Smarter Claims. Better Audits. Better Prepared.
AuditMedix helps healthcare organizations review claim documentation before submission through AI-assisted document analysis, OCR technology, rule-based validation, and professional audit workflows — supporting more thorough documentation review before submission.
Built for healthcare teams
Helping Healthcare Teams Review Claims with Greater Clarity
AuditMedix is a healthcare technology platform designed to support hospitals and healthcare teams in the pre-audit and documentation review process.
The platform combines AI-assisted analysis, OCR technology, predefined validation rules, and human audit workflows to help identify potential documentation gaps, inconsistencies, and areas requiring attention before a claim is submitted.
"Technology should assist professionals - not replace professional judgment."
AuditMedix is built on a simple belief held by RKED Group : healthcare teams do their best work when technology handles the heavy lifting of document review, while qualified professionals stay firmly in charge of every decision.
An Initiative by RKED Group
RKED Group focuses on healthcare support, claim coordination, audit processes, and technology-driven solutions designed to assist healthcare organizations in improving operational workflows. With AuditMedix, the group brings disciplined pre-audit workflows, AI-assisted analysis, and professional oversight together in one platform.
Healthcare Claims Require Detailed Documentation
Claim processing can involve a large number of medical, administrative, and supporting documents. AuditMedix helps healthcare teams identify potential issues earlier - allowing them to review and address them before submission wherever appropriate.
Missing Information
Incomplete claim forms, absent supporting records, or overlooked attachments can slow down claim review and create avoidable follow-ups.
Inconsistent Records
Mismatched dates, differing diagnosis codes, or conflicting entries across documents may raise questions during claim assessment.
Documentation Gaps
Missing discharge summaries, investigation reports, or prescriptions can leave reviewers without the evidence a claim requires.
Please note: AuditMedix findings are assistive in nature and require professional verification by authorized personnel before any decision is taken. AuditMedix does not make claim decisions on behalf of any hospital, payer, or authority.
Everything Your Pre-Audit Workflow Needs
A complete toolkit for document intake, assisted review, professional audit, and reporting.
AI-Assisted Pre-Audit
Support the initial review of healthcare claim documentation using AI-assisted analysis.
OCR Document Processing
Extract relevant information from supported medical and claim documents to assist review.
Rule-Based Validation
Review documents against configured documentation requirements and validation parameters.
Manual Audit
Enable authorized auditors to independently review claims and record observations.
Potential Risk Identification
A simple Green, Yellow, and Red classification helps teams prioritize areas requiring attention.
Missing Document Review
Help identify potentially missing, incomplete, or unclear supporting documentation.
Centralized Dashboard
Monitor claim activity, pending audits, completed reviews, corrections, and audit history.
Audit Reports
Generate structured reports containing findings, observations, and recommended areas for review.
Role-Based Access
Manage access for different users, departments, hospitals, and authorized audit personnel.
Claim History
Maintain an organized history of claims and their audit status.
Choose the Plan that Fits Your Claim Volume
Monthly plans based on the number of claim files your team reviews - move up as your volume grows.
For teams beginning a structured pre-audit review process.
- AI-assisted document review
- OCR processing
- Missing document identification
- Green / Yellow / Red risk classification
- Structured audit report
- Email support
For growing claim teams that need professional audit depth.
Everything in Basic, plus:
- Manual audit by authorized auditors
- Correction observation report
- Re-upload & re-review
- Priority processing
- Centralized dashboard
- Phone + Email support
For hospital groups managing high claim volumes.
Everything in Premium, plus:
- Dedicated audit manager
- Claim history & analytics
- Custom validation rules
- Dedicated support
All plans include secure document handling. Final claim decisions remain with the hospital. Contact us for custom volume requirements.
One Place to Manage Your Pre-Audit Workflow
Visibility into total claims, pending audits, audits in progress, completed reviews, claims requiring attention, risk categories, audit history, and claim status.
Designed for Every Team in the Claim Journey
Hospitals
Support internal claim documentation and pre-audit activities.
Hospital Billing Teams
Organize and review claim documentation before submission.
Professional Claim Management Teams
Support systematic documentation review and claim preparation.
Healthcare Audit Teams
Manage AI-assisted and manual audit workflows.
Hospital Groups
Create a more consistent pre-audit process across multiple facilities.
Built to Support Better Pre-Audit Processes
Identify Potential Issues Earlier
Help teams identify documentation gaps and inconsistencies before submission.
Improve Audit Efficiency
Assist auditors with repetitive document-review activities.
Standardize Review
Use configurable rules and structured workflows for a more consistent review process.
Improve Visibility
Track claims and audit activities through a centralized dashboard.
Support Human Decision-Making
Provide AI-assisted findings while keeping professional review and decision-making at the center.
Maintain Structured Records
Keep organized audit information and claim history for internal reference.
Designed for Controlled Healthcare Workflows
AuditMedix supports structured access and controlled workflows for healthcare organizations. Organizations should configure security, data retention, access controls, and deployment practices according to their operational, contractual, and applicable legal or regulatory requirements.
Frequently Asked Questions
AuditMedix is an AI-assisted healthcare claim pre-audit and documentation review platform designed to support hospitals and healthcare teams.
No. AuditMedix does not guarantee claim approval, payment, acceptance, or rejection prevention.
AuditMedix can help identify potential documentation gaps and issues before submission. However, claim outcomes depend on the applicable scheme, payer, medical documentation, eligibility, policies, and other factors.
No. AuditMedix is designed to assist auditors and healthcare teams. Professional review and judgment remain important.
Yes. AI-assisted technology can be used to support document analysis, information extraction, and configured pre-audit checks.
Yes. OCR can assist in extracting information from supported documents.
Yes. AuditMedix supports a manual audit workflow alongside AI-assisted review.
Yes. The platform can generate structured audit reports based on the configured workflow and audit findings.
See How AuditMedix Can Support Your Pre-Audit Workflow
Discover how AuditMedix can help your team organize, review, and manage healthcare claim documentation. Share your details and we will prepare a walkthrough tailored to your claim volume.
Prepare Better. Review Smarter.
AuditMedix - AI-Assisted Healthcare Claim Pre-Audit Platform.
Smarter Claims. Better Audits. Better Prepared.
Important Disclaimer
AuditMedix is an AI-assisted healthcare claim pre-audit and documentation support platform. AuditMedix does not provide any guarantee or assurance regarding claim approval, claim payment, claim acceptance, reimbursement, or prevention of claim rejection. AuditMedix does not provide legal, medical, or financial advice, and does not act on behalf of any insurer, payer, or government authority. AI-generated or system-generated findings are assistive in nature and must be verified by authorized personnel before any decision is taken. Final decisions should be based on the complete documentation and applicable government schemes, payer requirements, medical standards, contractual terms, and regulatory requirements. AuditMedix is intended to support professional review and decision-making and does not replace qualified human judgment.