Piloting with health systems now

Piloting with health systems now

Piloting with health systems now

Healthcare isn't static. Your coding system still is.

Healthcare isn't static. Your coding system still is.

Healthcare isn't static. Your coding system still is.

Cainex is an agentic AI platform that understands clinical context, adapts to real-world complexity, and continuously improves coding decisions—without black boxes or brittle rules.

See how the most advanced coding AI in the industry reasons.

Cainex is an agentic AI platform that understands clinical context, adapts to real-world complexity, and continuously improves coding decisions—without black boxes or brittle rules.

See how the most advanced coding AI in the industry reasons.

Cainex is an agentic AI platform that understands clinical context, adapts to real-world complexity, and continuously improves coding decisions—without black boxes or brittle rules.

See how the most advanced coding AI in the industry reasons.

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Built to support coding across all clinical specialties

Built by leading researchers from Caltech for modern health systems facing evolving documentation, payer behavior, and clinical nuance.

Improve coder oversight with transparent AI

Every decision is explainable, traceable, and built to support clinical and RCM teams, not override them.

Improve coder oversight with transparent AI

Every decision is explainable, traceable, and built to support clinical and RCM teams, not override them.

Improve coder oversight with transparent AI

Every decision is explainable, traceable, and built to support clinical and RCM teams, not override them.

Code with unprecedented accuracy and precision

We adapt to your internal rules and payer-specific logic, ensuring each case is audit-ready.

Code with unprecedented accuracy and precision

We adapt to your internal rules and payer-specific logic, ensuring each case is audit-ready.

Code with unprecedented accuracy and precision

We adapt to your internal rules and payer-specific logic, ensuring each case is audit-ready.

Increase clean claims, reduce denials, cut A/R time

We deliver policy-aligned precision and surface missing documentation to improve claim completeness.

Increase clean claims, reduce denials, cut A/R time

We deliver policy-aligned precision and surface missing documentation to improve claim completeness.

Increase clean claims, reduce denials, cut A/R time

We deliver policy-aligned precision and surface missing documentation to improve claim completeness.

Configurable to your Workflows

Configurable to your Workflows

Understand customers & plan marketing accordingly.

Every health system operates differently. Cainex adapts to your unique data structures, coding processes, and compliance requirements, without forcing you to change what already works. We work closely with your team to configure rules, review flows, and integration points to match your team’s preferred way of working.

how we work

Meet with your team

Understand integration needs

Build a customized action plan

Track progress and metrics

Continuously iterate to optimize results

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Auditable for Trust and Compliance

Auditable for Trust and Compliance

Auditable for Trust and Compliance

Transparency is built in, not added on. Every decision, edit, and model output is fully traceable, giving compliance teams a clear audit trail for internal reviews, payer audits, and regulatory standards. You always know how and why each claim was coded.

Transparency is built in, not added on. Every decision, edit, and model output is fully traceable, giving compliance teams a clear audit trail for internal reviews, payer audits, and regulatory standards. You always know how and why each claim was coded.

Transparency is built in, not added on. Every decision, edit, and model output is fully traceable, giving compliance teams a clear audit trail for internal reviews, payer audits, and regulatory standards. You always know how and why each claim was coded.

CPT

CPT

CPT

NCD / LCD Validation

NCD / LCD Validation

NCD / LCD Validation

HCPCS

HCPCS

HCPCS

ICD-10-CM & Scrubbing

ICD-10-CM & Scrubbing

ICD-10-CM & Scrubbing

CCI Edits

CCI Edits

CCI Edits

Continuously Improving Based on Human Expert Feedback

Continuously Improving Based on Human Expert Feedback

Cainex learns from every case and every correction. As the system receives feedback, it incorporates it to strengthen accuracy, consistency, and performance over time, making your workflows faster, smarter, and more reliable over time.

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95%

reduction in manual coding

95%

reduction in manual coding

80%

Reduction in coding denials

80%

Reduction in coding denials

70%

reduction in coding costs

70%

reduction in coding costs

Turn operational
efficiency into growth

Automate medical coding with accuracy-first AI designed for real-world healthcare operations.

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95%

reduction in manual coding

80%

Reduction in coding denials

70%

reduction in coding costs

Turn operational
efficiency into growth

Automate medical coding with accuracy-first AI designed for real-world healthcare operations.

Medical Coding, Made Accurate and Explainable

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Complexity Made Simple

Understands supporting documents to generate accurate coding suggestions.

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Complexity Made Simple

Understands supporting documents to generate accurate coding suggestions.

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Complexity Made Simple

Understands supporting documents to generate accurate coding suggestions.

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Refine with AI Chat

Add clinical context and refine coding recommendations in real time.

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Refine with AI Chat

Add clinical context and refine coding recommendations in real time.

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Refine with AI Chat

Add clinical context and refine coding recommendations in real time.

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Transparent & Explainable

Every recommendation is traceable, auditable, and fully explainable.

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Transparent & Explainable

Every recommendation is traceable, auditable, and fully explainable.

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Transparent & Explainable

Every recommendation is traceable, auditable, and fully explainable.

Designed for accuracy, scale, and compliance.

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Designed for accuracy, scale, and compliance.

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Designed for accuracy, scale, and compliance.

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