R1 Phare

What R1 Phare is

R1 Phare, also called Phare OS, is a revenue operating system for healthcare providers that connects workflows across patient access, claims, and back-end operations. Its modules are Access for front-end work, Claim for mid-cycle claims and coding, and Flow for back-end workflows such as accounts receivable and denial resolution. Organizations can begin with a component and expand modularly. Phare Intelligence uses AI agents and models to interpret medical records in support of medical-necessity determinations, coding, and appeals. The Data Platform combines real-time clinical and financial information from electronic health records and other sources. Payer Atlas has more than 1,500 payer connections and routes transactions through API, EDI, bots, fax, and mail. Access handles eligibility and insurance verification, prior authorization, intake data, and patient communications such as texts and reminders. Command Center provides analytics, role-based controls, and real-time visibility into human and AI operations. R1 describes Phare OS as secure and governed, and lists compliance topics including HIPAA, SOC 1, SOC 2, HITRUST, PCI DSS, CCPA, CPRA, and NIST CSF. Pricing is on request; R1 invites prospective organizations to contact it for a personalized demo.