Alternatives to CureAR

Compare CureAR alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to CureAR in 2026. Compare features, ratings, user reviews, pricing, and more from CureAR competitors and alternatives in order to make an informed decision for your business.

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    XpertCoding

    XpertCoding

    XpertDox

    XpertCoding is an AI-powered medical coding software by XpertDox that uses advanced AI, natural language processing (NLP), and machine learning to code medical claims automatically within 24 hours. It automates the coding process, enabling faster and more accurate claims submissions to maximize financial gains for healthcare organizations. Features include minimal human supervision, easy EHR connectivity, flexible cost structure, a significant reduction in denials and coding costs, a HIPAA-compliant business intelligence platform, risk-free implementation with no initial fee and a free first month, and higher coding accuracy. XpertCoding's autonomous coding solution helps healthcare providers and organizations get paid faster, accelerating the revenue cycle and allowing them to focus on patient care. Opt for XpertCoding for a reliable and accurate medical coding software solution for your practice.
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    expEDIum Medical Billing
    A secure, SaaS-based Medical Billing, RCM software that helps doctors to increase the collection, and receive faster payment with improved automation. Features like Seamless Insurance Eligibility Verification (IEV), Appointment scheduling, Claims scrubbing, Claim Status Inquiry (CSI),Auto Posting, and Public health clinic make the software efficient and easy to use. expEDIum SDK is available with several APIs to integrate EMR software seamlessly with expEDIum Medical Billing / RCM software.
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    Virtual Examiner

    Virtual Examiner

    PCG Software

    Virtual Examiner®, PCG Software’s flagship product, monitors the internal claims process of an organization to trend provider data for fraudulent and abusive billing patterns, and maximizes financial recoveries. PCG Software’s Virtual Examiner® allows healthcare organizations to enhance their current claims adjudication system with more than 31 million edits per claim. The software solution monitors an organization’s internal claims process to identify unclean claims and reduce payment for improper or erroneous coding to conserve premium dollars. Virtual Examiner® is more than a claims review solution with a focus on code combinations. It is a cost containment solution that evaluates the claim not only for abusive billing patterns but also identifies those claims that may involve third-party liability/coordination of benefits, case management opportunities, physician billing education and many other cost recovery reports.
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    InvisaClaim

    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 Encryption
    Starting Price: $349
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    Paradigm

    Paradigm

    Paradigm

    Paradigm Senior Services offers a full-service, AI-powered revenue cycle management platform specifically tailored to home-care agencies that bill third-party payers such as the U.S. Department of Veterans Affairs (VA), Medicaid, and other managed-care payers. It automates and streamlines every step of the billing and claims process: from eligibility/authorization verification, state- or payer-specific enrollment and credentialing, to submission of clean claims, denial handling, and payment reconciliation. It integrates with common agency management software and electronic visit verification tools to scrub shifts, verify authorizations weekly, and reconcile payments, reducing denials and minimizing administrative burden. Paradigm also supports “back-office as a service” for providers; even if they already have internal billing staff or scheduling software, Paradigm can take over claims processing as a specialized, expert billing department.
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    Altair

    Altair

    Altair Health

    Insurance companies run AI to review, adjust, and deny claims. Most practices still work them by hand. Altair closes that gap: AI-native medical billing that runs your full revenue cycle, from eligibility and prior auth to claims, denials, and appeals, backed by a US-based team of expert billers. Altair scrubs claims against payer edits and medical-necessity rules before they go out, works denials to root cause, and files appeals. It learns how your payers behave, so first-pass acceptance and net collection rate climb the longer you use it. A live view shows what's billed, in flight, paid, and at risk. It runs alongside your existing EHR, with onboarding in hours. Independent practices, medical groups, and billing companies get the billing firepower of a large organization without hiring an army. Payers built their AI to pay you less. Altair gets you paid in full.
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    BHRev

    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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    ImagineBilling

    ImagineBilling

    ImagineSoftware

    The industry’s first intelligent, multi-specialty medical billing software. Streamlining billing and patient collections for over 75,000 physicians across the country. Globalized data eliminates the need for duplicate entry. Visit-driven to allow for large volume and complex information. Flexible data structure accommodates requirements across multiple practices and specialties. Helping you get paid faster. Post payment manually or through electronic remittance. Automatically scrub claims for errors and missing information. Automatically refile insurance claims based on selected criteria. Fast review to evaluate and approve charges. Audit charges by modality, procedure, insurance, user, doctor or date of service. Intuitive reports for tracking the financial health of your front-end and back-end billing. Never lose another charge again. Integrates with your preferred clearinghouse or statement vendor.
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    NeuralRev

    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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    Arrow

    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.
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    TELCOR RCM
    Whether you are an independent reference lab, a pathology practice, an outreach lab or a public health lab, TELCOR RCM billing software provides the tools to overcome tough billing challenges and improve profitability. Perform claim submission, claim monitoring, remittance processes, AR management, client and patient billing, and much more for multiple NPIs all in a single revenue cycle management solution. Minimize billing staffing needs and maximize revenue cycle productivity by using the right tools to automate daily billing functions such as claims submission, collecting patient information, as well as generating revenue cycle management financial reports. Eliminate labor-intensive manual adjudication processes by processing electronic payments received from your payers via 835 ERAs or from your bank via lockbox payment files. Send quick and easy-to-understand billing communication to patients, simplify your patient billing process, and make it easier for patients to pay.
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    AltuMED PracticeFit
    Conducting thorough checks on the financial eligibility of the patients, running their insurance’s analysis and monitoring discrepancies, the eligibility checker covers all. If however any error does creeps in the data submitted, our scrubber working on deep AI&ML algorithms is capable of scrubbing errors be it coding errors, incomplete or wrong patient financial information. The software, at present, has 3.5 Million edits pre-loaded in its memory. To further streamline the process, automatic updates are issued by the clearing house to inform about the status of in-process claims. Covering the entire billing spectrum from verifying the patient financials to working on denied or lost claims and also has a through follow-up feature for appeals. Our intuitive systems warns if a claim could be denied, taking corrective actions to prevent it but also is capable of tracking and appealing for lost or denied claims.
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    Claim Agent
    EMCsoft’s Claims Management Ecosystem assures that healthcare providers and billing companies deliver clean claims to insurance payers for proper claim adjudication. It is the integration of our versatile claims processing software Claim Agent and comprehensive fitting process called the Four Step Methodology into your claim adjudication process. This approach enables, supports, and automates your work process to maximize claim reimbursement. Request our free online demo for a great introduction into the functionality/features of Claim Agent and how it fits into your claim adjudication process. Claim Agent scrubs and processes your claims from the provider system to the insurance payers in a efficient, cost effective, and timely manner. The software is compatible with any system making implementation process quick and simple. We provide custom edits, bridge routines, payer lists, and work flow settings that are unique to each user.
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    Inovalon Claims Management Pro
    Keep revenue flowing with a powerful tool that speeds up reimbursements with eligibility checks, claims status tracking, audits and appeals, and remittance management for government and commercial claims, all in a single system. Leverage an advanced rules engine that immediately scrubs claims against the most up-to-date CMS and commercial payer rules, allowing you to correct errors before claims go out the door. Verify eligibility across all payers during claim upload and see flagged errors so claims can be edited before submission. Decrease days in A/R with automated workflows for audit responses, appeal submissions, and ADR tracking. Customize staff workflow assignments based on the type of claim and action needed. Automate secondary claims submissions to stop timely filing write-offs. Increase claims revenue with automated workflows for faster, more successful audits and appeals.
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    MDaudit

    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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    SSI Claims Director
    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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    Axora

    Axora

    Axora.AI

    Axora AI is an intelligent, end-to-end claims engine that blends AI-powered automation with billing expertise - managing everything from eligibility to payment posting. But it’s more than automation. Axora AI prevents denials before they happen, adapts to payer rule changes, and prioritizes what matters - so you recover more revenue with less effort. 1. Manages your full claims cycle from start to finish 2. Flags denial risks before submission 3. Prioritizes actions that improve cash flow 4. Seamlessly fits into your EHR, payer, and finance systems 5. No migrations. No disruption. Just faster, cleaner payments
    Starting Price: $30/month
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    LigoLab LIS & RCM
    As a comprehensive enterprise-grade solution, the LigoLab LIS & RCM Laboratory Operating Platform™ includes modules for AP, CP, MDx, RCM, and Direct-to-Consumer, all on one integrated platform that supports the entire lifecycle of all cases, enabling laboratories to differentiate themselves in the marketplace, scale their operations, and become more profitable. The RCM module is deeply integrated with the LIS and automates ICD and CPT coding. Billing processes start at order inception with verification, eligibility, and scrubbing components that increase clean claim submissions and revenue, and decrease claim denials and compliance risk. TestDirectly is a patient engagement portal that enables labs and collection facilities to scale collection, testing, and reporting workflows that produce fast and accurate results, minus the friction and the errors that come with paper forms and manual labor.
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    Gentem

    Gentem

    Gentem Health

    Gentem Health is a platform that transforms the reimbursement experience by not only handling the end-to-end billing and revenue cycle processes, but also advancing payments to private medical practices. Nothing falls through the cracks. Our platform serves as a single source of truth to understand your billing operations and monitor your core metrics so you’re always on top of your revenue. We support the imperative need for cash flow and capital to fuel sustainable growth. Get access to working capital while Gentem submits, scrubs, and pursues your claims. Our specialty-focused experts — empowered by cutting edge technology — are dedicated to maximizing your collections. Technology built to drive results. State-of-the-art analytical tools and A.I. powered automations give you more control over your practice’s revenue than ever before. Gain complete transparency into your claim process with real-time performance analytics and timely alerts to ensure that no claim is left behind.
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    ESO Billing
    Automate your workflow and integrations, and put an end to the repetitive manual work associated with revenue cycle management. ESO Billing frees your team to focus on what they do best. In today’s reimbursement world, efficiency counts. ESO Billing was built to save you time at every possible point in the billing process. Even its interface has been freshly redesigned for the ultimate in speed and ease of use. Customize your workflow based on your business process, task-based workflow moves each claim through its stages with minimal touches. It even alerts you automatically when payments aren’t on time, for the ultimate peace of mind. Our payer-specific proprietary audit process ensures that each claim contains all critical billing information prior to claim submission. The result? The lowest clearinghouse and payer rejection rate in the industry. Pair billing with ESO Health Data Exchange (HDE) and ESO Payer Insights to tap into hospital-generated billing information with one click.
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    DocVilla
    DocVilla is a comprehensive, multi-specialty, mobile-friendly, HIPAA-compliant cloud-based health technology platform that integrates EHR/EMR, telehealth, e-prescribing, patient engagement, medical billing, analytics and reporting, direct primary care, inventory management, remote patient monitoring, and more into a unified, configurable suite. Providers simply sign in to access a customizable electronic medical records system with secure messaging, video visits, controlled-substance e-Rx, and a free patient portal for scheduling, payment, and secure communications. The platform streamlines workflows by automating eligibility checks, claim submissions, charge posting, insurance eligibility and claim filing, ERAs/EOBs, medical dictation and speech-to-text, patient consent forms, lab integrations, electronic fax, and automatic appointment reminders.
    Starting Price: $100 per month
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    CureMD Medical Billing
    CureMD is an award-winning provider of specialty EHR and billing services to help optimize efficiency, decrease cost, and enhance the patient experience. Our cloud platform enables the seamless exchange of information across multiple platforms, systems, and organizations - driving greater collaboration, productivity, and patient safety. With 20 years of medical billing experience, our team is equipped with advanced technology and operational excellence to take your billing operations forward, whether you are a multi-specialty group or a solo practice. Payor changes are inevitable, but we stay ahead by constantly updating our rules engine: a knowledge base with more than 4 million rules that automatically detects claim issues before submission. This ensures that 96% of our claims get accepted and paid on first submission, helping you collect much faster.
    Starting Price: $295.00/month
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    Vozo EHR
    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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    ImagineMedMC

    ImagineMedMC

    Imagine Software

    Manage your members' healthcare and networks with a cloud-based healthcare delivery system. Automate claims processing for managed care organizations. Includes eligibility, referral and authorization processing, provider contracting, benefit administration, auto claims adjudication, capitation (PCP and Specialty), EOB/EFT check processing, and EDI transfers and reporting. Deploy as a cloud solution or an in-house system. Ideal for managed care organizations (MCOs), independent physician organizations (IPAs), third-party administrators (TPAs), preferred provider organizations (PPOs), and self-insured groups. Streamline the complexities of administrating eligibility, referral authorization and claims processing. Features and functions maximize data integrity while reducing data entry.
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    Veradigm Payerpath
    Veradigm Payerpath is an end-to-end revenue cycle management suite of solutions built to assist organizations to improve revenue, streamlining communications with payers and patients, and boosting practice profitability for practices of all sizes and specialties. Eliminate missing information, incorrect coding, and data entry error to ensure clean claim submission. Ensure claims pre-submission are correctly coded, have no missing information, and are error-free. Compare performance against peers at the state, national, and specialty levels to optimize productivity and improve financial performance with advanced analytical reporting. Remind patients of their appointments and confirm their insurance coverage and benefits information. Automate the billing and collection of patient responsibility. Veradigm Payerpath’s integrated solutions are practice management (PM) agnostic, interfacing seamlessly with all major PM systems.
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    I-Med Claims

    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.
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    PatientStudio

    PatientStudio

    PatientStudio

    Maximize your appointment calendar with improved visibility into your clinic's schedule and provider availability. View and schedule appointments across many providers, rooms or locations to ensure a steady patient flow. Automatically invite patients to complete patient intake online. Custom digital paperwork can be completed and submitted using a smartphone or personal device. The patient's data will sync directly to their patient chart. Reduce no-shows with perfectly timed patient reminders via email and text message. Patients and staff can communicate, confirm or reschedule with two-way text messaging. Easily generate claims from patient notes and suggested ICD-10 codes. Automatically scrub and submit claims electronically. Services to manage your entire billing process, from submission to payment collection. Quickly create defensible, legible, and comprehensive clinical notes with documentation templates, assessment reports and pre-populated patient data.
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    Camber

    Camber

    Camber

    We're on a mission to make behavioral health more available and accessible. At Camber, we build software for behavioral health clinicians to improve the quality of care. We streamline and replace manual efforts so clinicians can focus on what they do best. Camber is a software platform designed to streamline administrative tasks for behavioral health clinicians, enabling them to focus on providing high-quality care. It automates daily claim validations and submissions, incorporating pre-submission error detection and payer-specific claim formatting to enhance accuracy and efficiency. By leveraging AI-driven workflows, Camber has achieved first-pass collection rates of approximately 93%, significantly improving financial outcomes for healthcare providers. The system also offers data-driven insights, assisting clinics in identifying optimal locations for expansion and facilitating payor contract negotiations.
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    DoctorMGT

    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.
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    Iridium Suite

    Iridium Suite

    Medical Business Systems

    Iridium Suite was developed with a focus on seamless processing of electronic claims and electronic remittances through its fully-integrated, web-based program. Shavara is an innovator in the field of medical billing software. Shavara's differentiator is the cumulative experience of 100+ years of laser focus in solving gaps and vulnerabilities in billing, coding and connectivity. Iridium Suite is purpose-built for Oncology. Built-in capability to enable Record & Verify integration; OncoChart integration; CureMD integration are powerful features matched to the requirements for Medical Oncology and Urology Billing Software. Shavara's Iridium Suite features leading-edge technology such as a built-in scheduler, a customizeable automatic medical claim scrubber, seamless electronic billing, and premium reporting. Iridium Suite is platform-agnostic, allowing you to use it as Medical Billing Software for Mac, PC, and even Linux systems.
    Starting Price: $425 per month
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    OptiPayRCM

    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.
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    Precision Practice Management

    Precision Practice Management

    Precision Practice Management

    Whether you're looking to outsource all of your revenue cycle management functions or just some of them, Precision Practice Management has the experience and expertise to help you stay on top of the constantly changing landscape in this most important area. Precision can successfully address all areas of revenue cycle management, from compliance, credentialing, coding, claims processing, clearinghouse edits and electronic lockbox to claim denial management, reporting, financial analyses and more. Your in-house staff may be doing a tremendous job in managing some or most aspects of your medical billing, but your office staff has many other important clinical functions to perform. Sometimes billing matters receive lower priority and suffer as a result. Precision's medical billing experts are focused entirely on medical billing and nothing else; that's all they do.
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    RevCycle Engine
    RevCycle Engine applies built‑in, customizable rules and AI‑powered automation to correct coding and charge errors at the source, ensuring billing data is accurate before claims are submitted. By integrating seamlessly with EMRs and practice management systems, it ingests claims data in real time, applies industry‑proven rules tailored to each organization’s needs, and fixes errors automatically, reducing preventable denials and costly rework. Streamlined workflows prioritize and route only complex or exception claims for human review, boosting team efficiency and reducing burnout. With AI‑driven charge accuracy, the platform increases clean claim rates, lowers cost‑to‑collect, and stabilizes cash flow, all visible through clear dashboards and real‑time insights. Scalable automation handles high claim volumes without overtime or late‑night efforts, while features such as charge accuracy validation, denial prevention, coding review optimization, payment collection support, and more.
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    PracticeAdmin

    PracticeAdmin

    PracticeAdmin

    PracticeAdmin Scheduling reduces no-shows and improves your patient interactions by providing the data you need on demand. Using our proprietary rules-based architecture, you can set up your own preferences — whether you’re a solo provider, small to medium sized organization or a provider with multiple locations. Create your own scheduling templates for an unlimited number of locations and set up automated patient reminders. Billing is your one stop tool to manage patient registration, claims and payment. You can track all of your patient information and prior authorizations. It integrates easily with your EHR and helps keep track of your Meaningful Use certification. Billing lets you know if your claim has an error before it’s sent. Quickly re-submit your claim with no penalty, and monitor all of your EDI rejections.
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    AdvanceClaims

    AdvanceClaims

    MP Cloud Technologies

    Our seamless ePCR and Clearinghouse integration means no more switching back and forth between different apps to get things done. It doesn't matter which ePCR system your customers use, AdvanceClaim for billing companies handles them all. With Automated Imports from most ePCRs, one-click searches, and auto-population of key claims data, AdvanceClaim for agencies maximizes accuracy and efficiency by reducing redundancy and human error. Say goodbye to downloading massive remittance files, uploading claim files to your clearinghouse, and waiting for validation. AdvanceClaim does automatic submission through our fully integrated clearinghouse so you be confident claims or batches are processed. Quickly get a view of performance across all your clients with our multiple tax ID rollups, or break the reporting down by geography, client size, billing volume, and much more. The entire system is 100% HIPAA, ICD-10, and HITECH compliant; and runs on AWS.
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    ediLive!

    ediLive!

    Texas Medical Systems

    ediLive! claims processing software works with any NSF, ANSI, or print file claim image, allowing the HIPAA complaint transmittal of any practice management software's claim file. Additionally, ediLive! customers benefit from real-time connectivity and claim collections workflow management. ediLive! attaches all claim status messaging from payers directly back to the claim for easy follow-up and correction, taking all incomplete claims and compiling them into a single on-screen worksheet for fast corrections and resubmittal. If you use ediLive!, we have a wonderful product call claims scrubber that can help you to get your claims paid – not only faster, but better! Call our office to schedule a free on-line demonstration. We can scrub the first 100 claims for you as a free trial. Every coding error you make costs your practice money.
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    DocStation

    DocStation

    DocStation

    DocStation is a medical billing and clinical services platform built for modern pharmacy, helping pharmacies move beyond prescription revenue and bill insurance for the clinical services they already provide. It captures revenue from vaccines, consultations, point-of-care testing, DME, MTM, and advanced care programs while managing patients and automating workflows. It brings patient records, billing, scheduling, messaging, workflows, and analytics into one unified system, so every action instantly enhances everything else with no duplicate data entry, no syncing gaps, and no piecing together different tools. DocStation handles intelligent claim processing with automated scrubbing, adjudication tracking, denial management workflows, eligibility checks, pre-submit validation, claim templates, fee schedules, per-line NDCs, modifiers, resubmissions, and remittance tracking.
    Starting Price: $99 per month
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    MedClarity

    MedClarity

    Medusind

    MedClarity is Medusind's turnkey RCM technology. MedClarity is a robust, web-based medical billing and practice-management software. The solution comes with a range of tools to enable medical practices of all sizes to take full control of their front-office and revenue operations. In addition to offering intuitive navigation and workflows, MedClarity boasts an advanced rules engine for clean claim submission, smart scheduler, comprehensive reporting and business analytics, real-time insurance eligibility verification, denial management and claim status lookup, and integration more than 30 EMR platforms.
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    Availity

    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.
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    SydaMED

    SydaMED

    Sydasoft

    Our flagship product, SydaMED medical billing software is a comprehensive medical practice management software that offers complete patient recordkeeping, appointment scheduling, claims processing, electronic claims submission, receivables management, patient billing, and accounting integration. This product is designed to handle the complex needs of health care providers and medical billing professionals. It can handle small and large offices ranging from one to hundreds of users. We know that learning a new software program is often a time-consuming frustrating task. For this reason, our engineers spent months analyzing and designing SydaMED to be the easiest, most user-friendly program ever created for medical practices. Our software's interface is attractive, easy-to-learn, and functional beyond comparison.
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    ECFS

    ECFS

    ECFS

    Increase your practice revenue while improving the patient experience. We strive to provide superior long term partnerships with the practices we serve. Allowing providers to concentrate on patient care is our number on priority. We focus on administrative tasks so providers can focus on patient care. ECFS' history is rooted in our mission to serve providers and patients alike. ECFS is committed to building a solution that works for your practice and your patients. We can help your practice improve its efficiency and help you and your staff concentrate on what matters most, patient care. Our mission is to provide a better billing and electronic health records solution. Learn how a partnership with ECFS Billing can help improve your practice. Our comprehensive billing solution helps your practice increase revenue. Most claims are ready to pay within 48 hours. Track claims and payments with our state of the art clearinghouse.
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    Footprints EMR

    Footprints EMR

    Footprints EMR & Billing Services

    Footprints by Blackbean Software provides software for small to mid-size companies in the Hospice industry, as well as multiple location hospice service providers. This system offers a full suite of functionality with point of care, billing, scheduling, accounting, human resources, and customer relationship management. Included in Footprints’ billing and accounting capabilities is UB-04 and HCFA 1500 support, claim scrubbing, electronic remittance and more. The billing dashboard posts alerts that notify users of important tasks and any changes that will affect billing. It also contains a pre-billing audit that validates claims before sending them, ensuring that each claim has all of the requisite accurate data. Customizable dashboards and forms allow users to tailor the software to a look and feel that matches their business. This software can be deployed both on-premise and on the web, making it accessible on mobile devices for easy point of care charting.
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    ClaimBook

    ClaimBook

    Attune Technologies

    ClaimBook enables faster settlement of insurance claims, improved accountability and fewer rejections. It is well equipped with the features to address every part of the claims and evidence submission. ClaimBook supports international patient treatment with dedicated workflows, therefore enabling medical tourism. A built-in Rules Engine that disallows incomplete submissions, and knows what information and documents need to be submitted. This results in error-free submissions that are complete and guarantees that it is pre-authorized. ClaimBook's Smart Data Extraction can read documents uploaded to extract relevant data from the Hospital's Information System (if integrated with ClaimBook) to prevent the need for manual entries. ClaimBook also features Integrated Emailing by creating a virtual inbox in your dashboard. Withing the dashboard, emails can be composed, the design feature is similar to Microsoft Outlook.
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    Casamba Revenue
    Fewer denials and delays in claim submission + a dedicated team to manage follow-ups. Grow revenue by 4% and net payment per visit by 10%. Improved collection efficiency and consistent follow-up help net collection percentages grow. Reduce your DSO by 10 days or more. Claims that meet exact requirements shorten collection timelines and increase cash flow. Dashboards and metrics allow you to make informed decisions and move your business forward. The integration of Casamba and IKS Health creates a unified solution tailored for physical therapy practices and the challenges you face. By combining technology and services, we bring exponential value. We make your practice more efficient by freeing you and your therapists to focus on the delivery of excellent care. Contact us to find out how our RCM service can help you grow your business.
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    Experian Health

    Experian Health

    Experian Health

    Patient access is the starting point for your entire revenue cycle process. Ensuring correct patient information on the front end reduces the errors that cause rework in the back office. 10 to 20 percent of a health system's revenue is forced to remediate denied medical claims and 30 to 50 percent of those occur during patient access. By adopting an automated, data-driven workflow—not only are you reducing the errors that lead to claim denials, you’re also improving access to care for your patients through capabilities like online scheduling options that are available 24/7. Access is further improved by reducing the friction around patient billing by leveraging real-time eligibility verification to deliver accurate patient estimates at registration. Increase staff efficiencies by improving registration accuracy. Correct discrepancies and errors in real time to avoid costly denials and rework.
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    Kovo RCM

    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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    MediFusion

    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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    TherapyNotes

    TherapyNotes

    TherapyNotes

    TherapyNotes is an easy-to-use and feature-rich practice management software for behavioral health practitioners. It combines robust scheduling tools, patient notes, electronic billing, and a custom patient portal. The software is also certified HIPAA- and PCI-Compliant, which helps to ensure that all practice and patient records are secure and encrypted. Managing a practice comes with plenty of paperwork that can keep you out of session. With features like simple electronic claim submission and assisted ERA payment posting, you'll have fewer data entry errors and less tedious paperwork. TherapyNotes™ integrates all aspects of your practice to help you improve patient care. Person‑centered documentation, searchable diagnoses, and more time in‑session help you provide your clients with the care they deserve.
    Starting Price: $59 per user per month
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    NowMD

    NowMD

    Inborne Technology

    NowMD is modern, innovative and affordable software designed for use in healthcare practices and medical billing services. NowMD is used for billing insurance carriers and patients for professional health care services. NowMD’s Appointment Scheduler is designed specifically for scheduling patient appointments. Advanced features like appointment templates, recurring appointments and a wait list make the scheduler a great addition to NowMD’s billing features. Employees can clock in and out on any computer running NowMD. Payroll day is a breeze with employee work hour reports. NowMD can create ANSI 5010 compliant electronic claim files for use with a variety of included clearinghouses, for sending claims directly to an insurance carrier, or for use with other clearinghouses. Payments and adjustments can be created automatically through Electronic Remittance Advice auto-posting.
    Starting Price: $349 per computer
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    HARMONY

    HARMONY

    Harmony Medical

    Harmony Medical is a trusted leading provider of electronic health record, practice management, and revenue cycle management software solutions. Purpose-built for independent medical practices, Harmony is a fully integrated HIPAA compliant practice management platform that helps streamline your practice in order to improve patient care and enhance your bottom line. The solution features a variety of tools for easy scheduling, robust reporting, comprehensive claims scrubbing, insurance and patient billing, patient history, patient tracking, patient referral tracking, and so much more.