CompliantRx
Effortless Compliance
MAXIMUM EFFICIENCY
CompliantRx offers AI-Powered Compliance Solutions for DME Providers to automate documentation reviews, ensure payer compliance, and minimize audit risks so your team can focus on what matters most.
More orders. Same
team. Less stress.
CompliantRx® turns a messy DME fax packet into a complete, ready-to-
ship order — and pinpoints exactly what's missing to get it there. Grow
your business without growing your team.
The Platform
One intake engine, built for the
way DME actually works.
From raw fax to clean, ready-to-ship order — with your team in the loop where it
matters.
Fax Wrangling
AI reads every incoming page and groups them by patient and order automatically. Rx Monday, F2F Wednesday — they arrive linked.
Packet Completeness
Every payer, every product, every rule — checked automatically. Missing items pinpointed with the exact page and paragraph.
Addendum Intelligence®
Missing docs get chased automatically. Cover sheet drafted, faxed, resent on day 3/5/7, re-analyzed the moment they return.
Order Delivery
Clean orders written straight into Brightree. No retyping. Ready to ship.
The Workflow
From first fax to
ready to ship.
One continuous pipeline replaces days of manual
sorting, keying, and chasing.
Fax received
As soon as a fax arrives, pages are read and sorted by document type so nothing gets lost in the stack.
Patient matched
We line the order up with the right patient and payer in your CRM, so your team isn't retyping the same details.
Packet assembled
Every product has its own paperwork — a CPAP needs an Rx, progress notes, and a sleep study; a walker needs something different. We pull the right documents together for the product being ordered.
Rules checked
Your custom payer and product requirements are reviewed against the record, with citations back to the page they came from.
Gaps chased
When something's missing, Addendum Intelligence® follows up with the provider and keeps nudging until it comes back.
Order completed
Once the record looks clean, the order is written into your billing system and handed off to your team.
Integration
Improve operational
efficiency.
Our Brightree and NikoHealth integrations mean manual entry
disappears and processing moves faster — clean orders land in the
systems your team already uses.
Checklist Builder
Your checklists.
Your rules.
Compliance criteria built around your
products, your payers, and your contracts.
Not a vendor default, not a hard-coded
template. What your team checks on
every order is specific to what you bill and
who you bill it to.
Ask Noel®
Your
compliance
co-pilot.
Ask Noel® anything about the medical
record or coverage criteria — a CPAP
sleep study, a wheelchair face-to-face, the
exact LCD language for a given payer —
and he answers in seconds with the page
and paragraph to prove it. He's read every
note in the chart so your team doesn't
have to.
Scale your business.
Not your stress.
Most denials aren't clinical errors. They're documentation gaps created at
intake and discovered when the payer responds. By then it costs more to
fix than it would have to catch.
More
Records reviewed, first-pass
approvals, and orders out the
door
Same
Process, no matter who's on
your team
Less
Rework, write-offs, and
guesswork on every order
Getting Started
You don't have to change
everything to get started.
Two ways in. Start with the part that matters most — grow into the rest.
Review-First
Keep your workflow. Add CompliantRx® at the review stage.
- Your team builds orders in Brightree or NikoHealth the way they do today.
- We validate every order against your rules with evidence citations.
- Addendum Intelligence® drafts follow-ups. Your team reviews and sends.
Full Pipeline
From first fax to ready-to-ship — end to end.
- Faxes sorted and matched to the right patient and order automatically.
- Documentation compiled against coverage criteria. Every gap flagged.
- Your team reviews and approves.
FAQ
Everything you need to know before the
call
Most operators assume it's a billing problem. It isn't. Over 80% of DMEPOS denials trace to documentation failures, not clinical errors. The gap gets created at intake and doesn't show up until the denial lands weeks later.
Most EHR document import tools bring the file in — they don't tell you if it's right. CompliantRx® validates every order against your payer's current coverage criteria, corrects the gaps, and writes the compliant record back in automatically. Importing a document and approving a compliant order are two different things.
Yes. Checklist Builder lets your admin create, organize, and publish coverage-criteria checklists specific to your products and payers. Changes save as a draft before they go live, and your team works from whatever you've published. When your payer mix changes, so do the checklists.
Two weeks for most customers. We connect directly to Brightree or NikoHealth — no new system of record, no retraining, no workflow change. Your team keeps working the way they work.
Nothing. That's the point. Payer rules, LCD criteria, and checklist logic are codified in the system — not in someone's head. New staff work the same process from day one.
Medicare publishes 540+ policy updates per year. Your rules engine updates as they're published. Every order gets validated against today's criteria — not what your last specialist memorized.
From first fax to ready to ship.
30 minutes. We'll walk through your intake workflow and show you exactly where the hours come back.