Claimex was built on one mission: to recover the money healthcare providers are rightfully owed. What started as a claims revival powerhouse has grown into a multi-division support team, now offering full billing services, case management, and payer contracting.
With three locations nationwide, we continue to excel at what we’ve always done best: getting providers paid — faster, cleaner, and with fewer write-offs.
At Claimex, we specialize in doing the hard, high-stakes work that most in-house teams either don’t have time for or shouldn’t have to deal with in the first place.
When your billers hit a wall, we step in. We revive denied claims, chase down unpaid A/R, and push until the money shows up. Most teams stop at denial, we start there.
We secure approvals in minutes (not days), extend skilled stays, and get coverage for complex cases. While others wait on hold, we’re already working the next case.
We don’t just check boxes — we negotiate smarter contracts, fix bad ones, and help you get in-network with better rates and fewer headaches.
Statistically, around 80% of HMO claims revenue goes straight toward covering operating costs. That includes payroll, supplies, utilities, insurance, and day-to-day overhead. It’s what keeps the lights on and the doors open.
But it’s the remaining 20% that matters most — the portion that turns sustainability into profitability. So what happens when that 20% disappears due to denied, delayed, or underpaid claims? For many providers, that’s the moment where stability starts slipping.
That’s why Claimex exists. We’re not just a service; we’re your frontline defense against lost revenue. We fight to recover what you’ve earned. We challenge every denial. And we do it with the focus, speed, and follow-through that most in-house teams simply can’t match.
Because when the 20% is on the line, you don’t need another billing vendor. You need a partner who wins. Welcome to the world of Claimex.
