HexIQ provides a cloud‑based platform that aggregates and normalizes negotiated reimbursement rates for every payer, CPT/HCPCS code, state, and provider NPI, giving medical practices, RCM firms, sales teams, and medical associations instant access to comprehensive pricing data.
Funding
Funding not disclosed
Founders
Product
Problem
Healthcare organizations and revenue cycle professionals often struggle to obtain comprehensive, up-to-date negotiated reimbursement rates across payers, procedure codes, states, and provider identifiers, making it difficult to benchmark performance, calculate ROI, or create member benefits.
Solution
HexIQ offers a cloud‑based platform that aggregates and normalizes negotiated rate data from over 750 K healthcare entities, ingesting more than 300 TB of information each month. Users can quickly search the database and download CSV files for specific payer‑code‑state‑NPI combinations, or integrate the data directly via a RESTful API. The platform includes benchmarking tools that compare a practice’s rates against competitors and visualizes network relationships across 148 M+ business connections. For enterprise customers, HexIQ provides data delivery to major cloud warehouses such as Snowflake, Databricks, and BigQuery, enabling seamless incorporation into existing analytics pipelines.
Target Audience
Primary customers include medical practice owners, revenue cycle management firms, sales teams selling healthcare products, and medical associations seeking to create data‑driven member benefits.
Features
- Unified searchable repository covering every payer, CPT/HCPCS code, state, and provider NPI
- Bulk CSV export and on‑demand download of rate tables for immediate analysis
- REST API with authentication for real‑time data integration into third‑party applications
- Benchmarking and network analysis tools that surface competitive rate comparisons and relationship mappings
- Direct data delivery connectors for Snowflake, Databricks, and BigQuery to support large‑scale data warehousing
- Continuous ingestion pipeline handling >300 TB of rate data monthly, ensuring up‑to‑date information