Healthcare Operations & Administration
Companies using AI to optimize hospital operations, automate administrative workflows, improve scheduling, manage healthcare resources, coordinate care delivery, or reduce operational inefficiencies. Includes prior authorization automation, credentialing, billing, care coordination, and AI tools that help health systems run more efficiently.
Companies(70)
AdvancedMD
AdvancedMD provides cloud-based practice management, EHR, and patient engagement software for healthcare practices. The company offers an integrated suite of applications including billing, scheduling, telehealth, and revenue cycle management services for independent practices, large groups, and medical billing companies.
Aidin
Aidin provides a digital referral management and care coordination platform for hospitals, healthcare systems, and post-acute care providers. The platform streamlines discharge planning, prior authorization, and patient transitions to reduce length of stay, lower readmissions, and improve operational efficiency.
AKASA
AKASA provides generative AI solutions for healthcare revenue cycle management, helping health systems reduce denials, improve margins, and increase revenue through AI-powered coding optimization, clinical documentation improvement, and automated administrative workflows.
Anterior
Anterior provides enterprise-grade AI solutions for health plans, specializing in prior authorization automation. The company delivers clinically accurate, transparent AI that integrates directly into existing workflows to reduce administrative burden and accelerate approvals.
Apella
Apella uses ambient AI and computer vision linked to the EHR to optimize operating room performance. The platform provides real-time visibility, predictive analytics, and automated documentation to help surgical teams serve more patients, reduce delays, and improve OR efficiency.
Apixio
Apixio provides AI-powered healthcare data analytics and risk adjustment solutions for health plans and providers. The company specializes in extracting clinical insights from unstructured medical records to improve quality reporting and payment accuracy.
Aspirion
Aspirion helps hospitals unlock high-value revenue from denied and complex claims through AI-powered revenue cycle management. Armed with US-based attorneys, clinicians, and AI engineers, they deploy cutting-edge automation to convert RCM challenges into opportunities.
AssistIQ
AssistIQ uses AI-powered computer vision to automatically capture surgical supplies and implants in real-time, eliminating manual documentation and improving charge capture accuracy for health systems.
Assort Health
Assort Health provides AI voice agents for healthcare that handle the entire patient journey, from referrals and scheduling to intake and follow-up. Trained on 190M+ interactions across 20+ specialties, the platform automates appointment scheduling, patient outreach, triage, billing, and more for healthcare providers.
Athelas
Athelas provides an AI-powered practice management platform combining revenue cycle management (RCM), electronic health records (EHR), and ambient AI scribing. The company serves healthcare providers including urgent care, physical therapy, specialty practices, and multi-location groups seeking to automate billing, documentation, and administrative workflows.
Availity
Availity operates the largest real-time healthcare network in the U.S., connecting payers, providers, and health IT companies. The platform processes over half of U.S. healthcare transactions, enabling eligibility verification, prior authorizations, claims processing, and payments through secure, automated workflows.
Awell
Awell is a workflow orchestration platform that enables healthcare organizations to design, automate, and optimize care flows without heavy IT involvement. Using drag-and-drop builders or natural language AI prompts, care teams can create scalable workflows that coordinate tasks across providers, patients, and AI agents.
Carebox
Carebox connects patients, families, and physicians with treatment options available in clinical trials through its Carebox Connect platform. The company serves trial sponsors, research sites, and patient advocacy groups by providing AI-powered eligibility matching, referral management, and navigation services to optimize clinical trial enrollment.
Cedar
Cedar provides an intelligent patient financial experience platform that unifies billing, payments, coverage, and support for healthcare providers. The company serves health systems, hospitals, and clinician service providers to increase patient payments, reduce administrative burden, and improve patient satisfaction.
Cerner
Oracle Health (formerly Cerner) provides cloud-based healthcare IT solutions including electronic health records, revenue cycle management, and population health tools. The company serves healthcare organizations globally with integrated technology platforms designed to improve clinical outcomes and operational efficiency.
Change Healthcare
Change Healthcare (now part of Optum) provides healthcare technology solutions for payers, providers, employers, government agencies, and life sciences organizations. The company delivers data analytics, financial solutions, pharmacy benefit management, and operations technology to improve outcomes and reduce costs across the healthcare system.
Clinithink
Clinithink provides clinical natural language processing (NLP) technology that transforms unstructured clinical narratives into structured, actionable data for healthcare organizations.
CodaMetrix
CodaMetrix transforms healthcare operations with an AI-powered contextual coding automation platform that improves medical coding quality and performance. The company delivers up to 30% cost reduction in direct coding costs while reducing coding-related denials by 60% and achieving 5x faster turnaround times.
Cohere Health
Cohere Health provides AI-powered prior authorization and payment integrity solutions to streamline utilization management, reduce costs, and improve care access.
Curative
Curative AI appears to be a healthcare technology company focused on AI-driven solutions for healthcare operations and administration, though specific details about their products and services are not available from the provided content.
DrChrono
DrChrono is an all-in-one cloud-based EHR and practice management platform designed for independent medical practices. The platform combines clinical documentation, scheduling, billing, telehealth, and patient engagement tools powered by AI to streamline workflows and reduce administrative burden.
Elara Caring
Elara Caring is one of the nation's largest providers of home-based care, delivering personalized in-home health services including skilled home health, hospice, personal care, behavioral health, and palliative care across 18 states.
Elation Health
Elation Health provides a unified, AI-powered EHR and billing platform designed specifically for primary care practices. The company serves independent practices, care groups, and enterprise developers with modern clinical workflows, intelligent documentation, and integrated revenue cycle management.
Elion
AI platform for healthcare operations and administrative workflow optimization.
Experian Health
Experian Health is a division of Experian that provides healthcare revenue cycle management, patient engagement, and identity management solutions for healthcare organizations.
Florence Healthcare
Florence Healthcare provides a cloud-based Trial Operations Platform that digitizes and automates clinical trial workflows for research sites, sponsors, and CROs. The platform eliminates paper-based processes, enables remote monitoring, and accelerates study startup and operations.
Fourier Health
Fourier Health automates medical record intake and transforms unstructured healthcare records into structured, AI-ready clinical intelligence. The platform ingests faxes, PDFs, scans, and notes, then delivers specialty-specific summaries directly into EHRs and clean data via API for health systems, specialty networks, and AI research partners.
Greenway Health
Greenway Health provides AI-by-design EHR and practice management solutions for ambulatory healthcare practices. Their Novare platform unifies clinical, revenue cycle management, and patient workflows on a cloud-based system powered by AWS, serving specialties including primary care, pediatrics, orthopedics, OB-GYN, FQHCs, and tribal health.
Healow
healow Genie provides AI-enhanced call center solutions for healthcare practices, automating patient interactions through voice, text, and chat. The platform handles appointment scheduling, prescription refills, billing inquiries, and after-hours routing while reducing administrative burden on medical staff.
Healtheon
Healtheon.ai deploys agentic AI teammates that work alongside billing staff to transform revenue cycle management. The platform embeds intelligent agents directly into medical billing operations under HIPAA-compliant agreements, targeting the $172B U.S. RCM market with 2-5x productivity gains and 67% cost reduction.
Healthie
Healthie is an all-in-one, AI-native practice management platform combining EHR, scheduling, telehealth, billing, and patient engagement tools. Designed for private practices, group clinics, digital health startups, and enterprises delivering recurring, relationship-based care.
Honey Health
Honey Health provides an AI-powered back office platform for healthcare organizations. The company's AI agents automate administrative workflows including data fetching, fax triage, prior authorizations, referral intake, refills management, and revenue cycle management—all working directly inside existing EHR systems.
Incredible Health
Incredible Health operates the nation's largest healthcare career marketplace connecting 1.5 million healthcare workers with 1,500+ employers. The platform uses AI-powered job matching and voice agents to accelerate hiring and career advancement for nurses and healthcare technicians.
Infinx
Infinx provides AI-powered revenue cycle management solutions for healthcare organizations. The company combines automation, AI agents, and specialized RCM experts to optimize patient access, medical coding, billing, and revenue acceleration across the healthcare revenue cycle.
Insight Medical Systems
Insight Health AI provides AI-powered clinical agents that automate routine healthcare tasks from intake to ongoing care. Their platform includes AI scribes, virtual care assistants, phone triage, referral management, and follow-up agents designed to save clinicians 2+ hours daily while improving patient engagement and operational efficiency.
Kareo
Tebra (formerly Kareo) provides an all-in-one EHR+ platform for independent medical practices, combining electronic health records, billing, patient experience, and practice marketing tools. The cloud-based solution serves over 150,000 providers with AI-powered clinical documentation, automated administrative workflows, and integrated revenue cycle management.
Kipu Health
Kipu Health provides a comprehensive cloud-based operating system for behavioral health organizations, integrating CRM, EMR, revenue cycle management, and compliance tools. The platform serves substance abuse treatment centers, behavioral health facilities, eating disorder centers, and medication-assisted treatment programs.
Kyruus Health
Kyruus Health provides a care access platform that connects patients, providers, and payers through unified data management and digital engagement tools. The platform enables provider search, online scheduling, digital check-in, cost transparency, and care navigation for health systems, medical groups, and health plans.
LeanTaaS
LeanTaaS provides AI-powered capacity management solutions for hospitals and health systems. The company's iQueue platform optimizes operating rooms, infusion centers, and inpatient flow to increase revenue, reduce wait times, and improve staff utilization.
Machinify
Machinify provides AI-powered payment integrity solutions for health plans, combining advanced machine learning with expert oversight to prevent overpayments, optimize claims processing, and recover costs across coordination of benefits, subrogation, auditing, and payment operations.
MDaudit
MDaudit provides a cloud-based platform that unifies billing compliance, coding, and revenue integrity for healthcare organizations. The solution uses analytics and augmented intelligence to automate auditing workflows, monitor compliance risks, and optimize revenue streams across health systems, physician networks, and ambulatory surgical centers.
Navicure
Waystar (formerly Navicure) provides AI-powered revenue cycle management software that simplifies healthcare payments for providers. The platform serves over 1 million providers covering 60% of the U.S. patient population with end-to-end solutions spanning financial clearance, claims management, denial recovery, and patient payments.
Nayya
Nayya is an AI-powered benefits platform that helps employees make smarter health and wealth decisions. The platform uses agentic AI to not only provide personalized guidance but also take actions on employees' behalf, from filing claims to enrolling in programs.
Netsmart Technologies
Netsmart Technologies provides specialized EHR and care management software for human services, behavioral health, post-acute care, and public sector organizations. The company serves providers across addiction treatment, IDD, senior living, home health, hospice, and community health settings.
NextGen Healthcare
NextGen Healthcare provides cloud-based electronic health records (EHR), practice management, and revenue cycle management solutions for ambulatory practices. The company serves specialty practices of all sizes with integrated clinical, financial, and patient engagement technology.
Notable
Notable is an AI platform for healthcare operations that automates repetitive workflows across patient access, revenue cycle, and care.
Nthrive
FinThrive provides AI-powered revenue cycle management (RCM) technology for healthcare organizations. The company's FinThrive Fusion platform unifies data across the revenue cycle to enable predictive insights, agentic AI workflows, and autonomous decision-making for hospitals, health systems, ambulatory practices, and payers.
Olive
Olive was a healthcare AI company that focused on automating administrative and operational tasks in healthcare organizations. The company ceased operations and its technology was acquired.
Pega Healthcare AI
Pega provides an enterprise-grade workflow automation and AI platform for healthcare organizations. The company serves payers, providers, life sciences, pharmacy benefit managers, and government healthcare entities with solutions that streamline operations, personalize member engagement, and improve patient outcomes.
Penguin AI
AI platform for healthcare operations and administrative workflow optimization.
Phreesia
Phreesia provides patient intake and access management software for healthcare organizations. The platform automates registration, scheduling, payments, and patient engagement workflows to help providers streamline operations and activate patients in their care.
Practice Fusion
Practice Fusion provides cloud-based electronic health record (EHR) and billing services specifically designed for independent medical practices. The platform offers intuitive charting, e-prescribing, patient engagement tools, and end-to-end billing services to help small and solo providers streamline operations and focus on patient care.
PriorAuthNow
Rhyme (formerly PriorAuthNow) automates prior authorization processes for healthcare providers and payers. The company processes over 4M prior auths annually for 83 large health systems, using AI to eliminate manual effort and enable gold carding programs that remove prior auth requirements at point of care.
Quantum Health
Quantum Health provides healthcare navigation solutions that guide employees and their families through complex healthcare journeys. Through a single point of contact combining human expertise and AI-powered technology, they help members find high-quality care while reducing costs for employers.
Qventus
Qventus provides an AI-powered care operations platform that automates surgical scheduling and hospital operations to improve efficiency and patient access.
R1 RCM
R1 RCM is a pioneer in revenue cycle management with 20 years of experience, partnering with 95 of the top 100 US health systems. The company combines real-world operator experience with enterprise-grade AI and automation to help healthcare providers reduce costs, increase revenue, and streamline operations.
RapidClaims
RapidClaims provides autonomous AI agents for healthcare revenue cycle management, specializing in medical coding, clinical documentation improvement, denial prevention, and value-based care optimization. The platform serves hospitals, physician groups, FQHCs, and ACOs with integrated mid-cycle automation.
Reveleer
Reveleer provides an AI-enabled platform that consolidates risk adjustment, quality improvement, and member management workflows for value-based care. The company serves Medicare Advantage plans, payers, providers, and ACOs with solutions that automate clinical workflows, improve Star Ratings, and ensure accurate reimbursement.
Rhyme
Rhyme appears to be a healthcare operations and administration company based on the provided category, though specific details about their products and services are not available from the scraped content.
Rivanna Medical
RIVANNA develops AI-powered clinical decision-support solutions combining proprietary ultrasound imaging hardware with machine learning models. The company's platform automates complex anatomical analysis at the point of care for regional anesthesia and fracture detection applications.
Rivet Health
Rivet Health provides AI-powered revenue cycle management software for healthcare practices and hospitals. The platform accelerates revenue collection through payer contract management, claim denial prevention, automated patient cost estimates, and payment variance detection.
ShiftMed
ShiftMed provides an intelligent workforce management platform that connects healthcare facilities with local, W-2 nurses and enables direct hiring from their float pool. The company helps health systems, hospitals, and skilled nursing facilities reduce reliance on expensive travel contracts while saving up to $300 per shift through smart labor management.
Silna Health
Silna Health is a Care Readiness Platform that automates prior authorizations, benefit checks, and insurance monitoring for healthcare providers. The AI-powered platform handles insurance workflows upfront to ensure patients are cleared for care while reducing administrative burden.
SmarterDx
SmarterDx uses proprietary clinical AI to help hospitals capture accurate reimbursement and quality metrics by analyzing 100% of patient charts. The platform identifies missing diagnoses, validates charges, reduces denials, and ensures documentation reflects the care delivered.
Tandem Health
Tandem Health builds a complete AI medical assistant for clinics, embedding intelligence directly into clinical workflows to help clinicians document, decide, and act in real time.
Tebra
Tebra provides an all-in-one EHR+ platform for independent medical practices, combining clinical documentation, billing, patient engagement, and practice marketing. The cloud-based system integrates AI-powered tools to automate administrative tasks and streamline workflows for private practices.
Thoughtful AI
SmarterDx uses proprietary clinical AI to analyze 100% of inpatient charts, helping 85+ health systems capture missing diagnoses, maximize reimbursement, reduce denials, and ensure documentation reflects the care delivered.
Turquoise Health
Turquoise Health is a transparency platform that enables precision pricing and intelligent contracting for finance teams across the healthcare industry. The platform provides pricing data, contract intelligence, and transaction infrastructure built for the transparency era.
Waystar
Waystar's cloud-based software provides end-to-end revenue cycle management solutions to simplify healthcare payments and accelerate financial results.
XSOLIS
AI-powered healthcare operations platform for optimizing clinical workflows, scheduling, and administrative processes.
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