Real-time inputs from patients via mobile apps, portals, and connected devices.
Reported symptoms, complications, and functional status
Medication adherence and side effects
Connected health data from wearables and devices
Patient-reported outcomes and behavioral indicators
Structured data from EMRs, payers, and external health systems.
Medical history, referrals, and active medication list
Prescription monitoring and lab/imaging results
Claims data, prior authorizations, and benefit eligibility
Risk scores, diagnosis codes, and billing history
AI-powered tools for real-time decision-making and documentation support.
Unified, real-time patient view
AI Scribe that auto-documents based on real-time patient data and payer rules
Personalized recommendations for diagnostics and treatment
Pre-visit clinical flags to streamline encounters and surface care gaps
Real-time revenue intelligence for improved reimbursement and compliance.
Pre-visit CPT and documentation gap alerts
Insurance-aligned coding and service recommendations
Reimbursement optimization based on clinical risk and coverage
AI-powered denial prevention using historical claim outcomes and payer logic
cliexaAI powers the intelligence behind every cliexa microservice, combining clinical reasoning, payer-aware logic, and adaptive learning to deliver real-time insights that improve outcomes, reduce administrative burden, and ensure compliance at every step of care.
cliexaAI ingests EMR notes, labs, claims, and patient inputs to continuously train its predictions and insights. It calibrates each organization’s population, workflows, and payer mix, getting smarter with every case.
Combining large language model (LLM) architecture with cliexaProtocols, Clinical Rules Engine, cliexaAI offers true clinical reasoning, not just NLP. It applies evidence-based logic, payer policies, and predictive risk scoring with traceable transparency.
Every denied claim, updated diagnosis, or clinician override feeds back into cliexaAI’s learning loop. This enables real-time model refinement across diagnoses, treatments, and billing strategies, without disrupting workflow.
Generate and deidentify realistic clinical data to enrich intelligence
AI scribe that learns clinical and payer rules for compliance
AI-powered insights and documentation from real-time clinical data
Real-time interoperability enriched with clinical reasoning and standardization
Core intelligence powering the cliexa ecosystem through multi-source learning
Preemptive, self-learning billing engine aligned with payer rules
True clinical reasoning calibrated with real patient data
Each solution operates as a powerful standalone product or as part of a fully integrated suite, offering seamless data flow, workflow automation, and real-time insights across the entire care and revenue cycle.
