End-to-End Revenue Cycle Management

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Canvas
Claimed

Canvas

Company Info
Founded: 2015
Headcount: 51-200
Customers
Verified Customers: 11
Customers Served: Digital Health Provider, Ambulatory Practice
Product Overview
8 Reviews
Security Certifications: SOC 2 Type 2, HIPAA, ONC Health IT (2015 Edition)
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.
Athenahealth logo
AthenaHealth

Athenahealth

Company Info
Founded: 1997
Headcount: 5001-10000
Customers
Verified Customers: 17
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
6 Reviews
Security Certifications: SOC 2 Type 2, HIPAA, ISO 27001, ONC Health IT (2015 Edition)
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.
Candid Health logo
Candid Health
Claimed

Candid Health

Company Info
Founded: 2019
Headcount: 11-50
Customers
Verified Customers: 21
Customers Served: Digital Health Provider, Ambulatory Practice
Product Overview
4 Reviews
Security Certifications: SOC 2 Type 2, HIPAA
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.
Enter Health logo
Enter Health
Claimed

Enter Health

Company Info
Founded: 2013
Headcount: 1-10
Customers
Verified Customers: 9
Customers Served: Digital Health Provider, Ambulatory Practice
Product Overview
2 Reviews
Security Certifications: SOC 2 Type 2, HIPAA
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.
Adonis logo
Adonis
Claimed

Adonis

Company Info
Founded: 2022
Headcount: 51-200
Customers
Verified Customers: 9
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
1 Reviews
Security Certifications: HIPAA, SOC 2
Adonis is a revenue cycle management platform that streamlines billing processes and enhances revenue management. It integrates with practice management systems, EHRs, and patient portals to facilitate data-driven revenue decisions. The platform automates tasks including patient eligibility checks, cost estimations, prior authorization, and patient billing. Its real-time data integration and insights aim to improve the efficiency of revenue collection and management in healthcare settings.
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Apero
Claimed

Apero

Company Info
Founded: 2019
Headcount: 11-50
Customers
Verified Customers: 12
Customers Served: Digital Health Provider, Ambulatory Practice
Product Overview
1 Reviews
Security Certifications: SOC 2 Type 2, HIPAA
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.
NextGen RCM logo
NextGen

NextGen RCM

Company Info
Founded: 1973
Headcount: 1001-5000
Customers
Verified Customers: 11
Customers Served: Ambulatory Practice
Product Overview
1 Reviews
Security Certifications: HIPAA
NextGen RCM streamlines financial processes from patient appointment scheduling to final payment, focusing on optimizing revenue and ensuring regulatory compliance.
Waystar logo
Waystar

Waystar

Company Info
Founded: 2017
Headcount: 1001-5000
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
1 Reviews
Security Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA, ISO 27001
Waystar is an end-to-end revenue cycle management company, offering eligibility verification, claims submission, payment posting, denials management, and analytics.
Athelas RCM logo
Athelas

Athelas RCM

Company Info
Founded: 2016
Headcount: 201-500
Customers
Verified Customers: 9
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security Certifications: SOC 2 Type 2, HIPAA
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 logo
Availity

Availity Essentials

Company Info
Founded: 2001
Headcount: 1001-5000
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security Certifications: SOC 2 Type 2, HIPAA
Availity Essentials is a healthcare provider portal designed to streamline various healthcare administrative and management processes. Key features include patient management tools for eligibility and benefits checks, insurance information, and care reminders, along with a comprehensive claims management system for submitting, tracking, and correcting claims. The platform provides electronic remittance advice for easier claim and payment research, and a provider data management system for updating provider information. Additionally, Availity Essentials simplifies prior authorization and referral processes.
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CollaborateMD

CollaborateMD

Company Info
Founded: 1999
Headcount: 11-50
Customers
Verified Customers: 2
Customers Served: Ambulatory Practice
Product Overview
Security Certifications: HIPAA
CollaborateMD offers practice management and billing software for small to mid-sized practices.
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Conifer Health Solutions

Conifer Health Solutions

Company Info
Founded: 2008
Headcount: 5001-10000
Customers
Customers Served: Ambulatory Practice, Hospital / Health System, Health Plan, Risk-Bearing Providers
Product Overview
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.
Docvocate logo
Docvocate

Docvocate

Company Info
Founded: 2018
Headcount: 1-10
Customers
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security Certifications: HIPAA
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 logo
Ensemble Health Partners

EIQ

Company Info
Founded: 2014
Headcount: 1001-5000
Customers
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security Certifications: SOC 2 Type 2, HIPAA
EIQ by Ensemble Health Partners is a cloud-based, analytics-driven workflow tool for end-to-end RCM.
Other Categories
EZClaim logo
EZClaim

EZClaim

Company Info
Founded: 1997
Headcount: 11-50
Customers
Customers Served: Digital Health Provider, Ambulatory Practice
Product Overview
Security Certifications: HIPAA
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.
Gentem logo
Gentem

Gentem

Company Info
Founded: 2019
Headcount: 11-50
Customers
Verified Customers: 5
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security Certifications: SOC 2 Type 2, HIPAA
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
Inovalon Claims Management Pro logo
Inovalon

Inovalon Claims Management Pro

Company Info
Founded: 1998
Headcount: 1001-5000
Customers
Verified Customers: 13
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA
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.
MedEvolve logo
MedEvolve

MedEvolve

Company Info
Founded: 1998
Headcount: 51-200
Customers
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security Certifications: SOC 2 Type 2, HIPAA, ISO 27001
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.
Office Ally logo
Office Ally

Office Ally

Company Info
Founded: 2000
Headcount: 201-500
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA
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.
pMD logo
pMD

pMD

Company Info
Founded: 1998
Headcount: 51-200
Customers
Verified Customers: 16
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security Certifications: SOC 2 Type 2, HIPAA
pMD offers integrated healthcare solutions that enhance care delivery and practice efficiency, featuring mobile charge capture, telehealth, and revenue cycle management services
R1 logo
R1

R1

Company Info
Founded: 2003
Headcount: 5001-10000
Customers
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security Certifications: SOC 2 Type 2, HIPAA
R1 RCM offers a revenue cycle management platform for hospitals and healthcare systems across payment models, patient engagement strategies, or settings of care.
SimiTree logo
SimiTree

SimiTree

Company Info
Founded: 2011
Headcount: 201-500
Customers
Verified Customers: 3
Customers Served: Digital Health Provider, Ambulatory Practice
Product Overview
Security Certifications: SOC 2 Type 2, HIPAA
SimiTree RCM provides tech-enable medical billing for post-acute and behavioral health organizations.
Trek Health logo
Trek Health

Trek Health

Company Info
Founded: 2022
Headcount: 11-50
Customers
Verified Customers: 15
Customers Served: Digital Health Provider, Ambulatory Practice
Product Overview
Security Certifications: SOC 2 Type 2, HIPAA
Trek Health is a revenue cycle management provider, enabling payer enrollment and claims submission, with the ability to do instant payments for claims. Trek enables integrating with the provider’s EHR system for claims submission, with reimbursement within 48 hours.
Trizetto logo
TriZetto

Trizetto

Company Info
Founded: 1994
Headcount: 5001-10000
Customers
Verified Customers: 6
Customers Served: Ambulatory Practice
Product Overview
Security Certifications: SOC 2 Type 2, HIPAA
TriZetto RCM aims to optimize financial outcomes for healthcare providers by handling billing processes and enhancing payment accuracy.
Trucare Billing logo
Trucare Billing

Trucare Billing

Company Info
Founded: 2021
Headcount: 11-50
Customers
Verified Customers: 2
Customers Served: Digital Health Provider, Ambulatory Practice
Product Overview
Security Certifications: SOC 2 Type 2, HIPAA
Trucare Billing provides medical billing services, including revenue cycle management, practice management, and credentialing for telehealth and private practice.