eClinicalWorks Revenue Cycle Management
eClinicalWorks Revenue Cycle Management provides self-service RCM technology, an RCM service model, and central billing tools for practices and billing organ…
What eClinicalWorks Revenue Cycle Management is
eClinicalWorks Revenue Cycle Management provides self-service RCM technology, an RCM service model, and central billing tools for practices and billing organizations. Its technology handles patient eligibility and deductible information, claim scrubbing and submission, electronic remittance posting, and denial and appeals management. AI features address appeals, coding recommendations, eligibility insights, billing questions, workflow rules, claim learning, patient collections, and EOB-to-ERA conversion. Financial monitoring includes the RCM Dashboard, Provider Analytics, and practice KPIs. OpenConnect connects practices’ EHR databases for centralized back-office work, with single sign-on, hub-and-spoke scaling, and dashboard visibility by provider or practice. The service model covers claim processing and follow-up, denial and appeals work, workers’ compensation and liability claims, and daily, monthly, and year-to-date statements and reports. Under RCM as a Service, insurance and patient payments go directly to the practice. The listed plan costs $2.90 per contact, billed at 2.9% of practice collections. eClinicalWorks describes solutions for ambulatory practices, urgent care facilities, health centers, hospitals, and more than 50 specialties.
Good
- Eligibility, scrubbing, posting, and denials tools
- AI features for coding and appeals
- Centralized billing through OpenConnect
- Practice financial dashboards and KPIs
- Payments go directly to the practice
Watch out
- No free plan
- Service plan is billed at 2.9% of collections
- Additional implementation fees may apply
- Platform access is listed for iOS and web
Who it suits
This service suits ambulatory practices, urgent care facilities, health centers, hospitals, and billing organizations. It also fits groups coordinating financial work across multiple practices.
Verdict
eClinicalWorks combines RCM software, centralized billing, and an optional service model for healthcare organizations. Its percentage-based service pricing and implementation terms should be reviewed before adoption.
Plans and prices
From eClinicalWorks Revenue Cycle Management's own pricing page, checked 3 Oct 2026.
| Plan | Price | What it gives you |
|---|---|---|
| RCM as a Service | Priced on request | No start-up costs · initial training included for practices with 1–9 providers · additional implementation fees for practices with more than nine providers · airfare billed separately · fees apply per Patient Statement and eClinicalMessenger transaction · 2.9% of practice collections |
The facts
Each one read from eClinicalWorks Revenue Cycle Management's own pages, with the date it was checked.
What it does
- AI tools
- The product page describes AI features for appeals, coding recommendations, eligibility insights, billing questions, workflow rules, claim learning, patient collections, and EOB-to-ERA conversion.checked 3 Oct 2026
- Claims and denials
- Its RCM technology provides patient eligibility and deductible information, claim scrubbing and submission, electronic remittance posting, and denials and appeals management.checked 3 Oct 2026
- Cloud and access
- The eClinicalWorks Cloud is powered by Microsoft Azure; the maker says customers can access EHR/PM through Google Chrome or use eClinicalTouch for iPad.checked 3 Oct 2026
- Integrations
- Financial integrations include Waystar and Trizetto clearinghouses, Optum RPA, TSI and IC System collections, and healow Payment Services.checked 3 Oct 2026
- Interoperability
- The financial integrations page says external financial transactions can use HL7 DFT and outbound claims can use 837 ANSI Claim files over SFTP.checked 3 Oct 2026
- Payments
- For RCM service, the company says insurance and patient payments go directly to the practice.checked 3 Oct 2026
- Reporting
- The RCM Dashboard, Provider Analytics, and practice KPIs are presented as tools for monitoring financial health.checked 3 Oct 2026
- Security
- The maker says cloud data is encrypted at rest and in transit, databases are replicated to failover sites, and it has HITRUST, ISO 27001, PCI DSS, DEA EPCS, CSA STAR, and TXRAMP certifications and completed a third-party HIPAA compliance audit.checked 3 Oct 2026
- Service operations
- The service model includes claim processing and follow-up, denial and appeals management, workers’ compensation and liability claims, and daily, monthly, and year-to-date statements and reports.checked 3 Oct 2026
- Support
- The listed RCM as a Service plan includes 24x7 support, maintenance, private cloud hosting, disaster recovery, and billing implementation services.checked 3 Oct 2026
- What it does
- eClinicalWorks offers self-service RCM technology, an RCM service model, and central billing technology for practices and billing organizations.checked 3 Oct 2026
- Who it serves
- The company describes solutions for ambulatory practices, urgent care facilities, health centers, hospitals, and more than 50 specialties.checked 3 Oct 2026
Money
- Central billing
- OpenConnect integrates practices’ EHR databases for centralized back-office work with single sign-on, hub-and-spoke scaling, and provider- or practice-level dashboard visibility.checked 3 Oct 2026
The company
- Company
- eClinicalWorks says it was founded in 1999 and is privately held; its about page does not state a headquarters location.checked 3 Oct 2026
- Founded
- 1999checked 28 Sep 2026
- Headquarters
- Westborough, Massachusetts, USAchecked 28 Sep 2026
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