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SINERGY SOLUTIONS LLC | CONFIDENTIAL
Med
Suite
™
HEALTHCARE REVENUE INTELLIGENCE
Med
Suite
™
AI-Powered Healthcare Revenue Intelligence
HIPAA-Compliant
Claims Denial Reduction
Revenue Cycle Optimization
Press → to advance
HEALTHCARE REVENUE CRISIS
The Industry Loses
$262B
Every Year to Denials & Billing Errors
$262B
In denied claims annually (AHA 2024)
9–15%
Industry denial rate — up to 30% for complex specialties (MGMA 2024)
65%
Of denials are preventable with AI validation
45 days
Average revenue cycle delay from denials
Every denied claim is delayed revenue.
Most are preventable.
MEDSUITE PLATFORM
Four modules.
One HIPAA-compliant platform.
✓ Pre-submission Validation
✓ ERA/835 Payment Attribution
✓ HIPAA Compliance Scanning
✓ Revenue Cycle Analytics
Built on Sinergy Catalyst Platform
Powered by CORTX™ AI Engine
MedSuite™ — Healthcare Intelligence & Compliance
Welcome to MedSuite™
Select a module to begin your session
● All Systems Operational
ClaimsDenial
Active
Pre-submission claims validation with denial risk scoring, CPT/ICD-10 verification
BulkPayment
Active
ERA/835 bulk payment attribution discrepancy analysis
HIPAAAudit
Coming Soon
Automated HIPAA compliance scanning and PHI detection
RevenueOptimizer
Planned
Revenue cycle analytics with payer performance tracking
CLAIMS DENIAL REDUCTION MODULE
ClaimsDenial — Claims Denial Reduction
Demo Data
Claims Denial Reduction
LMG Doctors Pilot Program
— 45-60 day POC • 40-50% denial reduction target • Day 30 of 60
$847K
Revenue at Risk
▼ -12.3% last 90 days
18.4%
Denial Rate
▼ -2.1% (Target: <5%)
234
High-Risk Claims
▼ -18 this week
1,847
Validated Claims
▲ +127 this month
Quick Actions
Validate New Claim
→
View Analytics Dashboard
→
Denial Pattern Analysis
→
Top Denial Reasons
Authorization Required
42%
Missing Pre-Authorization
31%
Code Mismatch (CPT/ICD-10)
18%
Coordination of Benefits
9%
BULK PAYMENT DISCREPANCY ANALYSIS
BulkPayment — Bulk Payment Discrepancy Analysis
Demo Data
Bulk Payment Discrepancy Analysis
Bulk Payment Analysis Engagement
— 45-60 day engagement • BCBS, Aetna, UHC • Day 12 of 60
2,847
Payments Processed
ERA/835 files analyzed
312
Discrepancies Found
Attribution issues
$1.04M
Recoverable Revenue
Flagged for recovery
94%
Evidence Quality
Findings documented
Discrepancies by Payer
⚫ BCBS
Discrepancies
147
Recoverable
$487K
91% match rate
⚫ Aetna
Discrepancies
98
Recoverable
$312K
94% match rate
⚫ UHC
Discrepancies
67
Recoverable
$241K
96% match rate
PLATFORM ARCHITECTURE
100%
Audit trail coverage
Hash-chained ledger
Tamper-proof evidence
HIPAA
HITECH
PHI protection
built in
CORTX™ AI Engine
Healthcare Revenue Intelligence
Ledger Service
SHA-256 hash-chained audit trail
Reconciliation Service
ERA/835 parsing + discrepancy detection
Validation Service
CPT/ICD-10 + payer rules engine
API Gateway
Unified API — all modules
TRL 7 — Demonstrated in operational environment | Sinergy Catalyst Platform
■ BAA-Ready
✓
PHI encrypted at rest (AES-256)
✓
TLS 1.3 in transit
✓
Role-based access control
✓
Immutable audit log (164.312(b))
✓
Minimum necessary principle
✓
Incident response <1hr RTO
✓
HITECH Breach Notification compliant
ILLUSTRATIVE PILOT SCENARIO — 45-DAY POC
42%
Reduction in claim denials
Target: 40-50% ✓
$847K
Revenue protected — first 45 days
Validated by ledger audit trail
94%
Evidence quality score
Audit-ready documentation
Target Attainment
(42% of 50% goal)
84%
Claims Validation Coverage
97%
Revenue Recovery Pipeline
73%
● Active Engagement
Pilot Complete in 15 Days
Illustrative Data
Deploy
MedSuite™
From pilot to production in 30 days.
HIPAA-compliant from day one.
✓
Only platform with hash-chained ledger + AI in a single deployment
✓
No IT integration required — works alongside existing billing systems
✓
SDVOSB sole-source eligible
Start a MedSuite Engagement
catalyst@sinergysolutions.com
45-60 day pilot • Claims Denial + BulkPayment modules • BAA included
Sinergy Catalyst is
TRL 7
— demonstrated in operational-like environment
■ SDVOSB Certified
■ Veteran-Owned
