About.
OptimIQ runs the eligibility, prior auth, coding, denials, and care-gap work for practices, provider groups, and ACOs. People do the work. Software keeps it moving. One accountable team for the whole revenue cycle.
What we believe
Better outcomes start with better operations.
Most of healthcare's revenue and quality problems are not clinical. They are operational. Eligibility checks that did not happen. Auths that timed out. Codes that were not documented. Care gaps that were never flagged.
We exist to make those problems disappear, quietly, in the background, every day. We bring the operators who run the work and the platform that keeps it moving, one accountable team for what your billing, coding, AR, and quality programs actually need to ship.
How we operate
Four commitments that shape every engagement.
These are not aspirational. They are how we decide what to build, who to hire, and which engagements to walk away from.
The team behind it
Run by people who do this work.
Specialty coders, denial analysts, AR ops leads, and engineers operating as one team alongside your front office. Software handles the predictable. People handle the rest.
- Specialty-trained operators on every account
- Healthcare-native engineering and product team
- 460+ in-house operators across coding, denials, A/R, and clinical review
- 15 specialties with their own rule packs and audit standards
- Outcome-tied contracts on every engagement
- US-based clinical leadership across coding and quality
One accountable team
Healthcare-native by design
Operators and platform together
Outcomes on the same dashboard
From the ops floor
"We were paying four vendors to give us four different versions of the truth. OptimIQ replaced all of them and now everyone reads from the same dashboard, including the board."
Hadiya Marwah
CFO · Multi-specialty group · Texas
From the front office
"Six months in, our denial rate dropped from 14% to under 5%, AR days fell by twelve, and our front office stopped quitting. The most surprising thing? They show us why each number moved every week, in plain English."
Renee Coleman
Practice Administrator · Cardiology · Florida
Where we're going
Toward an operations layer that disappears.
The end state is not a bigger dashboard. It is fewer queues, fewer handoffs, and fewer people asking why a claim sat. We are building an operations layer that runs in the background, surfaces only what needs a decision, and gets quieter as it gets better.