SECTOR 01 · REVENUE CYCLE, DRG & AUTONOMOUS CODING
SmarterDx, Fathom Health & Nym Health
Published Positioning & Pricing
SmarterDx markets "Pre-Bill Clinical AI recovering unbilled CC/MCC diagnoses." Fathom and Nym market autonomous coding per encounter.Pricing Benchmark: $8.00–$18.00 per inpatient chart or 15%–25% contingency ($350k–$900k+/yr).
Architectural Gaps & Blind Spots
100% cloud-hosted with complete PHI egress. Metered chart pricing punishes inpatient volume growth. Zero capability in HL7v2 MLLP interfaces, bed turnover, or clinical pharmacy.
OpsRelay™ Architectural Advantage
Flat $125,000/yr base license ($0.00 per-chart fee), 100% on-premise execution, combining pre-bill MS-DRG recovery with an Institutional 837I NCCI clearinghouse scrubber.