Alternatives to Kodiak Platform
Compare Kodiak Platform alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to Kodiak Platform in 2026. Compare features, ratings, user reviews, pricing, and more from Kodiak Platform competitors and alternatives in order to make an informed decision for your business.
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1
Service Center
Office Ally
Service Center by Office Ally is a trusted Revenue Cycle Management and patient payments platform used by more than 80,000 healthcare providers and health services organizations, which process more than 950 million transactions annually. Service Center is a cost-effective solution enabling providers to control their revenue cycle. With a user-friendly interface, Service Center helps providers check and verify patients’ eligibility and benefits, submit, correct, and check the status of their claims online, and receive remittance advice. Accepting standard ANSI formats, data entry and pipe-delimited formats, Service Center helps streamline administrative tasks and create more efficient workflows for providers. -
2
OpenPM
OpenPractice
Open Practice is pleased to present OpenPM, our cloud-based RCM platform that has propelled the company through 17 consecutive years of double-digit growth. OpenPM connects all the disparate elements of the revenue cycle including; Scheduling & Registration, Billing, Clearinghouse, and Patient Payments/Collections. The result is highly automated accounts receivables management for optimized cash flow, and extensive reporting to help you proactively manage your organization. All of this control is securely hosted and delivered through the browser you already have, providing the perfect combination of security and availability. Medical billing software, revenue cycle management solutions, practice management software, practice management system, medical practice management, EMR integration, EHR integration, practice management scheduling, patient scheduling, online patient billing, patient billing, automatic patient billing and payments, patient payments, electronic patient payments. -
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ModMed
Modernizing Medicine
At Modernizing Medicine® we empower our customers with an integrated suite of software and services that enable physicians and staff to do their best work while we support the clinical, operational, and financial aspects of their practice. Our flagship product EMA®, a cloud-based electronic health records system, adapts to each doctor’s style of practice, remembering preferences and automatically suggesting exam notes and suggested billing codes. When used on a tablet, EMA offers special touch and swipe gestures to rapidly build patient profiles, diagnoses, treatment programs and billing. EMA works seamlessly with our other products and services including Practice Management, Revenue Cycle Management, Telehealth, Inventory Management, patient engagement tools including payments and more. When combined, this all-in-one solution breaks down departmental silos and enables the team to work side-by-side, enhancing visibility and collaboration. By Doctors for Doctors -
4
MedicsRCM
Advanced Data Systems Corp
We know you want to be the driver of financial success and organizational process improvement. We understand how hard it is to have experts in every aspect of your business which is why you need an experienced trusted partner. We know your payor mix, your state billing requirements, and your specialty. Use an array of features that work to reduce your outstanding patient balance A/R including access to a patient responsibility estimator, enabling patients to pay from any mobile device and interactive balance due reminder texting. Tell us your financial and operational goals, get your questions answered, and discover how much our team can increase your revenue and efficiency. You’ll see increased revenue, have more money in the bank, and operate more efficiently. -
5
PayorLink
PayorLink
PayorLink solutions offer more than just medical claims management on behalf of employers to take on a comprehensive platform approach in providing better employee benefits to reduce healthcare costs, promote healthy lifestyle, lifetime health and improve workforce productivity in the process. Rising employee health costs is a worldwide phenomenon and a growing concern for both payor companies and provider entities alike. PayorLink™ is designed to reduce payor health cost, motivate staff productivity and optimize provider claims quality resulting from in part, information exchange efficiencies directly between payor companies and affiliate provider clinic, medical centre or hospital. Enhanced with Employee Health Profile and Assessment tools for staff wellness and productivity realization. -
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Infinx
Infinx Healthcare
Leverage automation and intelligence to overcome patient access and revenue cycle challenges and increase reimbursements for patient care delivered. Despite the progress AI and automation is making in automating patient access and revenue cycle processes, there still remains a need for staff with RCM, clinical and compliance expertise to ensure patients seen were financially cleared and services rendered are accurately billed and reimbursed. We provide our clients with complete technology plus team coverage with deep knowledge of the complicated reimbursement landscape. Our technology and team learn from billions of transactions processed for leading healthcare providers and 1400 payers across the United States. Get quicker financial clearance for patients before care with our patient access plus a platform that provides complete coverage for obtaining eligibility verifications, benefit checks, patient pay estimates, and prior authorization approvals, all in one system. -
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Zuub
Zuub
Zuub is an AI-powered dental revenue cycle management platform designed to optimize dental practices' revenue cycles by automating key administrative tasks. The platform offers features such as real-time insurance verification, digital treatment plans, online payments and accounts receivable management, and digital consent forms. By integrating seamlessly with existing practice management systems, Zuub reduces manual processes, enhances efficiency, and improves patient transparency regarding procedure costs and coverage. The platform supports over 350 insurance payers, allowing practices to complete insurance verifications in less than five seconds. Additionally, Zuub's digital treatment plans facilitate patient understanding and acceptance, while its partnership with Sunbit provides flexible patient financing options. -
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iVEcoder
PCG Software
iVECoder, the decisive code tool with payor intellect, was built on the same intelligence of PCG's Virtual Examiner® claims review engine that healthcare payors worldwide have been using for 25 years. Users can enter multiple codes, and in just a single click, receive multiple answers on a single page. Ramp up coding accuracy and boost your bottom line by using the same billing and coding intelligence platform the payors use. iVECoder is PCG's Virtual Examiner® (VE) claims review engine. This advanced rules based engine —with 45 million edits— is used by healthcare payors throughout the USA and abroad. VE tells payors what to deny or pend for review. -
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Cvikota MBS
The Cvikota Company
Cvikota Medical Business Services – Your partner for medical billing results. Cvikota MBS, a USA based medical billing company, has been in the business of revenue cycle management for over 50 years. Through five decades we have carefully developed our best practices in order to provide attentive, boutique-level billing services while offering outstanding value. As a proven provider of medical billing services and comprehensive practice management, we bring our unique experience and proven medical billing processes to all of our business relationships. Independent physicians, hospitals, and office based practices alike rely on us as their trusted comprehensive revenue cycle team. Can we put our practice management and medical billing expertise to work for you? We are a USA medical billing business working with independent physicians who want outstanding results in their accounts receivables. -
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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 paymentsStarting Price: $30/month -
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Transparent Health Marketplace
Transparent Health Marketplace
THM is an open and transparent platform connecting healthcare service providers with carriers, third-party administrators and employers responsible for helping injured workers get the care they need as quickly and cost-effectively as possible. Bringing proven marketplace technology that positively transformed travel, finance and other industries, THM brings much-needed efficiency and transparency to workers’ compensation healthcare. Automating costly manual processes and eliminating expensive middlemen drives unprecedented cost savings to THM’s carrier, TPA and employer clients. THM operates as a platform-as-a-service business model, giving payors the tools to create their own dynamic marketplace of quality providers ready to compete for their business. For providers, the THM platform creates a new channel to access referrals from some of the industry’s largest payors and the ability to control price, optimize resources and maximize revenue by filling more available appointments. -
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AKASA
AKASA
The first unified automation™ solution built specifically for healthcare revenue cycle management. Trust in healthcare begins with better revenue cycle practices. RCM Is Ready for a Change. Make It a Holistic One. We believe every dollar spent on healthcare matters. That’s why we started AKASA (formerly Alpha Health): to leverage cutting-edge technology against the challenges of revenue cycle management. Because these challenges ultimately cost everyone. Current RCM processes make it virtually impossible to reduce administrative costs in healthcare or improve performance, and existing solutions often add complexity and costs. Complexity in medical reimbursement in the United States drives up hidden costs that we all pay, both in terms of dollars and in the erosion of trust people have that our healthcare system will serve them well. The U.S. spent an estimated $500 billion on medical billing and insurance administrative costs in 2019 alone. -
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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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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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Simplify ASC
Simplify ASC
From scheduling to reporting, coding to collections (plus every step in between), Simplify’s all-in-one digital software platform + revenue cycle management solution provides worry-free, one stop shopping. And that’s a relief. Simplify’s recipe for success is predicated on our ability to really understand your business and help you optimize your workflows. With decades of ASC expertise, we get it – because we’ve been there. Our proprietary technology and revenue cycle solution is the lifeblood of your center — it’s seamlessly connected, always communicating. All the tools and support your center needs, working together to ensure you’ll thrive not just survive! ASC revenue cycle optimization requires much more than a task-oriented approach. Simplify develops and executes proactive, integrated revenue cycle strategies to improve cash flow and position ASCs for long-term profitability. -
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Transform your revenue cycle with Oracle Health RevElate Patient Accounting. Our EHR-agnostic solution helps you optimize financial outcomes with clinically integrated, cloud-enabled billing workflows that provide automation and extensibility. With RevElate Patient Accounting you can: Limit workflow redundancies, using dynamically connected workflows and analytics to help optimize efficiencies Prioritize and collect on outstanding accounts receivable with embedded business rules to identify and assign work efficiently Establish an open and extensible framework to support workflows that flow across Oracle Health solutions, third-party technologies, and organizations at scale Help improve compliance and maximize reimbursements with embedded payer rules RevElate Patient Accounting brings together a unified view of clinical and financial information to give you enhanced visibility into patient activity and accounts.
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Solventum 360 Encompass System
Solventum
The Solventum™ 360 Encompass™ System is a comprehensive, cloud-based platform designed to enhance revenue cycle management in healthcare organizations. By integrating computer-assisted coding (CAC), clinical documentation integrity (CDI), and auditing solutions, it streamlines workflows for both facility and professional services coding. The system employs advanced artificial intelligence (AI) to automate coding processes, reducing the need for on-premises hardware and support, thereby decreasing total cost of ownership. Additionally, it fosters collaboration between coding and CDI teams by eliminating silos and promoting a unified approach to clinical documentation. The platform's flexibility allows organizations to focus more on business outcomes, improving efficiency and accuracy in the revenue cycle. -
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Brellium
Brellium
Brellium is an AI-powered clinical compliance platform designed to audit clinical documentation, billing, and payor risk across every patient visit. Its core capabilities include real-time chart review using machine learning to check every note, session, and encounter for coding compliance (MDM/E/M/ICD-10), clinical quality standards, payor rules, and documentation integrity, delivering audits up to 13x faster and reducing chart-review costs by approximately 98%. Brellium integrates with any EMR, supports custom and prebuilt audit criteria, sends automatic provider-feedback emails, and provides trend-data dashboards that stack-rank clinicians based on documentation quality. It also offers a unique clawback-protection guarantee: if a payor retracts reimbursement on a Brellium-approved chart, Brellium will cover the cost. The platform serves specialties such as behavioral health, ABA, home health, chronic-care management, and telehealth. -
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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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ARIA RCM Services
CompuGroup Medical US
ARIA RCM Services is an end-to-end medical billing and revenue cycle management solution designed to enhance financial operations for practices, hospitals, and laboratories. The service offers flexibility by allowing clients to leverage their existing billing technology or utilize ARIA's systems, ensuring full transparency through a dedicated RCM team. Services are tailored to address specific needs, ranging from comprehensive revenue cycle management to focused areas such as aging accounts receivable and coding oversight. ARIA's team of regulatory and payment experts assists clients in navigating the latest CMS and payer requirements, aiming to minimize denials, reduce AR, and accelerate payment processes. The service emphasizes operational efficiency by combining industry best practices with proprietary workflow technology, delivering optimal results at a lower cost. -
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Inovalon Provider Cloud
Inovalon
Optimize revenue cycle management, care quality management, and workforce management all in one single-sign-on, easy-to-use portal. More than 47,000 provider sites rely on our innovative tools to simplify complicated operations across the patient care journey. Improve the patient financial experience and simplify administrative and clinical complexities with the Inovalon Provider Cloud – all while saying goodbye to siloed workflows. Our SaaS solutions help you strengthen financial and clinical outcomes across the patient journey, from creating front- and back-end revenue cycle processes for better reimbursement to ensuring appropriate staffing levels for optimal care. This is all managed in one comprehensive portal to take your organization to new heights improving revenue, staff equity, and care quality. Enhance your organization’s efficiency, productivity, and overall effectiveness. Discover what the Provider Cloud can do. -
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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. -
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Janus Health
Janus Health
Janus Health is fundamentally transforming the future of revenue cycle work with our groundbreaking end-to-end artificial intelligence platform. Our rich history in healthcare and technology allows us to instinctively understand what it is about revenue cycle management that creates significant challenges for healthcare organizations. We’ve developed operational intelligence and intelligent automation solutions to aid revenue cycle teams in optimizing their workflows, so they can do more with less and ultimately collect more cash. Our end-to-end revenue cycle platform provides data-driven insights into your processes and enables you to implement workflow automation that improves your team’s efficiency. We’re the only process improvement platform that’s all about RCM. Janus Health provides a unique combination of operational intelligence solutions, as well as automations, in an easy-to-deploy fashion. -
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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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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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Dart Chart
Dart Chart Systems
Provide real-time visibility of payor contracts to all your facilities. Easily monitor every payor-required rule for levels, notifications, and pre-authorizations to ensure you never miss a Managed Care reimbursement. Our SMART Recovery team complements your billing staff by pursuing older unpaid claims and reducing bad-debt write-offs. Gain transparency and take action on aged claims. Get started quickly with no upfront cost. Our Smart Recovery team works in your EHR to review the aged claims you assign us. No implementation or training is needed. For SMART Case Manager software, our implementation team handles the heavy lifting of setting up your payor contracts and integrating with your EHR and therapy software. Once it’s set up, your staff can be trained in just 90 minutes. In the first 30 days, you’ll save more time than it takes to launch DART Chart! -
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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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TELCOR RCM
Telcor
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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AGS AI Platform
AGS Health
AGS AI Platform is an end-to-end Revenue cycle management platform that provides a full suite of revenue cycle solutions that can be configured to meet the unique needs of any healthcare organization. AGS AI Platform is designed to improve healthcare systems' revenue cycle performance by automating repetitive tasks, simplifying coding, improving documentation, and optimizing billing practices to prevent denials and improve revenue flow. It provides a connected solution that blends artificial intelligence and automation with award-winning human-in-the-loop services and expert support to maximize the performance of the healthcare revenue cycle. The platform allows healthcare organizations to gain enhanced visibility into day-to-day operations and the overall performance of the revenue cycle, including intelligent worklists, productivity reports, customizable dashboards, root cause analyses, and executive reporting. -
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Veradigm Payerpath
Veradigm
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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edgeMED
edgeMED
Whether you are a single outpatient wound care center or a multi-facility organization, edgeMED’s expert revenue cycle management service and integrated clinical, financial, and regulatory tools enhance performance and patient care. Get ready to boost quality and outcomes. Our expert revenue cycle management service governs the entire revenue cycle process so wound care specialists can enjoy higher, and more timely, reimbursement. Coupled with our healthcare software, you can operate a competitive, quality-centered practice and be confident in the documentation for MIPS and other value-based payment programs. In addition to our extensive medical billing experience in the wound care specialty, we incorporate telehealth into your workflow with secure, remote communications with patients. Wound care providers can easily conduct virtual visits, and online messaging and give patients access to their health record information. -
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Oracle Health
Oracle
Connected technologies and unified data empower individuals and enable the health ecosystem to accelerate innovation and influence health outcomes. Oracle Health is building an open healthcare platform with intelligent tools for data-driven, human-centric healthcare experiences to connect consumers, healthcare providers, payers, and public health and life sciences organizations. With the largest global EHR market share, we are able to bring data together to enable clinicians, patients, and researchers to take meaningful action, advance health, and work to improve outcomes worldwide. Rated the largest revenue cycle management (RCM) leader by IDC MarketScape, we provide timely, predictive, and actionable health insights to automate processes, optimize resources, and drive efficiencies. Accelerate innovation, benefit from flexible infrastructure and platform resources, and drive clinical intelligence through our open, extensible ecosystem of partners and technologies. -
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Parathon
Parathon
From large Integrated delivery networks to small facilities, Parathon has worked with a variety of providers to increase their revenue and streamline operations. Parathon’s powerful intelligence-based recovery software represents thirty years of strategic technological development and a commitment to understanding industry needs. Our progressive and continually evolving approach to RCM makes our services an invaluable and incomparable asset to providers. Our recovery services work alongside our proprietary technology. Parathon’s progressive and continually evolving approach to the revenue cycle makes it an invaluable and incomparable asset to providers. Marathon has recovered billions of dollars on behalf of hospitals, health systems, and physician groups through our first-in-class revenue intelligence services. Unlike other RCM vendors, Parathon does not rely on EMR or other legacy systems to perform revenue follow-up services. -
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DocASAP
DocASAP
DocASAP’s platform simplifies patient access complexities by intelligently matching the needs of patients and providers, while navigating patients through their access journey. Frictionless access is critical but challenging to achieve. DocASAP helps organizations meet clinical and operational goals related to access — and enhance patient engagement. Our platform helps payors like Aetna and UnitedHealthcare work with leading healthcare systems to broaden access through health plan member portals and apps. DocASAP’s COVID-19 Vaccine Scheduling & Engagement solution empowers providers and payors to offer patients and community members appointments for COVID-19 vaccination. DocASAP provides the leading patient access and engagement platform for health systems, health plans and physician groups. -
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Aria RCM
eMDs
Every practice’s revenue cycle is the same. It starts when a patient sets an appointment and it ends when the practice receives payment. It sounds simple enough, but the reality is there are lots of opportunities along the way where simple mistakes can cost your practice money. At eMDs, we don’t simply process claims. That’s the easy part. Instead, we help our customers navigate the entire revenue lifecycle with our expertise understanding payer billing rules, audits, recoupments, appeals and denials, and much more. Why is this important? Your revenue cycle is like a production line. Each step has to be perfectly executed so the next one can be. One little hiccup and the production line (your revenue) comes to a screeching halt. By leveraging best practices developed over our 20+ years in business, our team of industry experts, and our proprietary technology, Aria RCM ensure your billing lifecycle is set up for maximum revenue collection. -
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athenaIDX
athenahealth
athenaIDX is a revenue cycle management solution that streamlines A/R and reduces the cost of collections with powerful automation tools. A revenue cycle management solution that reduces days in A/R and your cost to collect. Get paid faster, with less work, and at a lower cost with athenaIDX. Our revenue cycle management solution is optimized for large practices, health systems, billing services, and hospitals. It reduces A/R days and drives down the cost of collections by increasing automation, reducing redundancies, and fostering best practice workflows. Why do the most complex large practices, billing services, hospitals, and health systems love working with us? Because we know you’re not a cookie-cutter organization. Our RCM experts take the time to understand your unique needs and implement a solution with the right workflows to support your goals. It’s our tailored approach to RCM that helps hospitals achieve powerful financial outcomes. -
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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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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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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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Certive Health
Certive Health
Certive’s Revenue Integrity Analytics platform is based on a unique blend of data science, clinical expertise, and administrative process knowledge. Certive Health’s experience base ensures the integrity of the hospital’s revenue and compliance of its processes. The core of Certive Health’s Revenue Solutions offering is built on its Revenue Integrity Analytics™ platform. Extended technical capabilities in analytics, workflow, and marketing automation combined with clinical and payer side experience helps our clients reduce costs, improve outcomes, and increase patient satisfaction.Starting Price: $1000.00/month -
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SpectrumAi
SpectrumAi
Applied Behavior Analysis is the gold-standard therapy to help those with autism achieve their best possible outcome towards independent living, meaningful relationships, lifelong vocation and self-advocacy. Above all, ABA lacks data transparency, keeping everyone – parents, providers and payors – in the dark. We’re improving the quality of ABA therapy with objective data, meaningful insights and actionable nudges. We partner with provider and payor organizations to establish value-based contracting models. -
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Advaa Health
Advaa Health
Advaa Health offers integrated medical practice software and digital health tools to help physicians deliver efficient patient care at low costs. The platform provides solutions for direct primary care, independent practice, virtual primary care, and new primary care practices. The software includes features such as electronic prescriptions, lab orders, integrated communication, patient 360 health profiles, patient portals, and revenue cycle management. It aims to reduce manual tasks, improve patient care, and enhance patient satisfaction. Physicians can focus on patient care and satisfaction while minimizing staff burnout and stress. Advaa Health emphasizes attracting, connecting, and retaining patients through a single, low-cost platform with branded, SEO-enabled websites, digital tools for patient visits, and efficient workflows.Starting Price: $199/month -
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Intellicure
Intellicure
Eliminate the redundancy with wound care software that automates several labor-intensive tasks throughout the clinic, plus recommendations to bolster outcomes. Faster charting, less paperwork, fewer errors. Intellicure’s advanced documentation system intertwined with proprietary algorithms and integrated with real wound data helps wound care physicians deliver quality outcomes and improve wound healing rates. From maximizing patient volume to ensuring accurate, full payor reimbursements, Intellicure can turn the wound center into a revenue machine while protecting the organization from costly audit fines. Intellicure includes features within its charting process that significantly reduce time spent charting. Intellicure has shown to be faster than typical note-taking or transcription but with 0% documentation errors. No wound center has ever been fined as a result of inaccurate documentation in an audit or targeted probe when using Intellicure’s charting method. -
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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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RCM Cloud
Medsphere Systems Corporation
The RCM Cloud® “software as a service” (SaaS) model strives to replace resource-intensive medical billing processes with digital solutions that reduce manual processes and optimize workflow thru automation. This approach significantly improves operational efficiency and further allows the business to expand service delivery capacity with only minor increases in administrative staff. Leverage your investment in technology to grow and sustain your business as opposed to increasing the headcount necessary to expand. On the administrative side, RCM Cloud® and associated services are delivered via the powerful, proven and secure medsphere cloud services platform. RCM Cloud® modules include patient/resource scheduling, enterprise registration, in-stream payer eligibility checking, contract management, medical records, billing, claims, payer and self-pay collections, POS payment posting and bad debt which enable all types of healthcare entities to truly transform their revenue cycles. -
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Currance
Currance
Close the gap between cash collections and earned revenue with patented tools, on-demand resources, process expertise and support. Every dollar counts with Currance. With our team, you get sustained yield improvement on earned revenue, data-driven analysis that unveils yield improvements, and you can scale extended revenue cycle resources with reduced cost. Empower the whole team to identify, fix and resolve problems for sustained efficiency improvement. Currance AI-powered and patented tools support effectiveness collecting more earned revenue. -
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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. -
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Centauri Health Solutions
Centauri Health Solutions
Centauri Health Solutions is a healthcare technology and services company driven by our desire to make the healthcare system work better for our clients and to provide compassionate support for individuals in need. Our analytics-powered software enables hospitals and health plans (Medicare, Medicaid, Exchange and Commercial) to manage their variable revenue through a custom-built workflow platform. While our tailored support of their patients and members provides them with access to life-enhancing benefits. Our solutions include Risk Adjustment (Medical Record Retrieval, Medical Record Coding, Analytics and RAPS/EDPS Submissions), HEDIS® and Stars Quality Program Management, Clinical Data Exchange, Eligibility and Enrollment, Out-of-State Medicaid Account Management, Revenue Cycle Analytics, Referral Management & Analytics, and Social Determinants of Health. -
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Certify
Certify
Certify delivers API-first credentialing, licensing, and enrollment to payors, health systems, and rapidly-scaling digital health companies. We unlock insights and power performance for clinicians, teams, and organizations. Build best-in-class provider networks with our one-click credentialing solution. Real-time, automated NCQA-compliant credentialing to scale provider networks. Automated ongoing monitoring to ensure your provider networks remain compliant. We take the guesswork (and paperwork) out of licensing–so you can scale to new markets, seamlessly. Get in the network and get reimbursed faster, so you can get back to care. Streamlined processes for cross-state licensure in all 50 states for any license category. Streamlined payor enrollment process to get providers in-network in new markets. Track enrollment progress with our individualized dashboards. Leverage our best-in-class methodology to clean, normalize, and enhance your provider data. -
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XIFIN RPM
XIFIN
Powered by our advanced, cloud-based technology platform, XIFIN RPM is a comprehensive, highly automated Revenue Cycle Management solution that maximizes efficiency, refines medical cycle billing, improves cash collection, and increases financial accuracy. Diagnostic providers need financial management technology that not only helps improve cash collections, but also delivers visibility and control over financial operations, and provides connectivity within and beyond the organization. With these increasingly complex needs, diagnostic providers are poorly served by traditional billing systems that lack the referential and financial integrity required to deliver accurate, auditable information. Instead, they need a technology infrastructure with a solid financial and accounting foundation that delivers full visibility to understand the financial status of every diagnostic activity a provider performs, at every stage from order submission to payment.
