All Solutions | Factum™
Factum bridges the clinical-legal gap, providing reimbursement legal teams with a sovereign platform to manage the full lifecycle of healthcare claims management - from technical intake to recovered reimbursement.
Specialized Recovery Architecture for Healthcare Reimbursement Professionals
Managing complex medical denials requires more than a general billing tool or generic legal software. We provide three sovereign infrastructures tailored specifically to your organization's recovery goals and litigation scale.
Healthcare Reimbursement Law Firms
Medical Billing Companies
Healthcare Providers
The Foundation | Our Full Workflow Architecture
Factum provides two purpose-built workflow tracks - Legal Reimbursement and Revenue Cycle Management - each designed to ensure every claim follows a defensible path toward full reimbursement.
Legal Track - 6 Phases
Factum Recovery Workflow
Built for reimbursement law firms and in-house counsel - a structured litigation workflow that drives every contested claim from intake and clinical discovery through litigation management and final case closure.
Intake
Automated case intake, EHR record pull, and clinical evidence pre-population.
Dispute Resolution
AI-scored appeal strategy, payer friction analysis, and evidence bundling.
Litigation Preparation
Trial exhibit centralization, demand package assembly, and discovery vault.
Litigation Management
Real-time court calendar tracking and filing deadline enforcement.
Billing
Automated fee calculation and contingency settlement reconciliation.
Case Closure
Immutable court-admissible case archive with full-text search.
RCM Track - 5 Phases
Factum RCM Workflow
Built for billing companies and healthcare providers - a 4-phase RCM engine that automates the full claim lifecycle from first submission and payment reconciliation through patient billing and denial management.
Claims Submission
Automated claim scrubbing, payer-specific formatting, and real-time submission tracking.
Payment Posting
ERA reconciliation, contractual variance detection, and underpayment flagging.
Patient Billing
Accurate patient responsibility calculation and compliant payment plan management.
Denial Management
Denial categorization, appeal deadline tracking, and legal escalation routing.
Specialized Technology for High-Velocity Recovery
Workflow Phases
Organizes healthcare claims through structured workflows for dispute resolution, appeals processing, and litigation management.
Factum AI
Analyzes medical documentation using advanced natural language processing to identify medical necessity indicators.
Factum Join
Integrates with hospital EMR and HIS systems to automate document retrieval and synchronize claim data across systems.
Security
HIPAA-hardened infrastructure to protect sensitive healthcare data within your own environment or isolated cloud.