Healthcare RCM / Billing
Healthcare revenue cycle, claims, and billing.
Docs in this category
waystar
Waystar API
Automate eligibility checks, claim submission, claim status tracking, and remittance reconciliation in Waystar with a stable REST API. Supergood builds and operates production-grade, unofficial Waystar integrations so your team can streamline revenue cycle and patient payment workflows without heavy custom engineering. Waystar is healthcare revenue cycle software used by health systems, provider groups, and billing companies to verify coverage, scrub and submit claims, manage denials, post remittances, and collect patient payments. With an unofficial API, you could run real-time eligibility before visits, submit and track professional/institutional claims with payer-specific edits, pull ERA remittances for posting, and keep billing queues synchronized—end to end.
availity
Availity API
Programmatically access eligibility and benefits, prior authorizations, claims submission, claim status, and ERA remittance workflows in Availity with a stable REST API. Supergood builds and operates production-grade, unofficial Availity integrations so your team can automate critical billing and practice management pipelines without heavy custom engineering. Availity is a healthcare information network and provider portal that connects payers and providers to verify coverage, submit and track claims, exchange authorizations and attachments, and reconcile payments. With an unofficial API, you could verify member eligibility in real time, submit prior authorization requests, assemble and send 837P/I claims, retrieve 835 ERA remittances, and coordinate payer-specific workflows end to end.
drfirst
DrFirst API
DrFirst is healthcare IT software focused on medication management—pulling comprehensive med history from pharmacies and payers (MedHx), enabling electronic prescribing (Rcopia/EPCS), showing real‑time price and formulary options, integrating PDMP checks, and streamlining electronic prior authorization. An unofficial API lets you programmatically pull patient medication lists, pharmacy and prescriber context, real‑time benefit results, PDMP attestations, and prescription statuses—and push new e‑prescriptions, cancellations, prior auth requests, and medication reconciliation updates back into DrFirst.
office ally
Office Ally API
Office Ally is software that helps medical practices submit insurance claims, verify patient eligibility, manage appointments and charges, and run a cloud EHR. With an unofficial API, you could programmatically sync patients and insurance data, create and submit 837 claims, run real-time 270 eligibility checks, and pull 835 remittances for automated posting—without manual portal work. If you’re a healthcare tech startup building billing, practice management, or provider tooling, integrating with Office Ally means you can pull patient demographics, insurance policies, appointments, eligibility responses, claim statuses, and ERAs; push new patients, updated insurance, charges/superbills, and claims; and build features like eligibility-aware scheduling, automatic claim assembly, real-time rejection handling, and remittance reconciliation. Programmatically access clearinghouse, eligibility, claims, and practice management workflows in Office Ally with a stable REST API. Supergood builds and operates production-grade, unofficial Office Ally integrations so your team can automate critical billing and RCM pipelines without heavy custom engineering.
patientco
Patientco API
Programmatically access patient billing, statements, payments, and payment plan workflows in Patientco with a stable REST API. Supergood builds and operates production-grade, unofficial Patientco integrations so your team can automate revenue cycle and patient financial experience pipelines without heavy custom engineering. Patientco is a patient financial engagement and payments platform used by health systems, hospitals, and provider groups to deliver consolidated statements, collect payments across channels, manage payment plans and financing, and analyze patient billing performance. With an unofficial API, you could synchronize patient and guarantor accounts, retrieve active statements and balances, process tokenized card/ACH payments, enroll and manage payment plans, and reconcile transactions back to your practice management or EHR—end to end.
covermymeds
CoverMyMeds MCP Server
The CoverMyMeds MCP server lets AI agents run electronic prior authorization, benefit verification, and specialty-enrollment workflows through CoverMyMeds. Connect CoverMyMeds to Claude, ChatGPT, and Cursor. Built and maintained by Supergood, since CoverMyMeds doesn't ship an MCP server.
office ally
Office Ally MCP Server
The Office Ally MCP server lets AI agents run eligibility, claims, status, remittance, and practice-management workflows across Office Ally. Connect Office Ally to Claude, ChatGPT, and Cursor. Built and maintained by Supergood, since Office Ally doesn't ship an MCP server.
change healthcare
Change Healthcare MCP Server
The Change Healthcare MCP server lets AI agents run eligibility, claims, status, remittance, and prior-authorization workflows through Change Healthcare. Connect Change Healthcare to Claude, ChatGPT, and Cursor. Built and maintained by Supergood, since Change Healthcare doesn't ship an MCP server.
surescripts
Surescripts MCP Server
The Surescripts MCP server lets AI agents run e-prescribing, medication history, benefit, and prior-authorization workflows through Surescripts. Connect Surescripts to Claude, ChatGPT, and Cursor. Built and maintained by Supergood, since Surescripts doesn't ship an MCP server.
optum
Optum MCP Server
The Optum MCP server lets AI agents run authorization, eligibility, EVV, claims, and remittance workflows through Optum. Connect Optum to Claude, ChatGPT, and Cursor. Built and maintained by Supergood, since Optum doesn't ship an MCP server.
availity
Availity MCP Server
The Availity MCP server lets AI agents run eligibility, claims, status, and remittance workflows through Availity. Connect Availity to Claude, ChatGPT, and Cursor. Built and maintained by Supergood, since Availity doesn't ship an MCP server.
waystar
Waystar MCP Server
The Waystar MCP server lets AI agents run eligibility, claims, status, remittance, and denial workflows through Waystar. Connect Waystar to Claude, ChatGPT, and Cursor. Built and maintained by Supergood, since Waystar doesn't ship an MCP server.
accureg
AccuReg API
Programmatically access patient access, insurance eligibility, prior authorization, registration quality assurance, and patient cost estimates in AccuReg with a stable REST API. Supergood builds and operates production-grade, unofficial AccuReg integrations so your team can automate front-end revenue cycle workflows without heavy custom engineering. AccuReg is software used by hospitals and health systems to prevent denials at the front end by verifying insurance, securing prior authorizations, scoring registration accuracy, generating price estimates for patients, and enabling point-of-service collections. With an unofficial API, you could verify eligibility from your EHR, submit and track prior authorization requests, surface registration defects to staff, generate patient-friendly estimates, and reconcile payments—end to end. In plain English: AccuReg helps hospital registration teams get the right coverage, authorization, and patient payment lined up before care happens. An unofficial API lets you automate those steps—checking eligibility, creating authorizations, pulling registration worklists, and producing estimates—directly from your own software.
billed right
Billed Right API
Billed Right is a healthcare revenue cycle management (RCM) and medical billing company that helps clinics and provider groups get paid correctly and on time. An unofficial API would let your startup pull live claim statuses, ERAs (835s), denials, patient balances, and payer information—and push encounters, charges, and claim submissions—so you can automate billing, AR workflows, and reporting.
cedar
Cedar API
Cedar is software that powers the patient financial experience for healthcare providers. It centralizes digital statements, payment plans, price estimates, insurance capture, and payment acceptance so patients can understand and resolve their bills. With an unofficial API, you could read real-time balances and statement details, initiate payments, create payment plans, update contact/insurance info, and pull pre-visit estimates to drive smarter scheduling and financial clearance.
change healthcare
Change Healthcare API
Change Healthcare is a healthcare clearinghouse and revenue cycle network that connects providers, payers, and pharmacies. With an unofficial API, you can validate insurance eligibility in real time, submit and track claims, retrieve remittances for auto-posting, and streamline prior authorization checks—end to end.
claimlogiq
ClaimLogiq API
ClaimLogiq is software health plans and TPAs use to review medical claims before payment, apply coding and clinical rules, request documentation, and determine whether a claim is approved, adjusted, or denied. With an unofficial API, a healthcare tech startup focused on billing or practice management could see which claims are under review, what documents are requested, upload medical records, track determinations, and reconcile financial impacts—without manual portal work.
coveragetoolkit
CoverageToolkit API
Programmatically access payer coverage policies, prior authorization criteria, medical necessity rules, coding guidance, and plan-level benefits from CoverageToolkit with a stable REST API. Supergood builds and operates production-grade, unofficial CoverageToolkit integrations so your team can automate coverage checks and revenue cycle workflows without heavy custom engineering. CoverageToolkit is a resource used across healthcare to centralize insurance coverage information—think payer policies, utilization management criteria, documentation requirements, and coding rules for services and drugs. With an unofficial API, you could look up whether a procedure is covered by a specific plan, determine if prior authorization is required, retrieve the documentation checklist and submission channels, and track policy updates by payer and state.
covermymeds
CoverMyMeds API
CoverMyMeds helps providers and pharmacies get patients on therapy faster by streamlining prior authorizations, verifying pharmacy benefits, surfacing formulary alternatives, and coordinating specialty medication enrollments. With an unofficial API, you could create and track prior auth requests, attach clinical documentation, run real‑time benefit checks with estimated copay, identify plan‑preferred alternatives, and submit specialty enrollments—end to end.
experian health
Experian Health API
Experian Health is software used by hospitals, health systems, and physician practices to verify insurance, find coverage for self-pay patients, manage prior authorizations, submit and track claims, and collect payments. With an unofficial API, you can check eligibility in real time, discover hidden coverage, assemble and submit authorizations, create 837P/I claims, and reconcile 835 remittances—end to end.
healthipay
HealthiPay API
HealthiPay (branded publicly as Health iPASS at healthipass.com) is software that helps medical practices and provider groups verify insurance, estimate patient responsibility, streamline check-in, send digital statements, collect payments online/in-office, and manage payment plans. With an unofficial API, you could trigger real-time eligibility checks, generate cost estimates, create and send pay links for statements, post and reconcile payments, and surface balances and settlements anywhere in your product.
healthpay24
HealthPay24 API
HealthPay24 is software used by hospitals, health systems, and medical practices to let patients view statements, pay bills online or at the point of service, enroll in payment plans, and manage payment methods—all with PCI-compliant processing. With an unofficial API, you could pull real-time balances and statements, tokenize payment methods for checkout, create payments and refunds, configure payment plans, and reconcile settlements back to your EHR/practice management system.
instamed
InstaMed API
InstaMed is a healthcare payments platform used by providers, payers, and patients to send and pay bills, manage payment methods and plans, process card/ACH transactions, and reconcile insurance remittances and deposits. With an unofficial API, you could initiate and capture patient payments, synchronize statements and balances from your PM/EHR, fetch ERA files and deposit reports, apply refunds and adjustments, and surface reconciliation dashboards—end to end.
optum
Optum API
Optum is healthcare technology used by payers and programs to manage authorizations, eligibility, EVV (in certain programs), and reimbursement. With an unofficial API from Supergood, you could create and verify EVV visits, synchronize member and provider rosters from your EHR, validate authorizations, assemble and submit claims, and reconcile payments end to end. If you’re a clinic, provider group, or a business running revenue cycle operations, integrating your tech stack with Optum can let you pull real-time authorizations and visit statuses, push EHR schedules into EVV, and tie verified visits directly to Medicaid reimbursement—especially helpful for Massachusetts (MassHealth) workflows where EVV and payer rules drive submission compliance. A different tech company integrating with Optum might pull member demographics, authorizations, provider enrollment data, claim statuses, and remittance summaries, while pushing visit check-in/out events, compliance reason codes, and claims files. That unlocks features like authorization-aware scheduling, automated exception resolution, and reconciliation dashboards.
paramount billing solutions
Paramount Billing Solutions API
Programmatically access insurance verification, prior authorizations, charge capture, claim submission, claim status, and ERA/EOB reconciliation workflows in Paramount Billing Solutions with a stable REST API. Supergood builds and operates production-grade, unofficial Paramount Billing Solutions integrations so your team can automate critical billing and revenue cycle pipelines without heavy custom engineering. Paramount Billing Solutions is medical billing and revenue cycle management software and services used by clinics, provider groups, and practice management teams to verify benefits, obtain prior authorizations, enter and code charges, submit and track claims, post payments, manage denials, and produce financial reporting. With an unofficial API, you could synchronize patient and payer rosters from your EHR, validate eligibility, create and manage prior authorizations, assemble and submit 837P/I claims, pull claim statuses, and reconcile 835 ERA remittances—end to end.
r1 rcm
R1 RCM API
R1 RCM is software that hospitals and provider groups use to register patients, verify eligibility, capture charges, submit claims, manage denials, and collect patient balances. With an unofficial API, you could sync patients and insurance, run real-time eligibility checks, generate and route 837 claims, and reconcile ERA/835 remittances to close the loop.
rivet health
Rivet API
Programmatically access payer contract models, prior authorization tracking, estimates, and reimbursement analytics in Rivet with a stable REST API. Supergood builds and operates production-grade, unofficial Rivet integrations so your team can automate critical billing and revenue cycle workflows without heavy custom engineering. Rivet is software used by healthcare provider groups, clinics, and revenue cycle teams to model payer contracts, track prior authorizations, generate compliant patient estimates, identify underpayments, and manage denials and reimbursement. With an unofficial API, you could calculate allowed amounts by payer and CPT code, synchronize authorizations from your scheduling/EHR, generate patient estimates tied to coverage and benefits, pull claims and remittance variance, and route underpayment/denial worklists—end to end.
rxsavings solutions
RxSavings Solutions API
RxSavings Solutions helps health plans, employers, and members find lower-cost prescription options, navigate coverage rules, and complete prior authorizations. With an unofficial API, you could pull member-specific prices across pharmacies, check if PA or step therapy applies, generate clinically safe lower-cost alternatives, and trigger prescriber change requests or member outreach—all from your own app.
surescripts
Surescripts API
Programmatically access e-prescribing, real-time prescription benefit (RTPB), medication history, and electronic prior authorization (ePA) workflows in Surescripts with a stable REST API. Supergood builds and operates production-grade, unofficial Surescripts integrations so your team can automate prescribing, coverage checks, and prior auth pipelines without heavy custom engineering. Surescripts is a nationwide health information network used by providers, pharmacies, PBMs, and health plans to route prescriptions, retrieve medication histories, check formularies and costs, and process prior authorizations. With an unofficial API, you could send and cancel e-prescriptions, run real-time benefit checks, submit and track ePAs, receive fill notifications, and synchronize medication history into your EHR, practice management, or billing stack.
gentem
Gentem API
Programmatically access Gentem's medical billing, revenue cycle, and reimbursement workflows with a stable REST API. Supergood builds and operates production-grade, unofficial Gentem integrations so your team can automate claims, eligibility, prior authorization, remittance posting, and analytics without heavy custom engineering. In plain English: Gentem helps healthcare practices get paid—handling insurance billing, denials, patient payments, and analytics. An unofficial API lets you create and track claims, run eligibility checks, submit and monitor prior authorizations, ingest remittances, reconcile payments, and surface AR metrics in your product. If you're another tech company integrating with Gentem—say a practice management system, patient financial experience app, or billing enablement tool—you can push encounters/charges and patient updates to Gentem, pull claim and payment status to drive workflows, sync balances for patient communications, and embed revenue analytics in your dashboards.