JSON twin: https://www.healthaidb.com/software/marc-by-combinehealth.json
CombineHealth
https://www.combinehealth.ai/mark-ai-medical-biller
Marc is an AI-powered medical billing assistant that automates claims entry, denial responses, and billing-rule compliance for healthcare revenue cycle teams.
Marc (by CombineHealth) uses generative AI, OCR, and human-in-the-loop verification to automate medical billing tasks — including filling insurance claim forms, drafting denial letters, applying NCCI and medical-necessity edits, and integrating with EHRs — with adaptive learning to improve accuracy. The product is SOC 2 Type 2 and HIPAA-focused and is designed for hospital, ambulatory, and digital health revenue cycle operations.
yes
2022
Data residency controls with cloud hosting (AWS / Microsoft); specific region options not publicly specified
P0970
2025-09-07
commercial proprietary
contact vendor for pricing and demo
enterprise_quote
product
1.0
{
"company_name": "CombineHealth",
"company_url": "https://www.combinehealth.ai",
"company_offices": [
"United States"
],
"company_founding": "2022",
"product_url": "https://www.combinehealth.ai/mark-ai-medical-biller",
"categories": [
"Revenue Cycle Automation",
"Medical Billing",
"Medical Coding",
"AI Clinical Documentation Integrity",
"Denial Management",
"RCM Optimization",
"Administrative"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://www.combinehealth.ai",
"https://www.combinehealth.ai/mark-ai-medical-biller",
"https://www.combinehealth.ai/amy-ai-medical-coder",
"https://www.combinehealth.ai/about-us",
"https://www.combinehealth.ai/resources/integration",
"https://www.combinehealth.ai/trust-and-security",
"https://www.combinehealth.ai/demo",
"https://elion.health/products/marc-by-combinehealth",
"https://www.linkedin.com/company/combine-health",
"https://www.combinehealth.ai/blog/utilizing-ai-navigate-changing-medical-coding-guidelines"
],
"summary": "Marc is an AI-powered medical billing assistant that automates claims entry, denial responses, and billing-rule compliance for healthcare revenue cycle teams.",
"description": "Marc (by CombineHealth) uses generative AI, OCR, and human-in-the-loop verification to automate medical billing tasks — including filling insurance claim forms, drafting denial letters, applying NCCI and medical-necessity edits, and integrating with EHRs — with adaptive learning to improve accuracy. The product is SOC 2 Type 2 and HIPAA-focused and is designed for hospital, ambulatory, and digital health revenue cycle operations.",
"target_users": [
"medical billers",
"medical coders",
"revenue cycle managers",
"billing administrators",
"hospital finance teams",
"ambulatory practice administrators"
],
"specialties": [
"revenue cycle management",
"medical billing",
"claims processing",
"denials management",
"general ambulatory care",
"radiology",
"pathology",
"psychiatry",
"orthopedics",
"family medicine"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "contact vendor for pricing and demo",
"license": "commercial proprietary",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"Automated end-to-end medical billing",
"CMS-1500 and UB-04 form population",
"Real-time eligibility verification and benefits",
"Payer portal navigation (50+ payer portals)",
"ERA/EOB reading and payment posting",
"Automated payment reconciliation",
"Claim validation and error checks",
"Denial prevention using payer-specific rules",
"Real-time RCM analytics (Days in A/R, aging, collection rates)",
"Automated follow-up alerts for pending payments",
"Explainable AI decisioning and auditability",
"Human-in-the-loop quality assurance",
"Continuous learning from payer updates and denial patterns",
"Integration with billing software for direct charge entry",
"Automated claim submission to payers",
"Detailed audit trails and activity logs",
"Claim status tracking"
],
"optional_modules": [
"Amy - AI Medical Coder",
"Adam - AI Denial Manager",
"Taylor - AI Revenue Cycle Analyst",
"Jessica - AI Medical Scribe",
"Penny - AI Policy Reviewer",
"Rachel - AI Appeals Manager"
],
"integrations": [
"EHR systems (real-time synchronization / connectors)",
"Payer portals (50+ payer portals)",
"Billing software / practice management systems (direct charge entry)",
"ERA/EOB systems",
"Amazon Web Services (hosting/infrastructure)",
"Microsoft (cloud/integration tooling)"
],
"data_standards": [
"CMS-1500",
"UB-04",
"ERA/EOB",
"ICD-10",
"CPT"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA",
"SOC 2"
],
"certifications": [
"SOC 2"
],
"security_features": [
"End-to-end encryption (AES-256)",
"Secure data transmission protocols",
"Single Sign-On (SSO) integration",
"Role-based access control",
"API security protocols",
"Session management",
"Real-time threat detection",
"Automated incident response",
"Vulnerability management",
"Audit trails / activity logs"
],
"privacy_features": [
"Customer data ownership (no resale/share)",
"Data deletion and export on request",
"Training on de-identified data or with permission",
"Data residency controls",
"BAA available (implied by HIPAA compliance)"
],
"data_residency": "Data residency controls with cloud hosting (AWS / Microsoft); specific region options not publicly specified",
"customers": [
"Allscripts"
],
"user_reviews": [],
"ratings": [],
"support_channels": [
"email",
"schedule_call"
],
"training_options": [
"documentation",
"consulting",
"live_online",
"onsite"
],
"release_year": "",
"integration_partners": [
"Allscripts"
],
"id": "P0970",
"slug": "marc-by-combinehealth",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/marc-by-combinehealth.json"
}
}