EnableComp LLC

EnableComp LLC specializes in complex revenue cycle management for hospitals and health systems, focusing on claims and denials that require specialized expertise. The company operates three solution suites: Complex Claims (Veterans Affairs, workers' compensation, motor vehicle accidents, out-of-state Medicaid), Complex Denials (DRG downgrades, ED downgrades, medical necessity, coordination of benefits), and Complex Revenue Recovery (AR resolution, zero balance review, DRG validation).

The company's approach centers on its proprietary e360 RCM platform, which combines AI-driven automation with what EnableComp calls Complex Revenue Intelligence (CRI). With over 25 years of experience in complex claims processing, the company reports $3 billion in annual cash collections and serves clients across all 50 states. The platform uses adaptive learning to improve denial prevention and appeal outcomes over time.

EnableComp holds HITRUST and AICPA SOC certifications and has been recognized by Black Book Market Research as a top RCM provider for two consecutive years. The company reports recovering over $50 million from clinical denials in the past year and achieving an average 20% annual cash uplift for clients.

Healthcare organizations should consider EnableComp when their internal teams are overwhelmed by low-yield, high-complexity claims that require specialized regulatory knowledge and persistent follow-up. The company excels in scenarios where standard RCM processes fail—particularly for claims involving multiple payers, complex coordination of benefits, or specialized government programs like Veterans Affairs.

Clients can expect a managed services engagement where EnableComp takes ownership of specific claim and denial categories, applying both technology automation and expert oversight. The performance-based fee structure means organizations pay based on recovered revenue rather than upfront implementation costs.

EnableComp operates exclusively in healthcare revenue cycle management, with particular depth in hospital and health system environments. The company's healthcare focus extends beyond general medical billing to encompass specialized knowledge of Veterans Affairs federal billing requirements, workers' compensation state-by-state regulations, out-of-state Medicaid eligibility and payment rules, and Medicare Severity-Diagnosis Related Groups (MS-DRG) coding validation.

The company maintains HITRUST certification specifically for healthcare data security and offers Business Associate Agreements as standard practice. EnableComp's 25-year track record in healthcare has resulted in processing relationships with major academic medical centers, children's hospitals, and regional health systems across clinical denials management and complex payer coordination challenges unique to hospital revenue cycles.

The ideal client is a hospital or health system with annual revenue exceeding $200 million, experiencing significant write-offs from complex claim types or clinical denials. Organizations with substantial Veterans Affairs patient populations, high workers' compensation volumes, or consistent DRG/ED downgrade patterns will find EnableComp's specialized capabilities particularly valuable. CFOs and revenue cycle leaders seeking to reduce administrative burden while improving cash collections on traditionally low-recovery claim categories represent the target decision-makers.