R1 RCM

R1 RCM is a revenue cycle management company with 20 years of operational experience serving healthcare providers. The company has built its business on end-to-end revenue cycle operations, combining domain expertise with technology to manage the financial operations of healthcare organizations. R1 works with 95 of the top 100 U.S. health systems.

The company has recently launched Phare, which it positions as a "Revenue Operating System" built on an agentic AI architecture. This platform includes three product lines: Phare Access (patient intake and insurance verification), Phare Claim (automated coding and claim correction), and Phare Flow (remittance and denial management). The company operates R37, an internal AI lab focused on developing automation for revenue cycle workflows. R1 offers two engagement models: operating partnerships where they manage revenue cycle operations and staff, and agentic solutions where their engineers integrate and implement AI agents within customer environments.

R1 reports processing over 280 million transactions annually and has received three Best in KLAS awards for 2025 across different revenue cycle service categories. The company reports achieving 5-7% yield improvements and 50% reductions in cost to collect for customers, with over $6 billion in annual revenue recovery.

Choose R1 RCM when your organization needs comprehensive revenue cycle transformation backed by proven operational expertise and AI-powered automation. The company excels in large-scale implementations for health systems seeking both technology and managed services.

Expect a partnership approach where R1 either manages your revenue cycle operations directly or embeds their AI agents into your existing workflows. Organizations should be prepared for enterprise-scale implementations with long-term commitments, supported by R1's extensive experience in healthcare financial operations and compliance requirements.

R1 RCM operates exclusively in healthcare revenue cycle management with 100% focus on provider organizations. The company has built compliance frameworks specifically for healthcare financial operations, including HIPAA requirements and healthcare-specific regulations. Their domain expertise covers hospital, health system, and ambulatory revenue cycle workflows.

R1's specialization extends to government reimbursement programs (Medicare/Medicaid) and complex payer relationships. The company's AI models are trained exclusively on healthcare revenue cycle data, with embedded knowledge of CPT coding, claim adjudication rules, and payer-specific requirements across multiple EHR systems.

R1's ideal clients are large health systems, hospital networks, and academic medical centers with complex revenue cycle challenges seeking comprehensive solutions. Organizations must be ready for enterprise-scale implementations and willing to either outsource revenue cycle operations or deeply integrate R1's AI agents into existing workflows. Best fit for systems processing high transaction volumes where incremental yield improvements translate to significant financial impact.