Quanyx — Autonomous Revenue Cycle Management for ABA Billing
Automate claims, boost accuracy, and maximize revenue. Quanyx manages benefits verification, authorization tracking, and claims management with a rules engine built specifically for ABA billing workflows.
Platform Results
Up to 99.5% First-Pass Claim Accuracy — Pre-submission validation eliminates common errors. Based on early client results (2025–2026).
21 Days Avg Days Sales Outstanding — Get paid faster with automated follow-up and denial prevention. Average for pilot practices.
99% Reduction in Manual Work — Free your team from repetitive billing tasks. Based on pilot practice data.
6 States Currently live in CO, FL, AR, MA, NC, SC — with more launching monthly.
Revenue Cycle Management
Quanyx automates your entire revenue cycle — from insurance verification through final payment posting. Our rules engine handles claims scrubbing, submission, denial management, and payment reconciliation so your team can focus on patient care.
RCM Capabilities
Benefits Verification (VOB): Automated eligibility checks with real-time payer connectivity. Verify coverage, copays, deductibles, and authorization requirements before the first session.
Claims Management: Rules-based claims scrubbing catches errors before submission. Automated resubmission and follow-up on pending claims.
Denial Management: Pattern recognition identifies denial trends across payers. Automated corrective resubmissions with payer-specific validation.
Payment Posting & Reconciliation: Automated ERA/EOB processing with line-item matching. Identifies underpayments and flags them for resolution.
Authorization Tracking: Real-time authorization monitoring with EMR sync. Tracks approved hours, used hours, and remaining hours. Automated reauthorization alerts before expirations.
Executive Dashboard: Real-time revenue analytics, aging reports, and payer performance metrics. Full visibility into your financial health.
ABA Billing Solutions
Purpose-built for Applied Behavior Analysis providers. Quanyx understands ABA-specific billing codes (97151-97158, 0362T-0374T), payer rules, and Medicaid requirements across six states today (CO, FL, AR, MA, NC, SC) with more launching monthly.
ABA-Specific Features
ABA Code Expertise: Pre-built rules for CPT codes 97151-97158 and 0362T-0374T with modifier validation and payer-specific requirements.
Medicaid Compliance: State-specific Medicaid rule engine that automatically applies correct billing requirements, rate schedules, and authorization protocols across six states with more launching monthly.
Authorization Lifecycle: Real-time authorization tracking with EMR sync. End-to-end prior authorization management — from automatic requirement detection through submission and tracking — coming Q2 2026.
Multi-Payer Intelligence: The rules engine adapts to each payer's unique requirements, denial patterns, and appeal preferences to maximize approvals.
Session-Level Validation: Validates every session note against authorization limits, billable hour caps, and payer-specific documentation requirements before claim generation.
Platform Overview
Quanyx replaces fragmented billing workflows with a unified automated platform. Every step — from patient intake to payment — is connected, automated, and intelligent.
How It Works
Connect: Integrate with your existing EMR/practice management system. Quanyx syncs patient data, session notes, and authorization details automatically.
Automate: Automated workflows handle benefits verification, claims scrubbing, submission, denial management, and payment posting — 24/7 without manual intervention.
Optimize: The rules engine continuously adapts by analyzing payer responses, denial patterns, and your specific billing data to improve accuracy over time.
Monitor: Real-time dashboards provide full visibility into revenue performance, claim status, authorization utilization, and team productivity.
Security & Compliance
Quanyx is HIPAA compliant. SOC 2 Type II compliance is in progress with a full audit scheduled for Q3 2026. All data is encrypted at rest via AWS infrastructure and TLS 1.3 in transit. Role-based access controls, audit logging, and BAA agreements are standard.
Frequently Asked Questions
What is Quanyx?
Quanyx is an intelligent, rule-based revenue cycle management platform designed specifically for ABA billing providers. It automates claims processing, benefits verification, authorization tracking, and denial management.
How does automated RCM work?
Quanyx uses a rules engine to automate claims processing, adapt to payer responses, and address denial patterns in real-time. The system continuously refines its rules based on your specific payer mix and billing patterns.
What billing systems does Quanyx integrate with?
Quanyx integrates with major practice management systems and EHRs used in ABA therapy practices, including CentralReach, Rethink, and others — providing seamless data flow without disrupting existing workflows.
Is Quanyx HIPAA compliant?
Yes, Quanyx is fully HIPAA compliant. SOC 2 Type II compliance is in progress with a full audit scheduled for Q3 2026. Data is encrypted at rest via AWS infrastructure and TLS 1.3 in transit, with role-based access controls. BAA agreements are provided to all customers.
Is there a risk-free trial?
Yes, Quanyx offers a risk-free trial so providers can experience automated RCM with no upfront commitment. You only pay when you see measurable results.
How does authorization tracking work?
Quanyx syncs with your EMR to monitor approved hours, used hours, and remaining hours in real time. It sends automated reauthorization alerts before expirations so no sessions go unbilled.
Does Quanyx handle Medicaid billing?
Yes, Quanyx adapts to state-specific Medicaid regulations and requirements automatically. Currently live in six states (CO, FL, AR, MA, NC, SC) with more launching monthly.
How does Quanyx handle authorization tracking?
Currently available: Real-time authorization tracking with EMR sync, monitoring approved hours, used hours, and remaining hours. Automated reauthorization alerts fire before expirations. Advanced prior authorization workflow automation — including requirement detection and submission tracking — is targeted for Q2 2026.
Start a Risk-Free Trial
Experience automated revenue cycle management with zero upfront cost. Quanyx processes your real claims alongside your current workflow — you only pay when you see measurable improvements in collections, accuracy, and speed.
No implementation fees
No long-term contracts required
Side-by-side comparison with your current process
Dedicated onboarding support
Full platform access from day one
What Is Revenue Cycle Management (RCM)?
Revenue Cycle Management (RCM) is the financial process that healthcare organizations use to track patient care episodes from registration through final payment. It encompasses claim submission, payment processing, denial management, and revenue recovery. For ABA providers, effective RCM can increase net collections by 10-15% and reduce days in AR by 30-50%.
Prior authorization is a requirement by health insurance companies that a provider must obtain approval before delivering a specific service. ABA therapy is one of the most authorization-intensive services in healthcare, with payers requiring specific approved hours, authorization periods, and covered CPT codes.
Automated RCM achieves up to 99.5% first-pass accuracy in early results vs 80-85% traditional, reduces DSO significantly, and cuts denial rates from 8-12% to under 2%. Traditional RCM relies on manual processes; automated RCM streamlines workflows with a rules engine that continuously adapts. Benchmarks based on early client data (2025–2026).
Key industry benchmarks: First-pass rate 80-85% (Quanyx: up to 99.5%*), DSO 40-60 days (Quanyx: 21 days avg*), denial rate 8-12% (Quanyx: <2%), net collection rate 92-95% (Quanyx: 99%+). ABA providers typically lose 5-10% of revenue to billing errors and preventable denials. *Early client data (2025–2026).