Reads the paperwork
A faxed or emailed order becomes a filled-in order form for dispatch to check. A tech's photo of a face sheet is read, compared with the record, and anything shaped like a Social Security number is dropped.
For mobile X-ray and ultrasound companies
Run the whole day from one screen.
The order comes in, the van gets there, the image gets read, the facility gets its report and the trip gets billed. PMXPlatform is one system for all of it, built inside Physician's Mobile X-Ray (PMX), mobile imaging across Pennsylvania and Maryland since 1978, with its dispatchers, techs, radiologists and billers.
STAT, no tech yet: Chest, 2 views · Maple Court Care Center Assign Dana R.
driving on site planned STAT
- Dana R.5 exams
- Luis M.4 exams
- Priya S.6 exams
- Ken T.3 exams
18 exams · 5 h 40 min drivingAutopilot: shadow
One system in place of
- the order fax pile
- the whiteboard and phone calls
- the old PACS website
- mileage spreadsheets
- month-end in three programs
AI-native, with specifics
Software this industry hasn't had. Here's exactly what the AI does.
Mobile imaging still runs on decade-old PACS websites, whiteboards and the fax machine. AI gets a lot of hype, so instead of promises, this is what it does inside PMXPlatform today, and where a person stays in charge.
Dispatch autopilot: earn trust one step at a time
Every minute, autopilot plans every tech's whole day in order, from where each van actually is. You decide how much of that plan it acts on.
- OffPlans only when you press Preview. Every company starts here.
- ShadowPlans every tech's day but assigns nothing. Each exam your dispatcher assigns is scored against the plan, so you can see how often it agrees before letting it run.
- GuardrailsGives out routine, confirmed exams by itself. STATs, unconfirmed orders, patients with a caution and correctional facilities wait for a dispatcher.
- AutonomousDispatches everything else too, STATs included, and moves work off a tech who can't make it. Patients with a caution, patients marked do not service and correctional facilities still wait for a dispatcher.
What it plans with
- Drive times in current traffic, between every van and every stop.
- Each facility's visiting hours, each tech's shift end, and a cap on any one drive (60 minutes unless you change it).
- Time on site learned from your own last eight weeks: set-up once per visit, then each kind of exam, per facility.
- STATs first, then "first thing in the morning", then the oldest.
How it behaves
- Re-plans within seconds of a new order, a van problem, a cancel or a tech who can't do an exam.
- Won't reshuffle the field to save less than 15 minutes.
- Never touches an exam a dispatcher locked, and never moves a tech a person chose.
- Press "Why?" on any decision and Claude explains it in plain sentences. Off stops everything at once.
Claude in the rest of the day
Ask anything
Press Ctrl+K and type "show me the STAT orders still waiting for a tech" or "take me to the map and show Maple Court". The screen does it, with your own permissions, and every look is audited.
What should I do next?
On the dispatch board, Claude reads the needs-attention list, waiting proposals and each tech's load, and suggests up to five actions, most urgent first. Suggestions only; it assigns nothing.
Weather and capacity
National Weather Service alerts are matched to vans and stops and summed up in a sentence. On Capacity, Claude says what the numbers mean for hiring and moving techs, citing each number it uses.
Autopilot decides with code that can be tested and explained; Claude explains and advises. Claude runs inside AWS through Amazon Bedrock, each company can switch it off, and nothing Claude writes changes an order, a schedule or a report without a person's click.
Who builds it
Built by a mobile imaging company, not a software lab.
PMXPlatform comes out of Physician's Mobile X-Ray, a Harrisburg company that has sent X-ray, ultrasound and cardiac techs to nursing homes, assisted living, home health patients and correctional facilities since 1978. Its workflows come from walkthroughs with the people who do the work: a field tech, a dispatcher, radiologists and the billing team.
About PMX's mobile imaging services- 1978mobile imaging since
- 2 statesPennsylvania and Maryland
- 24/7X-ray and EKG, holidays included
- 3 kindsX-ray, ultrasound and cardiac studies
How a day runs
From order to invoice without retyping anything.
- 1
The order arrives
By fax, phone, portal or HL7. Dispatch finds or adds the patient, catches duplicates and confirms the facility in one pass.
- 2
The day gets planned
Every tech's route is planned from real road times, traffic and weather. STATs jump the line. Autopilot can plan in shadow until you trust it.
- 3
The tech goes to work
The phone app works in a basement with no signal: worklist, face-sheet photos, signatures, notes. It syncs when the van gets signal back.
- 4
The study gets read
Images land in the archive and go to the right reading group, yours or an outside one. Radiologists read in the viewer they already use.
- 5
The facility gets its report
Nurses see where their exam stands and get the signed report the moment it's final. A signed report is never edited; corrections are addenda.
- 6
The trip gets billed
Who pays, the price and the miles from the van's own trip are filled in. Exams with nothing missing bill themselves.
The platform
Use all of it, or start with the part that hurts most.
Each part works on its own and talks to what you already have. Most companies start with dispatch or billing.
Order intake
One queue for faxes, calls, portal orders and HL7. Patient search with duplicate checks, coverage on file, and a "where's my report" answer before the facility calls back.
Dispatch and autopilot
Board, map and a day plan per tech. A short "needs attention" list instead of a wall of orders. Autopilot plans every day and, when you say so, assigns too.
The tech's phone
An app for the field that keeps working offline, with the exam, the paperwork photos and the patient's facility details. Encrypted on the phone, synced when back online.
Archive and reading room
Images stored in AWS HealthImaging and read in any DICOM viewer. Reading worklists by group, priors side by side, studies sent to outside reading groups and their reports back.
Billing
Fee schedules, Medicare-based prices, facility billing rules in plain words, invoices, payments and month-end close. Totals to QuickBooks and charges out over HL7.
Fleet and command center
Vans on the map from your telematics, trips, van health and weather on the route. A wall-TV view of the day for the owner, with counts and no patient details.
Mobile billing
Mobile X-ray billing is a maze. We built the map.
Transport and setup are where mobile X-ray makes its money, and general PACS and billing tools don't know a van drove 40 miles for a two-view chest. The rules pile up fast:
- Who pays changes with the resident's stay. A Medicare Part A skilled stay means the facility pays under consolidated billing. A hospice or Medicare Advantage per diem can too. Assisted living never does. Some contracts say the facility always pays.
- Every facility has its own prices. A template per corporation, exceptions per facility, flat rates or a percentage of Medicare, and prices that change on a date.
- Medicare changes every January, by locality, for every code and modifier.
- Each exam needs its codes: the CPT code, a modifier for the side (LT, RT, 50), ICD-10 diagnosis codes, and the miles that go with transport and setup.
- And the one-offs: the facility that pays $900 of a $1,000 invoice, the resident who was on a Part A stay after all, the price a biller has to override.
412ready to bill, nobody needs to open these
37need you, each says why
12waiting on facilities
Fix once, clear manyStonegate Rehab has no fee schedule (23 exams)Birchwood Manor: is this a Part A stay? (9 exams)
| Facility | Ready | Worth | Needs you |
|---|---|---|---|
| Maple Court Care Center | 88 | $6,140 | 4 |
| Birchwood Manor | 71 | $4,905 | 9 |
| Riverside Home Health | 64 | $5,212 | 2 |
How PMXPlatform handles it
Priced and routed before a biller looks
Every done exam arrives with who pays, the price from the right fee schedule and the reason for both. Exams with nothing missing bill themselves. The rest say exactly what's missing.
Fee schedules you can read
Templates with facility exceptions, dated price changes, and an "off template" view of every facility that drifted. The new Medicare file is previewed by locality before anyone accepts it.
Codes at the order, miles from the van
Diagnosis codes are picked when the order comes in, with suggestions from the reason for the exam. Billed miles come from the van's own trip, not a tech's guess.
Facilities answer who pays
Facility staff see the exams waiting on them and answer in their own portal, so the weekly chase emails and the spreadsheet go away.
One-offs without hacks
A price override needs a reason. An issued invoice is never edited: credits fix it, and can move a charge to the resident's insurance in one step. Short payments credit the lines they skipped.
Month-end in days, not a week
Payments with aging, a close per facility that locks the month, totals to QuickBooks once each with no patient names, and charges to your claims system over HL7.
Security and multi-tenancy
Many companies, one platform, a wall around each one.
Every company is separated at every layer, not just by a filter in the code: at sign-in, in the database, in how companies are created, and in the AWS accounts underneath. Patient data is treated as if a HIPAA auditor reads every change.
How we protect patient data- Your company is in your sign-inEach sign-in carries its company, and nobody can change it, not even an admin.
- The database enforces the wallRow-level security refuses another company's rows whatever the app asks for, and the app's own login can't switch it off. Every new kind of record ships with a test proving it.
- Companies come from a reviewed fileNo screen can create a company or change its status. A company is switched on only after its business associate agreement is signed.
- Separate AWS accountsProduction, development, backups and logs each live in their own account. Development holds made-up data only, forever.
- Each company runs its ownIts own admins, audit trail, Microsoft sign-in and AI switch.
- Every look is loggedWho looked at which patient, when and from where, in an audit trail nobody can edit.
Early access
Being built with PMX now. A few more operators in 2027.
We're looking for mobile X-ray and ultrasound companies with 10 to 50 techs who are tired of stitching five programs together. Tell us about your fleet and what hurts most, and we'll walk you through the real thing.