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HIPAA-Compliant · Proprietary System · Secure Cloud Infrastructure

Your revenue is waiting.
Your team is buried
trying to retrieve it.

Apex System Solutions operates a proprietary, cloud-based automation system for healthcare operators — recovering denied revenue, eliminating prior authorization bottlenecks, and giving your team their time back.

Book a Discovery Call → See What Changes ↓
<4 min
Prior auth submitted from patient scheduling
100%
Of appealable denied claims pursued
~60%
Appeal success rate on recovered claims
60 days
From agreement to fully operational
Prior Authorization
Eligibility Verification
Denial Management
Revenue Recovery
Payer Follow-Up
Clinical Appeals
EHR Integration
HIPAA-Compliant Infrastructure
EMS & Ambulance
Specialty Practice
Home Health & Dialysis
Secure Cloud Operations
Prior Authorization
Eligibility Verification
Denial Management
Revenue Recovery
Payer Follow-Up
Clinical Appeals
EHR Integration
HIPAA-Compliant Infrastructure
The Real Cost

The problem isn’t your team. It’s the process.

Prior authorization is one of the most resource-intensive administrative functions in healthcare — and most organizations are managing it entirely by hand.

The average prior authorization takes 2 to 4 hours of coordinator time per request. The average healthcare operation runs an 8% denial rate. And the majority of those denied claims are never appealed — not because the denials are valid, but because there is no bandwidth left to fight them.

That is not a staffing problem you can hire your way out of. Every additional coordinator adds cost and still cannot guarantee every denial gets pursued. The process itself needs to change.

That is exactly what we built Apex to do.

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Hours lost on hold
Your coordinators are spending significant portions of their day navigating payer hold systems — time that cannot be spent on patient care or anything that moves your operation forward.
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Revenue quietly written off
Most denied claims are never appealed. Not because they should not be — but because there is no time. That revenue silently disappears from your books every month.
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Delays that affect patient care
When authorization slows down, everything slows down. Procedures get postponed. Patients get frustrated. Your team bears the weight of a system not built for efficiency.
What Changes

The outcomes your operation deserves.

We do not sell software. We deliver outcomes. Here is what healthcare operators experience after working with Apex.

01
Authorizations submitted before your team finishes their morning coffee.

From the moment a patient is scheduled, the authorization request is built, verified, and transmitted to the payer — completely without staff involvement. What used to take hours now takes minutes.

<4 min
from scheduling to submission
02
No more hold music. No more missed follow-ups.

Every pending authorization is followed up on a structured schedule. Payers are contacted, status is logged, and nothing falls through the cracks because no one had time to make the call.

Zero
staff time spent on hold with payers
03
Every denial pursued. Revenue recovered that you would have written off.

The most significant financial impact of working with Apex is not what we speed up — it is what we recover. Denied claims that would have been written off are identified, analyzed, and formally appealed. Most practices appeal fewer than 20% of their denials. We pursue every single one — and win approximately 60% of those appeals. That is revenue your team earned but would never have seen without us.

100%
of appealable denials pursued · ~60% win rate
04
Your team focused on patients. Not paperwork.

When the administrative burden of prior authorization is removed from your coordinators’ plates, they return to the work they were hired to do. Patient experience improves. Staff morale improves. And your operation runs leaner.

05
Full visibility, every Monday morning.

A structured weekly performance report lands in your inbox every Monday — authorization volume, approval rate, denial rate, appeals filed, and dollars recovered. No manual reporting. No guesswork. Just the numbers.

Revenue At Risk
What does your denial rate actually cost you?

Most healthcare operators have no idea how much revenue is silently leaving their books every month in unappealed denials. Here is a straightforward example based on a typical mid-size operation. The numbers are real — only the names are hypothetical.

Monthly Auth Volume
400 authorizations / month
Average Claim Value
$600 per authorization
Industry Denial Rate
8% of submitted auths denied
Denials Per Month
32 denied claims
▲ Without Apex — Status Quo
Claims denied per month32 claims
Total value at risk$19,200
% of denials appealed (industry avg)~12%
Appeals filed~4 appeals
Won at ~60% success rate~2 claims
Revenue actually recovered~$1,382 / month
Revenue written off — permanently~$17,818 / month
✓ With Apex — Full Recovery Mode
Claims denied per month32 claims
Total value at risk$19,200
% of denials appealed100%
Appeals filed32 appeals
Won at ~60% success rate~19 claims
Revenue recovered~$11,520 / month
Additional revenue vs. status quo+$10,138 / month
Additional Annual Revenue Recovered
+$121,656 / year
From claims your team would have written off entirely — before the service fee.
See Your Numbers →

* Example based on 400 authorizations per month at $600 average claim value and an 8% denial rate, consistent with published healthcare industry benchmarks. Individual results vary based on payer mix, claim types, and documentation quality. Recovery fee applies to won appeals only.

Who We Serve

Built for healthcare operators who run on tight margins and tighter timelines.

We work exclusively with healthcare organizations that submit prior authorizations to insurance payers. If that is your operation, we want to talk.

EMS & Ambulance

High-volume, time-sensitive authorizations across multiple payers and transport categories. We remove the administrative weight so your team focuses on transport operations, not paperwork.

Medical Practices & Specialty Clinics

From primary care to cardiology, orthopedics, oncology, and interventional pain — we streamline the authorization workflow so your clinical team can see patients, not wait on payers.

Dialysis Centers

Recurring authorizations, complex payer requirements, and high denial rates make dialysis one of the most authorization-intensive segments. We handle it end to end.

Home Health Agencies

Episode-based care requires timely authorizations across multiple disciplines. We ensure nothing delays the start of care for your patients or the start of revenue for your agency.

Security & Compliance

Proprietary. Secure. Built for healthcare.

✚
HIPAA
Certified
Business Associate

Our system is proprietary, fully managed, and operated on secure, HIPAA-eligible cloud infrastructure. Every client engagement is governed by a signed Business Associate Agreement before any patient data is shared. Your patients’ protected health information is encrypted at every stage — in transit and at rest — and never leaves a HIPAA-covered environment. We do not use general-purpose consumer tools to handle clinical data. We built this for healthcare, and the architecture reflects that.

HIPAA-Eligible InfrastructureAll patient data housed in certified cloud environments designed for healthcare compliance.
End-to-End EncryptionProtected health information encrypted in transit and at rest at every stage of processing.
BAA with Every EngagementA Business Associate Agreement is executed before any data is shared — at no additional cost.
Proprietary SystemA purpose-built, fully managed platform — not a patchwork of off-the-shelf software.
Full Audit LoggingComplete audit trail of all system activity, maintained for the full period required by HIPAA.
HIPAA Certified OperationsFounder-held HIPAA Business Associate certification. Compliance is foundational, not an add-on.
About Apex

Built by an operator, for operators

We built Apex because the problem was obvious and no one had actually solved it.

Prior authorization has been the most resource-intensive administrative task in healthcare for decades. And the standard solution has always been the same: hire more coordinators. Add more staff to a broken process and hope the volume gets managed.

We took a different approach. We built a proprietary system that handles the process entirely — operating securely on dedicated cloud infrastructure. Your team interacts with the outcomes: approved authorizations, recovered revenue, and a weekly report that tells them exactly where everything stands.

We serve healthcare operators across Florida and nationally. If prior authorization is a drag on your operation, we want to show you what changes when it is not.

Nethaneel W. Brown
Founder & CEO, Apex System Solutions LLC · Miami, FL
“Healthcare operators are phenomenal at delivering care. We are phenomenal at removing the administrative friction that gets in their way. That is a clean partnership.”
Does this replace our billing company?
No. We handle prior authorization only — from eligibility verification through denial and appeal resolution. Once an authorization is approved, your existing billing team submits the claim exactly as they always have. We get you the authorization. They get you paid.
How long does implementation take?
Most clients are fully operational within 60 days of signing. The timeline varies based on your payer mix and whether EHR integration is involved. We walk through this on the discovery call.
What does it cost?
Pricing is structured around your operation size and volume. There is a one-time implementation fee and a monthly service fee. For recovered denied claims, we invoice a percentage of what we recover — meaning you pay from revenue you would not otherwise have seen. Book a call and we will walk through the numbers for your specific situation.
Is our patient data safe?
Yes. All protected health information is handled on HIPAA-eligible, encrypted cloud infrastructure. A Business Associate Agreement is signed with every client before any data is shared. Compliance is not optional — it is the foundation of how this system was built.
Can we see a demo?
Yes. Book a discovery call and we will walk through how the system performs for your specific operation type and volume. We do not do generic demos — we show you exactly what changes for your practice.
Get in Touch

Find out what your operation is leaving on the table.

The discovery call is 30 minutes. We ask about your operation, your volume, and where the friction is. You will leave the call knowing exactly what changes and what it means for your bottom line. No obligation.

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Is prior auth slowing your operation down? Let’s talk.
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Apex System Solutions · HIPAA Compliant