Solutions

Medical billing software for your organization type.

Same billing platform — different priorities. ObsidianRCM adapts to how billing companies, hospital RCM teams, MSOs, and practices operate.

Revenue cycle operations team using ObsidianRCM billing dashboards

At a glance

OrganizationBiggest benefitPrimary focus
Independent practiceSimplicityOne billing platform — claim through patient AR
Hospital / health system RCMInstitutional billing837I, facilities, departments, compliance gates
Billing companyScale & throughputPortfolio Command Center, automation, multi-client ops
MSO / multi-practice groupEnterprise visibilityRollups, governance, per-practice onboarding

Billing companies & RCM firms

Increase throughput without adding headcount

Your clients depend on you to move claims faster with fewer errors. ObsidianRCM is built for high-volume billing operations — exception-only workflows, portfolio visibility, and automation that writes audit rows.

  • Portfolio Command Center — all client practices in one ops view
  • Obsidian AI assistant — guided claim fixes with next-step highlights (human-in-the-loop)
  • Automation engine — scrub, transmit, post where policy allows
  • Revenue-ranked queues — fix highest-dollar items first
  • Progressive client onboarding — document-first intake for new accounts
  • Touchless rate metrics — prove automation ROI to clients
Billing company portfolio Command Center across client practices
Portfolio Command Center — built for billing company throughput.

Hospital & health system revenue cycle

Institutional billing depth for hospital RCM teams

Hospital billing departments get 837I parity, facility and department context, UB-04 scrub rules, and compliance gates before live transmit — a complete institutional billing workspace.

  • 837I institutional claims with facility defaults
  • Obsidian AI assistant — claim-detail guidance that explains what blocks progress
  • Department & facility scoping for location-based billing
  • Institutional scrub rule packs (warn/block before submit)
  • Clearinghouse enrollment & certification workflow
  • Compliance & audit reporting for revenue integrity teams
Hospital institutional billing workspace with 837I claims
Institutional billing — facility context and UB-04 scrubbing.

MSOs & multi-practice groups

Portfolio governance without losing practice-level control

Leadership needs rollups; each practice needs its own billing operation. Enterprise Command Center, onboarding readiness gates, and cross-practice reporting give MSOs visibility while billers keep working in scoped queues.

  • Enterprise rollups across up to 100 practices per view
  • Obsidian AI assistant — consistent task guidance across practices
  • Per-practice onboarding gates before 837 submit
  • Enterprise policy inheritance (session timeout, settings)
  • SAML SSO & SCIM for centralized IT
  • Role-based access scoped by practice and facility
MSO enterprise governance and practice readiness rollup
Enterprise governance — practice rollups and readiness gates.

Independent & specialty practices

One platform. Simple billing operations. Room to grow.

Small teams shouldn’t need five subscriptions to scrub claims, track EDI, post ERAs, and send statements. ObsidianRCM gives independent practices enterprise-grade billing in a cloud platform sized for daily RCM work.

  • Connected claim-to-cash — no tool sprawl
  • Obsidian AI assistant — next-step guidance inside claim Lines & validation
  • Pre-submit scrubbing reduces payer rejections
  • Patient statements & payment plans in the same system
  • Guided onboarding — sales-led, not self-serve chaos
  • Scales with you — same platform MSOs use at enterprise scale
Independent practice billing workspace in ObsidianRCM
Practice billing workspace — claim through patient AR.

Which profile fits you?

Tell us your organization type — we’ll tailor the demo to your billing workflow.