Medlogix
- Company typePrivate
- Founded1982
- HeadquartersTrenton, United States
- Headcount1–10
- GTM typeB2B
- OfferingServices
Medlogix firmographics
Firmographics- Name
- Medlogix
- Legal name
- Medlogix, LLC
- Website
- https://medlogix.com
- Company type
- Private
- Founded year
- 1982
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Ownership category
- akta.pro rank
Where Medlogix is headquartered
LocationHeadquarters
- HQ city
- Trenton
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
Medlogix business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Revenue model
- Medical Claims Management Services: Provides technology-driven, clinically-based medical claims management solutions to insurance carriers. Services include managed care, utilization review, and bill review delivered through proprietary medlogix technology platform.
- PPO Network Access: Provides access to CHN PPO network of 100,000+ healthcare providers for insurance carriers, TPAs, and self-insured entities seeking cost containment through preferred provider networks.
- Professional Review Services: Medical director reviews, independent medical exams (IMEs), and peer reviews for claims management.
Go-to-market motion2 records
Distribution channels3 records
Marketing channels5 records
Medlogix product offering
Product offeringCore offering
Medlogix provides technology-driven, clinically-based medical claims management services to insurance carriers, third-party administrators (TPAs), and government entities across auto, workers' compensation, and group health markets. The company delivers managed care, utilization review, bill review, case management, independent medical examinations, and PPO network access through its proprietary medlogix technology platform.
Product overview
Medlogix (formerly Consolidated Services Group) offers a unified medical claims management ecosystem built around its proprietary medlogix technology platform. The core platform integrates bill review, case management, utilization review, and professional review services into a single customizable system. Client-facing access is provided through MyMedlogix portal, while provider education is delivered via MedlogixU. The company's proprietary CHN PPO network provides preferred provider access in the Northeast. Following the 2024 acquisition of ReviewWorks, the portfolio expanded to include medical cost containment and disability management services. Services span Workers' Compensation, Auto Medical, and Group Health markets.
Differentiator
Problem solved
Functional benefit
Brands
- MyMedlogix: Customer portal for Medlogix services
- MedlogixU
- CHN PPO
Products and services
- medlogix Platform Proprietary web-based medical claims management and bill review software platform that integrates all Medlogix services including case management, bill review, utilization review, and provider network management in a customizable, real-time accessible system.
- MyMedlogix Client-facing portal providing real-time access to claims management functionality, enabling users to track case progress, medical case status, provider billing, and IME status; includes bulletin board messaging system for nurse and adjuster communication.
- MedlogixU Educational platform offering free seminars and webinars focused on Workers' Compensation, Automobile and Group Health claims topics, featuring expert clinical and claim professionals; provides continuing education credits.
- CHN PPO Network Proprietary URAC-accredited Preferred Provider Organization network offering access to 120,000+ credentialed healthcare providers across the northeastern United States; supports auto, workers' compensation, and group health lines of business.
- ReviewWorks Michigan-based provider of medical cost containment solutions and disability management services; acquired by Medlogix to expand claims management capabilities.
- Medical Bill Review Medical bill audit and code review services for workers' compensation, automobile, and group health insurance carriers; processes claims through the medlogix platform with EDI integration capabilities.
- Medical Case Management First Report of Injury, telephonic case management, and field case management services for workers' compensation and automobile lines of business, delivered by certified case managers.
- Utilization Review Health utilization management services to ensure appropriate medical treatment and resource utilization; URAC-accredited service delivered through the medlogix platform.
- Independent Medical Examinations (IME) Scheduling and coordination of independent medical examinations with qualified physicians; supported by digital workflow through the medlogix professional review services platform.
- eBilling Solutions Electronic billing and clearinghouse solutions enabling seamless EDI processing of medical claims with real-time data exchange capabilities.
Quantifiable outcome
- 20% improvement in turnaround time for professional reviews
- +2 more outcomes
Companies that use Medlogix
Customer profileNamed customers5 records
Segments5 records
Ideal customer profiles5 records
Medlogix technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature6 records
Medlogix partnerships and signals
Strategic signalPartnerships
Eleven partnerships are on record, tiered core, major, support and regional.
- ReviewWorkscoreMichigan-based provider of medical cost containment solutions and disability management services. Acquired by Medlogix in July 2024 to enhance claims management capabilities and expand service offerings across auto, workers' compensation, and group health markets.
- Medical Management Services and Mass Medical Services (MMS)majorPartnership with New England-based provider of Independent Medical Examinations, Bill Audits and Medical Record & Diagnostic Test Reviews. Mike DeLeo joined CSG as VP of Sales, continuing to serve MMS customers while expanding product offerings including Bill Review, PPO, and Medical Claims Management services.
- Agility RecoverysupportBusiness continuity partnership providing disaster recovery solutions. Access to ReadySuite solution including temporary power, internet/phone communications, computer/office equipment, and temporary office space.
- One Call Care ManagementmajorExpanded partnership following One Call's acquisition of Raytel Imaging Network. Partnership strengthens radiology network and provides national imaging facility access, competitive pricing, and scalable call center operations for CSG and CHN PPO clients.
- Cofinity (Aetna company)majorPartnership with Aetna company's provider network to expand CHN PPO affiliate network and provide auto insurance clients access to Cofinity auto network in Michigan. Cofinity is the foremost PPO network in Michigan.
- Yale-New Haven HospitalregionalLargest hospital in Connecticut joined CHN PPO network, including Smilow Cancer Hospital, Yale-New Haven Children's Hospital, and Yale-New Haven Psychiatric Hospital.
- Procura ManagementregionalHealthcare Solutions company partnership providing CHN PPO network access to Procura clients in southern New Jersey regions. Builds on existing Connecticut partnership for network access.
- XtiumsupportEnterprise cloud software and solutions company providing enhanced technology infrastructure for CSG's Hamilton supercenter and national expansion. Hosts medlogix technology with improved performance, resiliency, and disaster recovery capabilities.
- Barnabas HealthregionalPartnership with New Jersey's largest integrated health system. Barnabas Health Corporate Care facilities joined CHN PPO network, adding specialized occupational health and wellness programs for workplace injury treatment.
- Robert Wood Johnson Health SystemregionalPartnership with Robert Wood Johnson University Hospital Hamilton, Rahway, and RWJ Hamilton Occupational and Corporate Health joining CHN PPO network. Strengthens specialized provider network for automobile and workplace injuries.
- ZyDoc Medical TranscriptionsupportWeb-based transcription services providing customized workflow solution for Medical Director Reviews. Includes design, programming, training, and support for technical infrastructure related to dictation and transcription for IMEs.
Scale indicators4 records
Recent moves10 records
Expansion highlights5 records
Medlogix competitors and assessment
Company assessmentMarket position
Competitive moat6 records
Key risks4 records
Key highlights6 records
Customer concentration
Medlogix social profiles
Digital presenceMedlogix compliance and trust
Trust signalCompliance4 records
Medlogix financial estimates
Financial estimateRevenue estimate
Valuation estimate
Medlogix leadership team
Management profileNumber of profiles
Profiles19 records
Medlogix subsidiaries and ownership
Company hierarchySubsidiaries2 records
Medlogix funding detail
Funding detailFunding overview
Funding rounds1 record
Investors1 record
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Medlogix M&A and investment
M&A and investmentM&A3 records
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Medlogix
What does Medlogix do?
Medlogix provides technology-driven, clinically-based medical claims management services to insurance carriers, third-party administrators (TPAs), and government entities across auto, workers' compensation, and group health markets. The company delivers managed care, utilization review, bill review, case management, independent medical examinations, and PPO network access through its proprietary medlogix technology platform.
Is Medlogix a public or private company?
Medlogix is a private company. It is classified as private equity controlled and is currently operating.
When was Medlogix founded?
Medlogix was founded in 1982. It employs 1 to 10 people.
Where is Medlogix based?
Medlogix is headquartered in Trenton, United States, in the North America region.
How does Medlogix make money?
Three revenue lines are on record. Medical Claims Management Services are the primary driver. The others are PPO Network Access and professional Review Services.
Does Medlogix have an API?
No public API is recorded for Medlogix.