Take the pain out of the revenue cycle.
We're Trizub AI. We help organizations put AI to work, and revenue cycle is our specialty.
The life of a claim
Watch a claim move from front desk to paid.
Trizub checks every step as it happens, so problems get caught before they turn into denials.
Select a stage to see the problem Trizub catches there.
Three ways to work
Whether it's in your system, along with your system, or in ours, we help you bill cleanly and correctly.
In your system
Trizub works behind the scenes in your EHR. It checks registration, eligibility, and authorization messages as they flow, and every fix is proven by the next message.
Along with your system
A sidekick panel next to your EHR for patient access QA, claim corrections, and denials and appeals. Your EHR stays the system of record.
In ours
The full Trizub RCM platform: eligibility, prior authorization, claims, payments, denials, appeals, and reporting in one place.
Behind all three, multiple rule engines cover each stage of the revenue cycle and are orchestrated to work as one, so you can start where you are.
- 6k+payer connections
- 15+years of experience
Rules and logic / Cross-validation
Triangulation Vectors
A rule in isolation is not enough. We call the linked relationships between payer requirements, revenue cycle rules, and claim context Triangulation Vectors.
Across 6,000+ payer connections, plan mapping and payer-specific requirements create thousands of variables. The distinction is not a raw rule count. It is how those requirements connect and are cross-checked against each claim.
01 / Payer + plan
Resolve the requirements
Identify the payer and plan mapping that determine which requirements apply.
02 / Applicable logic
Connect the rules
Link those requirements to the rules for the current revenue cycle stage.
03 / Claim context
Cross-check the relationships
Compare the linked requirements against patient, coverage, service, and claim data to surface mismatches.
Payer requirements × applicable rules × claim context
Patient Access
Example cross-checks
- Fixed in the EHR means cleared here
- Re-check on a schedule before service
- Partial HL7 updates never erase insurance
- Medicare listed primary despite MSP answers
Eligibility
Example cross-checks
- Never infer coverage for variable procedures
- Avoid duplicate active verifications
- Try EDI before a payer portal
- Coverage not effective on the service date
Authorization
Example cross-checks
- A failed lookup is never "no authorization"
- Require complete patient, provider and coverage data
- Scheduled CPT not on the authorization
- Certified dates exclude service date
Claims
Example cross-checks
- Leave status alone for unknown categories
- Never invent clinical or charge corrections
- Apply global and practice-specific scrub rules
- Corrected claims need fresh review and are not auto-sent
Connectivity
Example cross-checks
- Never store EDI payloads unencrypted
- Keep every call inside the caller's organization
- Route each payer to its API adapter
- Honor each sender's HL7 delimiters
Appeals
Example cross-checks
- Human review required before sending
- Never send past the deadline
- Set an appeal deadline from payer rules
- Use level-specific appeal windows
A/R
Example cross-checks
- Route wrong-payer denials to rebill
- Never double-count a replayed denial
- Classify from the CARC reference before any AI
- Work the largest balances first
Payments
Example cross-checks
- Never duplicate denials from a replayed 835
- Keep claim and line adjustments separate
- Read both JSON and X12 835 remittances
- Flag big billed-vs-allowed gaps
Insights
Example cross-checks
- Alert when denials exceed 10%
- Alert when collections fall below 95%
- Base live KPIs on recent organization data
- EDI acceptance and rejection rates
Payer-specific requirements
Across 6,000+ payer connections
Plan mapping and payer-specific requirements add thousands of variables across the revenue cycle. Triangulation Vectors connect those requirements to the applicable agent logic and claim context.
More detail on the rules and payer-specific cross-checks is available on request.
Cross-checked from every angle
Every claim, triangulated before it leaves.
Trizub checks each claim against the registration, the eligibility response, the authorization, the order, the coding, and the payer's own rules. When they all agree, the claim locks.
Where it hurts
Less chasing. Fewer surprises. Cleaner claims.
Front end
Pain: Denials that start at the front desk: a missed plan, a missing authorization, a blank field.
Relief: Registration, eligibility, coordination of benefits, and authorizations are checked the moment the message arrives, and every fix is proven by the next message.
Mid-cycle
Pain: Claims that say something different from the care.
Relief: Every claim is scrubbed against the order and the authorization before it goes out, and corrections go straight to coding.
Back end
Pain: Hours lost matching payments, chasing denials, and writing appeals.
Relief: Remits are matched to deposits, shortfalls are flagged against your contracts, and appeals are drafted with the records attached. Staff review before anything goes out.
Leadership
Pain: Five reports to answer one question.
Relief: Days in A/R, clean claim rate, denial rate, net collection rate, and cash on one screen, with the work behind each panel one click away.
About
Built for the people who own the revenue cycle.
More than 15 years of healthcare, technology, and compliance expertise
Revenue cycle directors, CFOs, practice administrators, and billing leads. The people who get the call when cash is late.
Most of them have already bought software that was supposed to fix it and instead added another login and another work queue. Trizub works where your team already works, catches problems at the source, and proves each fix.
Our team brings more than 15 years of expertise across healthcare, technology, growth, education, and compliance. Revenue cycle is our specialty, and our background is in healthcare and other regulated industries. Explore our RCM capabilities.
Built on the rails healthcare runs on
We move healthcare data through EDI and HL7 so eligibility, claims, payments, and clinical messages flow without rekeying. Reach 6,000+ payer connections across medical, dental, and vision through multiple clearinghouse networks, alongside the clearinghouse you already use.
EDI transactions we automate
270/271
Eligibility and benefits
Coverage, benefits, and coordination of benefits checked before the visit, single or in batches.
837P / 837I / 837D
Claims
Professional, institutional, and dental claims scrubbed and submitted, with 277CA acknowledgments tracked.
276/277
Claim status
Automated follow up that catches pended and stalled claims without anyone logging in to a portal.
835
Remittance
Payment posting, underpayment review, and denial code trending straight from the remit.
EFT
Electronic funds transfer
Payments matched to remits so cash reconciliation stops being a spreadsheet job.
275
Claim attachments
Medical records and documentation sent electronically, with portal automation where a payer has no EDI option.
HL7 and clinical data
- ADT: registrations, admits, and demographic updates
- ORM / ORU: orders and results
- SIU: scheduling
- DFT: charges into billing
- FHIR APIs and EHR practice management connections
- Interface engine connections such as Mirth
How a payer gets connected
Send your payer list
Payer names and IDs from your billing system.
We map every payer
Which transactions are available, on which network, and what needs enrollment.
We handle the setup
Enrollment forms, portal access, and go-live, payer by payer.
The Trizub RCM platform
Trizub RCM catches problems at the source, before they turn into denials, rework, and weeks of chasing. It's hosted in a HIPAA-compliant environment with a BAA in place.
Trizub runs multiple rule engines, each built for its stage of the revenue cycle, from patient access and claim scrubbing to denials, payments, and reconciliation. They are orchestrated to work as one, so nothing falls between the stages.
Front end
Patient registration, eligibility, coverage discovery, financial clearance, prior authorizations
Middle
Encounter to claim, charges, coding optimization, claims and EDI batches, EDI analytics
Back end
Payments and cash reconciliation, underpayment detection, contracts, denials, AI appeals, collections, statements, payment plans
Data and integrations
HL7 inbox, interface engine and EHR connections, records retrieval, automation monitoring
Insights
Revenue intelligence, payer and team performance, reporting, compliance
Productivity and performance
Team productivity, worklist progress, revenue cycle KPIs, and performance monitoring
Mobile-friendly for on-the-go RCM monitoring. Keep an eye on team productivity, worklist progress, and revenue cycle performance from your phone.
How an engagement works
How It Works
You know what we found, what it costs you, and what fixing it is worth before you pay for anything.
- 01
30-minute call
You tell us where your revenue cycle hurts. We tell you whether an audit is worth your time.
- 02
Free revenue cycle audit
Under two hours of your team's time, in interviews with the people doing the work. No system access. You get a ranked list of gaps and what each one costs you today.
- 03
Scope and price
Together we choose what to fix first. Scope, outcome, and a fixed price go in writing before work starts.
- 04
Turn it on and measure
We connect Trizub the way that fits you, in your system, along with it, or in ours, and put the numbers in front of you. Then we go after the next gap.
Free audit
Before any commitment.
- Under two hours of your team's time.
- Interviews with the people doing the work. No system access, no logins, nothing to install.
- A ranked list of gaps, what each costs you today, and what fixing it is worth.
- No obligation to continue.
Detailed audit
Part of every fixed-price engagement.
- A full review of the processes and systems in scope.
- Scoped and priced in writing with the rest of the work.
- Nothing here is billed until you have signed the engagement.
Beyond the Revenue Cycle
RCM comes first. The same team also builds custom connections, clinical workflows, and software around your process.
Custom Connections
Connect your EHR, practice management, clearinghouse, CRM, and accounting systems so data moves on its own instead of through exports and email.
Custom Software and AI
When nothing off the shelf fits, we design, build, and run the platform end to end in a HIPAA-compliant environment, with AI reading documents and flagging the decisions that need a person.
Clinical Workflows
Connect patient data, automate operational handoffs, and support clinical processes through EHR integrations, HL7 data flows, and PHI-safe AI pipelines.
Optimize What You Have
Workflows, configuration, and data cleaned up so the tools you already pay for work, with dashboards on top.
Founder
Trizub is led by Alex Svitnev.
Seven years inside a multi-state health system's revenue cycle.
Alex spent seven years at SSM Health as System Revenue Cycle Consultant, inside the operation that collects the money for a multi-state health system.
Before founding Trizub he held roles at Olive AI, ZOLL Data, Sift Healthcare, Janus-AI, and Slalom. His career spans provider-side revenue cycle, clearinghouse and EDI infrastructure, and AI automation.
He founded Trizub AI in St. Louis, and he is on every engagement.
- HIPAA compliant
- BAA in place
- X12 and HL7 native
Why Trizub
The people who scope the work build it and stay on the engagement.
Scope, outcome, and price in writing before work begins. No open-ended hours.
Data controls and agreements are in place before any record moves.
Start with a 30-minute call.
Tell us where your revenue cycle hurts. If there is money to recover, the audit is free.