Auxo Health
The next generation of revenue cycle.
Built for orthopedic clinics · eCW-first

Revenue cycle,
reinvented.

An AI that lives inside your EHR and runs your full revenue cycle.

Join the waitlist See the platform

HIPAA-ready · BAA on signing · Orthopedic-first

eclinicalworks · Encounter · M. Alvarez · 04/24/2026
Encounter
HPI
ROS
Exam
Assessment
Plan
Procedures
Billing
M. Alvarez · 54F · MRN 00482194
Progress note Orders Claims
CC: R knee pain, 3mo, worsening.
HPI: 54F with progressive right knee pain. Failed conservative Rx (NSAIDs, PT ×8wk). MRI: grade 3 chondromalacia patella, small effusion.
A/P:
1. R knee osteoarthritis — IA cortisone today.
2. E/M level 4 with separately identifiable service.
Today's procedures: 9921420610|
GeneralNo fever, chills, weight loss
ENTNegative
CVNo chest pain, palpitations
RespNo SOB, cough
GI / GUNegative
MSK+ R knee pain, swelling
SkinNo rashes, lesions
NeuroNo numbness, tingling
PsychNegative
VitalsBP 128/78 · HR 72 · T 98.4°F · SpO₂ 99%
GeneralNAD, alert and oriented ×3
R knee
InspectionSmall effusion · no erythema
ROM5–110° (limited by pain)
PalpationMedial JLT (+), crepitus on flexion
StabilityACL/PCL/MCL/LCL intact
L kneeNormal · no effusion
NVIntact distally bilateral
M17.11
Primary osteoarthritis, right knee
Primary diagnosis · supports 99214 + 20610
M22.41
Chondromalacia patellae, right
Secondary
E66.9
Obesity, unspecified
Comorbid
1
IA cortisone injection R knee today
Kenalog 80mg + 1% lidocaine
2
Continue NSAIDs
Naproxen 500mg BID with food
3
PT × 12 visits
Quads strengthening · low-impact aerobic
4
Weight loss counseling
Referral to nutritionist
5
RTC 6 weeks
If failed conservative → TKR consult
99214
Office E/M, established · moderate
Modifier 25 · separately identifiable
20610
Arthrocentesis · major joint
R knee · linked to M17.11
J3301
Triamcinolone acetonide, 10mg
8 units · supplied
PatientM. Alvarez · MRN 00482194
DOS04/24/2026
PayerAetna PPO
Charges
99214$185.00
20610$227.00
J3301 × 8$24.00
Total billed$436.00
Auxo: ready to submit · 1 fix queued
M. Alvarez
54F · Aetna PPO
Patient brief
M. Alvarez · 54F
MRN 00482194 · Aetna PPO
EligibilityActive · deductible met
ReferralOn file · exp 08/26
Last visit3 mo · R knee OA
ImagingMRI · grade 3 CMP
"What is the status of my last 5 claims?"
Tap the mic to try
Auxo · live
Y
Tap 🎤 for next

Founding cohort opening

Orthopedic clinics on eClinicalWorks get first access. Join the waitlist →

The platform

Two surfaces. One intelligence.

Real-time work happens in your EHR. Everything after lives in the portal.

Surface 01 · Overlay

Writes claims inside your EHR.

A translucent widget sits above the EHR. It watches, scrubs, and writes fixes back in — with zero workflow drag.

See the overlay →
Surface 02 · Portal

Runs everything after.

Appeals. Filing deadlines. Underpayment recovery. Weekly policy newsletter. Agentic by default.

See the portal →
Shared
One patient session. Overlay and portal share a live, bidirectional session with your EHR.
The problem

RCM is still
humans typing into
the wrong screen.

Orthopedic practices lose revenue at every stage — wrong names, missing referrals, unsubmitted auths, missed modifiers. Auxo runs the full cycle so your team stops chasing denials.

Industry denial rate
14.2%
Avg. rework cost / claim
$43.84
Hours / wk / provider
11 hrs
How it works

Five engines. End to end.

From booking to payment — Auxo covers every stage.

01

Patient Access

Eligibility, referrals, and prior auths — all before the patient walks in.

02

Coder

Reads your notes. Outputs ranked CPT/ICD-10 with sentence-level citations.

03

Pre-Submission overlay

Scrubs every claim against payer rules. Writes fixes back into the EHR.

04

Post-Submission portal

Appeals, filing deadlines, underpayment recovery. Your team just reviews.

05

Policy Intelligence

A weekly newsletter that keeps you ahead of every payer change.

The Overlay

A translucent widget
over your EHR.
That's it.

Your clinicians chart as they always have. Auxo watches, scrubs, and pushes a sleek pop-up when something needs fixing. One click writes it back.

◎
Live per-patient session
In-memory context stays with the encounter.
⇌
Writes back to the EHR
Via API. No copy-paste. No re-keying.
⚡
Zero workflow drag
Asynchronous by design. You won't feel it.
eclinicalworks · encounter ● ready
PatientM. Alvarez
DOS04/23/2026
PayerAetna PPO
CPT99214, 20610|
ICDM17.11
Modifier—
M. Alvarez
54F · Aetna PPO
Pre-submission
Tap mic to run check
Auxo scrubs this encounter against Aetna's rules and surfaces any fixes — in real time.
The Portal

Agentic work that
happens while you sleep.

Not a dashboard — a workforce. Appeals write themselves. Deadlines track themselves. Your team reviews and approves.

◎
Appeal letter generator
Drafted in under 60 seconds, with cited payer policy.
⏱
Timely filing agent
Per-payer deadline clocks. Escalating alerts.
$
Underpayment detection
Every remit checked against your fee schedule.
◇
Policy newsletter
Weekly digest · what changed, what to do.
app.auxohealth.com / portal
Denials & appeals
12 in flight · 7 drafted for review
Agentic · on
A
R. Delacroix · Medicare · $3,890
CO-50 · medical necessity · appeal drafted 2m ago
Review
A
S. Park · Aetna · $248
Underpayment · recoupment letter ready
Ready
T
J. Okafor · BCBS · $1,240
Timely filing · 72% window elapsed
72%
A
M. Alvarez · Aetna · $412
Paid in full · 9 days to pay
Paid
Recovered (30d)
$284,112
Appeals won
94%
Avg. days to pay
11.3
Policy Intelligence

You find out about policy changes before denials roll in.

We scrape CMS, MAC bulletins, and payer portals. Filter to your specialty. Push a weekly digest your billing manager will actually read.

Payer merger watch Deleted CPT codes LCD revisions Form updates Auth rule shifts
Specialty focus

Orthopedic-first.
Expanding fast.

We didn't build Auxo from the outside looking in. We built it from inside the workflow — watching bilateral modifier denials stack up, fighting MRI prior auths, decoding robotic-assist coverage policy by policy. The rule engine is what survived.

The architecture is specialty-agnostic. Spine, sports med, and adjacent specialties next.

Orthopedic Spine Sports med Podiatry PM&R General surgery
400+
Payer rules encoded for orthopedic CPT families
27447
Knee arthroplasty · auto-coded end-to-end
50, 59, LT, RT
Modifier capture built into the overlay
eCW · direct write-back
No copy-paste. No re-keying. API-level integration.
Team

Operators, clinicians,
and applied researchers.

Researchers, builders, and the people who live inside orthopedic billing ops.

Atreya Manaswi
Co-founder · CEO & CMO

Hahn Scholar at Yale (Molecular Biology), one of 10 STEM students selected in his class. Regeneron STS Top 40 Finalist, Rhodes Trust Rise Global Winner, Diana Award recipient, 2x ISEF Grand Award Winner, and Gloria Barron Young Hero. At Yale Orthopaedics, Atreya works under Drs. Jonathan Grauer (Section Chief, Spine; Associate Vice-Chair of Research) and Lee Rubin (Vice Chair of Research) on a PearlDiver-database study of preoperative GLP-1 receptor agonist use and postoperative narcotic utilization following total joint arthroplasty. He has co-authored 10+ peer-reviewed publications across Yale, Stanford, HSS, and the National Center for PTSD, with spine and hip outcomes work pending in Spine Journal. Previously, Atreya led investor strategy, fundraising, and clinical partnerships at REMED Therapeutics, a Yale School of Medicine IND-stage biotech spinoff. At Auxo, he leads product, clinical, and go-to-market.

Learn more →
Shaurya Sharma
Co-founder · CFO & CTO

Yale undergraduate studying Mathematics, Computer Science, and Economics. Capital Formation Partner at Swiss Active Capital, supporting LP origination and platform infrastructure across private credit, real assets, and secondaries mandates in the $50M–$500M range. Concurrently M&A Associate at Lighthouse Capital Group and Research Analyst at Shpira Capital Advisors. At Yale Undergraduate Consulting Group, Shaurya is Project Manager and Associate Head of Client Affairs, having signed two Fortune 500 aviation clients. Previously co-authored a peer-reviewed Stanford publication (Shah Lab) on a subcortical mirroring center critical for social behavior, and built ML pipelines at UC Irvine's Lur Lab. Co-founder and CFO of Axion Records (22 artists, 1M+ streams, Dolby and Sony affiliate partnerships). At Auxo, Shaurya leads engineering, architecture, and financial strategy.

Learn more →
Tracey Ravo, CPC
Clinical Advisor

Certified Professional Coder and revenue cycle leader with over 15 years of hands-on experience across orthopedic billing operations and ambulatory surgical center administration. Currently Office Manager at Manaswi's Orthopedic and Joint Replacement Institute and Business Office Manager at Heart of Florida Surgery Center. Previously Billing Manager at Jewett Orthopaedic Clinic, where she oversaw the full revenue cycle across 52 physicians and physician extenders, 10 sites, and a team of 34 billing specialists. Prior to Jewett, she served as Senior Manager of Accounts Receivable and Insurance Reimbursement at Florida Hospital. Tracey advises on payer-rule accuracy, workflow fit, and the day-to-day realities of clinic-side RCM. Her advisory input shapes what Auxo catches and how the overlay integrates without disrupting real workflows.

Learn more →
Security

Built for PHI from day zero.

Every byte is encrypted in transit and at rest. Row-level access controls. Full audit log. BAA signed before any data flows. SOC 2 Type II audit in progress. PHI is never used to train shared models — full stop.

HIPAA ready
BAA included
AES-256 at rest
SOC 2 in progress
Full audit log
US-based hosting
FAQ

Questions, answered.

How does the overlay work, exactly?
It's a translucent Electron application that sits above your EHR. It uses OCR to read every field on screen and builds a live in-memory session per patient. When our pre-submission engine catches an issue, a sleek right-side pop-up summarizes the fix. One click writes the correction back into eCW via API — no tab switching, no re-keying.
Does the overlay slow down clinicians?
No. It runs asynchronously — <60ms per keystroke, off the main thread. The pop-up only appears when there's something to fix, and only on the right side of the screen. Your clinicians chart normally; Auxo works in the background.
What EHRs does Auxo support?
We're piloting on eClinicalWorks. Because the overlay uses OCR + screen-level integration, it works on almost any EHR with a visible UI — we're adding official API integrations for Epic, Athena, NextGen, and Modernizing Medicine next.
Is this only for orthopedic clinics?
Orthopedic-first because we built it inside one. But the engine is specialty-agnostic and we're actively onboarding spine, sports med, podiatry, general surgery, and more. If you're in another specialty, apply to partner — we'll tune the rule engine to your payer mix.
How long does onboarding take?
We target 1–3 business days: EHR authorization, clearinghouse wiring, payer credentialing. A historical audit of your prior-quarter claims follows shortly after.
How is pricing structured?
Two-part. The core platform (Patient Access, Coder, Pre-Submission overlay, Policy Intelligence) is a predictable monthly per-provider subscription. The AR Recovery module (post-submission appeals and underpayment recovery) is priced as a percentage of recovered revenue. If we don't recover anything, you don't pay for that module.
What about PHI and HIPAA?
BAA signed before any data flows. All PHI is encrypted, access-logged, and siloed per clinic. We never use PHI to train shared models. SOC 2 Type II audit in progress.
Will Auxo replace my billing team?
No. Auxo removes the repetitive, error-prone parts — pre-submission scrubbing, appeal drafting, deadline tracking, underpayment detection — so your team focuses on judgment calls and the patient-facing work.
Waitlist

Be first to stop losing revenue.

We onboard clinics in small cohorts. Join the waitlist and we'll reach out within 48 hours with pilot details for your region.

✓Co-designed pilot with the founders
✓Full BAA · white-glove onboarding
✓Historical audit included

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