rapidclaims

JSON twin: https://www.healthaidb.com/software/rapidclaims.json

Company Name

RapidClaims

Product URL

https://www.rapidclaims.ai/products

Company URL

https://www.rapidclaims.ai/

Categories

Summary

RapidClaims is an AI-powered end-to-end revenue cycle management platform that automates medical coding, claims scrub/denial prevention, eligibility/prior authorization, and revenue intelligence to improve clean-claim rates and reduce A/R days.

Description

Commercial SaaS platform offering autonomous medical coding (RapidCode), denial prevention and recovery (RapidScrub), and clinical documentation/revenue intelligence (RapidCDI). Provides AI-driven smart edits, payer insights, eligibility/prior-auth automation, dashboards for financial and operational KPIs, SOC2/HIPAA security, and integrations with major EHRs. Targeted at health systems, physician groups, FQHCs, ACOs and RCM teams to accelerate cash flow and reduce operational costs.

Api Available

unknown

Certifications

Company Founding

2023

Company Offices

Compliance

Customers

Data Residency

Data Standards

Deployment Model

Features

Id

P1388

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for pricing; demo/ROI analysis available (no public list prices).

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

2024

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "RapidClaims",
  "company_url": "https://www.rapidclaims.ai/",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2023",
  "product_url": "https://www.rapidclaims.ai/products",
  "categories": [
    "administrative",
    "revenue cycle management",
    "medical coding",
    "billing",
    "denial management",
    "value-based care",
    "clinical documentation improvement",
    "financial analytics"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "links": [
    "https://www.rapidclaims.ai/",
    "https://www.rapidclaims.ai/products",
    "https://www.rapidclaims.ai/solutions",
    "https://www.rapidclaims.ai/products/rapid-code",
    "https://www.rapidclaims.ai/products/rapid-scrub",
    "https://www.rapidclaims.ai/products/rapid-cdi",
    "https://www.rapidclaims.ai/resources/blogs",
    "https://www.prnewswire.com/news-releases/rapidclaims-receives-frost--sullivans-2025-north-american-healthcare-it-software-and-services-technology-innovation-leadership-recognition-for-excellence-in-ai-driven-rcm-automation-302506435.html",
    "https://www.linkedin.com/company/rapidclaims-ai",
    "https://www.crunchbase.com/organization/rapidclaims"
  ],
  "summary": "RapidClaims is an AI-powered end-to-end revenue cycle management platform that automates medical coding, claims scrub/denial prevention, eligibility/prior authorization, and revenue intelligence to improve clean-claim rates and reduce A/R days.",
  "description": "Commercial SaaS platform offering autonomous medical coding (RapidCode), denial prevention and recovery (RapidScrub), and clinical documentation/revenue intelligence (RapidCDI). Provides AI-driven smart edits, payer insights, eligibility/prior-auth automation, dashboards for financial and operational KPIs, SOC2/HIPAA security, and integrations with major EHRs. Targeted at health systems, physician groups, FQHCs, ACOs and RCM teams to accelerate cash flow and reduce operational costs.",
  "target_users": [
    "revenue cycle leaders",
    "clinical coders",
    "coding managers",
    "clinical documentation improvement (CDI) professionals",
    "financial executives/CFOs",
    "operations leaders",
    "hospital administrators",
    "physician groups",
    "RCM teams"
  ],
  "specialties": [
    "revenue cycle management",
    "medical coding",
    "hospital medicine",
    "ambulatory/physician practice",
    "value-based care/ACO",
    "federally qualified health centers (FQHC)"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing; demo/ROI analysis available (no public list prices).",
  "license": "commercial proprietary",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "AI-powered autonomous medical coding (RapidCode)",
    "AI denial prevention and claim scrub (RapidScrub)",
    "Clinical documentation improvement (RapidCDI)",
    "Real-time payer rules engine (RapidRules)",
    "AI agents for coding, monitoring and appeals (RapidAgents)",
    "First-pass clean claim optimization",
    "Automated physician queries / documentation enhancement at point of care",
    "Denial prediction and proactive resolution",
    "Revenue / financial intelligence dashboards",
    "A/R prioritization and automated payer follow-up",
    "Risk adjustment / RAF capture and HCC identification",
    "Population health analytics and care gap detection",
    "Contract / payer performance analysis",
    "Automated appeals workflow",
    "Prioritization and exception routing workflows"
  ],
  "optional_modules": [
    "Autonomous coding module (RapidCode)",
    "Denial prevention & recovery (RapidScrub)",
    "Clinical documentation improvement (RapidCDI)",
    "Financial intelligence / A/R acceleration"
  ],
  "integrations": [
    "Major EHR systems (claims site states: \"integrates with all major EHR systems\")"
  ],
  "data_standards": [
    "ICD-10",
    "CPT",
    "NCCI edits",
    "HL7",
    "FHIR"
  ],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA"
  ],
  "certifications": [],
  "security_features": [
    "Encryption (in transit and at rest)",
    "Role-based access control (RBAC)",
    "SSO/SAML support",
    "Audit logs",
    "Two-factor authentication (2FA)"
  ],
  "privacy_features": [
    "Business Associate Agreement (BAA) (available upon engagement)"
  ],
  "data_residency": "",
  "customers": [
    "National Dental Management Group"
  ],
  "user_reviews": [
    "Bringing on RapidCode will increase our team's bandwidth, allowing us to drive revenue growth and expand our brand. The AI's ability to autonomously code with such accuracy has transformed our revenue cycle.",
    "The interface is user-friendly, visually appealing, and practical. Features like quick copy-paste and smart suggestions make my workflow smoother than ever."
  ],
  "ratings": [
    "FeaturedCustomers 4.8/5.0 (111)"
  ],
  "support_channels": [],
  "training_options": [],
  "release_year": "2024",
  "integration_partners": [
    "athenahealth Marketplace"
  ],
  "id": "P1388",
  "slug": "rapidclaims",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/rapidclaims.json"
  }
}