JSON twin: https://www.healthaidb.com/software/ensemble-health-partners.json
Ensemble Health Partners
https://www.ensemblehp.com/rcm-intelligence/
Ensemble Health Partners provides AI‑powered, technology‑enabled end‑to‑end revenue cycle management (RCM) services and analytics for hospitals and health systems.
A commercial RCM company combining human operators, proprietary AI (EIQ) and analytics to manage billing, claims, denials prevention, pre‑bill validation, automation and reporting for hospitals and health systems; offers managed services, applied ML models, harmonized clinical and financial data, HITRUST‑certified security, and operational support for large provider organizations.
unknown
2014
P0541
2025-09-07
proprietary/commercial
Contact vendor for custom enterprise pricing and service agreements; no public list prices or free trial information available.
enterprise_quote
product
1.0
{
"company_name": "Ensemble Health Partners",
"company_url": "https://www.ensemblehp.com",
"company_offices": [
"United States"
],
"company_founding": "2014",
"product_url": "https://www.ensemblehp.com/rcm-intelligence/",
"categories": [
"administrative",
"revenue cycle management",
"analytics",
"AI/decisioning",
"RCM outsourcing",
"EHR optimization"
],
"market_segment": [
"enterprise"
],
"links": [
"https://www.ensemblehp.com",
"https://www.ensemblehp.com/about-us/",
"https://www.ensemblehp.com/contact/",
"https://www.ensemblehp.com/rcm-intelligence/",
"https://www.ensemblehp.com/end-to-end-rcm-partnership/",
"https://www.ensemblehp.com/results/optimize-ehr/",
"https://www.ensemblehp.com/compliance/",
"https://www.ensemblehp.com/cybersecurity/",
"https://www.ensemblehp.com/blog/ensemble-health-partners-receives-best-in-klas-designation-for-full-revenue-cycle-outsourcing-for-the-third-year-in-a-row/",
"https://www.ensemblehp.com/wp-content/uploads/2024/06/KLAS-Research-End-to-End-Revenue-Cycle-Outsourcing-2023.pdf"
],
"summary": "Ensemble Health Partners provides AI‑powered, technology‑enabled end‑to‑end revenue cycle management (RCM) services and analytics for hospitals and health systems.",
"description": "A commercial RCM company combining human operators, proprietary AI (EIQ) and analytics to manage billing, claims, denials prevention, pre‑bill validation, automation and reporting for hospitals and health systems; offers managed services, applied ML models, harmonized clinical and financial data, HITRUST‑certified security, and operational support for large provider organizations.",
"target_users": [
"health system executives",
"revenue cycle managers",
"billing and coding specialists",
"hospital finance teams",
"clinical documentation specialists",
"RCM operators",
"compliance/security teams"
],
"specialties": [
"hospital medicine",
"inpatient billing",
"outpatient billing",
"surgery/surgical services",
"emergency medicine",
"clinical documentation improvement",
"oncology billing"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for custom enterprise pricing and service agreements; no public list prices or free trial information available.",
"license": "proprietary/commercial",
"deployment_model": [
"managed_services",
"cloud/SaaS",
"hybrid"
],
"os_platforms": [
"Web"
],
"features": [
"EIQ AI decisioning engine for RCM",
"Data aggregation and harmonization from multiple hospital systems",
"Pre-bill analysis and anomaly detection for claims",
"Predictive analytics and real-time scoring",
"Automated workflow and task automation (agentic AI / RPA)",
"Dashboards, reporting and root-cause analytics",
"Denials prevention and clinical-alignment support",
"Claims error prevention and revenue protection",
"OCR and document digitization (paper-to-data conversion)",
"Operator guidance and action recommendations"
],
"optional_modules": [
"AI-driven clinical alignment",
"Pre-bill analytics module",
"Advanced predictive analytics",
"Automation / RPA augmentation"
],
"integrations": [
"Epic",
"Payer systems (claims / payers)",
"EHR systems (multiple hospital EHRs)",
"Scanning / document ingestion systems"
],
"data_standards": [
"HL7 v2",
"FHIR",
"ICD-10",
"SNOMED CT"
],
"api_available": "unknown",
"system_requirements": "",
"compliance": [
"HITRUST r2",
"HIPAA"
],
"certifications": [
"HITRUST r2"
],
"security_features": [
"Encryption (in transit and at rest)",
"Role-based access control (RBAC)",
"Audit logging",
"Incident response / security program"
],
"privacy_features": [
"Business Associate Agreement (BAA) available",
"Privacy controls and compliance governance"
],
"data_residency": "",
"customers": [
"Bon Secours Mercy Health",
"Carilion Clinic",
"ThedaCare",
"Methodist Le Bonheur Healthcare",
"Multiple mid-sized and large hospitals and health systems (over 380 hospitals)"
],
"user_reviews": [
"They will buy out the entirety of your revenue cycle team and you'll no longer be an employee at your hospital; you'll be employed through them.",
"They pay coders practically nothing and global associates from India have started replacing our local coding staff.",
"Most clients are highly satisfied with Ensemble's RCO services; they perform day-to-day operational work well and deliver measurable results.",
"Helped us collect money that was due to the organization and improved pre-service collections by a noticeable margin.",
"Customer experience is strong — received high marks in client satisfaction and patient financial experience improvements."
],
"ratings": [
"KLAS Research — Best in KLAS designation; overall score 91.3 (ranked first across customer experience categories)",
"Glassdoor — ~2.9/5 (employee reviews aggregate; coding teams reported lower scores)",
"Modern Healthcare / Best in Business — recognized (award/recognition listings)",
"HFMA MAP Awards — multiple client partnerships recognized (award participation)"
],
"support_channels": [
"email",
"phone",
"chat",
"ticketing",
"client_portal",
"account_management"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"onsite_training",
"internal_training_and_education_department"
],
"release_year": "",
"integration_partners": [
"Databricks",
"Cohere",
"Solventum",
"EHR and payer systems via integrations (unnamed/custom integrations)"
],
"id": "P0541",
"slug": "ensemble-health-partners",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/ensemble-health-partners.json"
}
}