You've seen the outcomes. Meet the engine.

RCM Technology That Drives Performance

Fueled by automation, analytics and reliability, our technology-enabled revenue cycle management platform has always been the engine behind our results. Now, we’re popping the hood so you can get a clear view of what's driving better, faster and more reliable results.

Our Technology Philosophy

While other RCM vendors bolt on tools, we build software/EMR-agnostic technology into the core of every workflow. Our platform is engineered to: 

  • Reduce friction across hospital and office-based RCM workflows 
  • Integrate seamlessly with your existing systems 
  • Automate repetitive tasks and optimize staff efficiency 

Full-Cycle Automation,
Built for Results

We embed automation and AI across every phase of the revenue cycle to reduce costs and improve outcomes.

Front-End RCM: Laying the Foundation for Clean Claims

Eligibility Verification & Coverage Detection
We combine real-time verification with advanced coverage detection tools that identify missing or inactive insurance before the visit — reducing denials, delays, and costly rework.

image depicting front end technology

Mid-Cycle RCM: Cleaner Claims. Fewer Denials. Faster Cash.

AI-Assisted Coding Intelligence: Our AI-powered platform ensures claims are coded accurately and compliantly—reducing downstream denials and strengthening claim integrity. Every claim is backed by the precision and expertise of our world-class coding team.

Automated Charge Entry & Posting: We automate the import and recording of charge and demographic data from both hospital EMRs and office-based practice systems. Auto-matching logic and exception-based workflows minimize manual effort, reduce errors, and ensure compliance with turnaround standards—streamlining the entire charge process from start to finish.

Automated Claim Scrubbing & Electronic Filing: Our proprietary edit engine flags issues before submission. Clean claims are filed electronically for faster reimbursement.

image depicting mid-cycle technology

Back-End RCM: Getting You Paid — Quickly and Completely

Payment Posting Automation
We auto-post electronic remittance advices (ERA) and match payments to contracts — reducing manual reconciliation work and improving posting accuracy.

Claims Status Automation
Our platform monitors real-time claim status updates and automates follow-up workflows—accelerating resolution and preventing backlogs.

Automated A/R Follow-Up
Advanced logic prioritizes accounts based on complexity and value potential, directing staff to focus where they’ll have the most impact on recovery.

Patient Billing Technology
Branded digital statements, online payment tools, and automated reminders improve patient collections and reduce inbound billing calls. For additional support, our dedicated call center can be integrated to handle patient inquiries directly.

image depicting back-end technology

Beyond the Revenue Cycle:

Platform Capabilities That Power Operational Excellence

While our technology automates every phase of the revenue cycle, it also supports broader operational goals — from workflow optimization and system integration to client collaboration and performance insight.

  • System Integration
    & Data Exchange

  • System Integration & Data Exchange

    Built to simplify fragmented environments, our technology-agnostic integration framework ingests data from hospital EMRs and office-based practice management systems, enabling timely bidirectional data exchange that ensures cleaner claims and faster processing.

    • Connects seamlessly with all major EMRs and PM systems
    • Supports bidirectional data flow for efficient information transfer
    • Aggregates data from multiple sources into a unified processing stream

    Result: Less fragmentation. More interoperability. Fewer delays.

  • Analytics
    & Intelligence

  • Analytics & Intelligence

    We provide enterprise-grade analytics designed for the unique metrics and workflows of specialty physician groups. With hundreds of performance indicators and dynamic dashboards, practices can easily access the data that drives better decision-making.

    • Specialty-specific dashboards aligned to clinical and financial KPIs
    • Claim-level drilldowns to uncover trends and root causes
    • Self-service access to more than 700 performance widgets

    Result: Decisions backed by data. Financial visibility at every level.

  • Workflow Automation
    & Task Management

  • Workflow Automation & Task Management

    Our internal operations platform acts as a centralized command center — intelligently organizing tasks, prioritizing workloads, and applying best practices to improve turnaround times and reduce rework.

    • Centralized work queues organized by priority and SLA
    • Intelligent task routing that adapts to work volume and payer trends
    • Standardized best practices embedded across workflows
    • Shortened cycle times from claim creation to resolution
    Result: Prioritized work. Streamlined resolution. Consistent financial performance.
  • Client Visibility
    & Collaboration

  • Client Visibility & Collaboration

    Our client-facing portal improves transparency and response time by streamlining how questions, requests, and updates are managed — replacing back-and-forth emails with structured, efficient workflows.

    • Clients can submit and track requests in real time
    • Work is routed directly to the appropriate internal teams
    • Enables a structured, auditable communication flow
    • Elevates client satisfaction and reduces turnaround friction

    Result: Less back-and-forth. Faster answers. Happier clients.

System Integration & Data Exchange

Built to simplify fragmented environments, our technology-agnostic integration framework ingests data from hospital EMRs and office-based practice management systems, enabling timely bidirectional data exchange that ensures cleaner claims and faster processing.

  • Connects seamlessly with all major EMRs and PM systems
  • Supports bidirectional data flow for efficient information transfer
  • Aggregates data from multiple sources into a unified processing stream

Result: Less fragmentation. More interoperability. Fewer delays.

Analytics & Intelligence

We provide enterprise-grade analytics designed for the unique metrics and workflows of specialty physician groups. With hundreds of performance indicators and dynamic dashboards, practices can easily access the data that drives better decision-making.

  • Specialty-specific dashboards aligned to clinical and financial KPIs
  • Claim-level drilldowns to uncover trends and root causes
  • Self-service access to more than 700 performance widgets

Result: Decisions backed by data. Financial visibility at every level.

Workflow Automation & Task Management

Our internal operations platform acts as a centralized command center — intelligently organizing tasks, prioritizing workloads, and applying best practices to improve turnaround times and reduce rework.

  • Centralized work queues organized by priority and SLA
  • Intelligent task routing that adapts to work volume and payer trends
  • Standardized best practices embedded across workflows
  • Shortened cycle times from claim creation to resolution
Result: Prioritized work. Streamlined resolution. Consistent financial performance.

Client Visibility & Collaboration

Our client-facing portal improves transparency and response time by streamlining how questions, requests, and updates are managed — replacing back-and-forth emails with structured, efficient workflows.

  • Clients can submit and track requests in real time
  • Work is routed directly to the appropriate internal teams
  • Enables a structured, auditable communication flow
  • Elevates client satisfaction and reduces turnaround friction

Result: Less back-and-forth. Faster answers. Happier clients.

What Specialty Practices Can Expect

Maximized
Revenue

AI-driven coding and analytics-powered denials management reduce revenue leakage

Scalable
Automation

High-volume and high-complexity billing, powered by strategic automation

Actionable
Insights

700+ specialty-specific analytics widgets and dashboards for full revenue transparency

Seamless
Integration

Our technology-agnostic platform works with EMRs & PMs like Epic, Cerner, AthenaOne, eClinicalWorks

Improved Client
Experience

Tools that ensure rapid, structured communication

Security &
Compliance

Automated checks and protections built into every workflow

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How Technology Can Help You Optimize Your Patient Payment Process 

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Why Health Prime?

Health Prime streamlines coding, billing, and management—removing complexity, boosting reimbursements, and improving cash flow for physician practices.

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for Yourself.

Request a demo and learn how our platform turns complexity into consistency across your entire billing process.