RX
Bionectech, Inc. — Clinical Platform
HIPAA Compliant Encrypted · Bionectech, Inc. 2026
Authorized personnel only. Access is logged.
Medication Adherence Intelligence

The platform that acts
before the third missed dose
becomes a hospitalization.

RXSmart.ai is the intelligence layer between the patient, the caregiver, and the clinical team. It reads across the MAR, the EMR, and the pharmacy — detecting pattern deterioration before it becomes a readmission, a penalty, or a life event.

View Pricing
RXSmart.ai
Live
--
Active
--
Watch
--
Alert
--
Critical
Cardiac — Stable
84
0 missed
T0 COHERENT
Pulmonary — Watch
52
2 missed
T1 WATCH
Cognitive — Alert
33
4 missed
T2 ALERT
Metabolic — Critical
18
7 missed
T3 CRITICAL
47%
Reduction in 30-day hospital readmissions through proactive adherence intervention
$90B
Annual cost of medication non-adherence to the US healthcare system
$290B
Annual cost of non-adherence to the US healthcare system
Zero
Competing platforms that automatically escalate on MAR multi-day decline patterns
“No platform currently scans the MAR for multi-day decline patterns and fires an escalation alert automatically. The clinician noticing is the only mechanism. That is the gap.”
I-SNP Consultant — SNP Alliance — Validated March 2026
The Confirmed Gap

The EMR has the data.
No one is acting on it.

Validated directly by I-SNP consultants, SNP Alliance advisors, and long-term care facility operators. The infrastructure exists. The intelligence layer does not.

MAR
Records. Does Not Reason.
The Medication Administration Record captures what was given and what was declined. It does not reason about what a three-day pattern means for this patient’s trajectory tomorrow.
Validated by I-SNP consultants & SNP Alliance facility operators — March 2026
EMR
Stores. Does Not Escalate.
The EMR holds every interaction on record. No EMR currently scans for multi-day non-adherence patterns and fires an escalation alert to the clinical team automatically.
Validated by I-SNP consultants & SNP Alliance facility operators — March 2026
Pharmacy
Flags. Does Not Connect.
Individual missed dose alerts are generated. There is no system that connects those alerts across time, across the MAR, and escalates based on trajectory — not isolated events.
Clinician
The Only Mechanism. Not Enough.
Detection depends entirely on a clinician reviewing the MAR manually. A human-dependent system with no guarantee of timing — and no capacity to act at 2am on a Saturday.
Clinical Platform

One platform. Every stakeholder covered.

RXSmart.ai gives facility administrators, clinical teams, and caregivers a unified view of every patient — with automatic escalation, billable event logging, and AI-powered intelligence built in.

Real-Time Intelligence
NQTE Population Dashboard
Live risk scoring across every enrolled patient. NQTE scores, missed dose counts, and escalation status without opening a single chart.
MAR Intelligence
Clinical Intelligence Panel
Continuous MAR pattern scanning. Multi-day decline trajectories detected and escalated automatically by tier — no manual review required.
Voice Biomarker
The Voice Tells the Story
Every outbound call captures voice data. Pitch, tremor, and energy analyzed against personal baseline. Deterioration appears before the missed dose becomes a pattern.
PHI-Safe AI
Anthropic AI Analytics
Population risk analysis, escalation rationale, and clinical decision support. All PHI stripped before any API call. No patient data leaves the platform boundary.
Automatic Billing
CPT 99457 Auto-Log
Every Tier 2 escalation generates a qualifying RPM event. Clinical compliance activity automatically logged as a reimbursable CPT billing event.
Caregiver & Family
No App Required for Family
Shareable family recording links. The outbound call plays in the family member’s own voice — increasing pickup rates for dementia and Alzheimer’s patients.
Live Audit Engine
NQTE PPM & Readmission Audit
Real-time dual-state superposition scoring of your facility’s PPM efficiency and 30-day readmission rate. Computed live from your patient database — no estimates, no benchmarks.
Dose Verification
Camera Verification — Confirmed Administration
Patient opens a secure link on their phone. The camera confirms face presence, correct medication, and active administration — NQTE-scored and logged to the clinical record with timestamp.
NQTE Escalation Framework

Four tiers. Automatic action.
No manual review required.

The NQTE engine scores each patient from 0 to 100 based on adherence trajectory, deviation acceleration, and personal baseline. Each tier triggers a defined clinical action automatically.

T0 — Coherent
70–100
Within Baseline
Adherence within the patient’s personal coherence field. Passive monitoring continues. No action required from clinical team.
T1 — Watch
40–69
Early Deviation
1–2 missed doses detected. Caregiver notification queued. Pattern logged for 30-day review. Physician not yet notified.
T2 — Alert
25–39
Pattern Confirmed
3+ missed doses confirmed. Automated caregiver call initiated. Clinical team notified. CPT 99457 billable event triggered automatically.
T3 — Critical
0–24
Coherence Collapse
Multi-day non-adherence confirmed. Physician escalation mandatory. HRRP penalty exposure flagged. No clinical team discretion at this tier.
The Complete Package

Clinical platform + physician training.
One product. One team.

Every RXSmart.ai deployment includes the Physician Training Program. 15 clinical cases, 30 interactive decision points, and a live ROI calculator built for the CMO and CFO in the room.

Clinical Platform
RXSmart.ai
The intelligence layer between the patient, the caregiver, and the clinical team. Reads the MAR. Detects pattern deterioration. Escalates automatically before a readmission happens.
Real-time NQTE population dashboard
MAR gap analysis — multi-day pattern detection
Voice + SMS medication reminders
Voice biomarker analysis (pitch, tremor, energy)
PHI-safe Anthropic AI analytics
CPT 99457 automatic billing event log
Caregiver family recording portal
NQTE PPM & readmission live audit engine
Camera verification — confirmed dose administration
HIPAA-compliant — BAA on file
Physician Training Program
RXSmart Training
Interactive case-based education that teaches evidence-based adherence strategies through realistic patient simulations. No competitor has a training platform of this clinical depth.
15 clinical case studies across all major chronic conditions
30 interactive decision points with immediate AI-grade feedback
5 adherence protocol libraries with step-by-step frameworks
Live hospital ROI calculator — input your own numbers
No installation — runs in any browser via access code
Case selection by specialty: cardiology, nephrology, geriatrics
Included with every RXSmart.ai deployment
Pricing

One price.
$45 per patient per month.

CPT 99457 reimburses $50.18 per patient per month. RXSmart.ai costs $45. The platform pays for itself from the first Medicare billing event — before readmission savings are counted.

The One Price
$45
Per patient per month.
Flat. No tiers. No percentages.
Every feature included.
Why Medicare pays for it
CPT 99454 (device supply)$47.87
CPT 99457 (first 20 min)$50.18
CPT 99458 (add'l 20 min)$41.02
RXSmart.ai platform fee$45.00
Net per patient/month (99454+99457)+$53.05
$15K
Average cost per hospital
readmission prevented
(CMS benchmark)
47%
Reduction in 30-day
readmissions in pilot
(45 patients)
Everything included at $45 — no add-ons, no tiers
›Full NQTE intelligence engine — four-tier automatic escalation
›AI population analytics — AEGIS-4M powered by Anthropic
›Voice biomarker monitoring — call-less detection
›CPT auto-logging — 99457, 99458, 99454, 99453
›FHIR / EHR integration — HIPAA BAA included
›Physician Training Program — 15 clinical cases
›Auto-invoicing direct to facility — no manual billing
›Direct access to Bionectech founding team
Start at $45 — Contact Us
30-day pilot at no cost. Medicare reimburses the platform fee from day one.
Infrastructure and Compliance

Production-grade. HIPAA-aligned. Audit-ready.

RXSmart.ai is built on enterprise infrastructure with HIPAA compliance, encrypted storage, and role-based access control. Every clinical interaction is logged, timestamped, and auditable.

HIPAA Compliant
Operates on HIPAA-compliant infrastructure with a signed Business Associate Agreement. All services run on access-restricted, dedicated hosts. Every clinical interaction is logged and auditable.
Encrypted at Rest and in Transit
AES-256 database encryption. TLS 1.2+ enforcement for all traffic. JWT authentication with role-based access control. PHI stripped before all third-party API calls.
Enterprise-Grade Cloud Infrastructure
Dedicated managed database with automatic backups and point-in-time recovery. CDN-delivered frontend for sub-second global load times. 99.9% uptime SLA on Enterprise tier.
FHIR-Ready Architecture
FHIR R4 adapter available for Epic, Oracle Health, and Cerner integration. Enterprise voice and SMS via Twilio. AI analytics powered by Anthropic API. No EMR integration required to deploy.
HIPAA Compliant
FHIR R4 Ready
AES-256 Encrypted
Role-Based Access
PHI-Safe AI Proxy
Anthropic API
Twilio Voice + SMS
CPT 99457 Auto-Log
Audit Trail
NQTE Audit Engine
Camera Verification
AEGIS-4M Engine
EHR Integration Ready
Get in Touch

Ready to see it with your patients.

No sales layer. Direct access to the founding team. Full platform demonstration within 48 hours.

Request a Demo
rxsmart.ai  ·  info@bionectech.com  ·  Bionectech, Inc. — Austin, TX  ·  Bionectech AI, LLC — Baltimore, MD
HIPAA Compliant — BAA on File  ·  Powered by Anthropic API  ·  AEGIS-4M Engine — Bi-Temporal Architecture —