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 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.

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 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.

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

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

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

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

InstaMed offers digital patient payment solutions for healthcare providers.

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.

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.

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.

Maverick is an AI-powered autonomous medical coding solution.

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

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.

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.

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.

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.

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.

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.

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.

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

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.

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

pMD offers integrated healthcare solutions that enhance care delivery and practice efficiency, featuring mobile charge capture, telehealth, and revenue cycle management services

R1 RCM offers a revenue cycle management platform for hospitals and healthcare systems across payment models, patient engagement strategies, or settings of care.

Raxia is an AI patient financial engagement platform, with modules to automate patient account management, optimize patient communications, and accept payments. Raxia Orchestrate automates patient account management across different systems. Raxia Engage uses behavioral analytics to send personalized communication for payments. Raxia Pay offers interactive digital billing to clarify financial responsibilities for patients and improve payment rates.

Regard is an AI-driven tool designed to assist clinicians in analyzing patient data more efficiently. It integrates with electronic medical records (EMR) to extract insights from unstructured clinical data, suggest diagnoses, and generate clinical notes. This "medical co-pilot" helps healthcare providers make informed decisions and reduces documentation time. Key functionalities include automating administrative tasks, providing diagnostic support, and enhancing clinical practice by making patient information more accessible and actionable within the EMR system.

Relatient combines online self-scheduling, real-time chat, digital registration, personalized communication, and mobile billing to improve healthcare accessibility and patient experience.

RevOps Health offers a revenue intelligence platform for visualizing and analyzing revenue data, a data fusion engine to integrate and correct data from multiple sources, and a data acquisition system that can extract data from various systems with or without API support. The technology unifies clinical, payment, and insurance data to provide complete visibility and streamline reimbursement activities.

RevSpring provides advanced financial communications and payment solutions that leverage data-driven insights to personalize patient engagement and optimize payments. Key offerings include the PersonaPay system for managing patient payments, and Talksoft Patient Engagement Messaging Suite.

Rhyme, formerly PriorAuthNow, is a platform that unites payers and providers to streamline the prior authorization process. It integrates with EHR systems for data exchange, supports communication methods including faxes, and uses intelligent workflows to optimize authorization success rates. The platform provides real-time status updates and facilitates collaboration among healthcare teams through built-in communication tools.

Rivet Patient Pricing generates accurate patient cost estimates in compliance with the No Surprises Act, allowing patients to see their deductible and out-of-pocket costs. The system integrates with EHR and practice management systems, automating eligibility checks, and aligning contracted rates with insurance benefits. It provides customizable payment terms, batch communication, and upfront payment collection.

Rivet Revenue Diagnostics offers visibility into financial health by forecasting revenue and cash collections more accurately. It integrates with EHR and practice management systems, using historical and contracted rates to provide granular metrics and dynamic reporting. The platform identifies revenue leakage, evaluates payer and provider performance, and visualizes the impact of claim adjudication cycles and denials.

RoyalPay Patient Payments is a patient billing solution that offers clean order receipts, instant eligibility checks to boost time-of-service collections.

RxLightning is a prior authorization platform that automates and simplifies the onboarding process for specialty medications. It provides healthcare providers with tools to complete patient enrollment forms, conduct benefit checks, manage prior authorizations, collect consents, and access patient assistance programs.

SamaCare is a platform that simplifies prior authorizations for buy-and-bill drugs, imaging, and select procedures. It helps providers by managing forms, tracking statuses, and supporting communication with payers. It automates form recommendations, auto-fills information, and updates tracking with responses. SamaCare integrates with EHRs for patient information lookup and two-way synchronization, and supports faxes and payer portals. Built-in communication tools facilitate collaboration among revenue management and clinical staff, improving efficiency and reducing administrative tasks.

Semantic Health is an AI CDI platform that reviews all coded data before billing, assessing and validating the accuracy and completeness of medical codes from clinical documentation. The platform integrates with existing electronic health records, allowing it to pull and process patient charts in real-time, and enables hospitals to identify and correct coding errors or omissions.

Sift Healthcare's Patient Payments Management system uses AI to optimize the revenue cycle by predicting patient payment behaviors. It offers advanced analytics to determine who will pay, when, and the best methods and frequency for contact. This includes structuring payment plans and identifying charity qualifications.

Rev/Track provides AI-powered reporting for RCM with interactive dashboards and detailed reports of payment behaviors, insurance denials, collection trends, and strategy performance. Rev/Track helps visualize patient segments, monitor key metrics, track denial and liquidation rates, and evaluate collection strategies, improving operational efficiency and financial outcomes.

SimiTree RCM provides tech-enable medical billing for post-acute and behavioral health organizations.

Sohar Health enables eligibility verification and AI-powered medical coding for behavioral health providers. Sohar offers integration with EHR systems and APIs, enhancing workflow efficiency and enabling easy integration into existing systems.

Solventum Revenue Integrity is designed to manage and prevent claim denials by analyzing clinical, coding, and payment data. Utilizing machine learning models, it predicts potential denials and provides real-time insights and recommendations throughout the patient journey. The system enhances reporting by linking clinical activities to payment outcomes and integrates workflow with denial risk alerts, guiding revenue cycle staff for timely interventions to prevent denials.

Square is a secure payment processing platform, offering both web products and APIs to enable payments, including patient payments and subscriptions.

SSI Claims Management is a solution designed to improve the accuracy and speed of medical claims processing for healthcare providers. It features an extensive array of billing edits, automated workflows, electronic attachments, and comprehensive denial management tools.

SSI Clearinghouse offers electronic healthcare transaction processing, including claims submissions, remittance advice, and eligibility verification. It features a robust editing suite with over 1 million edit combinations for claim validation and compliance. The service supports real-time and batch transactions with a large network of payers, including Medicare and Medicaid.

Steer Health is a digital front door solution with features including patient acquisition, AI-powered scheduling, registration and patient intake, referral management, and automated post-visit follow-ups. The platform also includes a conversational AI chatbot to assist with patient interactions across the patient journey. Additionally, Steer Health supports telemedicine, digital payments, and personalized patient communication, integrating seamlessly with existing EHR systems to optimize workflow efficiency and boost revenue for healthcare providers

Stripe is a secure payment processing platform, offering both web products and APIs to enable payments, including patient payments and subscriptions.

Synaptec Health is an AI-enabled medical coding product for automatically processing patient encounters. It integrates with billing systems and EHRs, and uses 1000+ ML models for precision coding.

Thoughtful AI is an AI Revenue Cycle Automation platform that integrates with EHRs and practice management systems to automate tasks in eligibility verification, patient intake validation, claims processing, payment posting, with additional capabilities in coding, provider management, and revenue reporting.

Trek Health's revenue cycle management platform automates various financial processes to enhance accuracy and efficiency. Key features include advanced data validation to reduce claim errors, real-time eligibility verification, automated patient billing, and communication via email or text. The platform integrates with EHR systems to enable workflows from patient scheduling to payment collection and denial management.

TriZetto RCM aims to optimize financial outcomes for healthcare providers by handling billing processes and enhancing payment accuracy.

TruBridge Clearinghouse provides electronic processing for healthcare transactions, including claims submissions, remittance advice, and eligibility verification. It validates and edits data to meet industry standards, reducing errors and ensuring compliance. The service allows providers to track claims status and offers reporting and analytics tools for insights into billing and claims processes, such as claim acceptance rates and denials.

TruBridge Encoder is a cloud-based medical coding tool that assists healthcare providers in accurately assigning medical codes using comprehensive and up-to-date references. It supports coders with timely updates to clinical content and offers resources for accurate code assignment.

Trucare Billing provides medical billing services, including revenue cycle management, practice management, and credentialing for telehealth and private practice.

Turquoise Health's Instant GFE (Good Faith Estimate) tool helps providers generate accurate cost estimates for patients in compliance with the No Surprises Act. It allows for instant creation, calculation, and sharing of estimates, incorporating facility and physician fees. The platform supports collaboration, enables batch communication, and ensures HIPAA compliance.

Valer Health's Prior Authorization solution is designed to reduce the time and effort typically required for managing prior authorizations by eliminating manual processes. It automates submissions and status checks through a single platform that integrates with the EHR and practice management system. Additionally, it helps pre-populate payer web portal and fax details with accurate patient information for faster processing times.

Vantage Health offers solutions to enhance the patient financial experience, with features like consolidated bills from all encounters and departments, personalized messages and timing, and modeling to determine likelihood of patient payment versus collections.

Veradigm Revenue Cycle Services provides end-to-end revenue cycle management solutions, including claims management, patient billing, and payer contract management. It aims to optimize financial performance for healthcare providers by reducing claim denials, shortening accounts receivable days, and increasing payment collections.

Veritable is a healthcare IT solution focused on insurance eligibility verification and claim status checks. It allows medical practices to access information from over 1,500 insurance payers, reducing administrative burdens and improving operational efficiency. The platform helps avoid claim denials and delays by confirming coverage before services are provided.

VisiQuate Revenue Cycle Analytics provides healthcare organizations with data visualizations and predictive analytics to optimize revenue management processes. Features include root cause analysis, anomaly detection, and geographic mapping to improve cash flow, staff productivity, and payer negotiations. Users can perform ad-hoc queries, access self-service reporting, and receive alerts to help address systemic defects and enhance revenue integrity.

Walnut provides a modern patient payment platform for healthcare practices, offering digital checkouts that accept cards, ACH, Apple Pay, and Google Pay. The platform automates post-visit billing and patient engagement, reducing administrative work and increasing revenue. It includes advanced reporting for real-time analytics and enterprise-grade security.

Waystar's Prior Authorization platform uses intelligent automation to manage the entire authorization process. It automatically verifies, initiates, tracks status, and retrieves authorization details, integrating directly with major EHR systems. The platform automates patient referral status, handles unscheduled admissions, and generates necessary medical notices. It adapts to changing payer rules and is maintained by an in-house team of experts. AI is used to verify if authorization is required, gather data, send documentation, check status, and flag potential issues.

Wendi is an AI-powered digital assistant for patient engagement from initial contact through scheduling and eligibility checking.