RCM Edge

RCM Edge

ISpectra Technologies Global
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About

CombineHealth AI is the creator of Amy, Marc, Emily, and Diana — an advanced AI workforce designed to power end-to-end Revenue Cycle and Practice Management services for healthcare groups nationwide. These solutions are built on a proprietary foundational model that delivers 99.2% accuracy and ensures 100% compliance with coding and billing guidelines. The AI workforce helps reduce coding errors, enhance coder productivity, and address physician documentation challenges. Organizations using these solutions have seen a 35% increase in clean claim submissions and a significant reduction in denial rates. The AI employees work seamlessly alongside human teams, performing key functions such as medical coding, billing, data entry, A/R follow-up, and denial management — while providing detailed, auditable reasoning for every action taken.

About

RCM Edge is an AI-powered revenue cycle management platform for medical billing companies, physician practices, clinics, hospitals, and health systems. It automates billing workflows from eligibility verification to reimbursement and works with existing EHR and practice-management systems. Edge Verify performs real-time insurance eligibility and benefits checks across 566 payer connections. Edge Claims tracks claim status across 468 payer connections, normalizes payer responses, and routes unresolved claims to follow-up queues so staff can focus on exceptions. The platform uses robotic process automation (RPA), predictive analytics, and real-time intelligence to help teams reduce manual work. Prior authorization, denial management, and accounts receivable follow-up are in development, not live modules.

Platforms Supported

Windows Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Not Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported

Platforms Supported

Windows Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported

Audience

Hospitals and Health Systems, RCM Services

Audience

Medical billing companies, physician practices, clinics, hospitals, and healthcare revenue cycle management teams.

Support

Phone Support Supported
24/7 Live Support Supported
Online Supported

Support

Phone Support Supported
24/7 Live Support Supported
Online Supported

API

Offers API Not Supported

API

Offers API Not Supported

Screenshots and Videos

Screenshots and Videos

Pricing

$1000/month
Details upon request
Free Version Not Supported
Free Trial Not Supported

Pricing

$200/month
The Professional plan starts at $200 per month. A free 30-day trial is offered. Enterprise pricing is customized.
Free Version Supported
Free Trial Not Supported

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Training

Documentation Supported
Webinars Supported
Live Online Supported
In Person Supported

Training

Documentation Supported
Webinars Not Supported
Live Online Supported
In Person Not Supported

Company Information

CombineHealth AI
Founded: 2022
United States
www.combinehealth.ai

Company Information

ISpectra Technologies Global
Founded: 2023
United States
rcmedge.ai/

Alternatives

Alternatives

XpertCoding

XpertCoding

XpertDox
Altair

Altair

Altair Health
InvisaClaim

InvisaClaim

InvisaClaim, LLC
DoctorMGT

DoctorMGT

Doctor Management Services

Categories

Categories

Revenue Cycle Management Features

Accounts Receivable Supported
Claims Management Supported
Collections Management Supported
EHR/EMR Integration Supported
For Healthcare Supported
ICD-10 Compliance Supported
Insurance Verification Supported
Medical Billing Supported
Patient Portal Supported
Patient Registration Supported
Patient Scheduling Supported
Payment Processing Supported

Integrations

Amy by CombineHealth Supported
EHR 24/7® Supported
EPIC Supported
Practice Mate Supported
Service Center Supported
athenaOne Supported

Integrations

Amy by CombineHealth Not Supported
EHR 24/7® Not Supported
EPIC Not Supported
Practice Mate Not Supported
Service Center Not Supported
athenaOne Not Supported
Claim CombineHealth AI and update features and information
Claim CombineHealth AI and update features and information
Claim RCM Edge and update features and information
Claim RCM Edge and update features and information