Alternatives to Supa
Compare Supa alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to Supa in 2026. Compare features, ratings, user reviews, pricing, and more from Supa 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
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. -
3
Azalea EHR
Azalea Health
Azalea Health Innovations (Azalea) is changing the way health IT platforms connect community-based healthcare providers and patients across the care continuum. Offering a 100% cloud-based, interoperable solution, Azalea delivers an electronic health record that is fully integrated with telehealth, revenue cycle management, and analytic solutions designed for rural, community, and urban practices and hospitals. Quick to deploy and intuitive to use, Azalea's EHR ensures better care coordination and communication, and the “one patient, one record” approach provides care teams the agility to achieve better outcomes. The Azalea platform also delivers tools and resources to help providers meet their Meaningful Use requirements, and informs their strategies to navigate accountable care and alternative payment models. -
4
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. -
5
QuickIntell
QuickIntell
QuickIntell provides AI agents for healthcare revenue-cycle operations. Its software supports medical coding, eligibility checks, prior authorizations, payer calls, claim-status follow-up, denial prevention and management, appeals, payment-posting exceptions, accounts-receivable follow-up, and patient communication. The platform combines automated workflows with human approvals, audit trails, and writebacks to electronic health record and practice-management systems. It serves hospitals, provider groups, and revenue-cycle management organizations seeking to reduce repetitive administrative work. -
6
VoiceCare AI
VoiceCare AI
VoiceCare AI is an agentic AI platform that automates the entire healthcare revenue cycle (RCM) from patient intake to claims across payer portals, voice, SMS, web chat, and legacy systems, with native EHR integration. One AI agent, Joy, orchestrates benefit verification, prior authorization, and claims & denials management by talking to patients and payers directly and navigating payer portals autonomously. The platform is built for specialist medical practices, dental groups and DSOs, RCM enterprises, and integrated delivery networks (IDNs) and health systems. Every agent action is logged, audit-ready, and transparent, with a human-in-the-loop safety net for complex clinical exceptions. VoiceCare AI is HIPAA-compliant and SOC 2 Type II attested.Starting Price: $30000 -
7
RCM Edge
ISpectra Technologies Global
RCM Edge is an AI-powered revenue cycle management platform for medical billing companies, physician practices, clinics, hospitals, and health systems. It automates billing workflows from eligibility verification to reimbursement and works with existing EHR and practice-management systems. Edge Verify performs real-time insurance eligibility and benefits checks across 566 payer connections. Edge Claims tracks claim status across 468 payer connections, normalizes payer responses, and routes unresolved claims to follow-up queues so staff can focus on exceptions. The platform uses robotic process automation (RPA), predictive analytics, and real-time intelligence to help teams reduce manual work. Prior authorization, denial management, and accounts receivable follow-up are in development, not live modules.Starting Price: $200/month -
8
Ritten
Ritten
Ritten is a cloud-based behavioral health EMR and practice-management platform built to make complex treatment easier to manage. It brings admissions, scheduling, clinical charting, outcomes tracking, revenue cycle workflows, and AI documentation tools into one system for behavioral healthcare organizations across the continuum of care. Ritten supports programs in substance use treatment, mental health, eating disorders, process addiction, inpatient care, residential treatment, PHP, IOP, outpatient care, coaching, and case management. It helps teams schedule and chart individual and group appointments, automate signature routing and compliance checks, bill fee-for-service or per diem claims, convert referrals to clients, and build or manage documentation and services. Its behavioral health workflows include group notes shipped and signed from one screen, a powerful built-in scheduler for individual and group sessions, automated billing logic and claim generation. -
9
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. -
10
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. -
11
Altair
Altair Health
Insurance companies run AI to review, adjust, and deny claims. Most practices still work them by hand. Altair closes that gap: an AI-native, done-for-you medical billing service that runs your full revenue cycle, from eligibility and prior authorization to claims, denials, and appeals, backed by a US-based team of expert billers. It is a service that does the work, not software your staff operates. Altair scrubs claims against payer edits and medical-necessity policies, works denials to root cause, files appeals, and learns how each payer behaves. It also runs patient billing and collections for you: statements, payment reminders, payment plans, follow-up on unpaid balances, and aged patient A/R, so the patient share is collected in full. Coding and charge capture stay with your practice; Altair runs everything else. It works with every EHR, and a live view shows what is billed, paid, and at risk. Payers built their AI to pay you less. Altair gets you paid in full.Starting Price: 5% -
12
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 -
13
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, plus a FHIR R4 layer for EPIC/Cerner. HIPAA Compliant · SOC 2 · 256 EncryptionStarting Price: $399 -
14
Dastify Solutions
Dastify Solutions
Dastify Solutions LLC is a Texas medical billing and revenue cycle management company founded in 2024. We handle coding, charge entry, claim submission, payment posting, denial management, A/R recovery, eligibility checks, prior authorization, and credentialing for U.S. practices, working inside each practice's own EHR, including athenahealth, Tebra (Kareo), eClinicalWorks, AdvancedMD, DrChrono, NextGen and Epic. Most practices are set up in 2 to 3 business days. Pricing starts at 3.99% of collections with no setup fee. Our U.S. team leads client relationships and compliance; our billing team works from our operations office in Lahore, Pakistan, on U.S.-hosted systems under a signed Business Associate Agreement.Starting Price: $3.99 -
15
Athelas
Athelas
Athelas is an AI-driven RCM, EHR, and ambient AI platform built to grow modern healthcare organizations. It brings revenue cycle management, clinical documentation, EHR workflows, and healthcare AI agents into one practice platform designed to accelerate payments, reduce administrative work, and help providers focus on patients. Athelas RCM transforms claim management, denial defense, remittance reconciliation, and reimbursement tracking with AI-powered tools that identify the right approach for each claim, automate portal information retrieval, extract payer decisions from the web or phone calls, and surface insights into practice financial health. Ambient AI works as more than a scribe, adapting to each clinician’s documentation style, automatically syncing chart notes to the EMR, generating CPT and ICD-10 codes, supporting parallel scribing, answering questions, retrieving data, running tasks, and providing compliance nudges during encounters.Starting Price: Free -
16
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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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. -
18
Quanum RCM
Quest Diagnostics
Quanum Revenue Cycle Management (RCM) delivers a holistic solution for managing the financial component of a medical practice with a focus on increasing revenue. Created by Quest Diagnostics, a leading provider of pre-employment drugs-of-abuse screening for employers and risk assessment services for the life insurance industry, Quanum RCM offers a complete medical billing solution, from billing claims to denial management and other billing related activities and support. -
19
Behave Health
Behave Health
The Behave Health solution combines best-in-class electronic health records software with integrated medical billing & revenue cycle management software. We simplify your operations so you can focus on providing high quality patient care. We support facilities across the behavioral health continuum of care; outpatient, residential, and inpatient. We can support facility providers treating patients with addiction/substance use disorders and mental health disorders. Our solution is perfect for new facilities just starting up or existing facilities looking for a trusted software partner. We know you will love our software so we give you a free trial account to try it out yourself! -
20
Thoughtful AI
Thoughtful.ai
Thoughtful AI offers a comprehensive, AI-driven solution for healthcare revenue cycle management (RCM). With its human-capable AI agents, such as EVA for eligibility verification and CAM for claims management, the platform automates the most complex and time-consuming RCM processes. Designed to boost efficiency and accuracy, it reduces operating expenses, minimizes denials, and accelerates payment posting. Trusted by leading healthcare providers, Thoughtful AI provides seamless integration, guaranteed ROI, and the ability to reduce cost-to-collect, all backed by HIPAA-compliant security and performance-based guarantees. -
21
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. -
22
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. -
23
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. -
24
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. -
25
Casamba Revenue
Casamba
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. -
26
NovoClinical
NovoMedici
NovoClinical is a fully integrated EMR system designed by practicing physicians to make the medical practice more efficient and more profitable. NovoMedici is a true 360 practice driven solutions. We Believe Doctors should Practice Medicine. Not Accounting. NovoClinical’s revenue cycle management takes the worry out of getting paid and allows the doctor the ability to focus on medicine and patient care. CCM can dramatically improve the health of affected patients. At the same time, CCM can increase the revenue for a practice. Telemedicine feature allows providers the ability see patients with limited mobility and limited ability to schedule physical visits with their provider. Using NovoClinical, a 20015 level 3 certified system can help practices not only avoid the penalty but be eligible for the 7 percent bonus. The NovoClinical portal allows provides patients with the ability to go online and input their demographic information, their medical history, e-sign mandatory.Starting Price: $100 per month -
27
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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Coronis Health
Coronis Health
Through our personal, high-touch service, Coronis Health can provide an unparalleled level of professionalism you won’t find anywhere else. We won’t just help you collect your revenue. We will help you financially grow while progressing this industry into the modern technological age. Coronis Health is a global revenue cycle management company offering specialized solutions to healthcare practices and facilities. By using industry-leading technology combined with high-touch relationship building, Coronis Health allows healthcare practitioners to focus on patient care, maintain financial independence, and cultivate financial success. Coronis Health is comprised of the best of the best in medical billing. Thoughts leaders and experts in every practice area utilize global resources, technology, and best practices to provide successful partnerships for customers. -
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CareCloud
CareCloud
Grow your practice with the number one cloud-based EHR and practice management software, CareCloud. CareCloud offers a complete suite of tools for healthcare professionals and providers of all sizes and practices. These include Concierge, a comprehensive revenue cycle management solution; Central, a user-friendly practice management tool; Charts, an easy-to-use electronic health records solution; Community, patient engagement and social tools; and Companion, a clinical and administrative mobile app. -
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FutureMD
FutureMD Solutions
FutureMD Solutions provides integrated, cloud-based healthcare technology and services designed to help medical practices streamline operations, improve patient care, and maximize revenue. Its solutions include Electronic Health Records (EHR), Practice Management, Revenue Cycle Management, Telehealth, Patient Experience Management, AI-powered healthcare tools, medical billing and coding, physician credentialing, medical transcription, staff augmentation, and Chronic Care Management. With scalable solutions built for practices of different sizes, FutureMD Solutions combines automation, healthcare expertise, and responsive support to simplify administrative workflows and help providers focus more on delivering quality patient care.Starting Price: $249/1/1 -
31
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
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. -
33
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. -
34
Stable
Stable Health
Stable is a web-based AI operations platform for outpatient behavioral health practices, including psychiatry and substance use treatment providers. Its front-desk tools answer patient calls, texts and iMessages, support online booking, intake and payment through a patient portal, verify insurance, and schedule or reschedule appointments in a practice's EHR. AI business-development tools respond to prospective-patient inquiries, nurture leads and book intake visits. Billing workflows submit claims, identify denial causes, correct claims and support resubmission. Reporting tools generate operational, revenue-cycle and clinical-outcome reports from EHR data using natural-language requests. The platform is designed to work with existing EHR systems rather than replace them, helping practice teams manage scheduling, patient access, billing and reporting in connected workflows. -
35
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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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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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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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. -
39
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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eClaimStatus
eClaimStatus
eClaimStatus provides simple, practical, efficient and cost effective real time Medical Insurance Eligibility Verification system and Claim Status solutions that power value added healthcare environments. At a time when healthcare insurance companies are reducing reimbursement rates, medical practitioners must monitor their revenue closely and eliminate all possible leakages and payment risks. Inaccurate insurance eligibility verification causes more than 75% of claim rejections and denials by payers. Furthermore, refiling rejected claims cost an organization $50,000 to $250,000 in annual net revenue for every 1% of claims rejected (HFMA.org). To overcome the revenue leakages, you need a no-fuss, affordable and effective Health Insurance Verification and Claim Status software. eClaimStatus was designed to solve these specific challenges. -
41
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 -
42
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. -
43
MedArise
MedArise
MedArise is an AI back office for medical practices. Managed, supervised AI workflows handle defined administrative work end to end, including prior authorization, insurance eligibility, referral and fax processing, claim-status follow-up, and revenue-cycle operations. MedArise works with a practice's existing systems and routes exceptions to people instead of hiding them. Clinical judgment, medical necessity, coding decisions, financial authority, and practice-policy exceptions remain with qualified staff. Practices can start with one bounded workflow, review the output and evidence, and expand only after the workflow is operating reliably. -
44
CombineHealth AI
CombineHealth AI
CombineHealth AI is the creator of Amy, Marc, Emily, and Diana — an advanced AI workforce designed to power end-to-end Revenue Cycle and Practice Management services for healthcare groups nationwide. These solutions are built on a proprietary foundational model that delivers 99.2% accuracy and ensures 100% compliance with coding and billing guidelines. The AI workforce helps reduce coding errors, enhance coder productivity, and address physician documentation challenges. Organizations using these solutions have seen a 35% increase in clean claim submissions and a significant reduction in denial rates. The AI employees work seamlessly alongside human teams, performing key functions such as medical coding, billing, data entry, A/R follow-up, and denial management — while providing detailed, auditable reasoning for every action taken.Starting Price: $1000/month -
45
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. -
46
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. -
47
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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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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PatientClick
PatientClick
Becoming meaningful use compliant can have a positive impact on your practice. Improving transparency and efficiency, engaging patients and maintaining the privacy and security of all health information are just a few of the benefits you can enjoy using PatientClick Certified EHR. PatientClick's Virtual Visit TELEMEDICINE SOLUTION allows physician practices to utilize secured web-based technology to reach out to patients beyond the geographical boundaries of their office location. Let us improve your practice performance. While evaluating the overall workflow of the office we will help optimize existing processes to increase productivity and revenue. Our highly trained Implementation Specialists are available 24/7 to assist with the go live process. Our effective training specialists coupled with other knowledgeable team members makes for a smooth transition. -
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Ease
Ease
Ease Health is an AI-native healthcare platform designed to serve as a unified operating system for behavioral health practices by integrating patient intake, clinical care management, documentation, and billing into a single cloud-based system. It combines multiple core healthcare technologies—including CRM, electronic health records, and revenue cycle management to streamline the full lifecycle of behavioral health operations from patient admission through treatment and reimbursement. Instead of relying on separate systems for scheduling, clinical notes, and billing workflows, Ease Health centralizes these functions so providers can manage referrals, admissions, care delivery, and claims processing within one interface. It uses artificial intelligence to automate administrative tasks such as clinical documentation, allowing clinicians to capture visit information in real time and automatically generate structured notes.
