Alternatives to Centauri Health Solutions
Compare Centauri Health Solutions alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to Centauri Health Solutions in 2026. Compare features, ratings, user reviews, pricing, and more from Centauri Health Solutions competitors and alternatives in order to make an informed decision for your business.
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RXNT
RXNT
RXNT is an ambulatory healthcare technology pioneer that empowers medical practices and healthcare organizations to succeed and scale through innovative, data-backed, AI-powered software. Our fully-integrated, ONC-certified suite of medical software—like Clinical EHRs, Practice Management, Medical Billing and RCM, E-Prescribing, Practice Scheduling, Patient Portal, and more—optimizes clinical outcomes and RCM for your practice. Used by tens of thousands of medical professionals—from large physician practices to medical billing companies—to drive growth, streamline business operations, and improve patient care across all 50 U.S. states. Our unified “Full Suite” system employs a secure, central database so your data passes through every product in real-time from anywhere, and more than 125 million prescriptions have been transmitted and over $7 billion in claims have been processed using RXNT. -
2
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. -
3
XpertCoding
XpertDox
XpertCoding is an AI-powered medical coding software by XpertDox that uses advanced AI, natural language processing (NLP), and machine learning to code medical claims automatically within 24 hours. It automates the coding process, enabling faster and more accurate claims submissions to maximize financial gains for healthcare organizations. Features include minimal human supervision, easy EHR connectivity, flexible cost structure, a significant reduction in denials and coding costs, a HIPAA-compliant business intelligence platform, risk-free implementation with no initial fee and a free first month, and higher coding accuracy. XpertCoding's autonomous coding solution helps healthcare providers and organizations get paid faster, accelerating the revenue cycle and allowing them to focus on patient care. Opt for XpertCoding for a reliable and accurate medical coding software solution for your practice. -
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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. -
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Foothold
Foothold Technology
Our human services software offers full functionality for case management, client tracking, electronic health record (EHR), and homeless information management (HMIS) all under one roof. We work with agencies across the spectrum of human services: including developmental disabilities, mental health, substance use disorder, homelessness, supportive housing, HCBS, and much more. Foothold is HIPAA-compliant mental health software, federally certified as an EHR, and offers full interoperability as you navigate the new landscape of care coordination and value-based care. Transform the way you provide care with nimble software and a partnership guided by experience. -
6
Mercury One Plus
CrisSoft
Mercury One Plus is a Medical Practice Management solution that puts the fundamentals of Revenue Cycle Management at your fingertips; it acts as a stepping stone from standard billing to intermediate billing. Mercury One Plus is offered exclusively on the cloud, with the highest level of security- you can access your data anywhere 24/7. A complete product with big functionality, Mercury One Plus includes: patient demographics input, 100 plus reports to choose from, charge entry, full history of patient activity, ERA posting, credit card acceptance, and much more. Mercury Products are HIPAA compliant with a guaranteed connection to any clearinghouse or insurance company. Mercury One Plus'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. Willing to partner/intergrate with all EMR's through REST.Starting Price: $249.00 -
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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 -
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AltuMED PracticeFit
AltuMED
Conducting thorough checks on the financial eligibility of the patients, running their insurance’s analysis and monitoring discrepancies, the eligibility checker covers all. If however any error does creeps in the data submitted, our scrubber working on deep AI&ML algorithms is capable of scrubbing errors be it coding errors, incomplete or wrong patient financial information. The software, at present, has 3.5 Million edits pre-loaded in its memory. To further streamline the process, automatic updates are issued by the clearing house to inform about the status of in-process claims. Covering the entire billing spectrum from verifying the patient financials to working on denied or lost claims and also has a through follow-up feature for appeals. Our intuitive systems warns if a claim could be denied, taking corrective actions to prevent it but also is capable of tracking and appealing for lost or denied claims. -
9
CharmHealth
MedicalMine
The single solution for your medical practice. Cloud based online electronic health records (EHR) systems that allows you to create, manage patient records easily and securely using just your browser. Create and manage patient appointments and schedule resources like rooms, IV chairs, etc. using color coded calendar. Allow patients to book appointments from your website and patient portal. Upload and store your patient and practice documents like handouts, consent forms, x-rays, etc. and go paperless. Group documents into folders and tag them to locate it easily, when you need them. Exchange messages with your care team securely regarding your treatment. Patients will have portability available for their medical records. They can allow secure access to a local specialist during their physical consultation abroad. Complicated caess can be discussed while sharing images/videos without pulling doctors from wards and clinics. -
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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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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. -
12
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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HEALTHsuite
RAM Technologies
HEALTHsuite is a comprehensive benefit administration system and claims processing software solution designed for health plans administering Medicaid and / or Medicare Advantage benefits. HEALTHsuite is a rules-based auto adjudication software solution designed to automate all aspects of enrollment / eligibility, benefit administration, provider contracting / reimbursement, premium billing, medical management, care management, claims adjudication, customer service, reporting and more. RAM’s Medicare Advantage-in-a-Box offering is unique in the industry; the product of RAM’s extensive experience in Medicare Advantage and an unwavering commitment to changing our industry. HEALTHsuite Advantage™ and eHealthsuite™ are the cornerstones of our pre-configured Medicare Advantage-in-a-Box offering. HEALTHsuite Advantage is a fully integrated suite of modules providing our clients with an unmatched solution to administer their Medicare Advantage and Special Needs Plans (SNP’s). -
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E-COMB
KBTS Technologies
EDI Compatible Medical Billing (E-COMB) is a web based solution for generating medical claims complying with the HIPAA transaction and code set standards, regulated by the US Government following the recommendations of American National Standards Institute (ANSI). The application is designed to generate, submit and reconcile the claims to the insurance carriers, guarantors and/or patients. This is one of the most important tools for doctors in realizing their revenue by reducing the turnaround time in the claims reimbursement. All the information related to environment of the Doctor’s Office/Hospital is grouped together as Master Data. This information is frequently used for claims processing and is less likely to change quite often. Master Data contains details of the Procedures, Diagnoses, Doctors, Payers, and Billing Providers etc. This data is created as part of the initial set up and can be updated easily at any time. -
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Precision Practice Management
Precision Practice Management
Whether you're looking to outsource all of your revenue cycle management functions or just some of them, Precision Practice Management has the experience and expertise to help you stay on top of the constantly changing landscape in this most important area. Precision can successfully address all areas of revenue cycle management, from compliance, credentialing, coding, claims processing, clearinghouse edits and electronic lockbox to claim denial management, reporting, financial analyses and more. Your in-house staff may be doing a tremendous job in managing some or most aspects of your medical billing, but your office staff has many other important clinical functions to perform. Sometimes billing matters receive lower priority and suffer as a result. Precision's medical billing experts are focused entirely on medical billing and nothing else; that's all they do. -
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Artsyl ClaimAction
Artsyl Technologies
Processing high volumes of medical claims through intelligent automation helps businesses deliver higher levels of efficiency that does more than reduce costs. For organizations that rely on manual processes, managing medical claims documents and data is labor-intensive and error-prone, injecting unnecessary risk into the process. With ClaimAction medical claims processing software from Artsyl, your organization can improve margins, minimize touch points and eliminate processing bottlenecks. Capture medical claims data without the need for custom software coding. Route claims data and documents automatically to the right claim examiner, based on your business rules. Configure complex benefits and reimbursement rules to streamline processing and reduce payment delays. Respond quickly to changing government regulations and support data, document and process compliance. -
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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. -
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Dastify Solutions
Dastify Solutions
Dastify Solutions is a U.S.-based, AI-powered medical billing company trusted by 1,000+ healthcare providers nationwide. They specialize in high-accuracy RCM, leveraging advanced AI and a team of 500+ AAPC/AHIMA-certified coders to reduce errors by up to 99%. They offer end-to-end services, including coding, AR recovery, credentialing, and denial management, customised for 75+ specialities on a flexible pay-for-paid model. Their platform integrates seamlessly with 600+ EHR / EMR systems.Starting Price: $50 -
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eClinicalWorks
eClinicalWorks
Patient medical record retrieval is just a search away. The PRISMA health information search engine is here to bring together medical records from primary care providers, specialists, clinics, urgent care centers, and hospitals to create a searchable, timeline view of a patient’s health history. Our Customer Success Stories illustrate real-world applications of our healthcare IT. See how eClinicalWorks customers are achieving value-based care and improving healthcare. At eClinicalWorks, we are 5,000 employees dedicated to improving healthcare together with our customers. More than 130,000 physicians nationwide — and more than 850,000 medical professionals around the globe — rely upon our EHR software for comprehensive clinical documentation, along with solutions for telehealth, Population Health, Patient Engagement, and Revenue Cycle Management. Privately held, and driven by innovation and excellence, we have a single focus — providing our customers with secure, cloud-based solutions.Starting Price: $499.00/month/user -
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Remittance360
GAFFEY Healthcare
All organizations across the healthcare revenue cycle sector can utilize Remittance360. If an entity receives standard 835, business office staff of all levels will find this tool useful in making actionable decisions regarding cash and accounts receivable workflow. Remittance360 is simple and easy to use, start-up time is minimal, and the uploading process of 835 data takes seconds. Utilizing the standard 835 data set, information upload is obtainable for all organizations, with minimal IT involvement. Remittance360 takes advantage of the data organizations have, but delivers relevant reporting of denials, trends, and individual payer activities. Gaining insights into this information can determine specific workflow needs. The ability to query data is simple in Remittance360, and common queries can be saved for easy user functionality. Querying denials by remark code and by department can assist in identifying and fixing root cause issues. -
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ImagineBilling
ImagineSoftware
The industry’s first intelligent, multi-specialty medical billing software. Streamlining billing and patient collections for over 75,000 physicians across the country. Globalized data eliminates the need for duplicate entry. Visit-driven to allow for large volume and complex information. Flexible data structure accommodates requirements across multiple practices and specialties. Helping you get paid faster. Post payment manually or through electronic remittance. Automatically scrub claims for errors and missing information. Automatically refile insurance claims based on selected criteria. Fast review to evaluate and approve charges. Audit charges by modality, procedure, insurance, user, doctor or date of service. Intuitive reports for tracking the financial health of your front-end and back-end billing. Never lose another charge again. Integrates with your preferred clearinghouse or statement vendor. -
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NeuralRev
NeuralRev
NeuralRev 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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EZDI
EZDI, an AGS Health Company
EZDI is Acquired by AGS Health Company. We enable businesses of all sizes, from startups to large enterprises to use our revenue cycle management platform and APIs to bring insights out of their healthcare data. An integrated clinical documentation and medical coding platform. Fully integrated platform that gives you the ability to increase documentation and coding specialist productivity upto 45%, while growing revenue from improved case mix and risk scoring. Easy-to-use, modern clinical APIs that integrate seamlessly into your infrastructure. Trained on more than 7 million real clinical documents to provide cutting-edge accuracy. We leverage millions of knowledge graph records, deep learning, and machine learning to provide clear code and query suggestions. We’re prepared to lead the next wave of AI in healthcare. Built for coders and documentation specialists to work smarter and faster from day one.Starting Price: $0.15 per patient -
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Benchmark PM
Benchmark Solutions
Benchmark PM enhances patient engagement from initial intake through final encounter with features such as patient onboarding, easy appointment scheduling, customizable reminders, robust reporting, and user-friendly dashboards. For billing, Benchmark PM simplifies filing, processing, and follow-up with integrated claims management, an integrated clearinghouse, electronic billing, insurance verification, and a versatile payment portal. Benchmark Solutions operates as healthcare practices’ one-stop management solution, comprising of Benchmark EHR software, Benchmark PM software, and Benchmark RCM services. Benchmark Solutions' offerings come together to form a comprehensive electronic toolset that can streamline daily internal operations and increase revenue earned all while improving the overall patient experience. Each piece of the Benchmark Solutions suite is modular so it can easily integrate with other technologies already in place. -
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Quadax
Quadax
How well you manage the challenges of your revenue cycle has a direct effect on your bottom line and the success of your entire organization. It doesn’t matter how many patients seek your care if it’s taking months to receive the expected payments for the services you provide. And, you shouldn’t have to spend hours each day tracking down the payments you’ve worked hard to earn. There’s a better way to maximize healthcare reimbursement. Let Quadax be your guide to creating a comprehensive, sustainable and orderly strategic plan, and select the right technology solutions and services that best fit your business model. With us as your partner, you can achieve operational efficiency, optimize financial performance and enhance the patient experience. The goal for every claim going out the door is to avoid a denial and get paid as quickly as possible. -
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STARSTrack
Ingenia Health
STARSTrack is an advanced healthcare quality analytics platform designed to elevate performance in Medicare Stars, Marketplace Stars, local Medicaid programs, and Commercial quality rankings by centralizing data, analytics, and actionable insights in one system. It offers full visibility into all factors that influence quality results with NCQA-certified quality measure calculations, support for HEDIS, Pharmacy Quality Alliance (PQA), CMS Operational, Medicaid Core Set, and customizable local measures, and proactive monitoring of prospective performance that helps analysts focus on outcomes rather than manual reporting. It delivers detailed built-in reports, centralized star score intelligence across all contracts, and the ability to review past performance, live trends, and predicted results to guide strategic improvement initiatives. -
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RevCycle Engine
Aptarro
RevCycle Engine applies built‑in, customizable rules and AI‑powered automation to correct coding and charge errors at the source, ensuring billing data is accurate before claims are submitted. By integrating seamlessly with EMRs and practice management systems, it ingests claims data in real time, applies industry‑proven rules tailored to each organization’s needs, and fixes errors automatically, reducing preventable denials and costly rework. Streamlined workflows prioritize and route only complex or exception claims for human review, boosting team efficiency and reducing burnout. With AI‑driven charge accuracy, the platform increases clean claim rates, lowers cost‑to‑collect, and stabilizes cash flow, all visible through clear dashboards and real‑time insights. Scalable automation handles high claim volumes without overtime or late‑night efforts, while features such as charge accuracy validation, denial prevention, coding review optimization, payment collection support, and more. -
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Clarus RCM
Clarus
Transform your revenue cycle with Clarus RCM. Clarus RCM specializes in risk adjustment coding solutions namely retrospective & prospective HCC coding, commercial risk adjustment coding, HEDIS abstraction, RADV audits, chart review & data validation, and revenue cycle management services. Our certified coders guarantee 95%+ accuracy & faster turn around time. Clarus RCM Inc provides comprehensive revenue cycle management (RCM) services through a robust, innovative technology suite. By integrating RCM services with healthcare consulting services, Clarus RCM can help hospitals and physicians increase their existing revenue stream, uncover new payment opportunities and elevate RCM performance. Clarus is certified with ISO/IEC 27001:2013 industry laurels. Our operations are 100% HIPAA and ISMS (information security management system) compliant. We have been assessed by UL-DQS (American accreditation) to deliver the highest quality of healthcare services. -
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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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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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Silna Health
Silna Health
Silna Health’s Care Readiness Platform handles all prior authorizations, benefit checks, and insurance monitoring upfront to make sure patients are clear to receive care while providers gain capacity to focus on treatment. Its AI‑powered engine manages the entire prior authorization workflow, from tracking upcoming authorizations and sending weekly reminders to submissions and follow‑ups, automatically applying industry‑proven rules and escalating exceptions for human review. Specialty‑specific benefit checks verify coverage, accumulations, authorization requirements, and visit limits in real time, delivering accurate quotes at intake. Continuous insurance monitoring flags lost coverage, detects new plans, and safeguards against eligibility lapses. Designed for zero extra headcount, Silna ingests data directly from EMRs and practice management systems, offers configurable rule sets and strategic guidelines, and presents clear dashboards with incremental revenue insights. -
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Cortex EDI
Cortex EDI
Cortex EDI provides medical, institutional, and dental practices with all the services they need to increase efficiency in the workplace. Our free medical billing software and claims clearinghouse software can help you streamline your workplace processes. We have the user-friendly tools you need to help you manage client billing and save you time. Our tools also provide you with such necessities as patient eligibility verification for private health insurance, Medicare, and Medicaid. We provide our free medical billing software to medical, institutional, and dental practices with no signup fees and no contracts. Sign up today to receive free training on how to properly use our practice management and medical claims clearinghouse software. Consolidate your various EDI service needs with Cortex EDI today to start streamlining your workplace processes. Cortex EDI is a leading clearinghouse and practice management software vendor for electronic medical transactions. -
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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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Pro Health Billing
Pro Health Billing
Pro Health Billing's Medical Billing Software has simple tools that help with data entry, automated task that take only minutes to setup and very easy to use. You can print your first claim in 20 minutes! With tools like Auto-Codes, Repeat Last Claim and Auto Co-Pays. Pro Health Billing is a wrist saver! Small Medical Practice Companies love Pro Health Billing's Claim and Patient Scheduling Modules. Together they become a powerful tool that cuts your workload almost in half! With tools like Non Payment and Non Billed Alerts your revenue will increase as your workload shrinks! 'Pro Health Billing' is the best medical billing software to help you bring in more income and quickly! With our Claim Catcher Dashboard and our industry leading 'Revenue Cycle Manager' to fix those alerts, claims never go unnoticed! Know the status of all your claims with just a glance. -
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Context 4 Health Plans Suite
Context4 Healthcare
Protect the integrity of your health plan and determine accurate pricing with the Context4 Health Plans Suite, our modular, cloud‑based technology platform. Immediate, actionable, and defensible Fraud, Waste, and Abuse (FWA) detection built by our team of certified clinical, dental, and health benefits experts. Accurate data and cutting-edge cloud technology combine to create a proven and defensible medicare reference-based pricing (RBP) solution. More than 100 healthcare data sets, with professional support to optimize efficiency and compliance. Advanced medical coding software designed to expedite claim submission and minimize denials. Our cloud based Payment Integrity Platform utilizes our proprietary analytics engine to identify coding errors, medical necessity, unbundling, fraud-waste-abuse, audit risks, pricing and other aberrations that can impact your business. -
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TruBridge
TruBridge
In the ever-changing world of healthcare, business and financial health is critical to the success of your healthcare organization. Get the people, products and processes you need for success that goes beyond simply getting paid. Revenue cycle management suite that helps businesses manage claims scrubbing, and review patients' eligibility through verifications. TruBridge is in the business of helping hospitals of all sizes get paid faster and get paid more through a combination of people, products and process optimization. Our arsenal of RCM offerings ranges from revenue cycle consulting, to an HFMA Peer Reviewed® product to complete business office outsourcing. TruBridge has been helping hospitals, physician clinics, and skilled nursing organizations become more efficient at serving their communities for years. Today, our trained experts stand ready to do the same for your organization, enabling you to overcome the unique revenue cycle challenges you face every day. -
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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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MediSYS
MediSYS
With a single sign-on solution for PM and EHR, our total clinic solution streamlines workflow, speeds cash flow and maximizes reimbursement. With our team of medical billing & revenue experts, practices typically see bottom-line improvements including fixed-cost reductions. Plus, partnering with our revenue services team gives you peace of mind knowing that you have more time to focus on patient care and patient engagement — what you do best! Empower your team with our industry-leading implementation, training, support, data migrations and interoperability. Proven tools to allow today’s patients and providers to better manage their health. Continued education and training based on industry requirements and guidelines. Connect quickly and efficiently with patients with built-in tools designed specifically for medical practices. -
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Veritable
314e Corporation
Veritable accelerates patient insurance eligibility verification and claims-status checks by providing instantaneous results in a clean, intuitive interface. It supports real-time, batch uploading of patient lists to verify eligibility across more than 1,000 payers (including national Medicare and all state Medicaid) and multiple service types. It also enables tracking of claims status, from submission through reimbursement, so practices and billing companies can proactively identify issues to reduce payment delays and denials. Key benefits include automating eligibility and claims workflows to reduce manual entry and phone calls, improving front-desk patient experience by validating coverage and copayments at check-in, and offering seamless integration for both technical and non-technical users with strong data-security controls. It includes a “Code Explorer” for instant lookup of ICD-10-CM, ICD-10-PCS, HCPCS Level II, and CPT codes.Starting Price: $50 per month -
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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. -
41
ChartLogic
Medsphere Systems
Enhance patient care, office efficiency, and profitability with ChartLogic, an integrated Electronic Health Record (EHR) software suite for private physician practices. Designed to intuitively match a practice's workflow, as well as its specialty and personal preferences, ChartLogic EHR helps physicians document patient encounters and store information securely and cost-effectively. ChartLogic EHR suite includes Electronic Medical Record (EMR) tools, practice management, and medical billing services. -
42
Flash Code
Flash Code Solutions
Flash Code™ is a coding product designed for the healthcare community. Our goal is to provide exceptional, simple to use, cost-effective software which is provided with unsurpassed customer service. We are a division of Practice Management Information Corporation - the leading independent publisher of coding books. Our team can provide a complete solution to meet your coding and compliance needs via our software and print products. Thanks for taking a few moments of your valuable time to explore what Flash Code can do for you. The merger creates an opportunity for MCCS to provide sophisticated electronic coding and compliance solutions to the health care industry. From the physician checking for medical necessity codes at the point of care, to the insurance manager validating diagnosis codes, or the benefits analyst reviewing health insurance claims for correct coding initiative compliance, MCCS provides a solution to facilitate the process. -
43
Edifecs
Edifecs
Whether it’s understanding the nuances of the CMS and ONC final rules, developing a roadmap to meet the deadlines, or implementing a solution, we’ve got you covered. As the leader in interoperability, Edifecs has the expertise to help you achieve compliance with the new mandates and unleash the power of secure, reliable electronic health data exchange. Edifecs offers best-in-class Smart Trading and Encounter Management tailored specifically for small and medium-size health plans. Harness financial, clinical, and administrative data to drive business initiatives and enable administrative automation. Streamline encounter management operations and improve first-pass rates for managed Medicaid and Medicare Advantage through a hosted solution model. Edifecs offers COTS-based modular solutions to maximize data quality and drive payment reform initiatives. Harness financial, clinical, and administrative data to drive business initiatives and enable administrative automation. -
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EZClaim Medical Billing
EZClaim
EZClaim is a medical billing and scheduling software company that provides a feature-rich practice management system specifically tailored for small to medium-sized provider office and outsourced medical billing firms. It also includes integrations with a number of EMR/EHR vendors. Whether you are a doctor, practice manager, or billing service owner, EZClaim Billing is designed with you in mind, simplifying your claims management from data entry to payment posting, and beyond. EZClaim primarily supports the following specialties, General Practice, Therapy, Vision, Surgical, Medical Specialties, Home Health Care, and Outsourced Medical Billing Services (RCM). However, the software is very adaptable and can be used for many other billing specialties. EZClaim’s billing software allows the creation of insurance payor lists for Medicare, Medicaid, Tricare, Clearinghouse payer IDs, governmental MCO’s, auto insurance, and worker compensation groups. -
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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! -
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Medical Office One
Biosoftworld Medical Software
Medical Office One. A HIPAA Compliant - NPI Compliant and feature-rich medical billing software package. Fast and easy to use, it allows the creation of the new CMS 1500 02/12 or UB-04 claims. Provides full customization, excellent reporting features and points of integration with popular software packages including Microsoft Word, Excel & Outlook. Data for claims can be entered directly or can be retrieved for the Electronic Medical Records portion of the software. Print the CMS 1500 and UB-04 Form, or send claims electronically to clearinghouses. Medical Office One provides QuickBooks® integration, an advanced SOAP Notes module, and a powerful chart generator. You can create additional databases for unlimited providers - practices! and handle all from the same interface. Start a successful medical billing from home business. Handle with one software package billing and clinical side of your healthcare practice. A powerful CMS 1500 Form Filler or UB-04 Form Filler. -
47
Eligible
Eligible
Eligible's powerful APIs are the easiest way to add insurance billing experiences into your applications. These accreditations assure patients and providers that Eligible has accomplished the strictest compliance with privacy and security best practices while processing millions of healthcare cases each month. We fully understand the role of a mature and proven information security program in meeting Eligible and customer goals. We are happy to announce the successful completion of our Type II SOC2 review. Achieving this certification helps us assure our customers and the companies with which we interact that we understand our responsibilities in keeping protected health information safe. Instantly deliver exceptional experiences for patient insurance billing to your end users. Run estimations, perform insurance verifications and file patient's claims all with simple APIs.Starting Price: 3% Fee -
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Cube Healthcare Systems (CHS)
Cube Healthcare Systems
Revolutionizing the Healthcare Systems in the US since last 10 years, Cube Healthcare Systems is the name that promises a paradigm shift when it comes to collating the clients data and streamlining their administrative as well as clinical management processes into a more effective outlay. More so Cube Healthcare Systems helps us extend the telemedicine expertise on the global level. Our astounding experience in Revenue Cycle Management gained by serving countless medical centers in the US market helps our brand to stand out against all known competitors. Our technologically advanced systems and predictive analytical techniques helps instill productivity in the processes, making them easily manageable and highly profitable. Our dynamic solutions, developed with thorough industry research and tried/tested experience promises a breakthrough in US healthcare market, bringing forth efficiency and progression. -
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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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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
