Quadax
quadax.com
What it is
Quadax provides revenue cycle management software and services for healthcare organizations, covering patient access, claims, denials and appeals, reimbursement, analytics, and patient engagement. Its QDXOne platform brings automation, AI, task management, and revenue cycle operations together in a cloud service. Patient Access includes eligibility checks, insurance discovery, prior-authorization workflows, estimates of patient responsibility, and digital engagement tools. Xpeditor, its medical claims clearinghouse, validates claims in real time, applies payer-specific logic, and routes them automatically; it supports 837I, 837P, 837D, 276, and 277 transactions. Remittance Management provides payer electronic remittance advice access and can create secondary and tertiary COB claims automatically. Integrations include EHR/EMR, LIS, portals, CPOE, and IVR, using REST/JSON API, HL7, and CSV among other methods. Quadax also describes multi-factor authentication, role-based access controls, monitoring, audit logs, and TLS encryption. It serves hospitals, health systems, ambulatory and physician providers, laboratories, pathology groups, and DME/HME providers. Pricing is on request.
Spec sheet
- what it does
- Quadax delivers revenue cycle management solutions for healthcare organizations across patient access, claims, denials and appeals, reimbursement, analytics, and patient engagement.Read 30 Sep 2026 · quadax.com
- integrations
- Quadax connects to LIS, EHR/EMR, portals, CPOE, IVR, and other systems using REST/JSON API, HL7, and CSV.Read 30 Sep 2026 · quadax.com
- security
- Quadax uses TLS encryption, regular backups, secure data centers, firewalls, and server access restrictions for portal and online application data.Read 30 Sep 2026 · quadax.com
- Compliance
- Quadax states that it conforms to HIPAA and HITECH requirements and maintains a compliance program based on OIG-recommended guidelines for third-party medical billing companies.Read 1 Oct 2026 · quadax.com
- Support
- Quadax provides client support for EDI from Monday through Friday, 6:00 a.m. to 5:00 p.m. ET, and laboratory support from Monday through Friday, 7:00 a.m. to 6:00 p.m. ET, with after-hours critical-issue support available until Saturday at 5:00 p.m. ET.Read 1 Oct 2026 · quadax.com
- Headquarters
- Cleveland, Ohio, United StatesRead 28 Sep 2026 · quadax.com
- Founded
- 1973Read 28 Sep 2026 · quadax.com
- AI intelligence
- Intelligence by Quadax provides conversational, predictive, document, data, and decision intelligence for revenue cycle operations.Read 30 Sep 2026 · quadax.com
- Automation and AI
- QDXOne uses automation, AI, opportunity identification, routine-activity automation, next-best-action recommendations, and unified task management.Read 1 Oct 2026 · quadax.com
- claim formats
- The medical claims clearinghouse supports 837I, 837P, 837D, 276, and 277 transactions.Read 30 Sep 2026 · quadax.com
- claims clearinghouse
- Xpeditor is Quadax’s proprietary medical claims clearinghouse with real-time validation, payer-specific logic, automated routing, and a stated 99.7% first-pass acceptance rate.Read 30 Sep 2026 · quadax.com
- Claims integrations
- Quadax Claims Management integrates with internal billing systems, EHR applications, and other data sources.Read 1 Oct 2026 · quadax.com
- Cloud delivery
- Quadax offers SaaS solutions accessed through its secure cloud service, avoiding customer hardware investments and maintenance.Read 1 Oct 2026 · quadax.com
- custom rules
- XpressBiller provides unlimited custom rules at no additional cost, with AutoCorrect, Convert, Edit, and Suppress functions.Read 30 Sep 2026 · quadax.com
- Eligibility integrations
- Eligibility Verification supports API, HL7, FHIR, and socket-based connections, including real-time 270/271 checks and batch verification.Read 1 Oct 2026 · quadax.com
- Laboratory integrations
- Laboratory pre-billing workflows support HL7, API, JSON, and batch-file integrations.Read 1 Oct 2026 · quadax.com
- Notable performance
- Quadax reports a 99.7% first-pass clean-claim rate and a 98% client trust and retention rating on its homepage.Read 1 Oct 2026 · quadax.com
- Patient access
- Patient Access provides real-time eligibility verification, insurance discovery, prior-authorization workflows, patient-responsibility estimates, digital engagement, and price-transparency tools.Read 1 Oct 2026 · quadax.com
- Product scope
- Quadax provides revenue cycle management solutions for healthcare organizations, covering patient access, claims, denials and appeals, reimbursement, analytics, and patient engagement.Read 1 Oct 2026 · quadax.com
- QDXOne platform
- QDXOne is a connected platform that unifies revenue-cycle work across Quadax solutions and organizes tasks around exceptions, priorities, and patient encounters.Read 1 Oct 2026 · quadax.com
- Recognition
- Quadax was named the 2026 Best in KLAS winner for Claims Management and Clearinghouse.Read 1 Oct 2026 · quadax.com
- reimbursement
- Remittance Management provides unlimited payer electronic remittance advice access, automated secondary and tertiary COB claim creation, searchable archives, and reporting.Read 30 Sep 2026 · quadax.com
- Security controls
- Quadax states that its platforms use multi-factor authentication, role-based access controls, least-privilege enforcement, network security, continuous monitoring, audit logging, and TLS encryption.Read 1 Oct 2026 · quadax.com
- single sign-on
- Its integration capabilities support Single Sign-On so users can bypass additional Quadax logins within their system.Read 30 Sep 2026 · quadax.com
- SOC reporting
- Quadax engages an independent public accounting firm for SOC reporting, including SOC 1 and SOC 2 control evaluations.Read 1 Oct 2026 · quadax.com
- Target customers
- Quadax serves hospitals and health systems, laboratories and pathology groups, physician groups, specialty providers, DME/HME providers, and post-acute and long-term-care organizations.Read 1 Oct 2026 · quadax.com
Strong points and limits
Strong points
- Covers patient access, claims, reimbursement, analytics, and engagement.
- Xpeditor supports five listed claim transaction types.
- Integrates through REST/JSON API, HL7, and CSV.
- Provides eligibility verification, denial management, and payment posting.
Limits
- Pricing is available on request, not listed.
- Cloud service means customer access is through its secure cloud.
Who it suits
Quadax suits hospitals, health systems, providers, laboratories, pathology groups, and DME/HME organizations seeking revenue cycle workflows from patient access through claims, reimbursement, and analytics.
Verdict
Quadax spans many revenue cycle workflows and supports multiple integration methods. Organizations will need to request pricing to assess its cost.
Where Specifiction places it
- Revenue Cycle Management Software#19 of 277.1
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