R1 RCM

Healthcare revenue-cycle management company whose revenue operating system combines agentic AI, automation, analytics, and human expertise to improve revenue, costs, and throughput for providers.

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Founded: Not disclosed
Headquarters: Not disclosed
Company size: Not disclosed
Products tracked: 13

Products by R1 RCM

13 products

Phare OSHealthcare's first Revenue Operating System for health systems; automates complex revenue cycle work through an integrated agentic system of specialist AI agents and human overs...0.00 reviewsHealthcare Revenue Cycle

Phare AccessFront-end patient intake solution that blends AI and intuitive patient tools to verify insurance, secure authorizations, and embed accurate patient data at intake.0.00 reviewsHealthcare Revenue Cycle

Phare ClaimMid-cycle solution that autonomously codes encounters, monitors coding guidelines and payer policies, and corrects claims before submission to reduce denials and accelerate paym...0.00 reviewsHealthcare Revenue Cycle

Phare FlowBack-end autonomous follow-up system that resolves unpaid claims using intelligent agents to manage claim status checks, denials, escalations, credits, and adjustments at scale.0.00 reviewsHealthcare Revenue Cycle

R37R1's AI lab that identifies, builds, and scales AI solutions for healthcare financial performance, deploying AI agents as part of an integrated system that allocates work betwee...0.00 reviewsHealthcare Revenue Cycle

R1QAutomated quality review tool that leverages standardized rules to continuously monitor complete populations of accounts worked by users, automated processes, and agents.0.00 reviewsHealthcare Revenue Cycle

Revenue Performance SolutionsComprehensive suite of revenue performance solutions to optimize, accelerate, and navigate revenue recovery, including Revenue Recovery, Revenue Optimization, Clinical Integrity...0.00 reviewsHealthcare Revenue Cycle

Physician Revenue Cycle ManagementEnd-to-end revenue cycle management solutions for hospital-owned and independent physician groups, leveraging proprietary technologies and RCM expertise to deliver optimal finan...0.00 reviewsHealthcare Revenue Cycle

AR RecoveryAccounts receivable recovery solution that accelerates revenue, reduces AR days, and maximizes payer reimbursement through deep analysis of accounts receivable inventory for all...0.00 reviewsHealthcare Revenue Cycle

Complex Claim ReferralsMaximizes reimbursement for Motor Vehicle Accident/Third-Party Liability, Workers' Compensation, and Veterans Affairs claims, managed by staff attorneys, clinicians, and revenue...0.00 reviewsHealthcare Revenue Cycle

Early OutComprehensive patient account resolution services that deliver financial results while preserving patient experiences through empathetic and effective patient payment solutions.0.00 reviewsHealthcare Revenue Cycle

Denials ManagementFull-service denials recovery solution staffed by experienced clinicians, attorneys, certified coders, and reimbursement analysts to speed up appeals, overturn denials, and ensu...0.00 reviewsHealthcare Revenue Cycle

Prior AuthorizationFull-service prior authorization solution that handles everything from determination to submission, tracking, and final approval, leveraging R1's payer connections and dynamic r...0.00 reviewsHealthcare Revenue Cycle

Pricing for R1 RCM

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Trust profile

Security and compliance

Responsible AI Principles

AI governance framework

Data protection and privacy program

Audit and risk program

Code of Integrity

3rd-party code of conduct

R1Q automated quality review tool

Compliance education and integrity programming

Regulatory compliance program

Commercially reasonable organizational, technical, and physical safeguards