Medical billing platform

Get healthcare organizations paid faster — with less manual work.

ObsidianRCM is a complete cloud billing and revenue cycle platform — claims, scrubbing, 837/835 EDI, ERA posting, denials, patient AR, and enterprise reporting in one system for billing teams.

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Why organizations replace legacy RCM software

Billing companies and revenue cycle teams switch when old tools can’t keep up with volume, compliance, or visibility.

  1. 01

    Reduce manual work

    Exception-only billing — scrub, submit, post, and follow-up where policy allows.

  2. 02

    Improve claim acceptance

    Pre-submission scrubbing and payer-scoped edits before 837 transmit.

  3. 03

    Faster payment posting

    835 ERA auto-post with posting exceptions in Command Center.

  4. 04

    Enterprise reporting

    80+ reports — AR aging, denials, EDI latency, and executive KPIs.

  5. 05

    Modern cloud platform

    Multi-tenant, RBAC, audit logging, SSO-ready — no on-prem servers.

  6. 06

    Obsidian AI assistant

    AI-powered claim guidance that highlights what to fix next — with human-in-the-loop control at every step.

Explore platform modules →

ObsidianRCM Command Center with claims, EDI, and ERA posting work queues
Command Center — where billing teams start every day.

Obsidian AI turns blockers into next actions

Built on top of the platform’s real validation and workflow rules — so the assistant points you to the exact tab and step.

  • Watches your claim workflow: tab changes, validation runs, and edits.
  • Explains what blocks progress: with a clear “context echo” for trust.
  • Highlights one next step: Claim Lines / Validate / Submit queue.
  • Human-in-the-loop: you stay in control while AI assists every step.

See the workflow →

Recovery Center — find and collect what’s owed

Underpayments, denial appeals, contract variance, and high-risk recoveries — ranked by dollars so AR teams work the highest-impact items first.

  • Underpayment and contract variance queues
  • Appeal candidates with CARC/RARC context
  • Revenue-at-risk visibility by payer and claim
  • Assign, promote, and resolve in one workspace
ObsidianRCM Recovery Center with underpayment and denial appeal work queues
Recovery Center — AR recovery and denial follow-up.

Who we serve

A complete billing platform for organizations that run claims, EDI, and AR every day.

Billing companies & RCM firms

Scale throughput, portfolio Command Center, and automation across client practices.

Hospital revenue cycle teams

837I institutional billing, facility defaults, compliance gates, and enterprise reporting.

MSOs & multi-practice groups

Practice rollups, onboarding readiness, and governance across a portfolio.

Independent practices

One billing platform from claim build through patient AR — simple, connected, cloud-native.

Trusted by healthcare organizations to manage

The revenue-cycle work ObsidianRCM is built to run every day.

  • Professional claims
  • Institutional billing
  • Multi-practice operations
  • Patient revenue cycle

The billing workflow — connected end to end

From charge data and eligibility through remittance and patient balance — one connected billing system.

Claim lifecycle: Eligibility through coding, scrub, 837, clearinghouse, 835 ERA, denials, and patient AR
Claim-to-cash path inside ObsidianRCM.

See full buying journey & workflow →

See if ObsidianRCM fits your billing operation

Replacing legacy billing software or consolidating RCM tools? Request a demo — we’ll map the platform to your claim mix and team size.

Request a demo Migration from legacy RCM