24/7 intelligent monitoring of your revenue cycle.

We find the money your team doesn't have time to chase. Iolite gives revenue cycle operators real-time intelligence, tells you where to focus, and helps you fix it across your portfolio before your clients even have to ask.

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app.iolite.health/sentinels/denial-opty-routing-analysis
Sentinel UI showing the Denial Opportunity Routing & Analysis view
The Problem

A cycle no team can outrun.

Every quarter, the same loop. By the time you see what's broken, you're already behind on what's breaking next.

1.Complexity compounds

Dozens of clients, hundreds of payers, thousands of claims — all moving through different systems and workflows.

2.Problems emerge silently

Denial spikes, underpayments, credentialing lapses — compounding for weeks before anyone sees a pattern.

3.Recovery is all-hands

By the time an issue surfaces, it's a fire drill. Fixing it pulls your best people off everything else.

4.New problems grow unchecked

While your team is firefighting, the next wave of issues is already building across your portfolio.

Introducing

Sentinels

Billing teams try to solve this by juggling dashboards, exports, and emails.

Sentinels replace all of that with one thing: always-on intelligence. They watch your data, catch what's going wrong, tell you where to focus, and kick off the work to fix it.

They're not a dashboard. They're not a report. They're configurable, client-specific, and they work on whatever your operation needs to monitor.

Build, test, and deploy within hours.
Explore Platform
app.iolite.health/sentinels/new
Sentinel builder interface

Sentinels detect, score, act, and route.

Detect

Spot problems early

Sentinels watch your claims, remits, and credentialing in real time. When something breaks, you see it the same day, not three weeks later.

Score

Quantify the opportunity

Not every issue is worth chasing. Sentinels rank them by dollars at risk, urgency, and likelihood of recovery. Your team works the ones that pay back.

Act

From insight to resolution

Alerts aren't enough. Sentinels draft the appeal, pull supporting docs, and kick off the work. Half of it's done before anyone touches it.

Route

Get it to the right person

Each issue lands on the right specialist's desk, balanced across workload, expertise, and urgency. No manual triage.

Helix Advisory Zack Higbie

"We recover revenue that most people assume is gone. Iolite helps us find it faster and focus on the opportunities that are actually worth pursuing."

Zack Higbie / CEO, Helix Advisory
Professional working with healthcare data systems

AI sentinels.
Human reliability.

Sentinels automatically bring problems to your attention but never take action without human intervention.

Integrations

No rip and replace. No data compromises.

We plug into whatever you're already running and build a single, living data model across your entire operation. Every source. Every client. Cleaned, connected, and updating in real time. Built on a data architecture designed for complexity — not bolted onto a legacy database.

EHR
PDF
EDI
Excel
Contracts
What makes us different

We picked our customer.

Healthcare is too complex for any one platform to serve everyone well.

Most healthcare platforms

Built for everyone.
Useful to no one.

Every customer they take on adds features the rest don't need. The platform balloons and nothing fits anyone perfectly.

HospitalsHealth SystemsPayersPhysician GroupsASCsBehavioral HealthDental GroupsUrgent CareLong-Term CareFQHCsCritical AccessSpecialty ClinicsHome HealthRehab CentersIDNs
Iolite

One purpose.
One customer.

We built Iolite for the organizations that manage revenue cycles across a portfolio of clients and provider groups. Every Sentinel, every workflow, and every screen is built for this use case.

Built only for RCM Companies

Sentinels are ready to be turned on.

Pre-built for the most common opportunities in revenue cycle and configurable per client. Every Sentinel adapts to each client’s data, payers, and priorities.

Team Routing
v2 Enabled

Team Routing

Routes each issue to the specialist best suited for it. Balanced across workload, expertise, and urgency.

Appeal Timely Filing
v2 Enabled

Appeal Timely Filing

Tracks payer-specific appeal deadlines and queues claims for resubmission before the filing window closes.

Reassign Release Eligible Accounts
Enabled

Reassign Release Eligible Accounts

Identifies accounts ready to release back to the client and reassigns the workflow automatically.

Denial Priority
v2 Enabled

Denial Priority

Scores denials by recovery likelihood and dollars at risk so your team works the highest-impact ones first.

Second-Pass Denials
v1 Enabled

Second-Pass Denials

Catches denial CAS codes that show up in remit data without a follow-up payment, with or without an adjustment code.

100% Contractual Adjustment
v3 Enabled

100% Contractual Adjustment

Flags claims where CAS Code 45 was applied to the entire bill. Usually a misposting, sometimes a real recovery.

Lesser of Claim-Level
v1 Enabled

Lesser of Claim-Level

Compares insurance accounts paid at 100% of billed charges against contract caps to surface discrepancies.

Lesser of Line-Level
v1 Enabled

Lesser of Line-Level

Reviews line items paid at exactly 100% of charges against contract terms.

Silent DRG Downgrades
v1 Enabled

Silent DRG Downgrades

Compares billed DRG reimbursement against the actual paid amount to catch downgrades that never triggered a denial.

Transfer DRG
v1 Enabled

Transfer DRG

Identifies accounts paid at transfer per CMS Transfer DRG rules, queuing them for CWF scrub of billing or clinical review.

Missed IME Bill
v1 Enabled

Missed IME Bill

Catches missed transmission of suspected Medicare IP shadow bills for IME payment, including HMO reg errors and untransmitted accounts.

Invalid Timely Filing
v1 Enabled

Invalid Timely Filing

Captures timely filing terms in contracts and matches them against CAS code denials to surface discrepancies.

E&M Downcodes — Hospital
v1 Enabled

E&M Downcodes — Hospital

Reviews billed E&M level reimbursement against actual reimbursement on hospital claims.

E&M Downcodes — Physician
v1 Enabled

E&M Downcodes — Physician

Reviews billed E&M level reimbursement against actual reimbursement on physician claims.

OON Short-Pay
v1 Enabled

OON Short-Pay

Reviews out-of-network financial classes against Medicare/Medicaid rates, 100% of charges, or price transparency data to catch short-pays.

Coordination of Benefits
v1 Enabled

Coordination of Benefits

Watches contract terms for payment up to secondary allowables against primary payments.

Secondary Billing
v3 Enabled

Secondary Billing

Catches claims with patient balances and secondary insurance loaded but no secondary claim dropped.

Reimbursement Modifier Review
v1 Enabled

Reimbursement Modifier Review

Isolates modifiers that reduce reimbursement so the team can evaluate whether they were medically necessary.

High Cost Drug Audit
v1 Enabled

High Cost Drug Audit

Catches claims with high-dollar amounts (>$2,000) on rev code 250 against contracts with rev code 636 carve-outs.

Implant Audit
v1 Enabled

Implant Audit

Catches claims with high-dollar amounts (>$5,000) on rev codes 270-272 against contracts with rev code 278 carve-outs.

Multiple Procedure Reduction
v1 Enabled

Multiple Procedure Reduction

Captures claims with multiple procedure reductions (CAS 59) and matches them against contract terms.

High $ Balance in Self-Pay w/ Insurance Loaded
v8 Enabled

High $ Balance in Self-Pay w/ Insurance Loaded

Catches coordination of benefits denials (CAS 22, 120, 19, 20, 21, B23) where the correct payor info hasn't been loaded for primary billing.

Rev Code 360 without 370
v6 Enabled

Rev Code 360 without 370

Surfaces OR charges billed without anesthesia. A common documentation gap that costs reimbursement.

HCD Waste Billing
v1 Enabled

HCD Waste Billing

Reviews -JW modifiers billed without NDC and primary utilization, plus failures to bill -JW on rev code 636 where waste billing is reimbursable.

Stop reacting. Start seeing.

Your clients trust you to protect their revenue. Iolite gives you the intelligence to do it faster, more accurately, and across your entire portfolio.