Platform

What does ObsidianRCM include?

A complete medical billing platform — claims through cash, EDI, denials, patient AR, Command Center, Recovery Center, and enterprise governance for revenue cycle teams.

ObsidianRCM Claims workbench with 837P and 837I claim control

Platform architecture

Cloud-native, multi-tenant medical billing software designed for enterprise RCM operations.

Experience
Command CenterRecovery CenterExecutive KPIsReports (80+)
Billing engine
Claims 837P/IScrub rulesEDI hub835 ERA postDenialsPatient AR
Automation
Auto-scrubAuto-transmitAuto-postSecondary COBWorkflow queues
Enterprise foundation
Multi-tenantRBACAudit logRLS isolationREST APIsFHIR R4 read

Platform highlights

What procurement and IT teams skim for first.

  • API-first
  • Cloud-native
  • Multi-tenant
  • Enterprise RBAC
  • Obsidian AI assistant (human-in-the-loop guidance)
  • FHIR-ready
  • REST APIs
  • Webhooks
  • Audit logging

Billing modules

The claim-to-cash path revenue cycle teams run daily.

  1. 01

    Claims — 837P & 837I

    Professional and institutional claims, lifecycle tracking, claim control, exceptions, and AR outstanding.

  2. 02

    Claim scrubbing

    Practice-configurable rules, payer-scoped edits, NCCI reference, institutional warn/block packs.

  3. 03

    EDI & clearinghouse

    837 batches, 999/277CA acks, transmit/retry, inbound poll, error inbox, DLQ replay.

  4. 04

    835 ERA & payments

    ERA auto-post, manual posting, allocations, remittance reconciliation, refunds.

  5. 05

    Denials & Recovery Center

    Worklists, appeals, CARC/RARC routing, underpayment and contract variance queues.

  6. 06

    Patient AR

    Statements, payment plans, payment-gateway installments, and balance follow-up.

  7. 07

    Coding & charge review

    Coding queue, charge capture review, authorizations — billing-side readiness before claim build.

  8. 08

    Eligibility

    Per-patient and batch eligibility runs with history — integrated into billing workflow.

Integrations

Connect clearinghouses, payers, identity providers, and your own systems.

837 / 835 / ERA

X12 professional and institutional outbound; 835 remittance ingestion and auto-post.

Clearinghouse transport

Vendor-agnostic SFTP/HTTP adapters — bring your clearinghouse connection.

Eligibility

Integrated eligibility workflows with standard vendor paths for enterprise deployments.

FHIR R4

Read APIs for Patient, Encounter, and Claim — interop for connected systems.

Patient payments

Payment plans and installment collection via gateway integration and webhooks.

SSO / SCIM

SAML SSO and SCIM provisioning for enterprise identity teams.

REST APIs

Authenticated APIs across billing modules for custom integrations.

Webhooks

Outbound webhook delivery platform for event-driven integrations.

Full integrations overview →

Enterprise security built in

Not a bolt-on — governance is part of the platform foundation.

  • HIPAA-oriented PHI controls and audit logging
  • Role-based access control (RBAC)
  • Postgres row-level security (tenant isolation)
  • Session security and configurable idle timeout
  • Break-glass operator access — fully audited

Security & compliance page →

ObsidianRCM Executive revenue intelligence dashboard
Executive reporting — revenue at risk, payer trends, automation ROI.

Want a module-by-module walkthrough?

We’ll demo the billing workflow that matches your organization type.

Request a demo