CombineHealth

CombineHealth is a revenue cycle management platform for healthcare providers that uses autonomous AI agents to handle medical coding, eligibility verification, billing, denial management and appeals. The agents work inside the existing billing workflow, with human oversight enforced through configurable rules and transparent explanations of each decision, so a billing team can review or override what the system does. It serves emergency departments, hospitals, physician groups and health centers that want cleaner claims and fewer denials. The coding agent assigns CPT, ICD and HCPCS codes and modifiers, and flags documentation and clinical documentation improvement gaps before a claim is submitted. The billing and accounts receivable agents follow up on outstanding claims, draft appeals and identify recurring denial patterns so the same issue does not repeat. The vendor presents its agents as named personas covering coding, billing, accounts receivable, appeals and analytics, and reports outcomes including a 97.2 percent coding accuracy rate, an 85 percent claim automation rate and a 64 percent reduction in overall denials. Integrations cover Epic, Cerner, Greenway, NextGen, Athena and other electronic health record and practice management systems. Pricing is not published. Prospective customers request a demo or schedule a call, and pricing is quoted for each organization.