About.
OptimIQ runs the eligibility, prior auth, coding, denials, and care-gap work for practices, provider groups, and ACOs. People do the work. Software keeps it moving. One accountable team for the whole revenue cycle.
Better outcomes start with better operations.
Most of healthcare’s revenue and quality problems are not clinical. They are operational. Eligibility checks that did not happen. Auths that timed out. Codes that were not documented. Care gaps that were never flagged.
We exist to make those problems disappear, quietly, in the background, every day. We bring the operators who run the work and the platform that keeps it moving, one accountable team for what your billing, coding, AR, and quality programs actually need to ship.
Four commitments that shape every engagement.
These are not aspirational. They are how we decide what to build, who to hire, and which engagements to walk away from.
Run by people who do this work.
Specialty coders, denial analysts, AR ops leads, and engineers operating as one team alongside your front office. Software handles the predictable. People handle the rest.
- Specialty-trained operators on every account
- Healthcare-native engineering and product team
- 460+ in-house operators across coding, denials, A/R, and clinical review
- 15 specialties with their own rule packs and audit standards
- Outcome-tied contracts on every engagement
- US-based clinical leadership across coding and quality
One accountable team
Healthcare-native by design
Operators and platform together
Outcomes on the same dashboard
Clinical, financial, and technical, arguing until the answer holds.
OptimIQ Health was founded by experienced internal medicine physicians, revenue cycle experts, and an AI, NLP, and machine learning team. Nothing ships unless every group agrees it is clinically sound, financially correct, and technically defensible.
Internal medicine physicians
Practicing clinicians who have carried the panel, signed the notes, and answered the payer query. They decide what belongs in a chart and what is noise.
Revenue cycle experts
Veterans of eligibility, coding, denials, and payer contracts who have run revenue cycles at scale and know exactly where the money leaks.
AI, NLP, and ML engineers
Engineers who build clinical language systems that cite their sources, hold a code until the chart supports it, and keep a human in the loop by design.
What we will not do.
Worth saying out loud, because in this category most of the disappointment comes from things a vendor implied and never wrote down.
We do not upcode. Suggestions stop at what the documentation supports, and our reviewers are measured on accuracy, not lift.
We do not sell a second inbox. If a product cannot live inside the EHR workflow, we do not ship it.
We do not publish testimonials or metrics we cannot attribute to a named customer who approved them.
Toward an operations layer that disappears.
The end state is not a bigger dashboard. It is fewer queues, fewer handoffs, and fewer people asking why a claim sat. We are building an operations layer that runs in the background, surfaces only what needs a decision, and gets quieter as it gets better.
Talk to the people who built it.
Demos are run by the physicians and revenue cycle leads on our team, not a sales engineer reading a script.