JSON twin: https://www.healthaidb.com/software/r1.json
R1
https://www.r1rcm.com/our-platform/
R1 (R1 RCM) is an AI-driven, enterprise revenue cycle management platform and services suite that automates billing, denial prevention, claims recovery and analytics for hospitals, health systems and physician groups.
R1 combines embedded AI, intelligent automation, deep-data analytics and proprietary RCM optimization engines (including the R1 Rules Engine and Workflow Orchestration) to improve reimbursement, patient access, coding/CDI, denial management, underpayment recovery and overall revenue performance at scale. The platform integrates with major EMRs, payers and clearinghouses and is offered with accompanying managed services and domain experts.
yes
2003
P1374
2025-09-07
Commercial proprietary
Custom enterprise pricing and managed-service contracts; contact vendor for proposals and demos; no public list prices.
enterprise_quote
2003
product
1.0
{
"company_name": "R1",
"company_url": "https://www.r1rcm.com/",
"company_offices": [
"United States",
"India",
"Philippines"
],
"company_founding": "2003",
"product_url": "https://www.r1rcm.com/our-platform/",
"categories": [
"administrative",
"revenue cycle management",
"financial",
"patient-facing",
"enterprise"
],
"market_segment": [
"enterprise"
],
"links": [
"https://www.r1rcm.com/",
"https://www.r1rcm.com/our-platform/",
"https://www.r1rcm.com/our-platform/r37/",
"https://www.r1rcm.com/about-us/",
"https://www.r1rcm.com/privacy-policy/",
"https://www.r1rcm.com/contact/",
"https://klasresearch.com/vendor-ratings/r1-rcm/61954",
"https://en.wikipedia.org/wiki/R1_RCM",
"https://www.sec.gov/Archives/edgar/data/1910851/000162828024015926/a2023annualreport.pdf"
],
"summary": "R1 (R1 RCM) is an AI-driven, enterprise revenue cycle management platform and services suite that automates billing, denial prevention, claims recovery and analytics for hospitals, health systems and physician groups.",
"description": "R1 combines embedded AI, intelligent automation, deep-data analytics and proprietary RCM optimization engines (including the R1 Rules Engine and Workflow Orchestration) to improve reimbursement, patient access, coding/CDI, denial management, underpayment recovery and overall revenue performance at scale. The platform integrates with major EMRs, payers and clearinghouses and is offered with accompanying managed services and domain experts.",
"target_users": [
"hospital finance leaders",
"revenue cycle managers",
"medical coders and CDI specialists",
"physicians/clinicians (indirect)",
"billing/collections teams",
"health system executives",
"payer relations teams",
"IT/integration teams"
],
"specialties": [
"hospital medicine",
"ambulatory/physician practice revenue",
"emergency medicine revenue",
"surgical services revenue",
"pharmacy revenue management",
"behavioral health revenue",
"imaging/radiology revenue"
],
"regions_available": [
"United States",
"India (operations/services)",
"Philippines (operations/services)"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Custom enterprise pricing and managed-service contracts; contact vendor for proposals and demos; no public list prices.",
"license": "Commercial proprietary",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"Embedded AI (ML, NLP, generative AI) for automation and insights",
"Intelligent automation for routine revenue-cycle tasks",
"Deep-data analytics and predictive reporting",
"Proprietary rules engine (20,000+ algorithms) for RCM",
"Workflow orchestration engine to blend automated and human workflows",
"Contract modeling and pricing engine",
"Insurance discovery and payer reconciliation",
"Charge capture and DRG validation",
"Denials and AR recovery",
"Coding management and CDI/HCC capture",
"Performance dashboards and forecasting",
"Pre-built connectors/unified data exchange to EMRs, payers, clearinghouses"
],
"optional_modules": [
"R37 (AI lab / advanced AI solutions)"
],
"integrations": [
"Palantir (R37 partnership)",
"Major EMRs (pre-built connections to every major EMR)",
"Payers",
"Clearinghouses",
"Banks"
],
"data_standards": [],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"CCPA / California privacy notices",
"Texas privacy notice",
"General organizational compliance program (policies, training, risk assessments)"
],
"certifications": [],
"security_features": [
"Organizational, technical and physical safeguards",
"Access controls / role-based controls",
"Audit logging"
],
"privacy_features": [
"Privacy policy with consumer rights (access, correction, deletion)",
"Data transfer controls and retention policies",
"privacy@r1rcm.com contact for requests"
],
"data_residency": "",
"customers": [
"Ascension",
"Rush",
"Intermountain Healthcare",
"PennState Health",
"VillageMD",
"Quorum Health",
"Allina Health",
"ScionHealth"
],
"user_reviews": [
"Customer service can be slow and onboarding takes time, but the platform helped recover significant revenue for our system.",
"Implementation was complex and required heavy coordination, yet denials recovery results improved after stabilization.",
"Support responsiveness varies by region — some issues resolved quickly, others took weeks.",
"R1's teams recovered millions in underpayment and denials for our health system, delivering measurable A/R improvement.",
"Good technology and analytics, but internal staffing turnover sometimes disrupted account continuity."
],
"ratings": [
"Best in KLAS — multiple RCM categories (KLAS, 2023 and 2025 mentions on company site)",
"Named Top Performing RCM Outsourcing Provider (Black Book, 2024 — company press release)",
"Glassdoor employee rating: 3.4/5 (Glassdoor)",
"BBB customer reviews: mixed customer complaints (Better Business Bureau)"
],
"support_channels": [
"email",
"phone",
"ticketing",
"client_portal"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"onsite"
],
"release_year": "2003",
"integration_partners": [
"Palantir",
"Acclara (acquired)",
"par8o",
"RevintConnect",
"Databound",
"MCRC Group",
"Automation Anywhere"
],
"id": "P1374",
"slug": "r1",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/r1.json"
}
}