MedarqisAI
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Physician practice operations and clinical-to-financial workflow intelligence
physician practice operations & revenue-cycle intelligence platform

Connected Practice Operations For Medical Groups

See it in your practiceSee how it works

Medarqis AI is a unified, AI-powered platform for outpatient physician practices and multispecialty medical groups. It connects Patient Intake, Clinical Encounters, Orders & Referrals, Results & Follow-Up, Coding & Claims, Compliance, and Payments & Closeout in one intelligent operational layer—helping practice teams close clinical loops, submit supported claims, and reconcile payments with every decision traceable to its source.

Practice administrator reviewing daily encounter throughputCare coordinator following up on open results and referralsPhysician reviewing an authenticated clinical noteBuilt for physician practices & medical groups
central practice operations dashboardpractice operations command center

The Central Operations Dashboard For Every Practice Site.

The Medarqis AI Dashboard unifies clinical and financial activity with real-time visibility into encounter throughput, unsigned-note lag, unreviewed results, claim acceptance and regulatory evidence. AI cross-references records, detects stalled handoffs and highlights remittance variance for the accountable team to act on.

Medarqis AI — Practice operations dashboard
1

Practice KPIs

Encounter throughput (1,284), unsigned encounter lag (18.4h), first-pass acceptance (91.6%) and days in A/R (38.2) in one row. Each metric carries its definition, reporting period and underlying records.

1 / 3
Unsigned lag
service completion to authentication
Time from service completion to an authenticated clinical note. Every displayed metric carries its definition, reporting period, underlying records and data-quality status.
Charge lag
service to approved charge
Time from service to charge approval or submission, reproducible from the underlying encounter and claim records.
First-pass
claim acceptance rate
Initial claim acceptance at a defined acknowledgment stage. Technical rejections and payer denials are reported separately.
Days in A/R
receivable aging
Receivable aging using a documented reporting clock, alongside net collection rate and remittance exceptions.
The Nestack healthcare suite

Built for every corner of modern healthcare.

Healthcare moves differently in every care setting, with unique clinical teams, patient journeys, documentation standards, and regulatory frameworks. Your intelligence platform should be purpose-built to work the way your care specialty operates.

Medarqis AI
Physician practices & medical groupsCurrent
Medarqis AI
Physician practices & multispecialty groups
Qelvuxarn AI
Hospital & acute care health systems
Qelvuxarn AI
Hospitals, acute health systems & medical centers
Occluvaryn AI
Dental care delivery & multi-site groups
Occluvaryn AI
Multi-site dental groups & practices
Elyqentra AI
Senior living & memory care
Elyqentra AI
Assisted living & CCRCs
Qevarynth AI
Digital health & virtual care
Qevarynth AI
Digital health operators
Serevance.AI
Wellness & integrative clinics
Serevance.AI
Health & wellness practices
Tamvoriq AI
Outpatient & ambulatory care
Tamvoriq AI
Outpatient specialty clinics
Serenqora AI
Behavioral health & mental health
Serenqora AI
Behavioral health operators
Averqentra AI
Healthcare transformation intelligence
Averqentra AI
Healthcare consulting & hospital teams
Pryqelva AI
Skilled home health & HHA
Pryqelva AI
Skilled home health agencies
Veqthorin AI
Behavioral health services & clinics
Veqthorin AI
Behavioral health clinics, CMHCs & networks
Klyqorent AI
Healthcare recruitment & staffing services
Klyqorent AI
Healthcare staffing agencies & health systems
Book a walkthroughSee it against your care flow
core practice intelligence modules

Connected practice operations, each powered by purpose-built AI.

Medarqis AI coordinates the physician practice across seven specialized modules—from Patient Intake and Clinical Encounters to Coding & Claims and Payments & Closeout. Purpose-built AI extracts documents, links every code and balance to its evidence, and flags open loops while licensed clinicians and billing staff keep every decision.

Medarqis AI — Patient Intake dashboard
Patient Intake01 / 07

Verified Registration, Eligibility & Clinical Routing

Registers patients, verifies identity and coverage, coordinates appointments and routes clinical concerns to qualified staff. It works from registration forms, insurance cards, X12 270/271 eligibility transactions, medical-history and medication lists, and referral and authorization documents. AI extracts demographic and insurance data, detects duplicate-patient candidates, flags missing evidence and marks cases that need human assessment. Possible duplicates are never silently merged, and eligibility is never treated as clinical authorization or a payment guarantee.

Medarqis AI — Clinical Encounters dashboard
Clinical Encounters02 / 07

Source-Grounded Documentation Under Clinician Control

Supports clinician-led evaluation, professional services, care planning and authenticated documentation, from medical history and vitals, medication and allergy records, SOAP and H&P notes, procedure and therapy records, and consent forms. AI drafts source-grounded SOAP notes, identifies documentation inconsistencies, checks E/M and therapy documentation completeness and detects missing signatures. A draft stays a draft until an authorized professional reviews and signs it.

Medarqis AI — Orders & Referrals dashboard
Orders & Referrals03 / 07

Traceable Diagnostic Orders & Specialist Referrals

Manages clinician-authorized diagnostic requests, specialist referrals, X12 278 payer authorization evidence and external fulfillment, from signed orders, laboratory and imaging requisitions, referral letters, specimen transfer records and external acknowledgments. AI matches each order with clinical documentation, finds missing identifiers and attachments, detects authorization discrepancies and flags stalled external requests, so the originating order, receiving party, acknowledgment and fulfillment stay traceable.

Medarqis AI — Results & Follow-Up dashboard
Results & Follow-Up04 / 07

Results Reviewed, Communicated and Closed

Connects laboratory, imaging and specialist outcomes, including HL7 ORU messages, radiology reports, DICOM references and consultation reports, to clinician review, patient communication and documented closure. AI detects unmatched results, separates receipt from review, communication and closure, identifies missing clinician acknowledgments and flags incomplete follow-up. Receipt alone never closes a result; a recorded clinical disposition is required.

Medarqis AI — Coding & Claims dashboard
Coding & Claims05 / 07

Evidence-Linked Coding & Professional Claims

Converts authenticated services into supported professional charges using ICD-10-CM, CPT and HCPCS codes, modifiers, units, provider NPI and place of service, then submits CMS-1500 / X12 837P claims and handles X12 999, 277CA and 276/277 responses. AI links coding decisions to authenticated evidence, detects unsupported units or modifiers, interprets acknowledgment errors and keeps technical rejections separate from payer denials, drafting coding queries and appeals for human approval.

Medarqis AI — Document Inspection dashboard
Document Inspection06 / 07

Referral, Authorization & Clinical Document Review

Opens each incoming referral, prior authorization and clinical document beside the fields extracted from it. AI reads patient, referring provider, referral type, authorization number, validity dates and approved visits, validates each value against the source page and the patient record, and marks the document ready for review. Staff add review notes, request clarification or approve and apply the details to the chart.

Medarqis AI — Payments & Closeout dashboard
Payments & Closeout07 / 07

Remittance Reconciliation & Financial Closure

Reconciles payer adjudication with X12 835 remittances, explanations of benefits, CARC and RARC adjustment codes, payer contracts and patient ledgers. AI matches remittances to claim lines, validates payment arithmetic, distinguishes CO contractual from PR patient-responsibility adjustments, detects duplicate or unmatched postings and flags possible underpayments. CO adjustments never automatically become patient debt, and clinical and financial closure remain independent states.

how it works

A unified practice workflow for every stage of the patient episode. 

Medarqis AI connects intake, clinical documentation, external orders, results, coding, compliance and payment posting through one intelligent operational layer—so a patient episode stays traceable from first registration to reconciled account.

  1. step one01

    Intake, Encounter & Documentation

    Patient Intake verifies identity, eligibility and referral evidence, then hands a clean record to the clinician. During Clinical Encounters AI drafts source-grounded notes for review; the physician, NP or PA documents the assessment, authorizes orders and authenticates the encounter.

  2. step two02

    Orders, Referrals, Results & Follow-Up

    Orders & Referrals tracks every diagnostic request and specialist referral to its acknowledgment. Results & Follow-Up matches incoming reports to orders, assigns clinician review and keeps each result open until a documented disposition and patient communication exist.

  3. step three03

    Claims, Compliance & Payment Closeout

    Coding & Claims links each charge to authenticated evidence, separates technical rejections from denials and prepares appeals. Compliance tracks regulatory evidence and deadlines, and Payments & Closeout reconciles remittances, adjustments and patient balances.

built-in AI intelligence

Don’t settle for AI that only reads. Choose AI that acts.

Most practice systems store records without connecting the decisions between them. Medarqis AI uses Mistral, Hugging Face, and Claude to extract documents, match orders to results and codes to evidence, and prepare actionable drafts for authorized clinical and billing staff.

TRADITIONAL AI
Basic AI

Reads, summarizes, and answers questions without connecting encounters, results, claims and payments.

MEDARQIS AI — PRACTICE INTELLIGENCE IN ACTION
01

Register & Verify Patients

AI extracts demographics and insurance details, flags duplicate-chart candidates and missing referral evidence, and prepares intake records for review.

MMistral
DOCUMENT AI / OCR
02

Verify Eligibility & Authorization

AI interprets eligibility responses and authorization information, highlighting gaps without treating eligibility as a payment guarantee.

HFHugging Face
ELIGIBILITY PARSING
03

Draft Source-Grounded Notes

AI drafts SOAP notes from verified evidence and flags contradictions or missing signatures; nothing is final until an authorized professional signs.

CClaude
CLINICAL DOCUMENTATION
04

Match Orders to Documentation

AI checks each order against the clinical note, finds missing identifiers and attachments, and flags stalled external requests.

HFHugging Face
ORDER MATCHING
05

Reconcile Results & Follow-Up

AI matches reports to orders and patients, separates receipt from review and closure, and surfaces missing clinician acknowledgments.

CClaude
RESULT TRACKING
06

Support Coding & Claims

AI links E/M levels, diagnoses, modifiers and units to authenticated evidence and drafts coding queries for the coder.

MMistral
CODING EVIDENCE AI
07

Check Compliance Evidence

AI extracts triggering facts and dates, compares evidence with applicable rules and drafts reviewer-controlled correspondence.

CClaude
REGULATORY REVIEW
08

Reconcile Remittances

AI matches 835 lines to claims, validates payment arithmetic and distinguishes CO from PR adjustments for payment-team review.

HFHugging Face
REMITTANCE RECONCILIATION
FROM PATIENT INTAKE TO PAYMENT CLOSEOUT — INTELLIGENCE AT EVERY STAGE

Medarqis AI connects Mistral, Hugging Face, and Claude across the practice, turning scattered documents into source-linked, reviewable work while clinical, coding and financial decisions stay under authorized human oversight.

Note: Model names and marks belong to their respective owners. No endorsement or partnership implied.

compliance

Built to the rules you are already held to

Physician practices operate under strict privacy, billing, laboratory and workplace-safety requirements. Medarqis AI is designed to support these obligations through role-based access, traceable workflows, clinician and billing oversight, and audit-ready records.

  • HIPAA

    HIPAA Privacy & Security Support (45 CFR Parts 160 & 164)

    Medarqis AI manages HIPAA access requests and privacy incidents as evidence-backed cases. Access is tenant-scoped and least-privilege, cross-tenant access is rejected, sensitive actions are audited and every extracted value keeps its source and correction history.

    Designed to support privacy and security controls
  • CLIA · OSHA

    Laboratory Certification & Workplace Safety Records

    CLIA certificates and testing QC records, plus OSHA incident and exposure records, are kept with their timelines, reviewers and corrective actions. Regulatory deadlines are calculated only after the applicable rule and trigger are verified by an authorized reviewer.

    Designed to support laboratory and safety evidence
  • LICENSING · MIPS

    Credentialing, Medicare Audit & Quality Records

    Professional licensing and credential documents, Medicare billing audit evidence and MIPS quality records, where applicable to your practice, are tracked with gaps flagged for the compliance owner. Applicability depends on your specialty and program participation.

    Designed to support audit-ready evidence

Note: These are standards the platform is built to support inside your workflows — obligations that fall on you as the licensee. They are not certifications held by us, and support in the product is not a substitute for your own counsel or compliance officer.

add-ons

Add the hardware your workflow needs.

Medarqis AI accepts evidence from standard third-party scanning hardware through file upload and source-linked extraction. Document and insurance-card scans feed Patient Intake, and specimen and requisition label scans feed Orders & Referrals, where AI compares identifiers and flags gaps for staff review.

Handheld Barcode Scanner
Module 03Orders & Referrals

Specimen Label & Barcode Scanner

Used where specimens are collected and transferred, this handheld scanner reads specimen and requisition labels. AI compares the scanned identifiers with the signed order and patient record, and flags missing identifiers or attachments before the request goes out.

Integration:Barcode / Label Scan • Requisition Matching • Source-Linked Verification • Secure HTTPS
Automated Action:

Captures label identifiers, matches them with the originating order and requisition, and flags mismatches or missing identifiers so each request stays traceable to its acknowledgment and fulfillment.

  • 1D / 2D Barcode Reading
  • Handheld Form Factor
  • USB or Bluetooth
  • Disinfectant-Ready Housing
Document & Insurance Card Scanner
Module 01Patient Intake

Document & Insurance Card Scanner

Used at registration, this scanner digitizes registration forms, insurance identification cards, referral letters and authorization documents. AI extracts demographic and insurance fields with source links, detects duplicate-patient candidates and identifies missing referral or authorization evidence.

Integration:File Upload • Image Extraction • Source-Linked Field Verification • Secure HTTPS
Automated Action:

Scans documents, extracts structured fields with AI, flags missing or inconsistent evidence and sends the packet to Patient Intake for human verification. Possible duplicates are never merged automatically.

  • Duplex Scanning
  • 600 DPI Optical Resolution
  • Automatic Document Feeder
  • USB 3.0

Note: Hardware, installation, and integration are not included in the standard subscription. Additional charges apply based on the hardware selected, integration modules required, and implementation scope.

Connectivity

Your whole stack, connected.

Medarqis AI works through the interfaces and records the practice already uses: X12 eligibility, authorization, claim, acknowledgment, status and remittance transactions, HL7 v2 result messages, DICOM references and scanned documents, alongside ICD-10-CM and CPT/HCPCS references. Specific EHR, clearinghouse, payer and laboratory connectors are implementation choices confirmed after vendor and interface verification.

X12 270/271
X12 270/271
X12 278
X12 278
CMS-1500 / X12 837P
CMS-1500 / X12 837P
X12 999 / 277CA
X12 999 / 277CA
X12 276/277
X12 276/277
X12 835
X12 835
HL7 v2 ORU
HL7 v2 ORU
DICOM references
DICOM references
PDF & scanned documents
PDF & scanned documents
ICD-10-CM · CPT/HCPCS
ICD-10-CM · CPT/HCPCS
X12 270/271
X12 270/271
X12 278
X12 278
CMS-1500 / X12 837P
CMS-1500 / X12 837P
X12 999 / 277CA
X12 999 / 277CA
X12 276/277
X12 276/277
X12 835
X12 835
HL7 v2 ORU
HL7 v2 ORU
DICOM references
DICOM references
PDF & scanned documents
PDF & scanned documents
ICD-10-CM · CPT/HCPCS
ICD-10-CM · CPT/HCPCS
X12 270/271
X12 270/271
X12 278
X12 278
CMS-1500 / X12 837P
CMS-1500 / X12 837P
X12 999 / 277CA
X12 999 / 277CA
X12 276/277
X12 276/277
X12 835
X12 835
HL7 v2 ORU
HL7 v2 ORU
DICOM references
DICOM references
PDF & scanned documents
PDF & scanned documents
ICD-10-CM · CPT/HCPCS
ICD-10-CM · CPT/HCPCS
EHR / practice system
EHR / practice system
Clearinghouse
Clearinghouse
Laboratory interfaces
Laboratory interfaces
Payer fee schedules
Payer fee schedules
CARC / RARC codes
CARC / RARC codes
Explanations of Benefits
Explanations of Benefits
Credential documents
Credential documents
CLIA & QC records
CLIA & QC records
Patient account ledgers
Patient account ledgers
EHR / practice system
EHR / practice system
Clearinghouse
Clearinghouse
Laboratory interfaces
Laboratory interfaces
Payer fee schedules
Payer fee schedules
CARC / RARC codes
CARC / RARC codes
Explanations of Benefits
Explanations of Benefits
Credential documents
Credential documents
CLIA & QC records
CLIA & QC records
Patient account ledgers
Patient account ledgers
EHR / practice system
EHR / practice system
Clearinghouse
Clearinghouse
Laboratory interfaces
Laboratory interfaces
Payer fee schedules
Payer fee schedules
CARC / RARC codes
CARC / RARC codes
Explanations of Benefits
Explanations of Benefits
Credential documents
Credential documents
CLIA & QC records
CLIA & QC records
Patient account ledgers
Patient account ledgers

Note: Tool names, trademarks, and logos belong to their respective owners. No endorsement or partnership implied.

our prices

Support that fits your organization.

A first conversation is often just that — a conversation. From there, one plan at one price connects your practice operations, clinical documentation, claims and AI-powered intelligence. No per-seat maths, no tiers to decode.

the whole organization, one plate
$200/mo

Starting at $200/mo — every module, every practice site, and every authorized user on the plan.

  • patient intake
  • clinical encounters
  • orders & referrals
  • results & follow-up
  • coding & claims
  • compliance
  • payments & closeout
Know more

Nothing is locked in. Move at the pace your organization moves — change, pause or scale whenever your clinical caseload requires.

onboarding & deployment

A guided rollout, tailored to your clinical environment.

A kickoff call with our implementation team maps your practice sites, EHR interfaces, clearinghouse and payer mix before we hand over the keys. We configure intake rules, import active records, align order and referral workflows, and stay through the first claim run so the transition causes no disruption to patient care.

Essential

one-time
$1,000+starting fee
  • Kickoff call with practice and revenue-cycle leadership to map sites, specialties, providers and service lines
  • Medarqis AI workspace provisioned with your branding, role-based access and audit policies
  • Import of active patient roster, provider credentials, payer contracts and fee schedules
  • Patient Intake configured with registration forms, eligibility checks and duplicate-chart rules
  • Clinical Encounters templates for SOAP, H&P and therapy documentation set up by specialty
  • Coding & Claims seeded with ICD-10-CM, CPT/HCPCS references and payer-specific claim rules
  • Orders & Referrals and Results & Follow-Up workflows configured with closure rules
  • Live-readiness walkthrough and an operational handbook before your first clinic day

Final fee scoped from locations, payer rules & record volume.

Recommended

Plus

one-time
$2,500+starting fee

Everything in Essential, plus:

  • Guided migration of active charts, open orders, pending results and unpaid claims
  • Up to two supported integrations configured once vendor and interface verification is complete
  • X12 eligibility, authorization, 837P and 835 transactions configured where verified interfaces exist
  • Remittance matching and CO / PR adjustment rules tuned to your payer contracts
  • Live role-specific training for physicians, coders, billers and payment specialists
  • A dedicated onboarding specialist through go-live

Final fee scoped from locations, payer rules & record volume.

Enterprise

one-time
$5,000+starting fee

Everything in Plus, plus:

  • Tailored multi-site rollout across medical group locations, specialties and regional billing offices
  • Enterprise integrations with SSO/SAML, plus a HIPAA BAA and Compliance module configuration
  • High-volume records migration with patient matching, duplicate review and ledger reconciliation
  • Automated claim pre-checks, denial analytics and underpayment detection tuned to your payers
  • Role-based training tracks and administrative enablement for practice leaders and compliance officers
  • Named enterprise onboarding director with committed go-live milestones and post-launch review

Final fee scoped from locations, payer rules & record volume.

how it runs

Two ways to run Medarqis AI — same platform, same subscription rate. Only the onboarding may differ by your requirements.

Cloud (SaaS)

Runs in Nestack’s managed cloud — the fastest way to go live. We handle hosting, updates and scaling so Runs in Nestack’s managed cloud — the fastest way to go live. We handle hosting, updates and scaling so your practice teams log in and start working.

Private / self-hosted

The same Medarqis AI platform deployed inside your own infrastructure — your cloud, VPC or on-prem — for practices and medical groups handling protected clinical documentation, orders, diagnostic results and remittance data. Your data never leaves your environment, and the subscription rate stays the same.

Need custom EHR interfaces, clearinghouse connectors or dedicated VPC hosting? Talk with us during the kickoff call.

Sister platform — Nestack Agent Care

Your Healthcare Services AI agents, run like production systems.

Telemetry, evaluations, guardrails, human review, and a crew on call when one of them starts drifting at 3am.

Explore Healthcare Services(opens nestackagents.com/industries/healthcare in a new tab)
  • 30Failure modes catalogued
  • 12Rated SEV-1
  • 1,950+Baseline eval cases
  • 24/7Agent monitoring

Pinned to the Healthcare Services agent playbook — not a generic agent checklist.

common questions

Clear answers, before you begin.

Adopting a new practice-operations platform raises procurement, clinical and billing questions. Here is what practice leaders ask before subscribing.

About Medarqis AI

Medarqis AI uses a predictable, flat subscription tailored to your practice scope—without per-seat or per-provider penalties. Whether your team has a handful of coordinators or hundreds of clinicians and billers across sites, everyone gets access to the modules they need without ballooning costs.