Alternatives to RCM Cloud
Compare RCM Cloud alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to RCM Cloud in 2026. Compare features, ratings, user reviews, pricing, and more from RCM Cloud competitors and alternatives in order to make an informed decision for your business.
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Mercury Medical
CrisSoft
Awarded among the Top 10 MPM and RCM solutions, Mercury Medical is a robust medical billing solution. With over 400 customizable reports, built in Scheduler and Patient Portal, Mercury Medical is the perfect solution for major billing, suitable for multiple specialties and RCM processes Mercury Medical is a reliable, proven professional Accounts Receivable solution that will reduce processing times, shorten payment cycles and increase cash flow. Mercury Medical is fully configurable to any vertical or process including: Anesthesiology, University, Physical Therapy, and more. Mercury Products are HIPAA compliant with a guaranteed connection to any clearinghouse or insurance company. Mercury Medical’s automated job system will facilitate a daily system tune-up: housecleaning; folder maintenance; daily backups; 837 exports; 835 imports; HL7. All subscriptions come with the expert help of CrisSoft Support.Starting Price: $440.00 -
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. -
3
expEDIum Medical Billing
iTech Workshop
A secure, SaaS-based Medical Billing, RCM software that helps doctors to increase the collection, and receive faster payment with improved automation. Features like Seamless Insurance Eligibility Verification (IEV), Appointment scheduling, Claims scrubbing, Claim Status Inquiry (CSI),Auto Posting, and Public health clinic make the software efficient and easy to use. expEDIum SDK is available with several APIs to integrate EMR software seamlessly with expEDIum Medical Billing / RCM software. -
4
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 -
5
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. -
6
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. -
7
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. -
8
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 -
9
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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Kovo RCM
Kovo RCM
Kovo RCM is a revenue cycle management and medical billing service platform that helps healthcare providers streamline billing processes, optimize reimbursements, and reduce administrative burden so clinicians can focus more on patient care. It delivers end-to-end RCM services that include insurance eligibility verification, claims submission and tracking, denial management and appeals, coding support, credentialing, patient billing and collections, and custom reporting and analytics to provide clear financial insights and improve cash flow. Kovo RCM supports a wide range of medical specialties, including cardiology, anesthesiology, radiology, mental and behavioral health, internal medicine, surgery, EMS and ambulance services, wound care, and more, offering tailored billing expertise for the unique coding and reimbursement challenges each field faces. -
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Vetriq
Vetriq
Vetriq is a healthcare revenue cycle automation platform designed to eliminate manual processing tasks involved in payment posting, remittance handling, and financial reconciliation for medical organizations. It focuses on automating the workflow around Explanation of Benefits (EOB) documents, payer correspondence, and bank lockbox deposits, converting incoming payment information into structured electronic data that can be automatically posted into revenue cycle management systems. Instead of requiring healthcare organizations to replace their bank, lockbox provider, or existing RCM infrastructure, Vetriq integrates with current banking relationships and practice management or EHR systems, layering automation on top of existing workflows. Vetriq’s automated processing engine transforms paper EOBs into standardized electronic remittance files such as 835 formats, eliminating the need for manual data entry and significantly reducing administrative workload.Starting Price: $22 per hour -
12
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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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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Revascent
Revascent
Revascent’s integrated healthcare platform combines cloud-hosted practice management and revenue cycle tools to automate and streamline every aspect of a medical practice. Its modular suite includes electronic health record software that delivers up-to-date patient histories, demographics, allergies, medications, and test results; a configurable practice management system for accounting, financial planning, billing and coding, human resources, information and risk management, and clinic administration; and revenue cycle management features for claims processing, payments tracking, coding accuracy, training, reporting, and analytics. Managed software services extend to ambulatory surgery center applications, laboratory interface integrations that reduce manual entry and paper output, patient portal and survey tools, and patient payment estimate engines that promote billing transparency. -
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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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Approved Admissions
Approved Admissions
Approved Admissions is a secure platform that automates tracking of coverage changes for Medicare, Medicaid, and commercial payers bundled with real-time eligibility verification and coverage discovery. The platform's primary goal is to help providers minimize the number of claim denials due to a missed insurance coverage change and accelerate the billing cycle. Approved Admissions is using the innovative RPA (Robotic Process Automation) Bridge solution to ensure patient data consistency across multiple systems, and benefit coverage search. Key Features: - Automated eligibility verifications and re-verifications - Email or API notifications if any coverage changes are detected - Real-time verifications - Batch eligibility verification - Seamless integration with RCM, EHR platforms (PointClickCare, MatrixCare, SigmaCare, DKS/Census, FacilitEase, and many others) - RPA-powered cross/platform synchronizationStarting Price: $100 per month -
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TriZetto
TriZetto
Accelerate payment while decreasing administrative burdens. With 8,000+ payer connections and longstanding partnerships with 650+ practice management vendors, our claims management solutions can result in fewer pending claims and less manual intervention. Quickly and accurately transmit professional, institutional, dental, workers compensation claims and more for fast reimbursement. Meet the shift to healthcare consumerism head on by providing a straightforward and seamless financial experience. Our patient engagement solutions empower you to have informed conversations about eligibility and financial responsibility while reducing hurdles that may impact patient outcomes. -
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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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Myndshft
Myndshft
Experience a seamless workflow by having real-time transactions driven within existing technology platforms. Providers and Payers reduce time and effort by up to 90% for benefits and utilization management. Eliminate the current benefits and utilization management black box – eliminating confusion for patients, providers and payers. Self-learning automation and fewer clicks mean more time for patients, providers and payers to focus on care. Myndshft eliminates the quagmire of point solutions by providing a unified, end-to-end platform for in the moment payer-provider-patient interactions. Myndshft dynamically updates automated workflow and rules engines based on the actual responses and results from provider-payer interactions. Our technology continuously adapts to the rules in use by payers. The more you use it, the smarter it gets. A library of continuously-updated thousands of rules for national, state and regional payers. -
20
MD Clarity
MD Clarity
Boost your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place. Spot patterns of underpayment by insurance companies. Ensure you are setting your chargemaster optimally. Assign investigations/appeals to staff and see task status, all in one place. Compare performance across payer contracts and renegotiate terms from a position of strength. Project out-of-pocket costs at a high level of accuracy, giving patients the confidence to make up-front deposits. Enable patients to make up-front deposits directly from their online estimate. Hold insurers accountable for the full amount they owe. Get the upper hand in contract negotiations. Reduce bad debt, cost-to-collect, & accounts receivable days. -
21
OfficePro
NaturaeSoft
The OfficePro Suite serves as the backbone and data repository for all of your NaturaeSoft Modules. The OfficePro service effectively coordinates your patients, providers, resources, schedules and finances, all while integrating seamlessly with the clinical and administrative tools that you may need to enhance your success. Your OfficePro suite is customizable and adapts to meet the diverse and ever-changing needs of integrative medical professionals. OfficePro provides basic scheduling, resource management, document management, contacts, patients, and prospects management, all combined with our powerful invoicing and financial tracking tools. OfficePro gives you the backbone for all other aspects of your care. Check out the many features of OfficePro. OfficePro is practice management software designed specifically for the needs of integrative medical providers. It is affordable, intuitive and easy to learn.Starting Price: $49.95 per month -
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MediFusion
MediFusion
MediFusion is a fully integrated suite of software designed to offer innovative EHR and medical billing solutions to healthcare practices and enhance clinical, administrative and financial operations. Our team is just a phone call away to provide ongoing EHR training and be there for you whenever you need help and support. Speed-up your clinical processes and automate your workflow with our all-in-one integrated solution. A system that manages the entire revenue cycle from Eligibility Verification to Claim Processing and getting paid. Our cloud-based Electronic Health Record (EHR) software is an integrated and scalable solution to enable your practice to improve the quality of care provided to patients. This easy to use web-based EHR platform allows you to document, access and track your Clinical and Financial information on any internet-ready device no matter where you are. -
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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 -
24
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. -
25
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. -
26
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. -
27
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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Rhyme
Rhyme
Rhyme connects payers and providers intelligently inside the prior authorization workflow, reclaiming the time lost on back-and-forth efforts and returning it to the patient. Automating manual tasks is critical (that’s why we do it), but it isn’t enough. When the nuances of clinical decision-making require collaboration between payers and providers, Rhyme keeps your workflow clear, agile, and fluid. We created the largest integrated prior authorization network, to leave a disjointed system behind and replace it with intelligent collaboration. Deep relationships and connections to EHRs, payers, and benefits managers, all on one platform. No scrambling, no screen-scraping, no secondhand info. We meet providers and payers right where you are, in your existing systems and workflows. Connections are easy so we can adjust to you, not the other way around. Prior authorizations aren’t an add-on to our platform, they’re all we do. -
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emLucy
SnfSoft
EmLucy transfers and receives Summary of Care which is the medical record of patient to/from all healthcare entities. SOC is input directly into the system to keep continuous care of the patient from the previous facility. The full status of all patients, all caregivers gives management an overview of the facility's operation. All pending actions are reported for resource scheduling. All late actions are flagged for corrective adjustment. EmLucy is cloud-based with full HIPAA compliance. The system is maintained online 24/7 with full customer support. Customers are free from system maintenance and can fully concentrate on providing healthcare to patients. For facilities with multi-sites, all sites can share the same database. EmLucy is accessible with standard browsers and smartphones. Users can log in securely to the system from anywhere the internet is available. EmLucy provides internal messages to keep communication private among healthcare workers. -
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iLab Core Facility Management
Agilent Technologies
iLab core facility management software helps you save time and money for core personnel, institutional administrators, and researchers. iLab operations software is designed to meet the needs of varying types of shared resource facilities, benefitting the individual core and enabling an institution to fully profit from investment in core operations. Manage requests easily with iLab’s streamlined and straightforward workflow with request management. Easy to use and intuitive interface for managing reservations with resource scheduling. View dynamic reports within the system or download the underlying data for business intelligence analysis from the usage, request, and billing data stored in the system. Simple and intuitive billing platform ensures accurate accounting and timely compensation with the billing and invoicing module. -
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iCareBilling
iCareBilling
iCareBilling is an American Healthcare IT Company that provides Medical Billing, Practice Management, and RCM Software and Services to independent healthcare providers, small, medium, and large medical practices, medical groups, and hospitals throughout the United States. iCareBilling Practice Management Software and RCM Services can be integrated with any EHR/EMR, Practice Management, or Medical Billing Software with any healthcare EDI vendor/clearinghouse in the U.S. healthcare industry. iCareBilling offers integration with all leading EHRs/EMRs in the U.S. Healthcare industry and where EHR/EMR vendor doesn't offer integration, manual workflow is available to take out the patient non-clinical information to submit the claim and receive payments on the behalf of healthcare providers.Starting Price: $450 per month -
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EZMed Professionals
EZMed
EZMed Professionals is one of the few Billing Solutions that offer complete Medical Billing Services. We are a dedicated team with an aim to provide a comprehensive end-to-end solution to our clients with 100% transparency of the process. We believe in providing an All-in-one solution by combining Medical Billing expertise with our Project Management skills and IT Support Services. We are a dedicated team with an aim to provide a comprehensive end-to-end solution to our clients with 100% transparency of the process. We believe in providing an All-in-one solution by combining Medical Billing expertise with our Project Management skills and IT Support Services. EZMed is different than other physicians billing services, primarily because our unique system means that you are provided with unparalleled attention, results, and detailed reports. -
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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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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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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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DrChrono
DrChrono
Increase the efficiency of your medical practice with an all-in-one practice management, electronic health records, and medical billing platform from DrChrono. With its modern and simple interface and dozens of advanced features, DrChrono empowers medical practitioners to better serve their patients. Users can easily schedule patient appointments, check and edit patient charts, and manage billing with ease. -
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Paradigm
Paradigm
Paradigm Senior Services offers a full-service, AI-powered revenue cycle management platform specifically tailored to home-care agencies that bill third-party payers such as the U.S. Department of Veterans Affairs (VA), Medicaid, and other managed-care payers. It automates and streamlines every step of the billing and claims process: from eligibility/authorization verification, state- or payer-specific enrollment and credentialing, to submission of clean claims, denial handling, and payment reconciliation. It integrates with common agency management software and electronic visit verification tools to scrub shifts, verify authorizations weekly, and reconcile payments, reducing denials and minimizing administrative burden. Paradigm also supports “back-office as a service” for providers; even if they already have internal billing staff or scheduling software, Paradigm can take over claims processing as a specialized, expert billing department. -
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ImagineMedMC
Imagine Software
Manage your members' healthcare and networks with a cloud-based healthcare delivery system. Automate claims processing for managed care organizations. Includes eligibility, referral and authorization processing, provider contracting, benefit administration, auto claims adjudication, capitation (PCP and Specialty), EOB/EFT check processing, and EDI transfers and reporting. Deploy as a cloud solution or an in-house system. Ideal for managed care organizations (MCOs), independent physician organizations (IPAs), third-party administrators (TPAs), preferred provider organizations (PPOs), and self-insured groups. Streamline the complexities of administrating eligibility, referral authorization and claims processing. Features and functions maximize data integrity while reducing data entry. -
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Avaza
Avaza Software
Avaza is a cloud-based professional services automation tool that streamlines project collaboration, resource scheduling, time and expense tracking, retainer management, and invoicing. Trusted by teams across industries, it combines essential business functions into a single, efficient platform. Avaza’s all-in-one approach removes the need for multiple subscriptions and duplicate workflows. By integrating project management, financials, and retainer functionality, it provides businesses with real-time insights into project profitability, employee utilization, and retainer usage, all in one unified system. The retainer feature simplifies ongoing client engagements by automating payments and applying credits for completed work. This ensures seamless billing, efficient resource allocation, and greater transparency. Available across desktop, tablet, and mobile devices, Avaza ensures true on-the-go operational management for companies seeking flexibility and efficiency.Starting Price: $11.95/month -
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Saviom Resource Management
Saviom Software
Saviom Enterprise Resouce Management (ERM) is a market leading resource management and planning software. With Saviom ERM, companies have access to robust scheduling, capacity planning, resource planning, reports and analytics, and integration and workflow tools. These are crucial for maximizing resource utilization, helping to boost productivity, save time, and increase efficiency. -
41
SpringCharts
Spring Medical Systems
A solutions expert will provide a one-on-one demonstration to show you an easier and more efficient day with SpringCharts Complete. Learn more about our product features and envision the new way to practice medicine. Spring Medical Systems is now offering Billing & RCM Services bundled with the SpringCharts Platform. Our team of billing experts is ready to boost your revenue with accurate claims that accelerate payments. A simple and affordable monthly fee gets it all. Contact us today to get started. You asked for it, you got it. We are very pleased to announce that SpringCharts Hosted Practice is live and available. Our cloud solution offers all of the products and services in the SpringCharts Platform in one bundled package per provider. -
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Cherrywork Resource Management
Incture Technologies
Manage projects and resources. Allocate resources to the projects and empowers them with real-time project timelines, billing, and utilization information. Integrates with SAP Cloud solutions like SuccessFactors, and on-premises ECC using standard SAP-approved interfaces and APIs to behave like an extension. Eliminate paperwork with the digitized process for resource allocation, and project planning, leave the planning of teams, and bulk air ticket booking requests. Processes are streamlined with multiple approval workflows for exceptional cases to get email and in-app notifications on new assignments/projects. The history of resource allocations, projects, and requests is easily available to the resource management team. Real-time access of resources tagged to a project and workflows triggering mechanism for exceptions, approvals & status. The application helps in reducing the turn-around time to request and assign resources to a project.Starting Price: $30,000 one-time payment -
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ParaTrans Router
Paradox Software Consulting
ParaTrans Router is a vehicle routing and scheduling software application built for the paratransit industry and more specifically for Non-Emergency Medical Transportation (NEMT) industry. It allows you to focus more on running your operations than on figuring out the best way to route your service calls and schedule your vehicles. Interfacing with Microsoft MapPoint and ALK Technologies’ PC*MILER suite, ParaTrans Router provides superior mapping, geo-coding, and path finding capabilities. The resource scheduling function helps determine optimal schedule for vehicles and drivers. Scheduling provides visibility to work load for available resources and plans for additional service calls as appropriate. Options for mileage and time calculations include proprietary, PC*MILER, and MapPoint to provide superior speed, mapping quality, and flexibility. Extensive data export options allow for interfacing with other systems. -
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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. -
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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. -
46
DENmaar Guardian
DENmaar
The DENmaar Guardian will allow you to check on the status and explore many features. The DENmaar Guardian offers a suite of services designed to improve and provide measurable financial results. From insurance credentialing and billing to our advanced automated RCM, our behavioral and mental health providers can be assured of optimal economic outcomes. Patient scheduling is critical for operational efficiency, reducing missed visits, and ensuring that patients are seen promptly. The DENmaar scheduler offers several key features that you should look for when analyzing the quality of a patient scheduling system. Stay HIPAA compliant while collecting payment using DENpay. Practitioners must keep their patient's medical, financial, and personal information safely secured. Patients continue to carry an increased burden of deductibles, premiums, and other medical expenses. Advanced yet user-friendly medical EHR software specifically designed for behavioral healthcare.Starting Price: Free -
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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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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. -
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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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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.
