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eClinicalWorks Revenue Cycle Management

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What eClinicalWorks Revenue Cycle Management is

eClinicalWorks Revenue Cycle Management offers self-service RCM technology, a service model, and central billing technology for practices and billing organizations. Its technology covers patient eligibility and deductible information, claim scrubbing and submission, electronic remittance posting, and denials and appeals management. AI features address appeals, coding recommendations, eligibility insights, billing questions, workflow rules, claim learning, patient collections, and EOB-to-ERA conversion. Financial monitoring tools include the RCM Dashboard, Provider Analytics, and practice KPIs. OpenConnect brings practices’ EHR databases together for centralized back-office work, with single sign-on and dashboards by provider or practice. The service model includes claim processing and follow-up, denial and appeals work, workers’ compensation and liability claims, and daily, monthly, and year-to-date statements and reports. For RCM as a Service, insurance and patient payments go directly to the practice. The listed service plan is priced on request, billed as 2.9% of practice collections. eClinicalWorks describes its solutions for ambulatory practices, urgent care facilities, health centers, hospitals, and more than 50 specialties.

Who it suits

It suits ambulatory practices, urgent care facilities, health centers, hospitals, and billing organizations seeking claims, denial, payment-posting, or centralized billing support. The service plan is billed as a share of practice collections.

What it does well

  • Handles eligibility, claim submission, remittances, and denials.
  • AI features support appeals, coding, and patient collections.
  • OpenConnect provides centralized back-office work across practices.
  • Insurance and patient payments go directly to the practice.
  • Plan includes 24x7 support and disaster recovery.

What to know first

  • No free plan is listed.
  • Service plan is billed at 2.9% of practice collections.
  • Additional implementation fees apply to practices with more than nine providers.
  • Airfare is billed separately.

Limits

There is no free plan. The RCM as a Service plan is priced on request, billed as 2.9% of practice collections; practices with more than nine providers may incur additional implementation fees, and airfare is billed separately.

Plans

PlanBilled and limitsPrice
RCM as a Service2.9% of practice collections · No start-up costs · initial training included for practices with 1–9 providers · additional implementation fees for practices with more than nine providers · airfare billed separately · fees apply per Patient Statement and eClinicalMessenger transaction$2.90

As eclinicalworks.com lists them, read 3 Oct 2026. The maker's own page has the final word.

Getting started

  1. Open the Revenue Cycle Management website
  2. Choose self-service RCM technology, RCM as a Service, or central billing technology
  3. Access EHR and practice-management systems through Google Chrome or eClinicalTouch for iPad
  4. Review the RCM as a Service terms and price on request pricing
  5. Complete included initial training when enrolling a practice with 1–9 providers
  6. Connect supported financial integrations or configure HL7 DFT and 837 ANSI Claim exchanges over SFTP

Verdict

eClinicalWorks Revenue Cycle Management spans software, centralized billing, and an RCM service model, with tools for claims, denials, and financial monitoring. The service plan is priced as 2.9% of practice collections, with additional fees and expenses specified for some practices.

Questions

Is there a free plan?

No. eClinicalWorks Revenue Cycle Management is offered as a paid service.

What does RCM as a Service cost?

The listed plan is priced on request, billed at 2.9% of practice collections.

Which platforms can customers use?

Customers can access EHR and practice-management systems through Google Chrome or use eClinicalTouch for iPad.

Are implementation and training included?

Initial training is included for practices with 1–9 providers. Practices with more than nine providers may have additional implementation fees.

Which billing functions are covered?

Features include eligibility verification, denial management, payment posting, coding support, patient payments, claim scrubbing, and ERA auto-posting.

Facts from eClinicalWorks Revenue Cycle Management's own pages

AI tools
The product page describes AI features for appeals, coding recommendations, eligibility insights, billing questions, workflow rules, claim learning, patient collections, and EOB-to-ERA conversion. · eclinicalworks.com, 3 Oct 2026
Central billing
OpenConnect integrates practices’ EHR databases for centralized back-office work with single sign-on, hub-and-spoke scaling, and provider- or practice-level dashboard visibility. · eclinicalworks.com, 3 Oct 2026
Claims and denials
Its RCM technology provides patient eligibility and deductible information, claim scrubbing and submission, electronic remittance posting, and denials and appeals management. · eclinicalworks.com, 3 Oct 2026
Cloud and access
The eClinicalWorks Cloud is powered by Microsoft Azure; the maker says customers can access EHR/PM through Google Chrome or use eClinicalTouch for iPad. · eclinicalworks.com, 3 Oct 2026
Company
eClinicalWorks says it was founded in 1999 and is privately held; its about page does not state a headquarters location. · eclinicalworks.com, 3 Oct 2026
Founded
1999 · eclinicalworks.com, 28 Sept 2026
Headquarters
Westborough, Massachusetts, USA · eclinicalworks.com, 28 Sept 2026
Integrations
Financial integrations include Waystar and Trizetto clearinghouses, Optum RPA, TSI and IC System collections, and healow Payment Services. · eclinicalworks.com, 3 Oct 2026
Interoperability
The financial integrations page says external financial transactions can use HL7 DFT and outbound claims can use 837 ANSI Claim files over SFTP. · eclinicalworks.com, 3 Oct 2026
Payments
For RCM service, the company says insurance and patient payments go directly to the practice. · eclinicalworks.com, 3 Oct 2026
Reporting
The RCM Dashboard, Provider Analytics, and practice KPIs are presented as tools for monitoring financial health. · eclinicalworks.com, 3 Oct 2026
Security
The maker says cloud data is encrypted at rest and in transit, databases are replicated to failover sites, and it has HITRUST, ISO 27001, PCI DSS, DEA EPCS, CSA STAR, and TXRAMP certifications and completed a third-party HIPAA compliance audit. · eclinicalworks.com, 3 Oct 2026
Service operations
The service model includes claim processing and follow-up, denial and appeals management, workers’ compensation and liability claims, and daily, monthly, and year-to-date statements and reports. · eclinicalworks.com, 3 Oct 2026
Support
The listed RCM as a Service plan includes 24x7 support, maintenance, private cloud hosting, disaster recovery, and billing implementation services. · eclinicalworks.com, 3 Oct 2026
What it does
eClinicalWorks offers self-service RCM technology, an RCM service model, and central billing technology for practices and billing organizations. · eclinicalworks.com, 3 Oct 2026
Who it serves
The company describes solutions for ambulatory practices, urgent care facilities, health centers, hospitals, and more than 50 specialties. · eclinicalworks.com, 3 Oct 2026

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