Medical Billing & RCM

154 tools

Revenue cycle management, medical coding AI, denial prevention.

Rising in Medical Billing & RCM

AI-Powered Claim Denial Management Services

5 Star Billing Services

Medical Billing & RCM

5 Star Billing Services provides AI-powered claim denial management to help healthcare providers reduce denials, accelerate reimbursements, and improve cash flow. They focus on identifying root causes, processing appeals, and offering denial-trend reports.

Customized based on specialty, claim volume, and service needs.

Staffingly Prior Authorization

Staffingly, Inc.

Documentation & Scribing

Staffingly provides AI-assisted automation and virtual assistants for healthcare practices, specializing in prior authorization, insurance verification, and revenue cycle management.

Starting at $399 per week per fte

Hyprtask

Elion Health

Medical Billing & RCM

Hyprtask is an AI-powered automation platform that manages and executes administrative and revenue cycle workflows for healthcare practices, including insurance eligibility verification, prior authorizations, claims submission, and AR follow-up.

Subscription-based, with a predictable monthly fee based on annual collections tier for full suite rcm. ar recovery is offered on a 'pay only when we recover' model.

NYX Health AI Prior Authorization Solution

NYX Health

Documentation & Scribing

NYX Health provides an AI-powered prior authorization solution, AVA, that integrates with existing EHRs to streamline the authorization process, reduce denials, and improve revenue cycle performance for healthcare providers.

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Medical Billing & RCM tools, by specialty

Internal Medicine (111) Family Medicine (108) Hospital Medicine (62) General Surgery (20) Pediatrics (15) Emergency Medicine (8) obstetrics-gynecology-ai (7) Radiology (7) Cardiology (6) dental-ai (5) Endocrinology (5) mental-health-ai (5) radiology-imaging-ai (5) surgical-ai (5) dermatology-ai (4) gastroenterology-ai (4) oncology-ai (4) ophthalmology-ai (4) behavioral-health (3) cardiology-ai (3) endocrinology-metabolic-ai (3) Geriatrics (3) neurology-ai (3) Obstetrics & Gynecology (3) primary-care (3) Dentistry (2) general-practice (2) Laboratory Medicine (2) Orthopedics (2) Pathology (2)

CMX CARE

CodaMetrix

Medical Billing & RCM

CodaMetrix offers an AI-powered contextual coding automation platform designed to transform healthcare operations by improving coding quality and performance, reducing manual work, and strengthening financial foundations for health systems.

Custom

CoachCare RPM

CoachCare

Medical Billing & RCM

CoachCare RPM is a comprehensive remote patient monitoring and virtual health platform for clinics and health systems, offering outcomes alerts, claims documentation, and reimbursement features to improve patient care and increase revenue.

Starts at $4,800/year/clinic for cash practices

Codify by AAPC

AAPC

Medical Billing & RCM

Codify by AAPC is an AI-powered coding assistant that provides real-time code suggestions, compliance alerts, and payer-specific updates to reduce coding errors and boost reimbursement speed.

$10/month to $54/month

Coding Intelligence (OpenEvidence Visits)

OpenEvidence

Clinical Decision Support & Reference

OpenEvidence is an AI copilot for doctors that helps them make high-stakes decisions at the point of care. It is the most widely used medical AI among verified U.S. clinicians, having supported over 200 million AI-powered clinical consultations.

Free

CODIO AI

MediCodio AI

Documentation & Scribing

MediCodio AI is an AI-powered medical coding platform that combines certified human coders with automation to deliver 98% coding accuracy and reduce claim denials by 83%.

Starts in the range of $10 or less (per-encounter pricing that scales with chart volume, no per-seat licensing or annual minimums).

CognitiveHealth iCAN™

CognitiveHealth Technologies

Medical Billing & RCM

CognitiveHealth's iCAN™ platform leverages advanced AI technology to revolutionize eligibility verification and denial management processes, addressing some of the most persistent challenges in medical billing.

Contact for pricing

Cohere Health Platform

Cohere Health

Medical Billing & RCM

Cohere Health provides an AI-powered clinical intelligence platform that streamlines prior authorization and payment integrity for health plans and providers, driving efficiency, improving care access, and optimizing financial performance.

Contact for pricing

CollaborateMD

Medical Billing & RCM

CollaborateMD is a cloud-based medical billing and practice management software that simplifies claims, payments, and daily operations in one cloud-based platform. With billing-first workflows, a built-in clearinghouse, and powerful reporting, you can reduce manual work, improve clean-claim rates, and accelerate revenue. It also offers AI-powered claim rejection support, providing plain-language explanations for payer rejection codes within your claim workflow.

Starts at $235/month

CombineHealth

Medical Billing & RCM

CombineHealth offers an end-to-end AI revenue cycle automation platform that leverages proprietary agentic and generative AI, trained on billions of medical records, to streamline eligibility checks, medical coding, CDI, billing, denials, and AR workflows for healthcare providers, aiming for zero revenue leakage.

Contact for pricing

Commure Scribe

Commure

Documentation & Scribing

Commure Scribe provides Ambient AI solutions for clinical documentation, reducing clinician burden, improving efficiency, and enhancing revenue across various care settings with deep EHR integration.

Tiered

Cotiviti Healthcare Analytics Solutions

Cotiviti

Medical Billing & RCM

Cotiviti provides analytics-driven payment accuracy solutions, risk adjustment, quality and Stars programs, and engagement solutions for healthcare payers, health systems, government programs, and retailers. They utilize advanced technology and data analytics, including AI, to help clients optimize financial and clinical performance, uncover cost savings, and improve patient outcomes.

Contact for pricing

CuraQt

Medical Billing & RCM

CuraQt is an AI-powered prior authorization platform that automates preparation, submission, tracking, and denial management for healthcare providers, aiming for 2026 compliance.

Paid

CureAR

Medical Billing & RCM

CureAR is a cloud-based medical billing software that uses AI to manage the entire claims process, reviewing claims before submission, focusing on denials, and automatically resubmitting corrected claims.

Paid plans

CureMD AI Medical Billing

CureMD

Medical Billing & RCM

Leverage next-generation AI Medical Billing Software to enhance billing accuracy, reduce denials, and get paid faster.

Contact for pricing

CustomAI Studio for Revenue Cycle Management

CustomAI Studio

Medical Billing & RCM

CustomAI Studio offers AI revenue cycle management solutions that automate tasks between a completed visit and posted payment, including eligibility verification, prior authorization, charge capture, claim scrubbing, submission, ERA reconciliation, and denial management. They emphasize that clinicians and billers remain in the loop for all clinical or financial decisions, with the AI drafting, organizing, and surfacing information for human approval.

Custom pricing