🚀 Built for TMS & Spravato Clinics

Stop losing $100K+ to PA denials and manual billing

RCM Fox automates your entire prior authorization workflow — screening, payer calls, form submission, coding, claims, and REMS compliance. No human operator needed.

Book a Demo → See How It Works
5,300+
Spravato REMS Sites in US
1,600+
TMS Clinics in US
$7-14K
Revenue Per Patient Course

The problem every TMS & Spravato clinic faces

Your revenue specialists spend hours on phone calls and paperwork instead of getting patients into treatment.

30-60 min

Per VOB Phone Call

Every new Spravato patient requires calling the payer to determine medical vs. pharmacy benefit. "I was on the phone for an hour just trying to get to the correct department."

20-45 min

Per PA Form

Each payer has different forms, different portals, different criteria. Aetna uses fax. Cigna uses their portal. Florida Blue uses Lucet. CoverMyMeds for Spravato. Every one is different.

$100K+

Lost to Mistakes

One clinic lost $100K in a few months from a single hire who kept missing prior authorizations. Wrong codes, missed deadlines, incomplete documentation.

6 months

To Train New Staff

Payer rules change every 6-12 months without notice. "Training is trial and error; you learn from denials." Your best person's knowledge walks out the door when they leave.

How RCM Fox works

Patient arrives → system handles everything → clinic gets paid. You just monitor the dashboard.

Auto-Screen

Checks patient eligibility against every payer's exact criteria — diagnosis codes, PHQ-9 thresholds, medication failure history, contraindications. Instant results.

Deterministic Rule Engine

Auto-Verify Benefits

AI voice agent calls the payer, navigates the IVR, waits on hold, and asks: "Is Spravato covered under medical or pharmacy benefit?" Returns structured results in minutes.

AI Voice Agent (Vapi)

Auto-Submit PA

Fills the correct PA form with all clinical data, routes to the right channel — Lucet portal, CoverMyMeds, fax, or FHIR API — and submits. No human touches the form.

Browser Automation + Fax + FHIR

Auto-Track & Bill

Monitors PA status, processes decisions, codes each treatment session with the right CPT codes per payer, generates claims, and auto-refiles denials.

Autonomous Orchestrator

Everything your revenue specialist does, automated

Built from real clinic SOPs. Every feature solves a problem we heard in the field.

🔍

Payer-Specific Screening

Knows that Florida Blue needs 4 med failures (not 2), PHQ-9 ≥ 20 (not 18), and uses Lucet for behavioral health. Every payer's exact rules, always current.

📞

AI Payer Phone Calls

Makes VOB and PA status calls to UHC, Aetna, Cigna, and more. Handles IVR navigation, hold times, and transfers. Extracts structured data from every call.

📋

Multi-Channel PA Submission

Auto-fills and submits through CoverMyMeds, Lucet, Cigna portal, UHC portal, fax, or the new FHIR PA API. One system, every channel.

💰

Auto-Coding & Claims

Knows that Florida Blue switched to G-codes for Spravato. TMS mapping is 90867, sessions are 90868. Generates correct claims with auth numbers attached.

🛡️

Denial Auto-Refile

CARC 197 (no auth on file)? Auto-refiles with the authorization number. Detects patterns — "UHC denied 3 claims this month for the same reason."

💊

REMS Compliance

Auto-enrolls Spravato patients in the Janssen REMS portal. Submits monitoring forms within 7 days of each session. Alerts when deadlines approach.

📊

Revenue Dashboard

See every patient's pipeline stage, revenue at stake, PA status, and claim outcomes. Know exactly which patients are stuck and why.

🔄

Policy Intelligence

Scrapes payer policy documents weekly, detects when criteria change, and auto-updates screening rules. No more surprise denials from policy changes.

Pricing that pays for itself

One recovered TMS course ($7K) or Spravato course ($14K) pays for months of RCM Fox.

Starter
$499/mo
For single-location clinics
  • Up to 50 patients/month
  • Screening + PA automation
  • Auto-coding + claims
  • Denial management
  • Revenue dashboard
  • Email support
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🔥 Limited: 2 Design Partner Spots

Be one of our first two design partners

We're selecting 2 TMS or Spravato clinics to co-develop RCM Fox with. You get hands-on support, direct access to the founding team, and a permanent discount.

Apply for Design Partner →
Free for design partners during co-development. Discounted rate locked in permanently after.