[cainex solutions]

AI for complex coding

We’re building the intelligent infrastructure for clinical operations—starting with medical coding, where complexity, policy, and precision collide.

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Speak with our CEO, TONy mira

built and Backed by world class experts

[what we do]

Autonomous agents.
Clinical intelligence.

Increase clean claims, reduce denials, and cut A/R with Cainex’s high‑accuracy AI coding.

Cainex’s AI coders deliver policy-aligned precision and surface missing documentation to improve claim completeness — increasing the percentage of clean claims, reducing denials, and accelerating Accounts Receivable.

Code with policy-aligned precision

We adapt to your internal rules and payer-specific logic, ensuring each case is audit-ready.

Improve coder oversight with structured, auditable AI output

Every decision is explainable, traceable, and built to support clinical and RCM teams, not override them.

Partner with Cainex to build the future of clinical operations — smarter, faster, and more human.

Customized

Work directly with world-class technologists and healthcare builders to shape AI-native workflows tailored to your needs.

Efficient

From clinical documentation to coding and audits, Cainex intelligently streamlines the tasks that cost your teams the most time and accuracy.

Real-world Outcomes

Our platform is built to deliver operational lift from day one—freeing time, improving margins, and reducing audit exposure.

Early Access

Be among the first to pilot the next operating system for hospitals—designed for scalability, security, and measurable ROI.

[Our Services]

Accuracy. Transparency. Speed.

Cainex connects directly to your EHR and supporting systems to extract structured and unstructured data from notes, labs, orders, and documentation—giving the agent full clinical context.

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Our AI identifies missing, inconsistent, or incomplete documentation that could lead to denials or audits, and prompts teams with targeted suggestions before claims are submitted.

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Cainex assigns ICD, CPT, and ASA codes with expert-level precision by applying payer-specific rules, clinical guidelines, and your organization’s internal policies. The agent continuously checks for updates to official code sets and ensures that every submission reflects the latest regulatory standards.

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Every decision made by the agent is logged with transparent reasoning, giving your team full visibility and auditability into how codes and suggestions were generated.

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[Help & Support]

Frequently Asked Questions

If you don’t see your question here, we’re always available to help. Get in touch to discuss your needs, explore opportunities, or clarify how we work.

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What does Cainex do, exactly?

Cainex builds expert-level AI agents that streamline clinical documentation, coding, and compliance workflows—starting with medical coding. Our agents identify missing or inconsistent documentation, assign precise CPT, ASA, and ICD-10 codes, and generate audit-ready outputs with full transparency. Every decision is backed by clinical context, coding policy, and a clear rationale.

‍Coders stay in control—Cainex simply does the heavy lifting.

How is Cainex different from other coding automation tools?

Unlike rules engines or generic LLMs, Cainex uses agentic AI that adapts to your workflows, understands clinical context, and explains every decision it makes.

We’ve trained our models on over 30,000 real-world medical records from across the U.S., incorporating feedback from expert coders to ensure accuracy, nuance, and policy alignment.

Every code suggestion is grounded in clinical documentation, payer rules, and your organization’s internal policies—with full traceability and no black boxes.

What kinds of documentation does Cainex use?

Our agents ingest structured and unstructured data from EHRs, including operative notes, anesthesia records, and more. This gives the agent full clinical context when generating code suggestions or surfacing gaps.

Is Cainex customizable to our workflows?

Yes. We work with your technical and coding teams to integrate seamlessly into your systems. Whether you’re piloting in one department or scaling across a network, we provide tailored deployment options and integration strategies.

How do we get started?

We start with a brief discovery session to understand your technical stack, workflows, and documentation practices. From there, we can launch a trial phase to fine-tune our model to your organization’s specific needs—ensuring alignment with your policies, coding nuances, and edge cases.

Once the agent is calibrated, we’ll build a custom rollout plan—whether you’re starting with a focused 3-month pilot or planning for system-wide integration.