Built for any specialty — including but not limited to
Medical
Oncology, orthopedics, dermatology, GI, pain management & more
Optical
Ophthalmology, optometry, refractive surgery & more
Dental
General dentistry, oral surgery, periodontics & more
From Submission to Recovery in Three Steps
Vectis overlays your existing EMR via FHIR — no rip-and-replace. Scrub claims upstream, automate prior auth, and recover denials downstream.
Scrub Before Submission
Vectis intercepts claims before they go out — checking for clerical errors, missing modifiers, invalid NPIs, and credentialing mismatches. Claims go out clean the first time, eliminating downstream rejections.
Automate Prior Auth & Appeals
ApproveIQ matches clinical documentation to commercial payer criteria, generates prior auth packets, and tracks status through payer SLAs. When denials happen, RevRecover builds policy-backed appeal packets automatically.
Integrate via FHIR & Recover
Vectis overlays your existing EMR via FHIR API — no rip-and-replace. Batch-import cases, track follow-ups, and transmit via EDI. Unlimited appeals included in your flat monthly subscription — no per-claim fees.
The Platform That Wins Appeals
Predictive scoring, payer policy matching, and human-in-the-loop fact verification — all in one workspace.
Active
12
Proj. Payout
$184K
Appeal Arsenal Coverage
16
Payers
763
LCDs
247
NCDs
15
Strategies
Avg Score
81%
Packets Ready
8
Verified
34
The Cost of Incorrectly Denied Claims
Estimate Your Denied Revenue Recovery
Enter your practice's numbers below. No email required — see your projected recovery instantly.
Your Practice Numbers
Your Projected Recovery
Denied claims per year
360 claims
Total denied value: $432,000
Projected annual recovery
$216,000
Based on a conservative 50% appeal overturn rate
Unlimited appeals & recovery
All included in your flat monthly subscription — no per-claim fees, no contingency.
This is a projection based on industry averages and your inputs — not a guarantee. Actual results depend on your case mix and denial specifics.
See Exactly What You'd Get
This is a real, AI-generated appeal packet — built from a synthetic de-identified sample case. Judge the output quality for yourself.
Appeal Letter — Total Knee Arthroplasty
[SECTION 1 — CLINICAL TIMELINE] The patient, a 67-year-old individual with bilateral knee osteoarthritis, presents with an 8-month documented history of conservative therapy failure. Initial presentation included bilateral knee pain with Kellgren-Lawrence grade 4 changes on the ...
Search Your Top Payers
See what policy intelligence Vectis already has in its rules arsenal. Search by payer name, category, or clinical term — no signup required.
Rules updated the moment they take effect — not months later.
Vectis runs automated weekly scans of major commercial, Medicare Advantage, and Medicaid payer policies. New rules are drafted, reviewed, and date-gated so they activate automatically on their effective date — ready to use the instant a payer's policy change goes live. No other platform keeps your arsenal this current.
20
Payers mapped
826
LCDs tracked
271
NCDs tracked
87
Clinical criteria
UnitedHealthcare
UHCCommercial + MA
Aetna Commercial
AETCommercial
Blue Cross Blue Shield
BCBSCommercial + MA (varies by state)
Cigna
CIGCommercial
Humana
HUMCommercial + MA
Medicare (CMS Fee-for-Service)
CMSFederal
Medicare Advantage (MA Plans)
MAFederal (private insurers administering Medicare)
Kaiser Permanente
KPCommercial + MA
Anthem (Elevance Health)
ANTCommercial + MA
Molina Healthcare
MOLMedicaid + Commercial
Centene (Ambetter/Health Net)
CENMedicaid + Marketplace
TRICARE
TRIFederal (Military)
Built by someone who actually listens.
Missing a payer? Need a workflow tweak? Spot a rule that changed? Tell us — and watch it ship. Vectis is the only RCM platform that takes your feedback and turns it into a live update within days, not next quarter's roadmap. Every idea is reviewed, triaged, and built by the team that owns the product. No support ticket black holes. No "we'll pass this along." Just a system that gets better because you asked.
One Platform, Full Revenue Cycle
From pre-authorization through denial recovery — every stage of the revenue cycle, automated and intelligent.
ApproveIQ
Pre-Authorization Intelligence
AI predicts denial risk before you submit. Scores every case for appeal success probability, pulls active payer policy criteria, and verifies clinical facts against source documents.
- Denial risk scoring (0–100)
- Payer policy criteria matching
- Clinical fact verification with source anchors
RevRecover
Autonomous Appeal Pipeline
When claims are denied, RevRecover autonomously generates policy-backed appeal letters, compiles remediation packets, and scores recovery probability — no manual drafting.
- Autonomous appeal letter generation
- 835/837 EDI remittance parsing
- Recovery probability scoring
ClaimFlow
EDI Clearinghouse Integration
Transmit EDI 278 prior auth requests and parse 835 remittances directly through clearinghouse APIs. Real-time claim status tracking from submission to adjudication.
- EDI 278 prior auth transmission
- 835 remittance auto-parsing
- Clearinghouse status synchronization
Red Team Audit
Adversarial Pre-Submission Review
Before you submit, an AI adversary stress-tests your appeal packet against payer policies, federal mandates, and clinical standards — finding weaknesses the payer will exploit.
- Compliance gap detection
- Missing citation identification
- Specialty-specific audit logic
Practice Intelligence
Provider & Payer Analytics
Built-in practice-level revenue analytics competitors don't offer. Score every provider by denial rate and recovered revenue, and surface systematic payer downcoding — claims quietly paid at reduced code levels or lower amounts than billed.
- Provider documentation scorecards
- Payer downcoding detection
- Recoverable variance reporting
How We Protect Patient Data
Healthcare data security isn't a badge we display — it's the architecture the platform is built on. Here's exactly how it works.
Executed Business Associate Agreement (BAA)
Vectis operates under a formal, signed BAA with every practice before any PHI touches the platform. This isn't a click-through checkbox — it's a legally binding HIPAA contract that defines our obligations as your Business Associate, including breach notification timelines, permitted uses, and subcontractor flow-down.
Signed before activation · 60-day breach notification · Flow-down to all subcontractors
PHI De-Identification Engine
Before any clinical content reaches the AI layer, a dedicated de-identification engine strips patient names, dates of birth, member IDs, NPIs, email addresses, phone numbers, and zip codes — replacing them with reversible placeholders. The AI never sees raw PHI. The final output is re-identified only inside your authenticated session.
Strips: names · DOBs · member IDs · NPIs · emails · phones · zip codes · SSNs
Immutable, Append-Only Audit Trail
Every action — viewing a record, updating clinical data, injecting a rule, exporting an EDI payload, or requesting access — is logged in an append-only audit trail that cannot be modified or deleted by any user. This creates defensible evidence for any HIPAA compliance review, payer audit, or legal inquiry.
Append-only · Tamper-evident · Actor + timestamp + IP + action type
Role-Based Access Control
Granular permissions separate admins (full access + user management), concierge reviewers (cross-tenant review queue), and standard users (own records only). A standard user cannot see another practice's cases — enforced at the data layer, not just the UI.
Admin · Concierge · User · Per-tenant isolation
Encrypted Storage & Transit
All data is encrypted at rest and in transit using industry-standard TLS and AES-256. Authentication tokens are managed by the platform — we never store passwords. Session-based access expires automatically.
TLS 1.2+ in transit · AES-256 at rest · No stored passwords
No PHI Leaves the System Unredacted
When the AI needs external context (e.g., researching a non-curated payer's policy), only de-identified, placeholder-substituted content is sent. The mapping between placeholders and real values lives only inside your authenticated session and is never transmitted externally.
External calls use de-identified content only · Mapping stays in-session
Every practice signs a BAA before activation. No BAA, no PHI — period.
Start the conversationWhy Pay a Percentage of Your Revenue?
Legacy RCM vendors take a 4–7% skim off every dollar they recover — meaning the more you earn, the more they take. Per-claim tolls nickel-and-dime you on every appeal. Vectis charges one flat monthly fee. Unlimited appeals, zero surprises.
Legacy % of Collections
They skim off your success
- Monthly fee: 4–7% of every dollar recovered
- Per-claim fees: Often stacked on top
- Percentage of collections: 4–7% — scales with your revenue
- Appeal volume: Penalizes high recovery
- Cancel anytime: Often locked in contracts
- All modules included: Usually à la carte add-ons
Per-Claim Toll
Nickel-and-dimed per appeal
- Monthly fee: $15–$25 per appeal filed
- Per-claim fees: Every appeal = a charge
- Percentage of collections: Sometimes added
- Appeal volume: Punishes high-volume practices
- Cancel anytime: Varies
- All modules included: No — pay per feature
At 5,000 monthly claims, legacy vendors cost up to $37,500/mo — Vectis is $999/mo. Same work. No skim.
Your Personalized Revenue Recovery Brief
Tell us about your practice and we'll generate a tailored brief with your top 3 denial risks, estimated recoverable revenue, and 3 actions you can take this week — grounded in real payer policy data.
We never share your information. No PHI — please don't enter patient data.
Fill in the form and click "Generate My Brief" to see your personalized revenue recovery analysis here.
Questions, Answered
Everything a practice needs to know before getting started.
Still Have Questions?
Our team is here to help. Reach out and we'll get back to you — no pressure, no sales pitch, just answers.