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eClinicalWorks Revenue Cycle Management
Westborough, Massachusetts, USA
What it is
eClinicalWorks Revenue Cycle Management provides billing technology and services for medical practices and billing organizations. Its self-service tools cover 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. The RCM Dashboard, Provider Analytics, and practice KPIs provide financial monitoring tools. OpenConnect links practices’ EHR databases for centralized back-office work, with single sign-on and dashboard visibility by provider or practice. The service model includes claim processing and follow-up, denials and appeals, workers’ compensation and liability claims, and recurring statements and reports. For RCM as a Service, insurance and patient payments go directly to the practice. The listed plan is priced on request, billed as 2.9% of practice collections. eClinicalWorks describes solutions for ambulatory practices, urgent care facilities, health centers, hospitals, and more than 50 specialties. The software is listed for web and iOS, and there is no free plan.
For and against
For
- Handles eligibility, claims, remittances, denials, and appeals
- AI tools include coding recommendations and eligibility insights
- OpenConnect centralizes back-office work across practice EHR databases
- Insurance and patient payments go directly to the practice
- Listed for web and iOS
Against
- No free plan
- RCM as a Service is priced on request
- Plan is billed as 2.9% of practice collections
The verdict
eClinicalWorks RCM combines self-service billing technology, centralized operations, and a service model. Its listed service plan is tied to practice collections rather than a fixed monthly price.
Who it suits
The offering suits ambulatory practices, urgent care facilities, health centers, hospitals, and billing organizations. Its centralized billing features are relevant to organizations coordinating work across practices.
Plans and prices
RCM as a Service
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
Read 3 Oct 2026 · eclinicalworks.com
On the record
- 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 · read 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 · read 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 · read 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 · read 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 · read 3 Oct 2026
- Integrations
- Financial integrations include Waystar and Trizetto clearinghouses, Optum RPA, TSI and IC System collections, and healow Payment Services.eclinicalworks.com · read 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 · read 3 Oct 2026
- Payments
- For RCM service, the company says insurance and patient payments go directly to the practice.eclinicalworks.com · read 3 Oct 2026
- Reporting
- The RCM Dashboard, Provider Analytics, and practice KPIs are presented as tools for monitoring financial health.eclinicalworks.com · read 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 · read 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 · read 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 · read 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 · read 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 · read 3 Oct 2026