Quadax
Quadax is a privately held, 50-year-old U.S. healthcare revenue cycle management provider offering a cloud-based clearinghouse platform, AI-powered analytics, and BPO services to hospitals, laboratories, physician groups, DME suppliers, billing companies, and post-acute care organizations across the United States.
- Company typePrivate
- Founded1973
- HeadquartersCleveland, United States
- Headcount501–1,000
- GTM typeB2B
- OfferingSoftware
What Quadax does
Quadax, Inc. is a privately held U.S. healthcare revenue cycle management (RCM) solutions provider founded in 1973 in Cleveland, Ohio, by former IBM employees Ralph Daugstrup and Tom Hockman. The company operates a cloud-based platform anchored by its proprietary Xpeditor clearinghouse and claims management software, which delivers a stated 99.7% first-pass clean-claim rate, and is augmented by modular solutions including the XpressBiller rules engine, RemitMax remittance automation, ICV All-Payer eligibility verification, and the Intelligence by Quadax (iQ) AI framework comprising Decision Intelligence, Predictive Intelligence, AskQ (conversational chatbot), and Ask DataIQ (Snowflake-powered conversational analytics). Over 40 proprietary software products support the platform, which is delivered as a HIPAA- and SOC-compliant SaaS subscription, through Business Process Outsourcing (BPO) managed services, or as white-label/OEM integrations with EHR vendors.
Quadax generates revenue through four primary streams: SaaS subscriptions to its Xpeditor-based platform, BPO/managed RCM services using in-house laboratory billing experts, channel and white-label licensing to EHR vendors and healthcare software platforms, and professional services for implementation, training, and ongoing support. The company sells primarily through a direct enterprise sales motion with dedicated account management, supplemented by inside sales and channel partnerships. Its distribution strategy includes deep technology integrations with Epic, MEDITECH, Oracle, Streamline, and Azalea, plus authorized reseller relationships with OnBase by Hyland, enabling Quadax capabilities to be embedded within client EHR workflows.
Quadax serves six primary vertical segments — Hospitals & Health Systems, Laboratories & Pathology Groups, Durable Medical Equipment suppliers, Physician Groups & Specialty Practices, Medical Billing & Follow-Up Companies, and Post-Acute & Long-Term Care organizations — across the United States. Named enterprise customers include Ohio State University Wexner Medical Center, Samaritan Medical Center, Biodesix, and Crisp Regional Hospital. The company is privately held, has been self-funded through operations for over 50 years, employs 670+ professionals across four U.S. locations with dual Tier 3 N+1 data centers, and has been recognized five times as Best in KLAS for Claims Management & Clearinghouse (2018, 2019, 2021, 2022, 2026). Following the recent passing of both co-founders, leadership now resides with President & CEO John Leskiw and CFO Mark Tibbs.
Quadax firmographics
Firmographics- Name
- Quadax
- Legal name
- Quadax, Inc.
- Website
- https://quadax.com
- Company type
- Private
- Founded year
- 1973
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- Quadax is a privately held, 50-year-old U.S. healthcare revenue cycle management provider offering a cloud-based clearinghouse platform, AI-powered analytics, and BPO services to hospitals, laboratories, physician groups, DME suppliers, billing companies, and post-acute care organizations across the United States.
- Ownership category
- akta.pro rank
Quadax industry classification
Industry- Product category
- Healthcare Revenue Cycle Management
- NAICS
- Software Publishers (51321)
- SIC
- Services-Prepackaged Software (7372)
- akta.pro primary industry
- RCM Outsourcing & Managed Billing Services (HLACACAN)
- akta.pro secondary industries
- RCM Analytics, Benchmarking & Underpayment Detection (HLACACAL), Patient Access, Registration & Intake (Front-End RCM) (HLACACAE)
Keywords
Where Quadax is headquartered
LocationHeadquarters
- HQ city
- Cleveland
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
Quadax business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Infrastructure, Marketing or Sales
Revenue model
- Software as a Service (SaaS) Subscriptions: SaaS-based RCM software subscriptions providing access to the Quadax technology platform including Xpeditor, XpressBiller, and Intelligence by Quadax. Offered as in-house software access through secure cloud service, reducing client hardware investments and maintenance.
- Revenue Cycle Management Services (BPO): Business Process Outsourcing solutions offering teams of experienced laboratory billing experts to manage client revenue cycle operations. Full A/R management services with dedicated engagement teams.
- Channel/White-Label Licensing: Enterprise-grade clearinghouse and RCM capabilities offered through fully integrated, co-branded, or white-labeled models to EHR vendors, billing platforms, and healthcare software providers.
- Professional Services: Implementation, training, and ongoing support services including on-site visits for event management, customized reporting solutions, and industry best practices consultation.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise SaaS subscription - pricing based on organization size and needs |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels7 records
Quadax product offering
Product offeringCore offering
Quadax sells cloud-based healthcare revenue cycle management (RCM) technology, anchored by its Xpeditor clearinghouse platform for medical claims, XpressBiller rules-based claim editing, RemitMax remittance automation, and the Intelligence by Quadax (iQ) AI analytics layer, alongside Patient Access & Engagement solutions and an end-to-end BPO Revenue Cycle Management service. Offerings are sold primarily as software subscriptions with optional managed-services delivery to hospitals, clinical laboratories, physician groups, DME suppliers, medical billing companies, and post-acute/long-term care providers in the United States.
Product overview
Quadax offers a unified revenue cycle management platform built around its award-winning Xpeditor clearinghouse and claims management system (99.7% first-pass acceptance). The core platform is supplemented by modular solutions: XpressBiller (rules/edit engine), RemitMax (paper-to-electronic remittance conversion), and comprehensive Patient Access/Engagement tools. The Intelligence by Quadax (iQ) AI framework encompasses Decision Intelligence (analytics dashboards), Predictive Intelligence (denial prediction/forecasting), AskQ (conversational claims chatbot), and Ask DataIQ (conversational analytics). Additional specialized modules include Contract Management, ICV All-Payer (eligibility verification), Prior Authorization, SafetyNet (backup clearinghouse), Axis (audit management), HARP, Patient Advocacy System, and PAMA Reporting. The company delivers via SaaS, BPO outsourcing, or hybrid models.
Differentiator
Problem solved
Functional benefit
Brands
- Xpeditor: Quadax's proprietary clearinghouse and claims management software that delivers 99.7% first-pass acceptance rate for clean claims.
- XpressBiller
- RemitMax
- HARP
- Intelligence by Quadax (iQ)
- AskQ
- SafetyNet
- ICV All-Payer
Products and services
- Xpeditor Flagship cloud-based medical claims clearinghouse platform that enables healthcare organizations to submit, edit, and track professional and institutional claims; designed for hospitals, laboratories, physician groups, DME suppliers, billing companies, and post-acute providers.
- XpressBiller Professional claim editing and rules engine that applies payer-specific edits to clean claims before submission, supporting high first-pass claim accuracy for providers and billing companies.
- RemitMax Remittance automation solution that ingests and reconciles ERAs/EOBs to patient accounts, streamlining payment posting for healthcare organizations.
- Patient Access & Engagement Front-end patient access suite covering eligibility verification, prior authorization, registration quality, and patient engagement workflows for provider organizations.
- Intelligence by Quadax (iQ) AI-powered analytics platform that overlays Quadax's RCM applications with predictive and conversational analytics, ML-based claim scoring, denial prediction, and operational dashboards.
- AskQ Conversational AI assistant inside Quadax's RCM applications that provides natural-language help and workflow guidance to claims and billing users.
- Ask DataIQ Natural-language conversational analytics interface that lets users query RCM data and operational metrics directly through the iQ platform.
- SafetyNet Backup clearinghouse service that provides redundant claim submission capacity to ensure continuity when a primary clearinghouse or connection is unavailable.
- ICV All-Payer All-payer insurance coverage validation service that verifies active coverage and benefits across commercial and government payers prior to claim submission.
- Edits-as-a-Service (EaaS) API-based claim edit service that delivers Quadax's payer-specific claim edits to external systems, partners, and developer integrations.
- Revenue Cycle Management Services End-to-end outsourced revenue cycle management BPO offering that combines Quadax's technology with operations staff to manage patient access, claims, denials, and payment posting for healthcare providers.
Quantifiable outcome
- 99.7% first-pass clean claim rate
- +3 more outcomes
Companies that use Quadax
Customer profileNamed customers4 records
Segments6 records
Ideal customer profiles6 records
Quadax technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration4 records
AI capability8 records
Feature9 records
Quadax partnerships and signals
Strategic signalPartnerships
13 partnerships are on record, tiered core, major and supporting.
- SlicedHealthcoreStrategic partnership aligning Quadax's clearinghouse and claims management technology with SlicedHealth's AI-driven revenue intelligence and contract modeling platform. Combined approach connects contract expectations, claims, and payment outcomes to identify underpayments, reduce denials, and improve accountability.
- EpiccorePartnership integration enabling Quadax claims processing capabilities within Epic Resolute Billing system. Seamless integration applies Xpeditor claims management edits and rules while retaining workflow data in Epic system with near-real-time validation responses.
- MEDITECHcoreMEDITECH Alliance partnership delivering seamless, intelligent revenue cycle performance. Quadax joins MEDITECH Alliance program for integrated RCM solutions.
- OraclecoreTechnology partnership for integrated revenue cycle solutions with Oracle healthcare platforms.
- StreamlinemajorPreferred clearinghouse partnership for Streamline clients, providing integrated RCM capabilities.
- AzaleamajorTechnology partnership delivering integrated, efficient revenue cycle solutions.
- OnBase by HylandcoreAuthorized Solution Provider partnership. Quadax has deep knowledge and certifications to successfully deploy OnBase content management integrations with their RCM solutions. Strategic partnership fundamental to service offerings encompassing content management.
- American Clinical Laboratory Association (ACLA)supportingMember of ACLA, a not-for-profit organization advocating for laboratory services, promoting quality standards, and representing members on legislative and regulatory matters.
- Healthcare Financial Management Association (HFMA)supportingMember providing practical tools, solutions, education, and strategic guidance for healthcare financial management challenges.
- Medical Group Management Association (MGMA)supportingMember providing resources to drive change and results throughout the healthcare industry.
- Medical Users Software Exchange (MUSE)supportingMember community of MEDITECH users and professionals for knowledge sharing and best practices.
- HomeTown Health, LLCsupportingNetwork of rural hospitals, healthcare providers, and business partners pursuing ways to help membership survive constant changes in reimbursement, operations and technology.
- carevisomajorCo-hosted webinar partnership on prior authorization trends, common pitfalls, and proven strategies for streamlining workflows and improving patient access in diagnostic laboratories.
Scale indicators8 records
Recent moves9 records
Expansion highlights6 records
Quadax competitors and assessment
Company assessmentDirect peers
- Waystar: Public healthcare claims management and clearinghouse platform competing head-to-head with Xpeditor across hospitals, labs and physician groups; highly comparable on SaaS clearinghouse, eligibility, denials and analytics.
- Change Healthcare (Optum): Dominant healthcare clearinghouse and RCM solutions provider (now part of Optum/UnitedHealth) with overlapping product surface across claims management, edits, denials and remittance processing.
- Experian Health: Eligibility verification, claims management and RCM analytics provider competing with Quadax's ICV All-Payer, Patient Access and Decision Intelligence offerings across hospitals and physician practices.
- Availity: Provider-payer clearinghouse and clinical information network serving similar hospital and physician customer bases; directly competitive on electronic transactions, eligibility and prior authorization.
- FinThrive (formerly nThrive): End-to-end RCM platform (clearinghouse, coding, denials, analytics, BPO) competing across Quadax's full revenue-cycle stack with comparable verticals including hospitals, labs and specialty groups.
- R1 RCM: Enterprise RCM outsourcing and managed services provider; comparable to Quadax's BPO arm across large hospital systems and a competing channel for technology-enabled RCM services.
Emerging players
- Infinx: Healthcare RCM technology and services vendor focused on prior authorization, eligibility and denials; competes for the same hospital/lab buyer budget as Quadax's Patient Access and ICV All-Payer modules.
- Aspirion: Specialized complex claims and denial recovery services firm for hospitals; competes with Quadax's denial management and revenue cycle services offerings on similar accounts.
Broad incumbents
- Optum (UnitedHealth Group): Broad healthcare services and technology giant with RCM, analytics, payer-provider data and clearinghouse capabilities embedded in a much larger portfolio of services.
- Health Catalyst: Healthcare data, analytics and decision-support vendor; overlaps with Quadax's Decision Intelligence and Decision Intelligence modules as a broader incumbent across health systems.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
Quadax social profiles
Digital presenceQuadax compliance and trust
Trust signalCompliance7 records
Quadax financial estimates
Financial estimateRevenue estimate
Valuation estimate
Quadax leadership team
Management profileNumber of profiles
Profiles15 records
Quadax funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Quadax M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Quadax
What does Quadax do?
Quadax sells cloud-based healthcare revenue cycle management (RCM) technology, anchored by its Xpeditor clearinghouse platform for medical claims, XpressBiller rules-based claim editing, RemitMax remittance automation, and the Intelligence by Quadax (iQ) AI analytics layer, alongside Patient Access & Engagement solutions and an end-to-end BPO Revenue Cycle Management service. Offerings are sold primarily as software subscriptions with optional managed-services delivery to hospitals, clinical laboratories, physician groups, DME suppliers, medical billing companies, and post-acute/long-term care providers in the United States.
Is Quadax a public or private company?
Quadax is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Quadax founded?
Quadax was founded in 1973. It employs 501 to 1,000 people.
Where is Quadax based?
Quadax is headquartered in Cleveland, United States, in the North America region.
How does Quadax make money?
Four revenue lines are on record. Software as a Service (SaaS) Subscriptions are the primary driver. The others are revenue Cycle Management Services (BPO), channel/White-Label Licensing and professional Services.
Who are Quadax's main competitors?
Direct peers on record are Waystar, Change Healthcare (Optum), Experian Health, Availity, FinThrive (formerly nThrive) and R1 RCM. Emerging players are Infinx and Aspirion. Broad incumbents are Optum (UnitedHealth Group) and Health Catalyst.
Does Quadax have an API?
Yes. Quadax provides secure APIs for real-time eligibility, EaaS (Edits-as-a-Service) claim editing, predictive intelligence, demographic repair, and more. The platform supports REST/JSON, HL7, and CSV protocols for integration. Integration categories include: Security (Single Sign-On/SSO), Eligibility Verification, Medical Necessity, Patient Encounters, Patients, Enterprise Content Management (ECM), Case Management, Data Sharing & Integration, and Predictive Intelligence for denial avoidance. Real-time querying capabilities are available for claims status prediction and preventive maintenance. Developer documentation is at www.quadax.com/?page_id=19240&preview=true.
What industry is Quadax in?
Quadax's product category is Healthcare Revenue Cycle Management. Its primary akta.pro industry code is HLACACAN, RCM Outsourcing & Managed Billing Services, with a secondary code of HLACACAL, RCM Analytics, Benchmarking & Underpayment Detection. Its NAICS code is 51321 and its SIC code is 7372.