AURUX provides a pre‑submission clinical validation engine that scans provider documentation in real time to identify gaps—such as missing notes, unsigned orders, or insufficient medical necessity—before claims are sent to payers. By embedding directly into EHR workflows via HL7, FHIR and other standard APIs, it helps health systems prevent preventable denials, accelerate cash flow, and protect revenue at the point of care.
Funding
Funding not disclosed
Founders
Product
Problem
Incomplete clinical documentation at the point of care leads to missing orders, unsigned notes, and insufficient medical‑necessity information, which cause claim denials, undercoding, and delayed cash flow for providers.
Solution
AURUX offers a pre‑submission clinical validation engine (P‑CVE) that integrates directly into existing EHR workflows via HL7, FHIR R4, and SMART on FHIR standards. The platform continuously monitors documentation for gaps such as missing orders, unsigned notes, and inadequate medical‑necessity details, and delivers real‑time alerts to clinicians before claims are submitted. By ensuring submission readiness upstream, AURUX helps providers prevent preventable denials, reduce rework, and accelerate revenue cycle cash flow while maintaining HIPAA‑compliant data handling.
Target Audience
Primary customers are hospitals, health systems, and physician groups that manage large claim volumes and seek to reduce preventable denials and improve revenue cycle efficiency.
Features
- Real‑time validation of documentation gaps (missing orders, unsigned notes, absent progress notes) within the provider’s EHR workflow
- Medical‑necessity checks against payer criteria to ensure authorization readiness before claim submission
- Seamless integration using industry‑standard protocols (HL7 v2.x ADT/ORU, CDA/C‑CDA, FHIR R4, SMART on FHIR, OAuth 2.0, RESTful APIs)
- Compatibility with major EHR systems including Epic, Oracle Health, athenahealth, and MEDITECH (roadmap)
- HIPAA‑conscious architecture with encrypted data exchange and secure API communication
- Unified dashboard presenting submission readiness, identified gaps, and associated financial risk