The Sovereign Defense Layer for Healthcare Finance.
Kinetix AI Labs builds deterministic claim-defense and payment integrity systems designed for health systems and CFO organizations: fast enough for real-time intervention, explainable enough for audit and appeal, and resilient against adversarial payer automation.
Why CFO teams are forced into a losing loop.
Payer automation operates at machine speed. Many current tools are either slow, opaque, or optimized for the wrong objective. Health systems need systems that produce decisions they can defend—consistently and under scrutiny.
Human-in-the-loop processes arrive late, increasing avoidable write-offs and rework.
If a model can’t explain itself, it can’t reliably survive audit, appeal, or legal review.
Slow tools and manual queues compound labor cost and degrade cash velocity.
Systems exist to bill and to post; fewer systems exist to defend decisions with deterministic proofs.
Platform
Axiom Architecture is a deterministic engine that generates CFO-usable artifacts: repeatable logic, traceable reasoning, and defensible output.
Designed to produce consistent outcomes with an explicit reasoning trace—suitable for appeals, policy review, and audit.
- Reproducible decisions
- Clear “why” artifact
- Policy-aligned outputs
Built for automation-speed payer environments, enabling real-time defense actions where feasible.
- Low-latency decisions
- Queue compression
- Operational resiliency
Every recommendation yields an audit-ready package: trace, rationale, and standardized documentation for internal governance.
- Decision memo
- Appeal packet
- Governance ledger
Integrates with your existing RCM ecosystem; outputs are optimized for finance leadership: evidence, controls, and defensibility—not just predictions.
Proof
We designate a CFO-appropriate pilot using a structured, data-driven selection sprint—then execute the highest-ROI track with pre-agreed KPIs and governance acceptance criteria.
Because top payers are currently unknown, we begin with a rapid discovery sprint to quantify where dollars and friction concentrate, then execute the chosen pilot track with audit-ready artifacts.
- Analyze 90–180 days of outcomes (denials, remits/835, adjustments, aging).
- Rank ROI: magnitude ($), controllability, speed-to-impact, and governance risk.
- Deliver: CFO-ready “Pilot Selection Memo” that formally designates Track A or B.
- Pre-agreed KPIs, reviewer workflow, and artifact acceptance criteria.
- Outputs: decision memo, appeal/variance packet, governance ledger with traceability.
- Report: measurable KPI results + governance scorecard for CFO decisioning.
Best when denials and appeals backlog are the primary cash-velocity drag. Scope to 1–2 denial families to ensure speed and defensibility.
- Appeal cycle time ↓
- Touches per claim ↓
- Preventable denials (scope) ↓
- Cash acceleration (cohort) ↑
- Artifact completeness ≥ 95%
- Reviewer agreement ≥ 80–90%
- Exception rate within threshold
- Traceability per decision
Best when silent reimbursement leakage is the dominant EBITDA lever. Focus on 1–2 contract archetypes and high-volume service areas.
- $ variance detected / 1,000 claims ↑
- Recovery rate on variances ↑
- Time-to-identify underpay ↓
- Net yield (cohort) ↑
- Evidence packet acceptance ≥ 85–90%
- False-positive rate ≤ threshold
- Audit-ready documentation
- Contract traceability
Not just uplift. We measure defensibility: whether finance leadership can consistently approve the artifacts, rationale, and controls required to act at scale.
Security & governance posture
Health system finance systems require controls. The platform is designed for least privilege, traceability, and controlled deployment boundaries.
Deploy inside your security perimeter. Keep sensitive logic and artifacts within your control surface.
Company
Kinetix AI Labs exists to give health systems a defensible layer of autonomy in healthcare finance—where speed and proof both matter.
We focus on deterministic reasoning and artifact integrity—so CFO stakeholders can evaluate outputs with governance discipline.
| Company | Methodology | Weakness | Kinetix advantage |
|---|---|---|---|
| Innovaccer | Exact stack (Triton/NeMo) | Bloated platform; clinical focus | Surgical financial tool for CFO outcomes |
| Basys.ai | Exact deployment (Sovereign) | “Both sides” strategy (diplomat) | Provider-first defense posture |
| Optum / UHC | Adversarial AI | Optimizes for denial probability | Optimizes for defensible truth and proof |
| Kinetix | Axiom Architecture | — | Sovereign deterministic defense engine |
Request a CFO briefing
A 20-minute technical briefing focused on finance outcomes: defensibility, auditability, and operational leverage.