Canvas Medical is an EHR and revenue cycle management platform that focuses on providing a complete UI for clinicians while providing SDKs and APIs for extending capabilities. It provides out-of-the-box features for scheduling, charting, ordering for labs, medications, and referrals, claims and patient payments, clinical data exchange, and workflows for collaboration and results reporting. Their SDK and a FHIR-based API enable creating new workflows within the application and integrating third party applications.

Healthie is an EHR with both a modern web UI and an API layer for additional development. Features include a client engagement portal, scheduling capabilities, wellness program management, care plans, patient data logging, and telehealth services. Additionally, the platform offers a mobile app for both wellness providers and clients, which supports HIPAA-compliant communication and client management.

Athenahealth provides a platform featuring integrated electronic health records, telehealth services, interoperability, revenue cycle management, and population health management, designed to streamline clinical workflows and improve patient care delivery.

The Ambience Healthcare AI Operating System consists of a suite of AI applications designed to alleviate clinician burnout, improve overall system efficiency, and enable high-quality care. Tools include an AI medical scribe, CDI assistant for coding & billing, and note generation solution for patient-facing summaries and referral letters.

Candid Health is an end-to-end revenue cycle management platform. It enables claims submission, detects and resolves billing issues, integrates with existing healthcare infrastructure via API, and provides real-time analytics for tracking and improving financial performance.

Medallion offers a comprehensive platform for healthcare provider network operations, focusing on provider data management, credentialing, payer enrollment, and licensing. Its capabilities include automated credentialing compliant with NCQA, intelligent payer search for enrollment, cross-state licensing, and ongoing monitoring to ensure data accuracy.

Tellescope serves as a HIPAA-compliant digital health platform, combining CRM capabilities with patient management, including multi-channel communication, care coordination, and progress tracking. It integrates with a variety of healthcare tools and provides additional workflow automation for provider organizations.

Welkin Health provides a customizable EHR and care management platform, focusing on automation and coordination of care. It offers features like API-first design, HIPAA-compliant communication tools (including email, phone, video, SMS/MMS, and in-app chat), and secure patient management.

Formsort is a HIPAA-compliant form builder offering customizable, multi-step forms with conditional logic. Formsort's capabilities include split testing, handling partially completed forms, and hidden fields.

Enter Health provides revenue cycle management solution. Key features include claims submission to the appropriate payers, payment posting and analysis against payer contracts, and automated follow-up on underpayments and denials with necessary documentation and appeals. Additionally, Enter Health offers automated patient collections, including SMS and email communications, and real-time reporting. The platform is compatible with various EMRs like eClinicalWorks and Allscripts, or can be integrated via API.

Verifiable provides automated credentialing solutions for healthcare organizations, including credentialing software and services, provider network monitoring, primary source verifications, provider enrollment, and licensing management. Their technology platform helps healthcare organizations manage credentialing processes efficiently, ensuring compliance with NCQA standards. Verifiable's technology enables real-time, automated verifications and alerts, reducing manual tasks and speeding up provider onboarding.

CertifyOS specializes in API-first credentialing, licensing, and enrollment for payors, health systems, and digital health companies. The platform automates provider credentialing and licensing, integrating with multiple data sources to ensure accuracy and efficiency. It also offers comprehensive network monitoring capabilities. Additionally, the platform ensures automated, real-time compliance with standards such as those set by the National Committee for Quality Assurance (NCQA).

Fertu is a HIPAA-compliant healthcare-focused marketing automation platform that integrates multi-channel direct marketing including phone, SMS, email, and direct mail. It offers highly customizable outreach journeys, robust data security, and reporting for campaign performance.

Ribbon Health offers a healthcare data platform that consolidates provider information, including location, insurance coverage, cost, quality, and experience, to improve care decision-making. It integrates with existing systems, offering automation and data management solutions to maintain accurate provider directories and support informed healthcare decisions.

Salesforce Health Cloud is a HIPAA-compliant healthcare CRM platform for patient data, care coordination, and patient engagement through omnichannel support.

Adonis Billing is a healthcare billing platform that integrates predictive analytics and automation to streamline the billing process from pre-claim eligibility checks to patient payments. It features automated eligibility checks to prevent denials, cost estimations, a Smart Scrubber to minimize billing errors, patient payments, and real-time alerts for various billing issues. The platform also offers real-time dashboards and reports to monitor key performance indicators, helping healthcare providers manage their revenue cycle more effectively.

Apero is a healthcare management platform that combines practice operations and billing. It integrates functions such as clinical note-taking, patient scheduling, revenue cycle management, and financial reporting into a single system. The platform also includes features like real-time eligibility checks, custom validation rules, e-prescriptions, and end-to-end insurance billing.

Acuity Scheduling enables healthcare providers to set and manage appointment schedules, automate booking processes, and send reminders. It supports HIPAA compliance for secure patient data handling, integrates with payment systems for financial transactions, and allows for client self-scheduling with options for cancellation and rescheduling. The tool also facilitates management of multiple clinic locations, staff assignments, and provides detailed reporting on appointments and performance. Additionally, it includes customizable forms for patient intake and integrates with third-party applications to extend its utility in healthcare settings.

Andros is a provider network management platform, focusing on recruiting, contracting, and provider credentialing, as well as continuous monitoring and management of provider networks. The platform uses a proprietary database for credentialing, reducing time and inaccuracies in provider applications. It caters to payors and telehealth organizations, offering tools to minimize operating costs and streamline administrative processes. Andros also simplifies the application process for healthcare providers.

Cal.com is a HIPAA-compliant, open-source scheduling platform for telehealth, offering customizable appointment settings, automated reminders, and video conferencing options.

Change Healthcare offers a variety of revenue cycle management, clinical and imaging, and patient engagement tools, and are well-known for their insurance clearinghouse.

Cronofy provides HIPAA-compliant scheduling APIs and integration for healthcare apps, enabling self-service and administrative appointment bookings, as well as real-time calendar syncs.

Customer.io offers messaging tools for healthcare, including HIPAA-compliant email and SMS campaigns, data segmentation, and automation for engaging patients across their journey.

Hint Health Core is a membership management and billing platform for healthcare providers, automating enrollment, invoicing, and employer contract management.

Iterable is a customer communication platform that supports automated workflows and cross-channel messaging for healthcare marketing. They are open to signing a BAA for HIPAA compliance.

Kustomer is a HIPAA-compliant CRM Platform for integrating service tickets, customer interactions, and patient data. It supports multiple communication channels and incorporates AI into its workflows. Note: It was at one point no longer HIPAA compliant, but has since re-certified.

Modio OneView is a cloud-based credentialing platform designed for healthcare providers and organizations. It offers a centralized system for managing credentials, licenses, and other key documents, using primary source verification to ensure data accuracy. The platform includes features such as automated alerts for expiring credentials, document storage, compliance tracking, and pre-filled forms for electronic signatures. OneView also supports Continuing Medical Education (CME) tracking and provides real-time reporting and workflow management tools to help healthcare teams stay compliant and organized.

NextGen RCM streamlines financial processes from patient appointment scheduling to final payment, focusing on optimizing revenue and ensuring regulatory compliance.

OneSignal is a HIPAA-compliant customer engagement platform offering messaging services like mobile and web push notifications, in-app messaging, and email

Phreesia offers products for patient intake, insurance verification, appointment management, and patient billing.

pVerify specializes in verifying patient insurance eligibility and benefits across a wide range of payers, including Medicare, Medicaid, and commercial providers. It supports diverse healthcare sectors through advanced eligibility checks, batch verification, and integration with electronic health records and practice management software.

Qure4u is a patient engagement platform offering solutions like self-scheduling, telehealth, patient messaging, remote patient monitoring, and digital check-in.

Sully.ai is an AI scribe platform that helps automate patient intake, transcription of clinical documentation, and post-visit support for both the provider and the patient.

Symplr CVO provides comprehensive credentialing and payer enrollment services to healthcare organizations. It handles primary source verification, licensure applications, and payer enrollments, ensuring compliance with regulatory requirements. Symplr CVO offers full transparency with a live portal for real-time updates on application statuses. Additionally, it supports committee management, delegated credentialing agreements, and the hospital privilege application process to streamline administrative tasks and expedite provider onboarding.

Waystar is an end-to-end revenue cycle management company, offering eligibility verification, claims submission, payment posting, denials management, and analytics.

Weave is a patient communications platform with features like phone services, texting, appointment reminders, team chat, payment processing, two-way texting, online review management, online scheduling, mobile app access, and call analytics.

Zelis Provider Nexus is a multi-payer provider directory with a search solution across data from multiple carriers. It features an API for custom search integration, automated API monitoring for data integrity, and the ability to standardize provider information according to business rules.

Zoho CRM offers a HIPAA-compliant, customizable solution for managing patient data, with features like automated process enhancement and patient engagement tools.

Adonis Intelligence provides actionable alerts, predictive analytics, and real-time reports to optimize revenue outcomes. The system integrates with EHR, billing, and practice management systems to enhance insights on collections, accounts receivable, claim denials, and payer performance. The platform helps healthcare organizations identify revenue roadblocks, prevent denials with real-time alerts, and improve cash flow with smart prioritization and comprehensive KPI tracking.

Azodha is an AI enablement platform for healthcare companies, providing tools like pre-packaged components, plug-and-play modules, and pre-built integrations to accelerate care delivery and improve patient communications. The platform offers a developer-centric approach with accessible APIs and SDKs, along with fully managed infrastructure to ensure optimized, secure, and up-to-date systems

Banjo Health streamlines the prior authorization process for health plans and pharmacy benefit managers. BanjoPA is their prior authorization platform for health plans that consolidates prior authorization requests, provides decision recommendation based on predefined clinical decisions trees, and creates documentation to support appeal processes. Banjo Composer takes clinical criteria as inputs and creates clinical decision trees by automatically identifying decisions points and delivering in a platform that supports editing and testing.

Clearstep is a conversational AI platform that enables virtual triage, patient services, and clinical journey management, with solutions including a symptom checker for self-triage, automated patient engagement chatbots, and a chatbot for managing follow-ups and remote monitoring after hospitalization.

Fathom is an autonomous medical coding platform that uses deep learning and LLMs to provide accurate, complete coding for ED, radiology, primary care, surgery, hospitalist, and other high-volume specialties. Fathom provides automated coding that submits directly to billing, and for any charts that cannot be fully processed, they are routed to a manual coding team. Similarly, Fathom can be set up to audit in-house coders, finding potential denials or inaccurate coding.

Hona Health is a clinical summarization platform that uses AI to analyze patient medical history and generate clinical summaries with customized templates, sourcing data from EHRs, HIE records, and uploaded documents and media. Hona has developed models both for primary care and for specialty care like oncology and urology.

Notable Assistant is an embeddable conversational assistant that enables appointment scheduling, bill payments, and prescription refills through provider websites and mobile apps, while integrating with EHR systems. The assistant supports 130 languages and is available 24/7, with customizable brand guidelines and analytics tooling for real-time patient insights.

Notable Patient Registration and Intake automates patient onboarding, reminders, check-ins, insurance verification, and payments. It reduces manual work by using AI to handle data entry, patient outreach, and document uploads from visit confirmation to check-in. Notable integrates with EHR and practice management systems, and supports multiple channels like SMS and web apps.

Notable Scheduling allows patients to schedule appointments digitally, integrating with EHR systems and using AI to manage workflows like patient outreach and data entry. The platform offers proactive engagement for pending referrals, appointment confirmations, and a provider directory to ensure patients find the right care. Its goals are to reduce no-show rates and improve patient satisfaction by enabling easy management of upcoming appointments.

Nym is an AI medical coding product that deciphers clinical language in patient charts and assigns ICD-10 and CPT codes to them using advanced machine learning and semantic technologies. They offer services for outpatient coding for both professional and facility charges, as well as inpatient coding for professional charges. Nym’s semantic and contextual understanding enables the product to generate accurate and compliant coding with detailed audit trails for further validation. This allows them to handle a range of medical coding scenarios from ancillary procedures like radiology and pathology to more complex situations such as emergency care and ambulatory procedures with minimal human intervention.

Opkit is a customizable AI outbound phone call platform with both AI agents and human agents. Common use-cases include eligibility checks, prior authorizations, denied claim appeals, formulary checks, and appointment scheduling.

Revedy offers AI-driven medical coding software designed to automate and enhance the efficiency of CPT and ICD-10 coding processes. It integrates with existing EHR, HIM, and billing systems through its API, and key features include automated coding, interactive coding support, compliance tools, and detailed ROI analysis.

Silna Health focuses on helping specialty healthcare providers manage prior authorizations, benefits, and eligibility checks. It is designed for use in physical therapy, speech therapy, and behavioral health. Silna automates the authorization process using AI, provides regular benefit and eligibility checks, and sends reminders for expiring authorizations to prevent lapses in care.

SmarterDx is a clinical AI tool that performs detailed second-pass reviews of patient discharge data, analyzing chart notes, labs, medications, and vital signs, to identify missed differential diagnoses, clinical documentation, and other coding opportunities. This enables more accurate revenue capture and better patient outcomes.

SuperDial is a platform for AI-enabled payer phone calls for insurance verification, prior authorization, credentialing and enrollment, and claim follow-ups. It offers a low-code UI for configuring call flows, placing calls, and viewing call results.

Synthpop provides AI-enabled tooling for automating referral intake, analyzing patient records to evaluate treatment eligibility, and transcribing patient conversations to optimize around payer guidelines for claims submission.

Titan Intake is a digital solution designed to automate and streamline the patient referral process. It captures all incoming referrals, extracts relevant patient health information, and integrates this data directly into EHR systems without requiring changes from referring providers. By digitizing the referral workflow, Titan Intake helps reduce manual data entry, prevent referral loss, and prioritize urgent cases.

Tucuvi is an phone-based AI agent trained in evidence-based clinical protocols to automate clinical calls for care plans and chronic conditions, such as follow-ups for COPD, heart failure, and maternity. It guides conversations based on clinical guidelines to ensure meaningful and medically informed interactions, and is integrated with EHR systems for appropriate data access and writeback.

+Oscar is a platform developed by Oscar Health to enhance healthcare efficiency and engagement. It offers a comprehensive technology stack and health plan infrastructure, helping healthcare organizations reduce costs, improve member retention, and enhance patient care. Key features include member engagement tools, data collection and intervention triggers, care routing, and automated workflows. The platform supports bi-directional integrations with electronic medical records and provides customizable workflows for value-based care management.

10to8 is healthcare scheduling software that provides a range of functional features focused on optimizing clinic operations. It ensures HIPAA compliance with built-in security features and includes a Business Associate Agreement (BAA). The platform automates the process of sending appointment reminders to patients through SMS, email, and voice messages, aiming to reduce missed appointments. Its scheduling system is designed to enhance administrative efficiency, allowing for better allocation of resources and staff time management. Additionally, 10to8 offers physician management tools that facilitate the tracking of working hours, locations, and services offered by individual healthcare providers, assisting in workload distribution and staff management. These features are integrated into a unified system that focuses on improving operational efficiency in healthcare settings.

The 3M 360 Encompass System integrates computer-assisted coding (CAC) and CDI into a single platform. It uses NLP and AI to automatically suggest medical codes based on patient documentation, improving the accuracy and efficiency of the coding process. The system prioritizes high-risk cases for review, tracks quality metrics like Hospital Acquired Conditions (HACs), and supports real-time clinical intelligence reporting. It aims to enhance compliance, optimize reimbursement, and facilitate better patient care by providing comprehensive tools for coders and CDI specialists.

CDI Engage One by 3M CDI that uses AI to provide real-time clinical insights to physicians and CDI teams. It integrates into both front-end and back-end workflows, analyzing EHR notes and narrative documents to identify gaps in patient care and documentation. This helps clinicians document a complete and compliant patient story before saving notes in the EHR, thus reducing the need for retrospective queries. It also supports back-end workflows with evidence-based analysis, worklist prioritization, and a clinically driven review process.

98point6 offers a virtual care platform that allows providers to deliver real-time and asynchronous care. Its features include AI-powered patient intake, automated clinical decision support, and EHR integration. The platform supports text, audio, and video interactions, configurable case assignments, and includes a virtual waiting room.

Acorn Credentialing offers a comprehensive platform designed to automate and streamline the medical credentialing and payer enrollment processes. Key features include credentialing as a service, blockchain for secure data sharing, data migration from legacy systems, virtual medical staff management, and a mobile scanner for easy document uploads.

AcuityPlus, developed by Harris OnPoint, is an advanced acuity-based nursing workflow solution that aims to optimize nursing resources and improve patient care. It leverages five evidence-based methodologies across various care settings—Inpatient, Mental Health, Perinatal, Emergency, and Ambulatory—to create workload-balanced patient assignments and support data-driven decision-making. AcuityPlus integrates with EHRs, electronic scheduling, and time and attendance systems, providing real-time data and analytics to enhance nurse satisfaction, improve patient outcomes, and manage costs.

AgentifAI offers an AI assistant named Alice that manages patient appointments and communications without human intervention using healthcare-specific LLMs. AgentifAI integrates with existing EHR and practice management systems.

Aidbox Forms offers a form builder that allows providers to create, manage, and use FHIR-compliant forms without requiring coding. Features include a drag-and-drop interface, customization options, and integration capabilities with existing health IT systems.

Aideo is a medical coding vendor offering technologies and services to improve coding efficiency. Their suite of solutions includes a coder platform to support in-house coders’ efficiency, an autocode product that delivers both completed and predicted codes, and a services product for specialized coding assistance.

AKASA Medical Coding leverages generative AI to review and analyze clinical documentation, providing coding recommendations and AI-generated justifications to improve coder productivity and revenue performance. The platform is customized for each health system, ensuring that coding is tailored to their specific data and standards, thereby reducing errors and increasing efficiency in handling complex inpatient settings.

Amenities Health is a digital front door platform designed to enhance the patient experience in health systems by seamlessly integrating with existing patient portals. The white-labeled mobile app addresses areas like new patient registration, provider search, and care scheduling.

Amplifier by PwC is a digital adoption platform designed to enhance enterprise system utilization through gamified learning and behavioral incentives. It includes role-based learning, and active analytics for progress tracking. It aims to reduce training costs, offering point-of-need training and data reporting to optimize change management strategies.

AndorNow is a digital front door platform with real-time notifications, educational content, and digital screenings. It features a configurable patient portal, including a virtual waiting room, on-demand educational content, and contactless screenings.

Anomaly predicts and prevents payment denials and optimizes billing processes. It integrates with existing healthcare workflows and provides real-time insights into payer performance changes, identifying potential denials and emerging trends. Anomaly’s system is built on billions of medical claims to offer precise, adaptive predictions and automatic updates based on payer data.

Anterior is a generative AI platform for payer organizations, providing a co-pilot dashboard to empower UM nurses to get all of the right data summarized and presented so they can make the right decision faster.

Apella provides an AI-powered surgical operations platform designed to enhance efficiency and decision-making in operating rooms. It offers features such as predictive case and turnover durations, real-time notifications, and autonomous auditing of safety processes. Apella aims to improve scheduling workflows, staffing plans, and overall surgical outcomes by providing actionable insights from operational data. It is primarily used by hospitals and surgical centers to optimize OR performance and enhance patient care.

Apex EDI provides claims processing, error-checking, and submission to payers, and is integrated with various practice management and EHR systems.

Arintra is an AI powered autonomous medical coding vendor. Their capabilities include audit trails to support compliance, analytics dashboards, and expanding specialty coverage.

Arrive Health's Prior Authorization solution for providers facilitates real-time access to coverage, cost, and restriction information within the EHR. It automatically initiates the prior authorization process, and shows potential alternative treatment options in the EHR.

Artera is a patient communication platform that consolidates patient interactions from multiple departments and systems into a single view for improved patient engagement and operational efficiency. Key features include automated messaging, real-time sentiment tracking, and analytics, to help manage patient preferences, scheduling, and payments. The platform integrates with EHRs and supports multi-channel communication via text, email, and voice.

Atalan uses predictive analytics to address clinician burnout and turnover in healthcare systems by identifying early warning signs and projecting the costs of turnover.

Athelas RCM provides a platform for healthcare revenue cycle management with features including detailed financial reporting, end-to-end billing process management, resubmission of denials, patient payments, and workflow automation.

Availity Essentials is an end-to-end RCM solution for providers. It offers a range of features aimed at improving efficiency and accuracy in tasks such as eligibility and benefits verification, claims management, and prior authorization.

AWS Pinpoint is a HIPAA-compliant marketing automation service that enables businesses to engage customers across channels like email, SMS, push notifications, and voice messages.

Axuall is an identity network that helps people collect and manage their verified credentials from authorized issuers and present them to employers and partners who can trust them as authentic. The company's developed network enables practitioners to manage and share their credentials with healthcare organizations on an ongoing basis while staying up-to-date on the changes that can affect their authorization to work in their field. Its encrypted digital ledger technology provides the ability for these subscribers of a practitioner's credentials to have up-to-date information regarding their status.

b.well offers a configurable platform for health systems that integrates digital solutions and third-party devices to enhance patient experience and care delivery. Key features include secure data aggregation via FHIR standards, real-time notifications based on clinical guidelines, and tools to enable patient scheduling and care navigation applications.

Basys.ai is an AI-powered platform that streamlines prior authorization (PA) for health plans using GenAI for policy encoding and request processing. It enables rapid payer onboarding and policy updates, automates complex policy rules and decision logic, and allows UM nurses to verify recommendations while making decisions. The platform recommends alternative care pathways when requests don’t match existing policies and records overrides for analytics and model improvement. It features a portal for direct document submission, API integration with Epic, and OCR for handling document types like fax.

Baton Health provides an advanced platform for primary source verification and credentialing of healthcare practitioners. Its system performs real-time verification and monitoring of licenses across all states, notifying users of status changes and sanctions.

BlockIt provides a platform for patient self-scheduling, enhanced referral management to boost follow-through rates, and digital tools for patient engagement and care coordination.

Braze offers a HIPAA-compliant marketing automation platform with data-driven personalization and multi-channel communication. It enables healthcare organizations to engage patients across channels like email, SMS, and apps, using AI for tailored messaging and journey orchestration.

Brellium automates the medical chart review process. It audits clinical documentation and billing notes according to custom criteria, identifying discrepancies, errors, and gaps. The platform connects with EHR systems to provide real-time reporting, helps improve documentation quality, and allows for same-day billing validation. It is designed to reduce the workload on CDI teams, enhancing accuracy and efficiency in auditing thousands of charts.

Calvient Channels is a patient engagement platform that integrates with Cerner to provide appointment reminders, customizable communication templates, online registration, and targeted messaging for patient interaction.

CareMESH's provider directory is a fully-managed, up-to-date database of healthcare providers, with over 650 data sources for greater accuracy.

CaseCTRL is surgical case management and scheduling software that automates administrative tasks, enhances communication among surgical teams, and optimizes operating room allocations. Features include a case builder for rapid case setup, an intelligent repository to store surgeon preferences, and a surgical calendar that aids in effective scheduling.

Cedar Pay is a patient billing and payment solution that integrates health plan data with provider billing so patients can view and resolve their medical bills, see real-time deductible statuses, and access HSA/FSA balances. For providers, Cedar Pay consolidates statements and explanations of benefits, provides tailored payment options, and automates and optimizes communications using machine learning.

Change Healthcare's Clearance Authorization software is a comprehensive solution designed to streamline prior authorization workflows in healthcare settings. It automates the process of verifying if pre-authorizations are required and on file, directly submitting requests to integrated payers. The software incorporates real-time checking of clinical codes for Medicare compliance and helps minimize denials and financial losses associated with patient care pre-authorizations. Additionally, it includes tools to manage medical necessity checks and create Advanced Beneficiary Notices, ensuring that financial liability is communicated effectively to patients before service delivery.

Chargebee is a platform for managing subscription billing and revenue operations.

CipherHealth is a patient engagement product focused on enabling patient rounding, follow-up, and comprehensive outreach. The product integrates with EHRs and utilizes analytics to improve the delivery of healthcare.

Claim.md is a clearinghouse for electronic claims management. It offers a user-facing portal for direct entry of both batch claims and single-entry claims. It integrates directly with a number of EHRs.

MDClarity's Clarity Flow automates patient billing and collections, offering transparency and efficiency in the healthcare revenue cycle. The platform provides tools for upfront price estimates, eligibility checks, and real-time payment tracking. It integrates with EHR and practice management systems to provide clear, accurate cost information.

Clearwave is a comprehensive healthcare platform designed to optimize patient engagement and administrative efficiency in hospitals and health systems. Its core capabilities include the automation of critical processes such as patient scheduling, registration, and eligibility verification for insurance. Additionally, Clearwave's system supports real-time eligibility verification with payers, facilitates a contactless check-in experience, and offers a digital front door for scheduling.

CodaMetrix is an AI medical coding platform for multiple specialties, particularly in radiology and pathology, within large healthcare systems. The platform uses NLP and machine learning to translate clinical notes into accurate billing and diagnostic codes. CodaMetrix also provides real-time compliance monitoring and detailed audit trails to ensure adherence to coding standards and reduce the risk of audits

Cohere Health automates and optimizes the prior authorization process for health plans by integrating with EHR systems, digitizing authorization requests, and applying AI and clinical intelligence to automate decisions and improve efficiency. The platform supports real-time analytics and interoperability, facilitating faster patient care and reducing administrative costs.

CollaborateMD offers practice management and billing software for small to mid-sized practices.

Conifer Health Solutions provides revenue cycle management services and value-based care solutions for health systems, provider groups and employers to improve financial outcomes. Conifer’s value-based care solutions include data and analytics tools to support population health management, risk analysis and outcome measurement. They also offer care navigation, care management and utilization management services provided by registered nurses. Conifer Health Solutions is a subsidiary of Tenet Healthcare Corporation.

ConstantContact is a HIPAA-compliant marketing automation tool for email, SMS, and social media marketing.

CorroHealth is a provider of revenue cycle management solutions and analytics. Their solutions include clinical services focused on documentation integrity and compliance, autonomous and outsourced medical coding, and billing management tools.

CoverMyMeds helps automate prior authorization for medications, connecting healthcare networks to improve patient medication access. It integrates with over 500 EHR systems, linking healthcare providers, pharmacies, and payers to streamline prescribing and approval.

CredentialStream by HealthStream offers comprehensive software solutions for credentialing, privileging, and enrollment management in healthcare. The platform automates the collection, verification, and continuous monitoring of provider credentials, ensuring compliance and reducing administrative burden. Features include real-time alerts, primary source verification, document management, and streamlined workflows for onboarding and ongoing credential management.

Credsy provides comprehensive licensing and credentialing services for clinicians, handling tasks such as initial state licensing, automated renewals, payor enrollment, and compliance tracking. The platform offers features like secure document storage, DEA and Controlled Substance Registration, and IMLC licensing support.

Cured utilizes healthcare data to target appropriate patients and aid in faster customer conversion. It also supports the launch of automated marketing campaigns. Additionally, Cured provides in-platform reporting tools to demonstrate marketing value and track patient conversion results.

Curogram is a telemedicine and patient engagement platform that offers a suite of features including HIPAA-compliant messaging, appointment reminders, secure staff communication, and online payments. It offers features for scheduling, payment reminders, and integrations with a variety of practice management and EHR systems.

Decoda Health is an AI-enabled patient billing and communications platform with a unified dashboard for centralized patient interactions and automated billing and invoicing. Key features include automated balance aging, AI-enabled messaging and calls for payment reminders and follow-ups, and integration with EHR/PMS systems.

Decoded Health offers Fusion Intake and Virtual Front Door. Fusion Intake automates the patient intake process using AI to gather comprehensive patient information, including medical history and medication reviews, and integrates this data into EHR systems. Virtual Front Door streamlines scheduling, registration, and financial processes, optimizing patient access and resource allocation.

Deloitte Revenue Intellect provides tools for denial management, anomaly detection, vendor management, payer responsiveness, underpayment discovery, account segmentation, cost-to-collect intelligence, and smart liability estimation. The platform uses machine learning and data analytics to identify revenue recovery opportunities, streamline financial processes, and improve patient satisfaction through actionable insights and performance monitoring.

Develop Health is an AI-enabled eligibility checking and prior authorization platform for medication that automatically calls payers to get benefits details, verifies clinical documentation against plan criteria, and automates form-filling across payer portals for faster authorization.

DexCare is a digital health platform designed to manage and optimize healthcare delivery by forecasting demand, integrating care options, and providing actionable insights. It offers tools for patient self-scheduling, virtual care, and advanced data analytics to enhance care coordination and resource utilization. DexCare integrates with existing health systems, leveraging APIs for interoperability, and provides an administrative portal for managing operations. The platform also features intelligent patient routing using machine learning and NLP to improve care access and efficiency.

Docvocate provides technology solutions for in-house and outsourced RCM teams, automating claims submission, tracking, and appeals, with advanced denial management workflows. The platform integrates with other billing tools, and offers unified visibility across a variety of workflows.

EIQ by Ensemble Health Partners is a cloud-based, analytics-driven workflow tool for end-to-end RCM.

Eligible provides APIs for streamlining insurance billing, including eligibility checks, insurance verifications, real-time cost estimations, and filing of insurance claims. Eligible offers a REST API that uses JSON, as well as Ruby, C#, Java, and Node.js SDKs.

Ethermed is an AI-enabled prior authorization solution that helps determine authorization status, pulls clinical documentation, and automatically fills and submits requests for providers.

Etyon provides AI-enabled solutions for optimizing revenue cycle management in healthcare. Their offerings include data integration, denial management, insurance payment risk prediction, patient payment risk prediction, contract management, labor optimization, and treasury management. Etyon's tools enhance performance tracking, predict and manage financial risks, and ensure accurate reimbursements through data analytics and ML capabilities.

Experian Claims Management is a claims clearinghouse that automates the claims process for healthcare organizations, focusing on accurate claim submissions and reducing denials. It includes tools like ClaimSource for claim edits and Enhanced Claim Status for tracking. The system aims to streamline adjudication and ensure compliance with payer requirements.

Experian Health's Prior Authorization enables the management of prior authorizations for providers, handling inquiries and submissions automatically. It connects to a comprehensive database that regularly updates with national and local payer requirements, ensuring that users have access to the most current information. The software supports various connection types to payers and employs AI to guide users through the workflow.

Experian Insurance Verification automates eligibility and coverage checks for providers. Beyond coverage checks, it supports Medicare reimbursements by offering an automated MBI Lookup Service that identifies missing or invalid MBIs along with Medicare benefit coverage.

EZClaim is a medical billing platform that integrates with EHR systems, with capabilities that include electronic claim submission, reporting, real-time eligibility checks, and patient and payer payment collection. The software is offers claim scrubbing and the ability to generate customized superbills and electronic patient statements.

Fabric Health is a care enablement platform that includes the Digital Front Door, automating care navigation through an AI-enabled symptom checker, as well as patient intake, triage, and routing processes. The platform supports hybrid care, combining virtual and in-person visits, and automates clinical documentation to enhance clinical capacity. Additionally, Fabric Health offers patient engagement tools to reduce readmissions and improve outcomes.

FastAuth streamlines prior authorization by verifying patient demographics and insurance eligibility, and automating manual steps in the prior authorization process. It helps in managing authorizations across various payers and utilization managers, enabling healthcare providers to quickly ascertain specific payer requirements and make better patient decisions.

Feathery is an AI-powered form builder that enables web forms without needing coding skills. The platform is SOC 2, HIPAA, and GDPR compliant.

FinPay offers a patient financial management platform designed to enhance transparency and affordability in healthcare billing. It provides tools for automating patient engagement, including cost transparency, education, and flexible payment options. FinPay's solutions aim to manage patient financial responsibility, reduce admission risks, and ensure compliance with consumer protection regulations. This platform is geared towards improving patient satisfaction by simplifying financial conversations and increasing payment collections for healthcare providers.

FinThrive provides a comprehensive end-to-end revenue management platform for healthcare organizations, including capabilities for patient access, revenue integrity, revenue collection, and recovery solutions. It supports claims submission to payers, integrating with EHR systems to ensure high first-pass payment rates and reduce denials through advanced claim edits and scrubbing.

FirstHx is an AI platform that captures patient medical histories and offers specialty-specific modules.

Fold Health is a workflow automation and patient engagement platform for both primary and value-based care providers. Features include tools for automating panel management, collaborative care, and patient engagement.

Gentem is revenue cycle management software that helps automate medical billing and payment processes for providers. Key capabilities include real-time eligibility checks, a reimbursement process that minimizes insurance rejections and denials, and a blend of automation, customization, and performance tracking to enhance patient financial engagement

Glidian is prior authorization platform focused on interoperability between providers and payers. It supports integration methods including manual entry, X12 278, HL7, CSV, and API for prior authorization submissions, and consolidates all authorizations in a single dashboard for real-time status updates.

HANK.ai provides AI-powered solutions for healthcare revenue cycle management, focusing on automation, medical coding, document management, and data entry. Key products include AutoCoder, which automates anesthesia and surgical encounters, and Claim Maker, which enables easier claims submission. The platform also offers document management, which scans documents and images into machine-readable data.

Health Harbor is an AI agent that calls insurance companies for eligibility and claim status checks.

Health Note is a patient engagement product that automates the pre-visit process by sending patients an SMS link to an AI-driven chatbot that collects and structures relevant health data, which is then integrated directly into the EHR. Health Note supports various specialties and includes features like automated appointment reminders, payment collection, and insurance verification.

HealthMe is a revenue platform designed for medical practices to offer direct-pay options to patients and employers. It enables transparent pricing for various medical services and facilitates advance payments, reduces administrative burdens by eliminating claims filing, and improves patient engagement and office efficiency. HealthMe supports compliance with the No Surprises Act and Good Faith Estimate requirements.

Humata Health provides an AI-driven platform designed to automate the prior authorization process in healthcare. It integrates with EHRs and payer systems to streamline authorizations, using machine learning for intelligent document recommendations and one-click submissions. The platform prioritizes cases, monitors for changes, and automates status updates to improve efficiency and reduce manual work.

In-House Health has developed a platform that enhances nursing team operations through predictive analytics and advanced scheduling tools. The product aims to streamline shift management and match nursing staff with clinical needs efficiently for improved working conditions, cost savings, and better patient outcomes.

Inbox Health is a patient billing platform designed to automate and personalize the billing process for medical practices. It offers features like AI-optimized billing cycles and customizable messaging via email, text, paper mail, and voice calls. Additionally, it supports real-time patient interactions through HIPAA-compliant chat, email, and SMS, and provides various payment options like credit card, digital wallet, ACH, phone, and check.

Infermedica guides patients through the care journey, from AI-enabled symptom assessment and patient intake, through provider interactions with clinical decision support.

Inovalon Claims Management Pro is a revenue cycle platform for providers that manages claims across all payers. The platform offers features for automating claims submission, tracking claim statuses, and resolving denials. It provides analytics to identify issues and trends in the claims process, helping to improve efficiency and increase reimbursement rates. Additionally, it integrates with existing systems to ensure seamless data flow and comprehensive revenue management.

Insight Health Virtual Care Assistant is a conversational AI assistant for patient intake and ongoing care that automates the collection of detailed patient histories, guides patients through symptom assessments, and offers condition-specific care recommendations.

InstaMed offers digital patient payment solutions for healthcare providers.

IntakeQ offers online intake forms that can be customized and integrated into healthcare providers' websites, allowing for e-signature support and flexible question formats. The platform also includes a secure messaging portal for safe document and message exchange with clients. Automated reminders for appointments help reduce no-shows, utilizing SMS, voice, or email communications. IntakeQ also offers an online booking widget, enabling online scheduling and payments, syncing with Google Calendar, and offering customizable appointment and cancellation policies.

Iodine Aware CDI enhances clinical documentation from admission through post-billing review by identifying missing elements in patient documentation based on clinical evidence, improving documentation integrity and revenue capture. The product prioritizes cases for review, increases query and response rates, spots gaps in patient documentation, reduces denials, predicts final discharge DRGs, minimizes audit risk, automates the query process, and identifies coding opportunities.

Jeeves by 314e is an AI-powered training platform designed for EHR users. It provides microlearning through videos and tip sheets. Integrated within Epic, Jeeves uses AI to deliver precise answers to workflow questions, and tools for creating training content, including screen recording and AI narration. Administrators can review content as users stay updated with notifications.

JotForm is an online form building tool that helps users create and publish forms, and get an email for each response.

KarmaCheck offers a healthcare credentialing platform designed to expedite the process of verifying and maintaining healthcare staff credentials. Its capabilities include background checks, drug testing, education and employment verification, and identity verification.

Keap offers CRM and marketing automation software tailored for small businesses, including those in health and wellness, with configuration available to become HIPAA-compliant.

Klara is a patient engagement platform that centralizes multiple communication channels, such as text, web chat, and phone, allowing for improved scheduling, provider collaboration, and automated outreach workflows. It offers features like appointment scheduling, form submission, video calls, patient intake, and patient messaging.

Klaviyo is a non-HIPAA compliant CDP and marketing automation platform offering email and SMS marketing tools, along with segmentation, A/B testing, and analytics.

Kode Health is an on-demand medical coding platform that connects healthcare providers with certified, on-demand medical coders. Healthcare providers utilize Kode Health to address workflow and staffing fluctuations by accessing their network of coders through their coding platform that also integrates with EHR systems.

Kyruus provides health systems with provider search and scheduling solutions to connect patients with the right providers across all access points.

Latent Health uses generative AI to optimize healthcare operations, particularly in pharmacy workflows. The platform integrates with EHR systems using SMART on FHIR, providing functionalities like rapid patient data retrieval, AI-assisted 340B qualification, and automated prior authorizations.

Laudio is designed to enhance the efficiency of frontline leaders within health systems by automating administrative tasks and standardizing best practices across various departments, from ER & transport to food services. Laudio uses AI to identify high-impact actions for leader engagement and facilitates patient engagement through an integrated rounding system.

LeanTaaS is an AI and predictive analytics platform for facility capacity management that improves scheduling efficiency for spaces such as operating rooms, infusion centers and inpatient facilities.

Lirio's platform leverages behavioral science and AI to deliver personalized health interventions aimed at improving patient outcomes. It uses its Precision Nudging approach to tailor content and interventions based on individual health journeys, motivations, and decision-making processes. The platform integrates data from multiple sources, optimizes intervention timing and delivery, and learns from consumer interactions to refine its strategies. Lirio supports omni-channel communication and interoperates with existing health systems.

Lob automates HIPAA-compliant direct mail for healthcare organizations, ensuring compliance and enhancing patient-provider communication with personalized mailing.

Loyal Health is a patient engagement platform that includes tools for managing provider and location data, optimizing care search results, facilitating self-scheduling, and enhancing patient engagement through AI-driven chat. Additionally, the platform supports automated appointment reminders, care follow-ups, and patient feedback management

Luma is a patient communications platform with features including patient self-scheduling, automated reminders, caller deflection and SMS-based chat for patient inquiries, mobile intake, patient-provider chat, and insurance verification. The platform integrates with major EHR systems and supports patient communication along the full lifecycle of a patient.

M7 Health is a nurse scheduling platform that improves work experiences by understanding individual needs and matching nurses with shifts and career opportunities that align with their personal and professional goals. M7 Health aims to transform nurse scheduling from a tedious administrative task into a strategic activity that boosts job satisfaction and operational efficiency.

Madaket Health is provider data management platform. It helps automate administrative tasks like credentialing and payer enrollment and offers analytical tools for interacting with provider data.

Maverick is an AI-powered autonomous medical coding solution.

MaxRTE provides insurance verification software to assist with real-time eligibility and insurance discovery.

MDStaff is a credentialing software platform designed to automate and streamline credentialing, privileging, and enrollment processes in healthcare organizations. It features automated primary source verifications, real-time status updates, customizable workflows, and reporting tools. The platform integrates with various healthcare databases and regulatory bodies to ensure compliance and accuracy in credentialing.

MedeAnalytics Business Office provides analytics for revenue cycle performance, with actionable insights to reduce bad debt, lower denials, and improve collections. Key features include denial management, A/R monitoring, collectability analytics, predictive cash flow forecasting, and staff productivity dashboards.

MedeAnalytics Revenue Integrity Suite is a revenue intelligence tool designed to address challenges in audit response, coding and documentation performance, and compliance risks. The tool provides analytics, reporting, and workflow management to enhance productivity, ensure appropriate reimbursements, and minimize audit risks.

MedEvolve is an RCM provider, with services include medical billing, patient financial engagement, and practice management software. MedEvolve's approach, termed "Effective Intelligence," focuses on enhancing productivity and financial performance through real-time analytics and workflow automation, aiming to reduce labor dependency and increase collection rates in medical practices.

MedicalLicensing.com offers medical licensing and credentialing services, including initial medical licensing, renewals, licensing by endorsement, and interstate compact licensure. They also assist with DEA registration, commercial insurance provider enrollment, hospital privileging, and CAQH profile management. The platform provides a secure dashboard for license management, regular updates, and dedicated licensing specialists through the entire licensing process.

Med-Metrix provides end-to-end revenue cycle management (RCM) services and technology solutions for healthcare providers. Their offerings include denials management, patient intake, revenue integrity, and business insights.

Medtigo provides medical licensing services for state license applications and payor enrollment. The service includes completing initial applications, obtaining necessary documents, and continuous follow-up until completion. It features real-time application tracking, progress notes, and updates accessible through their app.

MedTrainer Credentialing centralizes provider management, automates exclusion checks, and simplifies provider enrollments. Key features include automated reminders for license expirations and recredentialing, customizable credentialing reports, and CAQH provider profile management to minimize data entry duplication. The platform offers real-time status updates and notifications, reducing administrative workload and error potential. Managed credentialing services are also available for organizations seeking external management of their credentialing processes.

Medversant provides technology solutions for healthcare provider data management, focusing on credentialing, verification, and compliance services. Its platform, ProviderIQ, automates the continuous monitoring and verification of licenses, certifications, and other credentials to ensure data accuracy and regulatory compliance.

Mend is a front-office and telehealth platform that offers features like automated patient payments, HIPAA-compliant virtual visits, digital intake forms, group video conferencing and scheduling, telepsychiatry software, and integration with electronic health records and practice management systems

Myndshft helps automate prior authorizations for acute and post-acute services, imaging labs, and diagnostics and genomics labs. The product uses a library of payer rules and an AI-enabled system that updates the workflow and rules engines based on previous prior authorization requests.

NexHealth offers both an EHR integration platform (NexHealth Synchronizer) to enable pulling or pushing data to EHRs, as well as a patient engagement suite built on the Synchronizer that offers scheduling, patient communications, forms, and payments.

Nimblr.ai offers an AI-powered scheduling assistant for healthcare, automating appointment bookings, reminders, and follow-ups via text and web interfaces.

Nirvana Health offers real-time mental health insurance verification and cost estimates via both API and web UI. Features include cardless eligibility checking and automated benefits reverification.

Nuance CDE One is a CDI platform that leverages AI-powered capabilities to provide encounter prioritization, workflow management, and advanced analytics. The system enhances the efficiency and collaboration of CDI teams by offering real-time insights and evidence-based content. Key features include automated case-finding, proactive query management, and detailed analytics for monitoring program performance and identifying improvement opportunities.

Nylas is a HIPAA-compliant provider of APIs for integrating email, calendar, and contact functionalities into other applications.

Office Ally enables healthcare providers to submit electronic claims to payers, and has features like claim scrubbing, status tracking, and integration with various practice management systems.

OhMD is a HIPAA-compliant patient communication platform that enables interactions between healthcare providers and patients through two-way texting and video visits, with integration into EHRs. They additionally offer a conversational chat solution for patient-scheduling and other digital front door workflows.

Oler is an AI referral paperwork processing platform that expedites the patient intake process by ingesting referral PDFs and generating insights for care planning and revenue opportunities.

OnceHub is a HIPAA-compliant lead acceleration platform that utilizes chatbots, forms, and booking pages to improve patient conversion and scheduling.

OpenDoctor is an online scheduling and patient engagement solution that provides tools for booking appointments, patient intake, eligibility checking, and patient payments.

OpenLoop Licensing and Credentialing provides services to expedite and manage the licensing and credentialing process for healthcare providers. They handle state board and DEA licenses, as well as hospital, healthcare facility, and payer plan credentialing, including Medicare and Medicaid. The service also includes background checks, education and work history reviews, and ongoing monitoring and maintenance to ensure compliance and credential accuracy. The licensing process typically takes 6-8 weeks, while credentialing takes 2-4 weeks.

Operait is an AI-enabled solution for forecasting gaps in the OR schedule and optimizing surgical demand by placing cases and coordinating with OR staff to ensure gaps are filled.

Optum Claims Management streamlines the claims process for healthcare providers, from preparation and submission to payer response. It uses content and rules-based editing to screen and correct claims, enhancing first-pass payment rates and reducing feedback loops. The solution helps healthcare organizations minimize rework, delays, and denials, and ensures compliance with payer regulations.

Optum Enterprise CAC (Computer-Assisted Coding) and CDI 3D is an integrated platform designed to enhance clinical documentation and coding accuracy through the use of NLP. The system reviews cases, identifying opportunities for documentation improvement and coding specificity, and automating workflows to reduce administrative burden. It includes modules for audit and compliance, analytics and reporting, and workflow management.

Oracle Cerner is a major EHR vendor and healthcare IT company offering RCM and population health management solutions. They offer solutions targeted for both fee-for-service providers and value-based care, including population health analytics services and care management services. Oracle Cerner was formed after Oracle Corporation’s acquisition of Cerner Corporation in 2022.

Orbita Access Navigation is a digital front door solution with three modules: Welcome Hub, Connection Hub, and Patient Self-Scheduling. The Welcome Hub provides introductory information, chatbot-enabled symptom checking, and live agent access. The Connection Hub helps patients find providers, care locations, and schedule appointments. Patient Self-scheduling allows patients to search for availability, book, and manage appointments, while also receiving reminders via text or email.

Orbita Care Navigation assists patients through their healthcare journey with features like patient intake automation, capturing financial information, pre-procedure preparation, and post-visit follow-up. It integrates with EMR, CRM, and scheduling systems, ensures timely completion of patient tasks, supports educational content delivery, and enables digital communication for follow-ups.

Orderly is a provider directory management and automation platform that uses machine learning to identify and correct inaccuracies in provider data.

Pager Health is a virtual care platform that brings together care and service teams, allowing for unified communication with consumers. It offers a cloud-based Command Center that supports chat, voice, and video interactions to assist members in making health and benefits decisions.

Palantir for Hospitals provides advanced tools for staffing and scheduling, leveraging AI to optimize hospital operations. It reduces administrative tasks, integrates staff preferences, and matches nurse competencies with patient needs. The platform forecasts patient demand with high accuracy, enabling efficient resource allocation. Additionally, it aids capacity management by reducing wait times and improving bed assignment processes, supporting operational teams with real-time data for patient flow and care transitions.

Paperform is a no-code form builder designed for freelancers and small to medium businesses, creation of customized, media-rich web forms. Features include embedding videos and images into forms, as well as integrations with services like Google Sheets, Mailchimp, and Slack. It is not a HIPAA-compliant product.

PatientPay facilitates patient billing through digital payments, supporting multiple payment methods including card, mobile, electronic checks, as well as payment plans. It integrates with existing EHR and practice management systems for more streamlined payment workflows.

PatientPop is a digital healthcare marketing and management platform that offers a suite of tools including SEO, online appointment booking, digital registration, patient communication, and web presence management.

PayGround is a payments platform designed to automate patient billing and payment processes, with features like EHR/PM integration and automated payment reminders. It offers different pricing plans, including a free basic option, to accommodate the diverse needs of medical practices, focusing on reducing administrative burdens and improving payment efficiency

Pear Suite is a patient engagement and care navigation platform that empowers community health workers and other professionals to tackle social determinants of health. It offers features like AI-powered scripts for enhanced data collection, automated outreach, resource links, and care journey support.

Persona enables patient identity verification and secure information collection through its Verifications and Dynamic Flow products.

Phare Health is a developer of AI technology addressing revenue cycle management functions. Their primary focus is on medical coding and expanding autonomous coverage of hospital and inpatient encounters.

PhaseZero offers a unified, AI-powered platform for healthcare communications, integrating emails, calls, and texts.

Pingoo is a chat-based AI health companion focused on patient education that answers medical questions and provides personalized health education content.

Pledge Health offers an automated patient billing and payments platform, focusing on insurance benefit verifications, patient cost estimates, patient statements, and payment processes to enhance the financial experience for both healthcare providers and their patients