or RPA feeds and are coded and submitted as their data arrives, without anyone initiating each one, most within 24 hours. Sourcexpertdox.com/ehr-connectionsread 2026-09-29 |
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| Model Flexibility & Routing | Not documented |
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XpertCoding runs on what XpertDox calls hybrid AI, combining ensemble models, neural networks and symbolic reasoning with payor guidelines, alongside natural language processing and advanced data analytics. XpertDox names no model provider and offers no customer choice of model. SourceXpertDox, xpertdox.com and /xpertcodingread 2026-10-06 |
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| APIs, SDKs & MCP Extensibility | Not documented |
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Developers get no published API, SDK or documentation for XpertCoding. Its API integrations are XpertDox's connections out to EHRs. Sourcexpertdox.com/sitemap.xmlread 2026-09-29 |
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| Testing, Debugging & Optimization | Not documented |
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Outcome figures include over 99 percent coding accuracy and over 94 percent of claims within 24 hours, and NAO Medical reports 15% more charge capture and 60% more quality code capture. CDI feedback goes to providers about their documentation, not to the engine. XpertDox names no evaluation harness, test cases or learning loop. SourceXpertDox, xpertdox.com and /xpertcodingread 2026-10-06 |
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| Browser & Computer Use | Full |
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XpertDox's RPA bots work the EHR on the front end, with no backend integration, to retrieve the fields XpertCoding needs and post processed codes back, because most EHRs lack an API for posting claim data. Sourcexpertdox.com/blog/rpa-improves-ehr-interoperabilityread 2026-09-29 |
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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
What is public
No prices, plans or billing basis are published; engagement runs through a contact form and demo, direct or through billing company partners. The FAQ has a Pricing section whose answers are not served in the page text.
Variable cost rationale
No billing basis is published, so exposure to chart or claim volume cannot be checked from public pages.
Sales call required
Yes, required for paid access
Free / trial
None public
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Similarity is computed from each vendor's Agentic Index coverage score evidence, axis by axis, not from the totals. How this evidence is graded