Patient access
From referral
to remittance.
Follow one imaging order through CIVIE, from intake and scheduling to the exam, the report and the claim, on a single record. A standalone RIS hands that workflow off three times.
Tech worklist · MRI · Thu, Oct 15
4 openIllustrative
Ana Ruiz · MR knee right w/o
Paid in full- Contracted rate · UHC PPO
- $459.77
- Estimate at booking
- $110.79
- Patient paid at check-in
- $110.79
- UnitedHealthcare paid · ERA posted
- $348.98
- Balance
- $0.00
- Charge captured from the exam · 73721
- Claim scrubbed and submitted
- Remittance posted itself · no variance
The challenge
Every handoff
leaks something.
Re-keyed at every system. The order is typed into the RIS, demographics are re-sent to the PACS and charges are re-entered in billing. Each copy can drift.
Estimates that don't match the bill. The front desk quotes from one fee schedule and billing works from another, so patients get surprised and staff get the calls.
Problems found at the end. A missing authorization or a mismatched code shows up as a denial weeks after the patient has gone home.
One order, one record
Watch an order
become a payment.
One patient, one MRI, one record. Each step starts with everything the last one learned. (Illustrative patient, physician and amounts.)
Incoming fax · 2 pages
Matched- Patient
- Ana Ruiz · DOB 07/22/1979
- Exam
- MR knee right w/o contrast · 73721
- Ordering
- Dr. William Smith · Rockwall Family Medicine
- Insurance
- UnitedHealthcare PPO · member ID read
- Order reason
- M25.561 Pain in right knee
Matched to Ana's chart, Dr. Smith and the payer. Prior auth is requested from UHC and a booking text goes out now.
Dr. Smith faxes an order for Ana Ruiz's right-knee MRI. CIVIE AI matches Ana, Dr. Smith, the exam and her payer, requests prior authorization from UnitedHealthcare and sends the booking text.
What one record changes
Small joins.
Big differences.
One fee schedule, front to back
Estimates at booking use the contracted rates billing uses, so what patients pay up front matches the bill.
Learn moreAuthorization before the slot
Auth is requested when the order arrives and checked again before the claim goes out.
Learn moreSupplies become charges
Contrast and supplies logged by the technologist flow straight to charge capture, so nothing billable is missed.
Learn moreCoded from the signed report
AI-assisted coding reads the final report in ASR, with no batch file and no second copy.
Learn moreFollow-ups become orders
Recommendations in the report become orders for the physician to acknowledge, and outreach starts the loop again.
Learn moreDenials traced to their cause
Every claim links back to the order, so a denial points at the step that caused it, and the fix goes there.
Learn more
One ecosystem
The whole path,
one vendor.
Where a standalone RIS hands the order to a separate PACS, a dictation system and an outside billing company, CIVIE keeps it on one record.
On one CIVIE platform
- Radiology Information SystemOrders, scheduling, check-in, worklists and report distribution
- PACS and viewerCloud image management, priors and a universal worklist
- Reporting and dictationRadiology speech recognition, templates and AI-drafted impressions
- Billing and revenue cycleCharges, coding, claims, denials, posting and patient balances
- Phones, reminders and outreachAI voice agents, two-way texting and campaigns
- Fax server and intake toolsAI reads faxed orders, cards and documents
- Patient payment portalEstimates, payment plans and bills patients understand
Connects to what you keep
- Your EHROrders in and results out over HL7 and FHIR. The EHR stays the system of record.
- Clearinghouses and payersEDI eligibility, claims, remittances and claim status.
- Referring officesPhysician portal, fax, email or text, whichever they prefer.
At scale
Orders in.
Payments out.
- 40M+orders processed
- $1Bin payments processed
Platform figures across CIVIE customers.
Solutions involved
What it runs on.
FAQ
Questions,
answered.
No. The more of the path runs on CIVIE, the fewer handoffs there are, but each solution works with the systems you keep. RIS with RCM is the most common starting pair, because it joins the front desk to the claim.
Next steps
Bring one order.
Watch it get paid.
Walk one of your own orders through CIVIE, from fax to remittance.