Rural and critical access facilities carry the same payer complexity as large systems, with no spare capacity in staffing, IT, or margin. cliexa is the clinical reasoning layer built to fit that reality.
Protect revenue, support your team, keep the systems you already run, and answer payers with evidence.
Claims Intelligence, the Solution rural hospitals start with, checks every claim against the payer’s rules and finds missing justification while the encounter is still open, before the claim goes out, not after a denial. See Claims Intelligence →
cliexa works as a layer over what you already run, with a person reviewing in the workflow, so it adds capability without adding load. Deployment is typically 60 to 90 days.
cliexa is a containerized layer over FHIR. No EHR replacement is required or contemplated.
Every flag names the payer rule that triggered it and the record fields behind it, so a challenge is answered with evidence, not guesswork.
Four moments that decide whether a rural hospital gets paid. At the point of care, before the claim, when a payer pushes back, and without adding load.
cliexa reads payer rules, protocols, and the patient’s real-time state before care happens, so the clinician knows what is medically necessary, compliant, and will get paid, while it can still shape the decision.
cliexa checks the record against the criteria a reviewer will apply, while the encounter is still open. A gap surfaces as a specific missing element the team can fix now, rather than an appeal months later.
A rural hospital rarely has a team to argue a denial line by line. cliexa shows the specific payer rule and the record fields behind each flag, with a person reviewing in the workflow, so a challenge is answered with evidence, not guesswork.
cliexa is a containerized layer over FHIR. No EHR replacement is required or contemplated, and deployment is typically 60 to 90 days against a critical access baseline.
The program moves $50 billion to the states through FY30, and each state decides what gets funded. If yours is putting the money toward real technology capability, we help hospitals and state programs put cliexa in the proposal and into production.
Our rural work is led by Katherine Mulready, formerly Senior Vice President and Chief Strategy Officer of the Colorado Hospital Association, and senior health policy advisor in the Colorado Governor’s office, with 20+ years in rural health, hospitals, and public grant funding.
Most clinical AI is built for a system with a data team and enough budget to absorb a project that does not quite work. Rural and critical access facilities have no such cushion. cliexa delivers the same reasoning layer large systems buy, scaled down to fit a rural hospital's staffing, IT, and margin reality, with deployment typically 60 to 90 days.
cliexa reasons from the outside in: payer rules first, then clinical standards, then the patient. The requirement is in view when the decision is made, not months later in an appeal. It works before the claim goes out, not after a denial, and every flag names the rule that triggered it with a person reviewing in the workflow, so a hospital without a large billing team still has leverage.
No. cliexa is a containerized layer over FHIR. No EHR replacement is required or contemplated, and it fits the resources you have rather than demanding new ones. The cost is a flat fee, not a recovery-linked cut of what you collect.
cliexa is HITRUST r2 certified, and is a qualified solution on the Mayo Clinic Platform. Its cardiovascular algorithms were co-developed with the American College of Cardiology, and the company has been building from Denver since 2016.
Yes. If your state is putting RHTP dollars toward real technology capability, we help at whatever stage you are in: application support as a named technical partner, named pilot partner in the proposal, full deployment across your sites, or a consortium spreading fixed cost across facilities. Our rural work is led by Katherine Mulready, formerly Chief Strategy Officer of the Colorado Hospital Association.
Start with a call about your margins, your denials, or your RHTP plans, and we will show you where cliexa fits.