Top 5 Coronis Health Alternatives and Competitors 2025

Flat reimbursements and escalating costs mean that, for healthcare organizations, operational improvements are one of the few paths to higher margins and EBITDA. Platforms such as Coronis Health, MDClarity, and Waystar deliver revenue cycle management software and revenue recovery services that uncover and recoup underpayments, handle claim denials, and refine payer contracts, helping providers preserve net revenue.

Provider organizations don’t share a one-size-fits-all revenue cycle playbook. Some can boost revenue most by automating front-end tasks—eligibility verification, prior authorizations, and point-of-service collections—processes that CAQH says still burn through $18 billion in unnecessary manual work each year. Others need AI-powered coding, denial management, and underpayment recovery to staunch the one to three percent of net patient revenue that Ensemble Health Partners study published in Becker’s reports is currently leaking from multi-site physician groups.

Explore these Coronis Health alternatives to determine the best solutions for your provider organization’s needs. 

What is Coronis Health and what markets does it serve? 

Founded and led by seasoned revenue-cycle experts, Coronis Health blends advanced technology with specialized talent to drive measurable financial improvement for healthcare providers. The company’s “Coronis Way” pairs AI-enabled analytics, robotic process automation, and deep domain expertise to eliminate leakage across the entire revenue cycle—from patient access through A/R recovery.

Coronis Health serves hospitals, health systems, laboratories, physician groups, behavioral-health networks, and other care settings across the United States. 

Software-plus-services solutions

• AI-Driven Denial Prevention & Management — predictive analytics surface root-cause trends and automate appeals, driving higher first-pass payment rates while reducing administrative strain.
  
  
• End-to-End Billing & Coding — specialty-specific coders and auditors pair with automation to ensure cleaner claims, lower audit risk, and faster reimbursement cycles.
  
  
• Analytics-Powered A/R Optimization — proprietary dashboards spotlight aging inventory and orchestrate follow-up, rapidly converting outstanding balances into cash.
  
  
• Patient-Access Support — automated eligibility, prior-auth workflows, and compassionate financial-counseling teams improve front-end accuracy and patient satisfaction.
  
  
• Consulting & Compliance — experienced advisers benchmark performance, redesign workflows, and shore up documentation to safeguard compliant revenue.

Coronis Health Differentiators

Coronis Health positions itself as an end-to-end revenue cycle management solution. It offers: 

1. Platform-agnostic connectivity: API and interface libraries integrate with every major EHR, LIS, and practice-management system—accelerating client onboarding without disruptive IT projects.
   
   
2. High-performance technology stack: Machine-learning models predict denials, flag coding variances, and drive robotic processing, shrinking days in A/R and boosting net collections.
   
   
3. Niche domain depth: Dedicated Centers of Excellence for anesthesia, behavioral health, pathology, EMS, and other specialties deliver nuanced knowledge that generic outsourcers lack.
   
   
4. Transparent partnership model: Real-time reporting and collaborative governance give clients a clear line of sight into results and continuous-improvement roadmaps.
   
   

Coronis Health does not have reviews on G2, Capterra, or Software Advice at this time. 

Coronis Health’s Top 5 Alternatives and Competitors

• MD Clarity
• Waystar
• R1 RCM
• Trizetto
• Change Healthcare

An advanced contract management and revenue recovery platform

MD Clarity

Description

MD Clarity has served provider organizations and MSOs for nearly 15 years. Trusted by some of the largest healthcare organizations in the U.S., its products are purpose-built to boost revenue via proactive contract management, which includes end-to-end denial and underpayment revenue recovery software and services, and patient payment estimate software. The data and insights MD Clarity surfaces inform payer negotiations, increase payer reimbursement transparency, both of which drive higher net revenue while controlling costs to collect.

Software

RevFind software: underpayment detection, denial management, and contract optimization

MD Clarity’s contract management platform, RevFind, is built for complex, multi-location healthcare environments like physician groups and management services organizations. After centralizing payer contracts, it digitizes terms and delivers analysis, reporting, and task management via work queues. 

RevFind at a glance: 

• Zero-effort contract ingestion
  MD Clarity imports and digitizes every payer contract for you, freeing your team from tedious data entry and document wrangling.
  
  
• Powerful analytics & reporting
  
  • Benchmark each contract’s reimbursement rates against national norms in seconds.
  • Flag underpayments automatically by matching paid amounts to the exact fee schedule.
  • Track denial patterns and generate a payer “scorecard” that ranks insurers by financial performance.
  • Access forward-looking revenue forecasts, payer-mix breakdowns, and margin reports—all in one dashboard.
    
    
• Granular intelligence that finds hidden cash
  RevFind sorts underpayment data by payer, CPT/HCPCS code, provider, and location, revealing precisely where revenue is leaking. Many clients have uncovered—and recovered—$10 million or more in missed payments with this level of detail.
  
  

Clarity Flow: Automated patient cost estimation

Provider organizations depend on Clarity Flow to generate the patient payment estimates required by the No Surprises Act. Self-pay and uninsured patients are now entitled to full cost transparency.

Clarity Flow delivers: 

• Instant eligibility & benefits checks through clearinghouse connections
  
  
• Hands-free creation and omni-channel delivery (email, SMS, or print) of personalized cost-estimate letters
  
  
• Frictionless capture of upfront patient payments with funds deposited straight into your billing system
  
  
• Live dashboards that track every care-deposit dollar as it lands
  
  
• Smart routing that escalates only the edge-case estimates to staff for manual review

By automating verification and estimate delivery, Clarity Flow lightens administrative burden from your RCM team, speeds pre-service collections, and keeps you fully compliant with federal price-transparency rules—without adding FTEs.

Paired with RevFind’s contract-performance intelligence, MD Clarity equips healthcare organizations to recoup missed revenue, hold payers to their agreements, and give patients clear cost visibility—an agile alternative to legacy RCM vendors.

Technology-assisted services

Underpayment Recovery Services:  MD Clarity’s underpayment recovery service unites its RevFind analytics platform with a team of payer-reimbursement specialists, who take this data to payers to recoup full reimbursement and even negotiate better contract rates and terms. 

These actions strengthen future contract negotiations. To align MD Clarity’s incentives with providers’ financial outcomes, it structures underpayment-recovery service fees on a contingency basis.

Denial Recovery Services:  MD Clarity’s Denial Recovery Services fuse its RevFind analytics platform with a team of expert payer-reimbursement specialists who handle every step of the appeal—drafting documentation, negotiating with insurers, and tracking outcomes—so providers reclaim revenue while freeing internal staff for other priorities. As with Underpayment Recovery Services, the service runs on a contingency-based fee model. 

MD Clarity features in common with Coronis Health

Both revenue-cycle management (RCM) vendors approach the same core challenge—helping providers collect the money they are owed—through a blend of technology, data insight, and expert services. Key commonalities include:

Focus on analytics and transparency
Each company highlights dashboards and data-driven reporting that reveal denial patterns, underpayments, and other revenue leaks, giving finance teams the visibility needed to act. Both give provider organizations the data they need to renegotiate or enforce payer agreements.

Expert services layered on software
Beyond selling tools, the two companies staff RCM specialists who work appeals, negotiate with payers, and redesign processes so providers recover cash without expanding headcount. 

Promise of measurable financial lift
Both sites promote higher collections, faster cash, and reduced admin burden, underscoring a results-oriented value proposition. 

Compliance and regulatory support
Both vendors promote their products and services as a safeguard against evolving billing rules. 

Tech-enabled RCM platforms

Both use proprietary software that connects to EHRs/PM systems to surface reimbursement gaps and streamline billing processes.

In short, MD Clarity and Coronis Health converge on: data-rich automation plus hands-on expertise that raise net collections, improve transparency, and lighten the back-office load for healthcare providers.

Differences between MD Clarity and Coronis Health 

Both prominent players in the RCM space, MD Clarity and Coronis Health, differ in their focus, breadth, and delivery models.

Core offering

MD Clarity’s RevFind and ClarityFlow, along with underpayment and denial recovery experts, are designed to complement an existing in-house RCM team rather than replace it.  MD Clarity provides software and services at the contract management and patient payment estimate points, making it a point solution. 

Coronis Health, on the other hand, offers full-service, outsourced RCM that spans patient access, coding, billing, collections, denials, analytics, and specialty support. It aims to handle all revenue cycle work for each provider organization.

Scope and target market

MD Clarity is built for physician groups, multi-site practices, and management service organizations that want granular insight into payer contracts and price-transparency compliance while still controlling day-to-day billing themselves.

Coronis Health gears its offerings toward hospitals, health systems, and large physician groups that prefer to offload most or all RCM functions to an outside partner with decades of experience and a workforce exceeding 11,000 employees.

Automation focus
MD Clarity concentrates its automation on contract ingestion, fee-schedule modeling, line-level variance spotting, and the generation of good-faith estimates, delivering high transparency and scenario modeling with very little manual data entry.

Coronis Health applies automation more broadly across the entire revenue cycle, deploying robotic process automation, AI-assisted coding, denial prediction tools and UiPath-powered workflow bots to handle high-volume, complex environments.

Service delivery model
MD Clarity operates primarily as a subscription software vendor, layering in contingency-based recovery services when its platform flags underpayments or denials that need an appeal.

Coronis Health follows a hybrid business-process-outsourcing model, blending proprietary technology with a large in-house staff of coders and RCM specialists who can manage billing, accounts receivable, and patient access end to end.

Distinct strengths
MD Clarity offers charge-level contract intelligence for tougher payer negotiations, real-time underpayment alerts with automated appeals queues, and compliant cost-estimate workflows—delivering more revenue without adding headcount.

Coronis Health supplies comprehensive RCM coverage, specialty “Centers of Excellence” for domains like anesthesia or laboratory services, and the ability to scale staffing quickly during mergers, growth spurts, or backlog surges.

Ideal fit
MD Clarity suits organizations that already run their own billing but need deeper analytics and targeted automation to boost collections and meet transparency mandates.

Coronis Health is better aligned with large, complex enterprises that want a single partner to manage the entire revenue cycle under KPI-backed performance guarantees.

Organizations choose MD Clarity to empower their internal team with insight into contracts, underpayments, denials, and patient estimates. Those that need a managed-service powerhouse gravitate toward Coronis Health with its capacity to run RCM from start to finish.

Ratings

G2 reviewers have given MD Clarity an average of 4.2 / 5 stars from 31 reviews.

Built-In recently recognized MD Clarity as a Best Place to Work. MD Clarity also made Inc. Magazine’s list of the 5000 fastest-growing private companies in America. 

An RCM source for large hospitals and health systems

R1 RCM

Description

Originally launched as Accretive Health in 2003 and renamed R1 RCM in 2017, the Salt Lake City–based company has become a prominent revenue-cycle management provider. 

Similar to Coronis Health, R1 RCM supplies hospitals and health systems with a fully integrated portfolio of RCM services. By fusing advanced automation, robust analytics, and seasoned experts, the firm boosts financial performance while elevating the patient experience. Its end-to-end capabilities cover:

• patient access
• coding and billing
• claims adjudication
• denial resolution
• cash recovery
• compliance

All of these tasks support providers from first registration through final payment. Supported by a 27,000-plus workforce and a client base exceeding 1,000 healthcare organizations, R1 RCM strives for operational excellence. It helps to modernize workflows and advance value-based care initiatives. Both R1 RCM and Coronis Health blend cutting-edge technology with extensive teams of certified coders, clinical specialists, and RCM professionals, giving clients on-demand expertise that scales with their needs.

R1 RCM features in common with Coronis Health

Both vendors position themselves as enterprise-grade, technology-forward partners that take on the full weight of revenue-cycle operations for hospitals and large physician groups. Their common ground falls into six themes:

End-to-end RCM coverage

Each markets a soup-to-nuts service line that spans patient access and scheduling, medical coding, charge capture, claims submission, payment posting, denial management, A/R follow-up, and patient collections.

AI- and RPA-driven workflow automation

Coronis touts “AI, automation, and integrations” inside its high-performance technology stack. R1 highlights Palantir-built AI, large-language-model pilots, and 20,000+ automation algorithms that speed coding, billing, and denial resolution.

Analytics for financial transparency

Both platforms embed dashboards that surface payer trends, denial root causes, and profitability KPIs so finance leaders can track leakage in real time.

Underpayment & denial recovery expertise

Coronis pledges to “reduce denials and errors” while converting aged A/R to cash through specialist teams.

R1 markets comprehensive payment-review services to “get back every dollar you’re owed,” including underpayment identification and appeal workflows.

Flexible, outsourced staffing model

Coronis offers business-process-outsourcing options with niche “Centers of Excellence” that supply coders and RCM specialists on demand.

R1 supplies a 27,000-plus workforce that can assume partial or total control of revenue-cycle labor gaps for health-system clients.

Provider-centric outcomes

Both vendors promise cleaner claims, faster cash and reduced administrative burden as core value propositions, framing RCM as a route to better patient experience and financial sustainability.

In short, Coronis Health and R1 RCM converge on a mission to maximize net revenue and eliminate financial friction through end-to-end services, AI-powered automation, deep analytics and large expert teams that scale with provider needs.

Differences between R1 RCM and Coronis Health

Core focus and approach
R1 RCM is built for organizations that want to hand off the entire revenue cycle; it embeds its own technology platform and workforce inside client operations to drive labor-cost savings and guaranteed financial lift. Coronis Health, by contrast, runs a hybrid BPO model that blends proprietary automation with specialty-specific “Centers of Excellence,” allowing providers to outsource just the functions they choose and to scale staff up or down quickly.

Technology and innovation
R1 RCM operates on a single, Palantir-powered platform that unifies patient access, billing, and denials under one data model and thousands of automation scripts. Coronis Health also relies on AI, RPA, and denial-prediction tools, but it lets clients keep their existing EHR/PM systems and layers specialty dashboards on top rather than enforcing a monolithic stack.

Market focus
R1 RCM targets large health systems, academic medical centers, and integrated delivery networks that prefer one deeply embedded partner. Coronis Health serves hospitals as well, yet is equally comfortable with mid-size physician groups and ambulatory specialties that need configurable, à-la-carte support.

Service structure and scale
With more than 27,000 employees, R1 RCM can replace an internal RCM department outright. Coronis Health fields about 11,000 specialists and positions its teams to augment or assume selected workflows—anything from anesthesia coding to aged A/R cleanup—without requiring full outsourcing.

Unique differentiators
R1 RCM’s signature is its embedded operating model backed by Palantir analytics and outcome-based contracts tied to net-revenue improvement. Coronis Health distinguishes itself through niche expertise (anesthesia, lab, behavioral health), rapid staffing agility for mergers and backlog spikes, and high-touch account management.

Overall, choose R1 RCM when you need a tightly integrated, enterprise-scale partner to run the entire revenue cycle. Opt for Coronis Health when you want flexible, specialty-focused services that can either manage the whole cycle or plug specific gaps without forcing a one-size-fits-all platform.

Ratings: R1 RCM has one score of 0/5 stars on G2.

Waystar

Description

Launched in 2017 when ZirMed joined forces with Navicure, Waystar leverages the combined know-how of both firms. Praised for stellar client service and cutting-edge RCM technology, it ranks among the healthcare industry’s premier claims clearinghouses.

Key elements of the Waystar platform include:

• Patient cost estimator – creates Good Faith Estimates and clear cost summaries so patients can understand and pay their obligations up front.
  
  
• Revenue capture – certified coding experts, machine-learning models, and predictive analytics team up to flag and fix coding errors, recovering revenue while limiting manual work.
  
  
• Financial clearance – AI- and RPA-powered workflows predict a patient’s ability to pay, spell out coverage, reduce denials, and effectively double staff efficiency.
  
  
• Claim management – an award-winning suite that prevents rejections, automates claim tracking and attachments, and uniquely lets providers handle commercial and government claims from one interface.
  
  

Waystar serves a wide spectrum of healthcare entities, from hospitals, physician and specialty practices, and large health systems to labs, skilled-nursing facilities, DME suppliers, ambulatory surgery centers, hospice providers, and home-health organizations.

Waystar features in common with Coronis Health

Both firms market themselves as tech-forward partners that help healthcare providers turn complex billing into predictable cash flow. Their overlap falls into six main areas:

End-to-end revenue-cycle support

Waystar’s platform spans financial clearance, charge capture, claims, denials, patient payments, and analytics, while Coronis Health offers soup-to-nuts RCM outsourcing that covers the same lifecycle—from patient access through A/R follow-up and collections. 

Automation powered by AI & RPA

Waystar highlights AltitudeAI™, its generative-AI and automation layer that prioritizes work, eliminates errors, and has driven up to 300% back-office automation for clients. Coronis Health likewise embeds AI, UiPath bots, and predictive models to streamline eligibility checks, claim edits, and denial triage within clients’ existing EHR stacks. 

High-performance claim management

Both companies operate clearinghouse capabilities that scrub, edit, and electronically submit claims to achieve high first-pass acceptance and faster reimbursement. Waystar positions its Claim + Payer Payment Management suite as “award-winning,” while Coronis advertises claim workflows that “accelerate cash” and reduce admin burden. 

Denial prevention & recovery

Waystar provides dedicated denial prevention + recovery tools that automate tracking, attachment management, and appeals. Coronis pairs AI denial prediction with specialist teams who convert rejected claims into collected revenue. 

 Patient financial engagement

Each vendor supplies digital cost estimates and payment portals to boost upfront collections and improve patient experience. Waystar’s Patient Financial Care module offers self-service payment options and personalized video EOBs; Coronis layers patient-friendly billing practices into its RCM services to “put your patients first”. 

Data-driven analytics & transparency

Real-time dashboards surface key performance indicators in both ecosystems. Waystar’s Analytics + Reporting converts raw data into actionable insights; Coronis Health’s robust reporting and “financial clarity” tools give clients business-intelligence views of trends, benchmarks, and profit drivers. 

Waystar and Coronis Health converge on a mission to boost provider revenue and efficiency through AI-enabled automation, comprehensive claims and denial management, patient-centric payment tools, and actionable analytics—making either partner a viable option for organizations seeking technology-driven financial performance gains.

Differences between Waystar and Coronis Health

Despite clear overlaps in revenue-cycle functionality, providers point to five fundamental contrasts when choosing between the two vendors.

Technology 

• Waystar delivers a single, cloud-based RCM platform that unifies claims, payments, patient estimates, eligibility, and denial prevention for facilities of every size 
• Coronis Health, on the other hand, layers UiPath bots, AI denial-prediction models, and specialty dashboards onto whatever EHR or practice-management system a client already uses—emphasizing a software-agnostic approach that fits varied environments. 

Service model

• Waystar is principally a SaaS provider; clients license the software and let their own staff run day-to-day billing, turning to Waystar’s support team only for configuration or troubleshooting. 
• Coronis follows a hybrid business-process-outsourcing model: automation handles high-volume tasks, while an 11,000-person workforce of coders and RCM specialists tackles exceptions, complex denials, and specialty work when automation reaches its limits. 

Market focus

• Waystar appeals to hospitals, health systems, physician groups, and ambulatory providers seeking a standardized, all-in-one platform to streamline routine administrative workflows and patient payments. 
• Coronis is typically selected by organizations with intricate, high-volume coding or niche service-line needs—such as anesthesia, lab, or behavioral health—that benefit from human expertise blended with automation. 

Depth of AI application

• Waystar applies AI mainly to administrative efficiency—eligibility verification, denial avoidance, and payment posting—aiming to boost first-pass claim acceptance and reduce manual rework. 
• Coronis pushes machine learning into clinical territory, using predictive models to prioritize coding accuracy and denial recovery, then routing edge cases to specialty coders for compliant resolution. 

Implementation & customization

• Waystar stresses “fast, easy” go-lives and out-of-the-box features that integrate quickly with major EHRs, favoring uniform workflows across its client base. 
• Coronis tailors bots, analytics, and staffing mixes to each client’s payer mix, coding patterns, and compliance objectives, providing bespoke workflows rather than a one-size-fits-all stack. 

In short, organizations choose Waystar when they want a unified SaaS platform that drives administrative efficiency with minimal disruption. They choose Coronis Health when they need specialty-driven, AI-supported outsourcing that fuses automation with a large bench of clinical and coding professionals for complex revenue-cycle challenges.

Waystar has a rating of 4.4/5 stars on G2.

Trizetto

Description

Much like Coronis Health and R1 RCM, TriZetto Provider Solutions offers a comprehensive range of revenue-cycle services that touch every aspect of a healthcare organization’s operations. 

Founded in 1984 as Gateway EDI, the company has carved out a niche in health-tech by uniting financial management, operational efficiency, customer support, and claims administration within one cohesive platform. Its flexible EDI infrastructure lets payers maintain their own trading-partner rules while keeping provider connectivity seamless.

Instead of selling stand-alone point products, TriZetto organizes its capabilities around six core pillars:

• Claims management – accelerates reimbursement and trims administrative effort.
  
  
• Patient engagement – improves the patient experience with clear billing and multiple digital payment options.
  
  
• Rejection & denial management – harnesses AI and automation to prevent denials and perform real-time eligibility checks.
  
  
• Revenue-cycle optimization – streamlines end-to-end workflows to lower costs.
  
  
• Credentialing – centralizes and automates provider credential documentation.
  
  
• Analytics – delivers web-based insights that boost cash flow and overall revenue performance.

TriZetto also partners closely with NextGen, extending these RCM capabilities across a broad spectrum of healthcare specialties.

Trizetto features in common with Coronis Health

Both companies position themselves as technology-forward partners that take friction out of the revenue cycle for healthcare providers. Their strongest common ground sits in six functional areas:

1. Claims management & automation  

Each platform scrubs claims, applies thousands of edits, and submits them electronically to drive high first-pass acceptance rates while cutting manual rework—TriZetto touts a 98% payer-acceptance average. Coronis advertises AI- and RPA-powered tools that eliminate human error and speed submissions. 

2. Denials and appeals management  

Robust analytics surface root causes, then workflow engines auto-route or even auto-generate appeal packages. TriZetto’s Denials Workflow and Auto Appeals modules automate appeal letters and track status. Coronis groups denials by probability of payment so staff focus on the highest-value recoveries. 

3. Patient engagement & financial communications  

Both vendors provide online statements, estimation tools, and payment portals that clarify out-of-pocket costs and simplify collections—TriZetto’s Patient Pay and Estimation tools deliver transparent billing. Coronis layers patient-friendly billing and compassionate collection strategies into its RCM services. 

4. Revenue recovery & performance analytics  

Dashboards highlight underpayments, payer trends, and aging A/R. TriZetto’s Advanced Reimbursement Manager pinpoints late or partial payments. Coronis supplies real-time financial analytics throughout its “Coronis Way” framework. 

5. Credentialing & compliance support  

Each firm maintains teams that gather, validate, and submit credentialing paperwork while monitoring regulatory changes—TriZetto offers turnkey credentialing services within its platform; Coronis embeds compliance auditing and documentation review in its RCM engagements. 

6. Workflow automation across the cycle  

Another shared strength is heavy reliance on automation—TriZetto automates eligibility checks, claim edits, remittance posting, and contract analysis in a single clearinghouse workflow. Similarly, Coronis deploys UiPath-driven bots for scripted tasks such as eligibility verification, payment posting, and denial triage. 

TriZetto Provider Solutions and Coronis Health help healthcare organizations boost collections, shrink days in A/R, reduce staff burden, and stay compliant as reimbursement rules evolve.

Differences between Trizetto and Coronis Health

Core focus and strengths

TriZetto Provider Solutions was built to streamline administrative workflows. Its clearinghouse roots show in high-volume claims routing, payer-provider EDI connectivity, and automated edits that push first-pass acceptance toward 98 percent. 

Coronis Health, on the other hand, applies a hybrid outsourcing model: proprietary AI/RPA technology plus specialty “Centers of Excellence” staffed by seasoned coders and RCM professionals to run—or augment—every step of the revenue cycle, from patient access through A/R collections. 

Technology approach

TriZetto concentrates on a single, scalable clearinghouse platform that automates eligibility checks, claim edits, remittance posting, denial appeals, and credentialing. Its selling point is transactional speed and administrative cost savings for providers and payers alike. 

On the other hand, Coronis layers AI-driven denial prediction and UiPath-powered bots onto whichever EHR or practice-management system a client already uses, positioning itself as “software-agnostic” while delivering analytics and workflow automation across coding, billing, and collections. 

Service delivery model

TriZetto primarily sells software-centric RCM and clearinghouse subscriptions with optional teams for coding, billing, and A/R follow-up when providers want to outsource back-office tasks. 

Conversely, Coronis offers a full business process outsourcing (BPO) option where clients can offload isolated pain points—or hand over the entire revenue cycle—to its 11,000-plus workforce. This move helps providers gain flexible staffing that scales for seasonal surges, mergers, or specialty projects. 

Clinical vs. transactional orientation

Coronis Health highlights domain-specific expertise in anesthesia, lab, behavioral health, radiology, and more, integrating clinical knowledge with billing to reduce denials and capture every charge. TriZetto stays transactional and payer-connectivity focused, making it specialty-agnostic. 

Markets  

TriZetto is a fit for organizations that mostly need automated, scalable claims and billing infrastructure where administrative efficiency is the primary goal. Coronis suits providers seeking end-to-end RCM outsourcing or specialty-driven support that blends automation with large-scale human expertise to manage complex workflows and regulatory nuance.

More organizations choose TriZetto Provider Solutions when their top priority is automating claims, eligibility, and denial workflows to lower transaction costs and speed reimbursement. Coronis Health may be the better solution when you require a technology-enabled partner that can supply both advanced automation and a deep bench of specialty RCM talent to run the revenue cycle—or any slice of it—from start to finish.

Change Healthcare

Description

Change Healthcare provides a broad portfolio that includes revenue-cycle management and payment processing, but its health-information exchange services set it apart from its competitors. Its HIE routes about 15 billion transactions a year—roughly 40% of all U.S. claims. A health information exchange (HIE) like this lets a payer tap directly into up-to-date clinical records instead of chasing charts one by one, so tasks like prior-authorization decisions, medical-necessity reviews, and risk-adjustment audits finish faster and with less manual back-and-forth. Ready access to standardized clinical data also cuts duplicate information requests to providers, trims administrative costs, and strengthens compliance with the CMS interoperability rules that now require payer-to-payer and payer-to-provider data sharing. 

Change Healthcare aims to be a one-stop shop for healthcare data and payments. Headquartered in Nashville, the company has grown through an aggressive M&A strategy that has cemented its status as a top-tier health-tech vendor. 

UnitedHealth Group’s Optum division finalized its purchase of Change Healthcare on October 3, 2022. Less than two years later, in February 2024, the company suffered a massive BlackCat/ALPHV ransomware attack that exposed data on an estimated 100 million people. This breach has cost parent company UnitedHealth roughly $2.46 billion to date—the largest breach in U.S. healthcare history.

Change Healthcare features in common with Coronis Health 

Both companies position themselves as technology-forward revenue-cycle partners that tackle the financial and regulatory complexity of today’s healthcare market. Their overlap can be grouped into nine shared capabilities:

1. End-to-end revenue-cycle coverage

Each firm markets soup-to-nuts RCM services that span patient access, coding, claims submission, payment posting, denial resolution, A/R follow-up, and patient collections—promising smoother cash flow for providers. 

2. Automation & AI-driven tools

Coronis deploys UiPath bots and predictive models to streamline eligibility checks, charge capture, and denial triage. Change Healthcare embeds AI and machine-learning scripts across its Intelligent Healthcare Network to flag high-risk claims and speed coding and payment integrity reviews. 

3. Claims & payment management infrastructure

While Change Healthcare operates the largest U.S. clearinghouse, Coronis also offers claim-scrubbing and electronic submission services aimed at first-pass acceptance rates above industry norms. Both automate remittance posting and payment reconciliation to minimize manual rework. 

4. Analytics & real-time reporting

Dashboards in both platforms surface payer trends, denial root causes, and cash-flow KPIs so finance teams can act on leakage quickly. 

5. Eligibility & benefit verification

Automated eligibility checks at the front end reduce downstream denials for both vendors. Coronis embeds this in its patient-access workflow, while Change Healthcare provides real-time eligibility within its network services. 

6. Denial management & appeals support

AI-powered denial prediction, automated appeal package generation, and specialized follow-up teams are standard offerings, helping clients convert rejected claims into cash. 

7. EHR/Practice-management system integration

Coronis markets itself as software-agnostic, layering automation onto a client’s existing EHR/PM stack. Change Healthcare’s cloud APIs and clearinghouse connections likewise plug into most major health-IT systems for seamless data exchange. 

8. Patient engagement & price transparency

Both firms provide digital statements, cost-estimate tools, and payment portals that clarify out-of-pocket costs and accelerate patient collections—key for consumer-driven care models. 

9. Compliance & security rigor

HIPAA-aligned tooling, audit trails, and rules engines guard against coding and billing violations. Cyber-readiness is a spotlight issue for Change Healthcare after its 2024 ransomware incident, leading to heightened security investments; Coronis emphasizes governance in its automation rollouts. 

In the end, Coronis Health and Change Healthcare share a mission to boost provider revenue and efficiency through AI-enabled, end-to-end RCM services, backed by deep clearinghouse connectivity, real-time analytics, and strict regulatory compliance—making either partner a viable choice for organizations seeking technology-driven financial performance gains.

Differences between Change Healthcare and Coronis Health

Core mission & role

Change Healthcare functions as the nation’s digital backbone for claims, payments, and data exchange. Its clearinghouse and network move about 15 billion medical transactions each year, touching roughly 40% of all U.S. claims.

On the other hand, Coronis Health positions itself as a specialty-focused RCM outsourcer. It joins AI/RPA software with 11,000-plus coders and billing experts to run—or augment—front-to-back revenue-cycle tasks for provider clients 

Technology orientation

Change Healthcare’s strength is large-scale transaction plumbing: a unified platform of clearinghouse rails, API connectivity, and payment integrity tools built for high-volume throughput and nationwide interoperability 

Coronis layers UiPath-driven bots, predictive models, and “software-agnostic” integrations onto whatever EHR/PM system a client already uses, prioritizing flexibility over a single monolithic stack. 

Service delivery model

Change Healthcare mainly sells infrastructure and SaaS modules (clearinghouse, payment, analytics). Providers keep day-to-day RCM labor in-house or pair Change’s pipes with another vendor.

Coronis offers a business-process-outsourcing (BPO) option: clients can outsource coding, billing, denials, A/R, or the entire revenue cycle to Coronis’ own workforce, gaining elastic staffing without new hires. 

Clinical vs. transactional focus

• Change Healthcare is transactional and payer-provider connectivity-centric—ideal for organizations that need reliable claim routing, eligibility, and remittance at scale. 
• Coronis focuses on anesthesia, lab, behavioral health, and other niches to blend specialty coders with denial analysts to maximize net collections in complex service lines. 

Cyber-risk profile & resilience

• Change Healthcare’s 2024 ransomware event revealed the systemic risk inherent in a single, concentrated clearinghouse; the outage stalled payments across the industry. 
• Coronis, while stressing its own security posture, promotes software-agnostic redundancy—it can reroute claims through alternate clearinghouses if a market disruption strikes. 

Provider organizations that need a scalable, interoperable backbone for claim submission, payment, and data exchange across thousands of payers and trading partners find a better fit with Change Healthcare. 

Those who seek hands-on, specialty-driven RCM outsourcing that combines automation with a deep bench of revenue-cycle staff to tackle coding accuracy, denial overturns, and A/R cleanup find their needs met with Coronis. 

MD Clarity’s software and services point solutions improve net revenue

Not every provider needs the all-in-one RCM platforms offered by vendors like Coronis, WayStar, and Change. If your existing billing and EHR systems already work well, layering on a targeted point solution can sharpen contract accuracy and boost ROI without the expense or disruption of a full system swap.

MD Clarity’s RevFind fits that role. The software oversees the entire contract lifecycle, automatically comparing every remittance line to the exact terms in your payer agreements and flagging any shortfalls on the spot. When a variance appears, you can alert the payer immediately and reclaim revenue before it goes missing. When your staff lacks the time and bandwidth to pursue underpayment and denial recovery, MD Clarity recovery specialists take RevFind’s insights to payers, managing denial and underpayment appeals from start to finish.

Curious about how MD Clarity compares to broader RCM systems like Coronis Health? Book a demo to explore the advantages for your organization.

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