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Brellium Raises $23M and Launches CortexLM with a Financial Guarantee Against Payer Clawbacks

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Brellium Raises $23M and Launches CortexLM with a Financial Guarantee Against Payer Clawbacks

CortexLM transitions clinical chart auditing from retrospective damage control to proactive, pre-submission revenue integrity. Rather than relying on random statistical spot-checks, CortexLM reads and analyzes 100% of individual patient notes across a practice. The model evaluates chart documentation against specialty-specific clinical practice parameters, individual commercial payer medical policies, CMS billing regulations, and quality reporting criteria.

By operating prior to billing, the system identifies diagnostic inconsistencies, missing documentation components, coding gaps, and non-compliant phrasing before claims are submitted to clearinghouses or payers. CortexLM then proposes specific clinical documentation fixes to treating providers while encounters are fresh. In addition to mitigating clawback exposure, the system audits for legitimate clinical complexity and documentation integrity, uncovering billable services and comorbidities that providers delivered but omitted from final claim drops.

Brellium has achieved national enterprise penetration across multi-specialty medical groups, home health systems, and high-volume behavioral health networks. The platform is currently trusted by more than 215,000 clinicians across 200 provider groups operating in all 50 U.S. states. To date, Brellium has processed and audited more than 22 million patient visits, protecting nearly $2 billion in provider revenue from post-payment recoupments, payer clawbacks, and audit penalties.

Enterprise customers include national home health and post-acute providers Gentiva and Maxim Healthcare, as well as scaled behavioral health networks Headspace and Rula. At Headspace, adopting Brellium enabled the organization to scale its clinical quality assurance coverage from auditing two percent of therapy notes to 100%, driving provider compliance with clinical documentation standards to 99.2%.


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