⭐ Pro Member Library
Premium Resource Library
Operator playbooks, trackers, templates and payer tools — one module inside RevCycleAI Pro
📊 Market Intelligence
New — March 2026
RCM Funding Database
Every notable RCM funding round, acquisition, and PE deal — tracked and searchable.
📖 Vendor Playbooks
New — Aug 27
Ribbon Health
Ribbon Health cleans, enriches, and structures provider data — a foundational layer for payer directories, network adequacy, and care navigation accuracy.
New — Aug 27
Ribbon Health
Ribbon Health cleans, enriches, and structures provider data — a foundational layer for payer directories, network adequacy, and care navigation accuracy.
New — Aug 20
InsideDesk
InsideDesk gives RCM teams real-time denial analytics and workflow tools to prevent and overturn denials faster — here is what the platform delivers vs traditional AR follow-up approaches.
New — Aug 20
InsideDesk
InsideDesk gives RCM teams real-time denial analytics and workflow tools to prevent and overturn denials faster — here is what the platform delivers vs traditional AR follow-up approaches.
New — Aug 13
Collectly
Collectly uses personalized digital communications and smart payment plans to increase patient collections — here is the conversion data and what it means for your patient AR.
New — Aug 13
Collectly
Collectly uses personalized digital communications and smart payment plans to increase patient collections — here is the conversion data and what it means for your patient AR.
New — Aug 10
Thoughtful AI
Thoughtful AI deploys autonomous AI agents for eligibility, prior auth, and claim submission — explicitly positioning as a workforce replacement. Here is what the economics and performance data actually show.
New — Aug 6
Smarter Technologies
The NMC Group assembled an $800M+ RCM services and AI platform — here is what the rollup of Access Healthcare, Thoughtful AI, and SmarterDx means for the RCM market.
New — Aug 7
Health Catalyst
Health Catalyst delivers data and analytics infrastructure for health systems — but translating analytics investment into RCM outcomes requires more than dashboards. Here is what the platform actually delivers.
New — Jul 30
Infinx Healthcare
Infinx combines AI automation with managed services for prior auth and RCM — targeting the mid-market health system that needs more than point solutions.
New — Jul 23
Cotiviti
Cotiviti audits claims at scale for payers and health plans — finding overpayments, billing errors, and fraud. Here is what providers need to understand when Cotiviti is reviewing their claims.
New — Jul 27
Evolent Health
Evolent Health serves health plans and specialty practices — managing prior auth, specialty care networks, and value-based arrangements. Here is where it creates and complicates RCM.
New — Mar 10
Optum Contract & Vendor Evaluation Playbook
7 contract provisions, Optum Real AI governance checklist, competitive alternatives, negotiation leverage points.
New — Mar 17
Ensemble Health Partners: Outsourcing Evaluation Playbook
RFP scorecard (18 weighted criteria), contract red flags checklist, build vs. buy calculator, and 20-item pre-signature audit.
March 2026
R1 RCM Contract Playbook
7 provisions R1's standard MSA leaves out — with negotiation tactics and competitive alternatives for renewal.
March 2026 · NEW
RCM Outsourcing Evaluation Framework
8 vendor scorecards, 15 evaluation questions, contract negotiation checklist, SLA benchmarks, and transition risk assessment. Everything you need before signing.
March 2026
Ensemble Outsourcing Evaluation Playbook
RFP scorecard, contract red flags checklist, build vs. buy framework, and a 20-item pre-signature audit for full-cycle outsourcing decisions.
Feb 2026
UHC Prior Auth Deep Dive
How UHC's auth infrastructure shifted, where denials are coming from, and 7 tactics with the highest impact.
🛠️ Interactive Tools
Feb 2026
Prior Auth Requirements Tracker
50+ procedure categories × 6 payers. Filterable, searchable, updated monthly.
Feb 2026
Denial Reason Code Playbook
60+ denial codes mapped to root cause, appeal strategy, and payer-specific notes. 7 categories.
📄 Payor-Specific Guides
UnitedHealthcare Prior Auth Strategy Guide
Aetna Medical Necessity Appeal Template
BCBS State-by-State Variations Guide
Cigna Denial Code Decoder
Humana Appeals Fast-Track Guide
⚙️ Operations & Workflows
RCM Staff Training Checklist
Revenue Leakage Audit Checklist
Peer-to-Peer Discussion Script Template
RCM KPI Dashboard
Prior Auth Tracking Template
Denial Appeal Success Rate Tracker
💰 Financial & Contracts
Contract Negotiation ROI Calculator
Fee Schedule Comparison Tool
Payor Contract Termination Template
Year-End Financial Close Checklist
📋 Compliance
Medicare Advantage Compliance Calendar 2026
No Surprises Act Compliance Checklist