Alternatives to Athelas
Compare Athelas alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to Athelas in 2026. Compare features, ratings, user reviews, pricing, and more from Athelas competitors and alternatives in order to make an informed decision for your business.
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RXNT
RXNT
RXNT is an ambulatory healthcare technology pioneer that empowers medical practices and healthcare organizations to succeed and scale through innovative, data-backed, AI-powered software. Our fully-integrated, ONC-certified suite of medical software—like Clinical EHRs, Practice Management, Medical Billing and RCM, E-Prescribing, Practice Scheduling, Patient Portal, and more—optimizes clinical outcomes and RCM for your practice. Used by tens of thousands of medical professionals—from large physician practices to medical billing companies—to drive growth, streamline business operations, and improve patient care across all 50 U.S. states. Our unified “Full Suite” system employs a secure, central database so your data passes through every product in real-time from anywhere, and more than 135 million prescriptions have been transmitted and over $10 billion in claims have been processed using RXNT. -
2
DeepScribe
DeepScribe
DeepScribe’s AI-powered scribe captures the natural conversation between a clinician and patient and automatically writes medical documentation, allowing clinicians to focus on patient care instead of note-taking. Through an easy-to-use mobile app, DeepScribe records the natural clinical encounter and transcribes it in real time. Our proprietary AI then extracts the medical information from the transcript, classifies it into a standard note, and then integrates that note directly into a clinician’s electronic health record system. Unlike traditional scribes, dictation tools, or other solutions, the ambient nature of DeepScribe means it doesn’t intrude on the patient visit or disrupt the clinical workflow. Providers can simply talk to their patient like normal, then review their notes after the visit and sign-off in their EHR. DeepScribe handles documentation, charting, and even populates suggested diagnostic coding based on the information extracted from the visit. -
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Nudge AI
Nudge AI
Nudge AI is the most advanced documentation platform built specifically for healthcare professionals. Our proprietary Ambient Scribe technology captures clinical sessions and instantly transforms conversations into structured, insurance-proof clinical notes—whether you need psychiatric evaluations, therapy progress notes, or comprehensive treatment plans. Our platform features Direct EHR Integration with 50+ EHRs, allowing you to transfer completed notes with a single click. The sophisticated AI Billing Assistant identifies appropriate CPT codes based on session complexity and automatically generates add-on justifications, helping clinicians maximize reimbursement without compliance concerns. Clinicians love our Infinite Customizations that adapt to their workflow preferences rather than forcing standardized templates. Simply paste any ideal note and our AI converts it into a reusable template in minutes, giving you 100% control over format, language, and structure.Starting Price: $85/month -
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Arrow
Arrow
Arrow is a healthcare revenue cycle management platform that modernizes and streamlines healthcare payments by automating billing, claim operations, and predictive analytics to help providers and payers reduce administrative burden, minimize denials, and accelerate collections. It brings workflows, data, and AI together so teams can detect errors in claims before submission, manage denials with root-cause analysis and one-click fixes, and get detailed real-time claim status updates directly from payers. It simplifies the ingestion of Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) data into a centralized, user-friendly format, provides revenue intelligence with actionable insights into the revenue cycle, and monitors payment integrity to highlight underpayments or overpayments according to payer contracts. -
5
Notiro
Notiro
Notiro is an AI medical scribe platform designed to help clinicians spend less time typing and more time caring for patients. The platform captures patient encounters in real time using ambient AI and turns conversations into structured clinical notes, orders, and coding-ready documentation. Notiro supports workflows such as patient intake, SOAP note generation, clinical orders, medical coding, and EHR synchronization. Clinicians can quickly review, edit, approve, and send notes directly into their EHR through secure integrations. The platform is built with medically tuned AI, customizable templates, noise-robust processing, and HIPAA-compliant security. Notiro helps healthcare providers reduce documentation workload, improve chart closure speed, and focus more on patient care.Starting Price: $99/month -
6
Omnipractice
Omnipractice
Omnipractice is an AI-powered, cloud-based electronic health record and practice management platform designed to streamline clinical and administrative workflows for healthcare providers, especially in behavioral health, addiction treatment, and multi-specialty clinics. It unifies essential practice functions, such as intake and CRM lead tracking, scheduling and calendar management, secure client and therapist portals, billing and insurance workflows, e-prescribing, and analytics dashboards, into a single HIPAA-compliant system so teams can reduce manual work and improve operational efficiency. Omnipractice’s AI-driven tools include an advanced AI scribe and notes workflow that automatically transcribes sessions, generates progress notes and treatment plans based on templates, and lets clinicians review and edit outputs; custom AI Studio workflows; automatic form autofill; group notes support; and automation of insurance verification, claims, and eligibility checks.Starting Price: $29 per month -
7
Ease
Ease
Ease Health is an AI-native healthcare platform designed to serve as a unified operating system for behavioral health practices by integrating patient intake, clinical care management, documentation, and billing into a single cloud-based system. It combines multiple core healthcare technologies—including CRM, electronic health records, and revenue cycle management to streamline the full lifecycle of behavioral health operations from patient admission through treatment and reimbursement. Instead of relying on separate systems for scheduling, clinical notes, and billing workflows, Ease Health centralizes these functions so providers can manage referrals, admissions, care delivery, and claims processing within one interface. It uses artificial intelligence to automate administrative tasks such as clinical documentation, allowing clinicians to capture visit information in real time and automatically generate structured notes. -
8
iMedX
iMedX
iMedX, Inc. provides clinical documentation and revenue-cycle solutions designed to help healthcare providers focus on patient care rather than administrative burdens. The platform supports AI medical coding, standard medical coding, clinical documentation, abstraction of core measures, and revenue-cycle-management workflows. Their AI medical coding offering, part of the ‘RCM Companion Suite’, uses advanced machine-learning to improve accuracy, reduce denials, and accelerate payments by automating case-routing, pre‐populating codes, guiding coders in real time, and surfacing documentation gaps before claims leave the organization. Users gain features such as intelligent case routing to the right coder, autonomous resolution of routine cases, in-moment assistance through an AI assistant, and embedded audit tools that identify missed reimbursement, documentation errors, and compliance risks. -
9
DoctorMGT
Doctor Management Services
DoctorMGT is a healthcare revenue cycle and practice support company that helps medical providers improve billing performance, reduce denials, and accelerate payments. The company supports solo providers, specialty clinics, hospitals, and medical groups with services such as medical billing, coding, claims management, AR follow-up, and compliance-focused revenue support. DoctorMGT works with complex claims across areas such as pain management, orthopedics, surgery, chiropractic care, durable medical equipment, personal injury, and lien-based billing. Its services are designed to reduce administrative workload while helping providers keep cash flow steady and claims moving efficiently. DoctorMGT also offers virtual medical assistants, virtual medical scribes, appointment scheduling, credentialing, medlegal support, and lien negotiation services. -
10
Droidal
Droidal LLC
Droidal is an AI-powered revenue cycle management platform that helps healthcare organizations reduce costs, increase revenue, and improve patient experiences. By leveraging Generative AI and large language models (LLMs), Droidal automates complex billing, claims, and payment workflows with precision and speed. The platform processes over 2 million claims monthly across 1,800+ locations while maintaining coverage for 3,500+ payers. Its AI agents streamline operations for hospitals, clinics, and care providers — cutting denials, accelerating payments, and boosting cash flow. Designed for seamless integration, Droidal enhances productivity without replacing existing systems or workflows. With enterprise-grade compliance and a subscription-based model, Droidal delivers measurable ROI while freeing up staff to focus on patient care. -
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SSI Claims Director
SSI Group
Elevate your claims management process and decrease denials through unmatched edits and an industry-leading clean claim rate. Health systems require access to technology that facilitates accurate claim submission and rapid reimbursement. Claims Director, SSI’s claims management solution, streamlines billing practices and provides visibility by guiding users through the electronic claim submission and reconciliation process from beginning to end. As payers change or modify reimbursement criteria for services, the system actively monitors and incorporates these changes and requirements. And with a comprehensive mix of edits at the industry, payer and provider levels, the solution aids organizations in making the most of reimbursement efforts. -
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Lime Scribe
Lime Health
Lime Scribe is an ambient AI scribe purpose-built for home health and hospice agencies. Unlike physician-office scribes (Suki, Nuance DAX, DeepScribe), Lime is designed around OASIS-E2, HOPE, PDGM, and the workflows post-acute clinicians actually use. The differentiator: every chart is verified by a certified home health coder before it reaches your EHR. AI captures the visit; a credentialed human verifies OASIS items, ICD-10 codes, and visit details. Standard with every engagement, not an upsell. Capabilities: - Ambient AI captures OASIS-E2, HOPE, and visit notes from the natural encounter - Coder-verified ICD-10 coding (PDGM-optimized, audit-ready) - Real-time OASIS QA flags Section GG errors and SDOH gaps - Admissions intake automation: parses referrals, verifies eligibility - Native EMR integration: HCHB, WellSky, MatrixCare, Axxess, DSL, Netsmart, KanTime HIPAA compliant. Signed BAAs. 30,000+ charts processed yearly. 4.9-star clinician rating. -
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Nextech
Nextech Systems
Revenue cycle management platform with payment processing, claims management, patient access, and denials management. Nextech’s specialty-focused technology solutions are personalized to meet the unique workflow requirements of specialty providers, helping practices increase efficiencies across their clinical, administrative, financial and marketing functions using a single platform. Offering all-in-one, ONC-certified electronic medical records (EMR/EHR), practice management, revenue management, and patient engagement software and services, Nextech is recognized as the top single solution provider for ophthalmology, plastic surgery and dermatology, serving a client base of more than 9,000 providers and 50,000 office staff members. Offering physicians intelligent healthcare technology, Nextech focuses on the success of its specialty practices through consultative guidance and implementation of solutions tailored to the speed and workflows of individual providers. -
14
Thoughtful AI
Thoughtful.ai
Thoughtful AI offers a comprehensive, AI-driven solution for healthcare revenue cycle management (RCM). With its human-capable AI agents, such as EVA for eligibility verification and CAM for claims management, the platform automates the most complex and time-consuming RCM processes. Designed to boost efficiency and accuracy, it reduces operating expenses, minimizes denials, and accelerates payment posting. Trusted by leading healthcare providers, Thoughtful AI provides seamless integration, guaranteed ROI, and the ability to reduce cost-to-collect, all backed by HIPAA-compliant security and performance-based guarantees. -
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Kovo RCM
Kovo RCM
Kovo RCM is a revenue cycle management and medical billing service platform that helps healthcare providers streamline billing processes, optimize reimbursements, and reduce administrative burden so clinicians can focus more on patient care. It delivers end-to-end RCM services that include insurance eligibility verification, claims submission and tracking, denial management and appeals, coding support, credentialing, patient billing and collections, and custom reporting and analytics to provide clear financial insights and improve cash flow. Kovo RCM supports a wide range of medical specialties, including cardiology, anesthesiology, radiology, mental and behavioral health, internal medicine, surgery, EMS and ambulance services, wound care, and more, offering tailored billing expertise for the unique coding and reimbursement challenges each field faces. -
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Augmedix
Augmedix
Augmedix provides industry-leading medical documentation solutions that alleviate administrative burden and give clinicians more time to focus on patient care. The company’s ambient medical documentation solutions capture natural clinician-patient conversations at the point of care. The Augmedix Ambient Automation Platform: - uses Automated Speech Recognition to transcribe the natural conversation between clinicians and patients, then - utilizes Natural Language Processing and structured data models, supported by medical documentation specialists, to create medical notes, and lastly, - inserts medical notes into the EHR for review and sign-off by the clinician. The solution runs on mobile phones and other mobile hardware devices. -
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ScribeHealth
ScribeHealth
ScribeHealth is an AI-powered medical scribe that listens during patient-clinician conversations, transcribes and codes clinical notes in real time, and formats them into structured document types (SOAP, HPI, MSE, specialty-specific templates) with minimal clinician intervention. The system achieves high accuracy, learns from feedback, and lets most physicians spend only minutes tweaking rather than writing notes from scratch. It integrates seamlessly with existing EHR/EMR platforms (including Epic, Cerner, AllScripts, Jane, and specialty systems) via secure APIs, HL7/FHIR standards, or native integrations, enabling note syncing within clinicians’ normal workflows. ScribeHealth uses bank-level encryption, deletes audio recordings post-transcription, adheres to HIPAA compliance, and safeguards patient privacy. It offers session analytics, speaker identification, context awareness to extract symptoms, and assessments. -
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Anomaly
Anomaly
Anomaly is an AI-powered payer management platform built for healthcare revenue teams to “know your payers as well as they know you.” It surfaces hidden payer behaviors by decoding complex rules and detecting payment patterns across hundreds of millions of healthcare encounters. The core engine, Smart Response, continuously analyzes payer logic, adapts to shifting policies, and embeds learnings directly into existing revenue cycle workflows to provide real-time denial prediction, assisted claims correction, and alerts to revenue risks. By integrating payer-specific insights into existing systems, users can anticipate revenue loss, negotiate payer contracts from a stronger position, and proactively correct or reverse denials before they impact cash flow. The system helps level the playing field between providers and payers by turning opaque billing logic into actionable intelligence and embedding it into day-to-day financial operations. -
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MDaudit
MDaudit
MDaudit is a cloud-based platform that unifies billing compliance, coding audits, and revenue-integrity workflows for healthcare providers, hospitals, physician networks, ambulatory surgical centers, and the like. It supports all types of audits, scheduled, risk-based, retrospective, and denial-focused. MDaudit automates data ingestion from pre-bill charges, claims, and remittance data; triggers audit workflows; flags anomalies and high-risk patterns; and delivers real-time dashboards and drill-down analytics revealing root causes of billing errors, denials, and revenue leakage. Its modules, including a “Denials Predictor” for pre-submission claim validation and a “Revenue Optimizer” for continuous risk monitoring, help organizations prevent claim denials, reduce recoupments, and capture more legitimate revenue. MDaudit also provides payer-audit management: a secure, centralized workflow to respond to external audit requests and manage documentation exchange. -
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Adonis
Adonis
Adonis is an AI-powered platform designed to revolutionize revenue cycle management by providing monitoring, alerting, and dynamic issue resolution capabilities. It enhances task prioritization across RCM organizations through insights into denial trends, underpayments, and performance metrics. By leveraging AI-driven insights, Adonis aims to increase first-pass acceptance rates and minimize human errors, going beyond basic automation. The platform proactively prevents denials, automating routine tasks to allow teams to focus on patient care and experience. Adonis seamlessly integrates with existing electronic health records, practice management, billing systems, and patient portals in real time, eliminating data silos and ensuring a cohesive workflow. Its solutions are tailored for various healthcare organizations, including physician group practices, hospitals, healthcare systems, digital health providers, and practice management services. -
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BHRev
BHRev
BHRev is a specialized revenue cycle management service and automation platform built for behavioral health providers that helps practices streamline and optimize their entire financial workflow from claims submission to payment collection with AI-powered automation, expert oversight, and industry-specific expertise. It focuses on the unique challenges behavioral health organizations face, including complex payer rules, documentation requirements, high denial rates, and evolving compliance standards, by automating up to 80% of RCM tasks while human experts handle exceptions, compliance checks, and more nuanced billing functions to ensure faster reimbursement and fewer administrative errors. It combines advanced automation with human review to handle critical steps such as insurance eligibility verification, claims processing and scrubbing, denial management and follow-up, and patient payment posting so clinics can reduce operational burden and increase cash flow. -
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I-Med Claims
I-Med Claims
I-Med Claims provides top-tier medical billing and revenue cycle management (RCM) solutions, trusted by healthcare practices across the U.S. We handle all aspects of RCM, from eligibility verification to denial management, helping practices streamline operations and maximize reimbursements. With billing plans starting at just 2.95% of monthly collections, we offer affordable solutions that enhance financial workflows, maintain compliance, and improve cash flow. By outsourcing billing to us, practices can focus on patient care while benefiting from reduced claim denials and faster payments. -
23
Suki
Suki.ai
Suki is an ambient clinical intelligence platform that helps clinicians reduce administrative work and focus more fully on patient care. It captures patient conversations and turns them into high-quality clinical notes, patient instructions, orders, and other documentation outputs. The platform goes beyond basic transcription by supporting voice-enabled editing, problem-based charting, clinical reasoning, Q&A, and assisted revenue cycle workflows. Suki works across desktop and mobile devices, supports iOS and Android, and is designed for more than 100 medical specialties. It integrates with major EHR systems, including Epic, Oracle Health, athenahealth, and MEDITECH, as well as healthtech partners across telehealth and care management. With SOC 2 Type 2 certification, HIPAA compliance, and enterprise-grade scalability, Suki gives healthcare organizations an AI assistant for documentation, workflow support, and more focused clinical care. -
24
Clarafi
Clarafi
Clarafi is an AI-native Electronic Health Record (EHR) and medical scribe platform that transforms clinical documentation and chart management by leveraging advanced artificial intelligence to read handwriting, interpret clinical content, and automatically generate structured patient notes, such as SOAP (Subjective, Objective, Assessment, Plan), in as little as 90 seconds, significantly reducing manual charting work and administrative burden. It captures and organizes problem lists, complete medication histories, review of systems, and other clinical data from existing documentation or clinician input, creating a coherent, EHR-ready medical record that supports e-prescribing, coding, and clinical workflows without extensive typing or manual formatting. Clarafi’s AI automates repetitive tasks, accelerates chart completion, and helps clinicians spend more time with patients rather than on paperwork, and it integrates seamlessly into practice workflows.Starting Price: $99 per month -
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Saisystems PacEHR
Saisystems
Saisystems Health offers a unified Electronic Health Record and Revenue Cycle Management platform designed specifically for Post-Acute Long-Term Care (PALTC) providers to streamline clinical and financial workflows in a single environment. It combines the PacEHR electronic health record with end-to-end revenue cycle services to eliminate inefficiencies caused by managing separate systems for documentation, billing, and patient encounters. It is built around PALTC workflows, with purpose-designed screens, shortcuts, and smart templates that help clinicians move faster, remain compliant, and see more patients with less effort. PacEHR includes features such as real-time AI coding that analyzes and applies ICD and CPT codes, voice-to-text documentation, customizable macros, and assisted demographic entry to reduce manual data input and improve coding accuracy.Starting Price: Free -
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MediFusion
MediFusion
MediFusion is a fully integrated suite of software designed to offer innovative EHR and medical billing solutions to healthcare practices and enhance clinical, administrative and financial operations. Our team is just a phone call away to provide ongoing EHR training and be there for you whenever you need help and support. Speed-up your clinical processes and automate your workflow with our all-in-one integrated solution. A system that manages the entire revenue cycle from Eligibility Verification to Claim Processing and getting paid. Our cloud-based Electronic Health Record (EHR) software is an integrated and scalable solution to enable your practice to improve the quality of care provided to patients. This easy to use web-based EHR platform allows you to document, access and track your Clinical and Financial information on any internet-ready device no matter where you are. -
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Skriber
Skriber
Skriber is an AI-powered medical scribe solution designed to transcribe clinician-patient conversations in real time and convert them into structured clinical documentation such as SOAP-formatted notes, reducing the administrative burden on healthcare professionals. It supports secure audio recording of visits, automatically generates key-point summaries and coding (including CPT/ICD-10) for billing support, and offers integrations with electronic health record systems to streamline workflows. With full compliance for data privacy and security, HIPAA, SOC 2 Type 2, and ISO 27001 certified, it encrypts data end to end and does not sell or share patient information. Skriber is accessible via desktop or mobile devices, supports a library of configurable note templates, and allows clinicians to choose and apply new templates to existing recordings for rapid note regeneration.Starting Price: $99 per month -
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Ritten
Ritten
Ritten is a cloud-based behavioral health EMR and practice-management platform built to make complex treatment easier to manage. It brings admissions, scheduling, clinical charting, outcomes tracking, revenue cycle workflows, and AI documentation tools into one system for behavioral healthcare organizations across the continuum of care. Ritten supports programs in substance use treatment, mental health, eating disorders, process addiction, inpatient care, residential treatment, PHP, IOP, outpatient care, coaching, and case management. It helps teams schedule and chart individual and group appointments, automate signature routing and compliance checks, bill fee-for-service or per diem claims, convert referrals to clients, and build or manage documentation and services. Its behavioral health workflows include group notes shipped and signed from one screen, a powerful built-in scheduler for individual and group sessions, automated billing logic and claim generation. -
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eClinicalWorks
eClinicalWorks
Patient medical record retrieval is just a search away. The PRISMA health information search engine is here to bring together medical records from primary care providers, specialists, clinics, urgent care centers, and hospitals to create a searchable, timeline view of a patient’s health history. Our Customer Success Stories illustrate real-world applications of our healthcare IT. See how eClinicalWorks customers are achieving value-based care and improving healthcare. At eClinicalWorks, we are 5,000 employees dedicated to improving healthcare together with our customers. More than 130,000 physicians nationwide — and more than 850,000 medical professionals around the globe — rely upon our EHR software for comprehensive clinical documentation, along with solutions for telehealth, Population Health, Patient Engagement, and Revenue Cycle Management. Privately held, and driven by innovation and excellence, we have a single focus — providing our customers with secure, cloud-based solutions.Starting Price: $499.00/month/user -
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Vetriq
Vetriq
Vetriq is a healthcare revenue cycle automation platform designed to eliminate manual processing tasks involved in payment posting, remittance handling, and financial reconciliation for medical organizations. It focuses on automating the workflow around Explanation of Benefits (EOB) documents, payer correspondence, and bank lockbox deposits, converting incoming payment information into structured electronic data that can be automatically posted into revenue cycle management systems. Instead of requiring healthcare organizations to replace their bank, lockbox provider, or existing RCM infrastructure, Vetriq integrates with current banking relationships and practice management or EHR systems, layering automation on top of existing workflows. Vetriq’s automated processing engine transforms paper EOBs into standardized electronic remittance files such as 835 formats, eliminating the need for manual data entry and significantly reducing administrative workload.Starting Price: $22 per hour -
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Comprehend PT
Comprehend PT
AI Medical Scribe, a tool that listens to the visit between a patient and their clinician, utilizing AI to simplify documentation. Offering integration with over 15 EMRs with real template matching and customized features.Starting Price: $99/month -
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Transcure
Transcure
Transcure is a healthcare IT company offering EHR solutions and medical billing services to practices in the USA. We offer advanced EHR solutions, medical billing solutions and practice management making healthcare practices thrive. Our products and services help providers to ensure effective practice management and improve revenue cycle management. Embark on a transformative journey with Transcure, where innovation converges with excellence in healthcare IT solutions. Established in 2002, we have proudly stood at the forefront of providing comprehensive Revenue Cycle Management (RCM) solutions in the USA. We are dedicated to empowering hospitals, group practices, and solo practices. We have grown to a team of +1100 highly qualified billers and coders strategically headquartered in Woodbridge, New Jersey, and Dallas, Texas. Our customized approach ensures providers achieve a strong revenue cycle process with timely reimbursements in the healthcare industry.Starting Price: 5k$ -
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Experity
Experity
Use the EMR built for urgent care. Simplified charting and easy-to-use templates drive quick, accurate documentation, streamlined workflow, seamless integration, and a better experience for patients (and everyone on your staff). Get the urgent care EMR software that provides the tools you need to navigate center visits efficiently. With an intuitive interface and documentation templates made for urgent care, clinicians can chart an urgent care visit with confidence. With fast registration, real-time insurance verification, integrated EMR/PM database, and workflow-driven scheduling queues, patients go from the front desk to discharge as quickly as possible, boosting satisfaction. Precise CPT autocoding and smart E/M code suggestions ensure full documentation of each visit and more accurate claims. With a library of relevant standard reports to inform decision-making, it’s easy to monitor and improve your clinic performance. -
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CureAR
TechMatter
CureAR is an AI-powered medical billing and revenue cycle management software designed for in-house billers, billing companies managed-service providers and DME companies. The software consolidates eligibility verification, charge capture, AI-assisted coding suggestions, claim scrubbing, electronic claim submission, ERA ingestion, and automated payment posting into a single cloud-hosted system. It is configurable for specialty billing rules and supports multi-tenant operations for practices that handle multiple client accounts. Key Features: AI-assisted coding and claim scrubbing: Machine learning highlights likely coding errors and applies payer-specific validation rules before submission. Real-time claim status and alerts: Tracks claims from submission to adjudication and surfaces exceptions for prioritized follow-up. ERA ingestion and automated posting: Electronic remittance advice handling with configurable reconciliation workflows reduces manual posting effort.Starting Price: $129/month/user -
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NeuralRev
NeuralRev
NeuralRev is an AI-powered Revenue Cycle Management (RCM) platform that automates and accelerates end-to-end financial workflows in healthcare, reducing manual effort and errors while improving cash flow and operational efficiency. It automates insurance eligibility verification by connecting to clearinghouse networks in real time so patient intake and coverage checks happen instantly, and it handles prior authorization by assembling clinical and payer requirements, submitting requests electronically, and tracking approvals to reduce denials and delays. It also delivers real-time patient cost estimates by combining eligibility data with payer rules to improve transparency and upfront collections, and it streamlines medical coding, claim submission, claims processing, post-claim follow-up, and recovery, so teams spend less time chasing paperwork. -
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InvisaClaim
InvisaClaim, LLC
InvisaClaim AI Revenue Cycle Management that prevents denials and wins the ones that slip through. The most advanced all-in-one platform for billing companies and RCM teams. Before claims go out, Pre-Submission Check and Pre-Check AI scrub them against NCCI edits, coding conflicts, and payer rules stopping denials at the source. When one slips through, upload or live-feed a denial letter or 835 ERA and AI extracts patient data, CARC/RARC, CPT/ICD-10, amounts, and deadlines then drafts a payer-specific appeal in 60 seconds across 30+ payers. Modules: Pre-Submission Check, Denial Workbench, NSA/IDR (eligibility, QPA, GFE & IDR letters), Prior Auth, A/R aging, NPI verification, deadline alerts, full audit trail. Connects to your clearinghouse and EHR: Change Healthcare/Optum, Waystar, Availity, Athenahealth (pipeline), plus a FHIR R4 layer for EPIC/Cerner. HIPAA Compliant · SOC 2 · 256 EncryptionStarting Price: $349 -
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Billient
Billient
Billient is an AI-powered medical coding platform built for unmatched coding speed, accuracy, compliance, and revenue cycle performance. Designed as an AI medical coder that never misses, never slows, and never breaks, Billient helps healthcare organizations move from clinical documentation to validated coding recommendations with fewer bottlenecks, cleaner claims, faster reimbursement, and improved cash flow. It reads medical notes directly from EHR systems through compliant HL7/FHIR integration, CCDA parsing, automation workflows, or file uploads, then runs each encounter through a context-aware AI engine that detects diagnoses, procedures, documentation context, and medical decision-making complexity. Billient automatically recommends ICD-10, CPT, HCC, DRG, modifiers, and related codes, with confidence scoring and validation to prioritize high-risk encounters for manual review. -
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Microsoft Dragon Copilot
Microsoft
Microsoft's Dragon Copilot is a powerful AI-driven solution designed to enhance clinical workflows by automating documentation and reducing administrative burdens. Integrated with Microsoft Cloud for Healthcare, it helps clinicians streamline their work by creating detailed, accurate documentation from patient-clinician conversations. Dragon Copilot supports multiple languages and works even without internet connectivity, capturing patient data and converting it into specialty-specific notes. The tool uses AI to suggest improvements for clinical encounters, automatically fills in orders, and allows clinicians to query notes and access medical information, improving operational efficiency and patient care. -
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Smarter Technologies
Smarter Technologies
Smarter Technologies is an AI-powered automation and insights platform focused on healthcare revenue cycle management that helps hospitals, health systems, and provider organizations optimize administrative and financial workflows to increase efficiency, reduce costs, and improve cash flow while letting clinical teams focus more on patient care. It combines proprietary clinical and agentic AI, human-in-the-loop virtual agents, advanced clinical ontology, and structured AI insights to automate up to 80% of revenue cycle tasks such as eligibility verification, documentation integrity, coding accuracy, claims processing, and denial management without replacing existing systems. Its solutions include modular RCM automation blended with skilled operational support, clinical AI tools like SmarterDx that understand tens of thousands of diagnoses and procedures to improve reimbursement and prevent errors, and SmarterNotes. -
40
BPJScan
MedMinutes
MedMinutes builds healthcare technology for Indonesian hospitals. Our flagship product, BPJScan, is an AI-powered claim audit platform that helps hospitals optimize their BPJS (national health insurance) claims. It analyzes INA-CBG/E-Klaim TXT files to detect undercoding, incorrect ICD-10 sequencing, missed top-up opportunities, and potential claim denials — all before submission to BPJS. BPJScan has 78 audit filters, including AI-powered ICD combination analysis, DPJP pattern detection, length-of-stay optimization, and financial impact scoring. Hospitals typically see ROI within 4 months, with 60-80% time savings for their casemix teams. Currently used by 50+ hospitals across 8+ provinces, including major teaching hospitals like RSUP Hasan Sadikin Bandung and RSUP M. Hoesin Palembang. MedMinutes also offers RME (Electronic Medical Records), AI-powered CDSS (Clinical Decision Support System), and Medical Scribe products.Starting Price: $125/month/hospital -
41
Clinically AI
Clinically AI
Clinically AI is a suite of AI-powered tools for behavioral health documentation that generate complete, compliance-aligned clinical notes in seconds while preserving clinician control and oversight. It is chart-aware, meaning it understands and references a patient’s treatment plan, interventions, goals, and progress to maintain a “golden thread” linking notes to care delivery. It supports ambient and dictation modes, capturing sessions via live audio or post-session input, across telehealth platforms (Zoom, Google Meet, Teams) or in-person settings, and works with any browser-based EHR via a Chrome extension or API integration. Clinically AI handles discrete and narrative fields, fills dropdowns, checkboxes, and conditional logic, and can generate up to 50 individualized notes from a single group session while maintaining personalization. It offers real-time audit support to flag compliance issues proactively, and supervision tools for reviewing clinicians’ work. -
42
Vozo EHR
Vozo
Vozo is the industry-leading EHR platform that empowers healthcare professionals to manage their practices with advanced, informed, personalized care. Vozo platform offers an outstanding combination of ease of use and affordability, specifically tailored to enhance innovative practice workflow management. Safely and securely manage your patient records on Vozo's unified cloud-based EHR software, ensuring streamlined operations and comprehensive care. Additionally, it offers advanced features like easy-to-access dashboards, online telehealth appointments, customizable documentation, secure bill pay, dedicated messenger, extensive lab integration, automated electronic claim submission, and more.Starting Price: $114 per month -
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RevvPro
RevvPro
Medical billing for healthcare providers is complex, and the old billing methods are now obsolete, with increased demands around documentation, compliance, and reduced reimbursements. Powered by ai, machine learning, and robotic process automation, RevvPro has addressed the severe shortage of certified medical billing staff and provides the missing transparency into real-time data such as claim status, denials using automation. All from a smartphone or desktop. The future of RCM, with RevvPro, answer your issues for proper reimbursement. Facilities are currently using different systems for practice management and EMR/EHR. They can continue to do so if they are comfortable using their current software systems. RevvPro sits like a blanket on top of their existing systems and extracts the needed information to provide transparency to the providers. RevvPro can be accessed by different functions with your revenue cycle team to seamlessly manage their respective workflows and processes.Starting Price: $199 per month -
44
TriZetto
TriZetto
Accelerate payment while decreasing administrative burdens. With 8,000+ payer connections and longstanding partnerships with 650+ practice management vendors, our claims management solutions can result in fewer pending claims and less manual intervention. Quickly and accurately transmit professional, institutional, dental, workers compensation claims and more for fast reimbursement. Meet the shift to healthcare consumerism head on by providing a straightforward and seamless financial experience. Our patient engagement solutions empower you to have informed conversations about eligibility and financial responsibility while reducing hurdles that may impact patient outcomes. -
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DeliverHealth
DeliverHealth
Clearing the way for connections, together. Unifying software and services to remove complexities from the ground up. Give your clinicians the flexibility and simplicity they crave and boost the accuracy of your clinical documentation. The powerful DeliverHealth platform, already trusted by 800+ healthcare organizations, is the only solution in the market that gives providers one-tap access to dictation, transcription, interpretation, and medical scribe services. The DeliverHealth platform can streamline your best-in-breed documentation solutions. Get unparalleled document consistency and quality, reduce costs, and increase physician satisfaction. DeliverHealth’s platform uses powerful background recognition technology to turn dictations into a formatted document routed for editing by experienced, highly skilled medical language specialists. Give your providers more patient face time. -
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Claude for Healthcare
Anthropic
Claude for Healthcare is a HIPAA-ready AI platform built on Anthropic’s advanced Claude models that helps healthcare organizations move faster without sacrificing safety, accuracy, or compliance by connecting to trusted medical, payer, and clinical data sources. It enables use cases such as prior authorization review, insurance claims appeals, clinical documentation generation, patient message triage, care coordination, and other administrative workflows by validating provider credentials, medical codes, coverage requirements, and drafting recommendations or summaries with traceable sources for verification. Claude can integrate with industry standards and databases, including CMS coverage policies, ICD-10 codes, provider registries, and PubMed, and supports secure connection to personal health records (e.g., lab results and medical histories) with user consent so patients or clinicians can get plain-language summaries and insights.Starting Price: $17 per month -
47
AizaMD
NeuroCareAI
AizaMD™: The Future of Optimized Clinical Documentation. AizaMD is an ambient clinical documentation system that converts clinical encounters into structured SOAP notes effortlessly. It enhances workflow, ensures accurate documentation with automated ICD-10 and procedure coding, and reduces medico-legal liability. AizaMD now also supports procedure notes, letters, and other medical documents—boosting operational efficiency, saving time, and allowing providers to focus on patient care. -
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CareCloud
CareCloud
Grow your practice with the number one cloud-based EHR and practice management software, CareCloud. CareCloud offers a complete suite of tools for healthcare professionals and providers of all sizes and practices. These include Concierge, a comprehensive revenue cycle management solution; Central, a user-friendly practice management tool; Charts, an easy-to-use electronic health records solution; Community, patient engagement and social tools; and Companion, a clinical and administrative mobile app. -
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Availity
Availity
Collaborating for patient care requires constant connectivity and up-to-date information. Simplifying how you exchange that information with your payers is more important than ever. Availity makes it easy to work with payers, from the first check of a patient’s eligibility through final resolution of your reimbursement. You want fast, easy access to health plan information. With Availity Essentials, a free, health-plan-sponsored solution, providers can enjoy real-time information exchange with many of the payers they work with every day. Availity also offers providers a premium, all-payer solution called Availity Essentials Pro. Essentials Pro can help enhance revenue cycle performance, reduce claim denials, and capture patient payments. Availity remains your trusted source of payer information, so you can focus on patient care. Our electronic data interchange (EDI) clearinghouse and API products allow providers to integrate HIPAA transactions and other features into their PMS. -
50
OptiPayRCM
OptiPayRCM
OptiPayRCM’s platform delivers seamless, “last-mile” revenue cycle management automation by integrating with EHRs, clearing houses, payer portals, and other systems via flexible adapters so your billing workflows can be processed end-to-end. Its unified core engine handles eligibility checks, claim submissions, payment postings, denial management, and full accounts receivable workflows using AI and robotic process automation to reduce manual effort and accelerate cash flow. Real-time dashboards and reports provide visibility into key metrics and enable predictive insights, while customizable automation supports exceptions and unique workflows. It reduces first-pass denials by up to 63%, speeds claim status checks up to 50 times faster than human processing, and reduces payment cycle time by up to 35%. It is compatible with more than 200 healthcare systems and supports direct integrations via EHRs, FHIR, EDI, and HL7.