Rivet

About Rivet

Rivet is a healthcare revenue acceleration platform that utilizes payer contract management, claim denial management tools, and automated patient payment estimate workflows to enhance revenue cycle efficiency. It addresses the challenges of managing complex contracts and claim denials, enabling medical practices to recover lost revenue and provide accurate patient cost estimates quickly.

```xml <problem> Healthcare providers face challenges in managing complex payer contracts, leading to revenue leakage through claim denials and underpayments. Inaccurate patient payment estimates also contribute to financial uncertainty and patient dissatisfaction. </problem> <solution> Rivet provides a revenue cycle management platform designed to streamline payer contract management, automate claim denial resolution, and generate accurate patient payment estimates. The platform offers tools for modeling contracted rates, auditing claims and remittances, and forecasting revenue using advanced data analytics. By centralizing contract information and automating key workflows, Rivet helps practices reduce claim denials, recover underpayments, and improve patient financial communication. The system integrates with various EHR systems to provide a comprehensive solution for revenue cycle optimization. </solution> <features> - Payer contract management with geographic benchmarking and scenario simulation - Automated claim denial management with analytics dashboards and team assignments - Patient payment estimation compliant with Good Faith Estimates (GFE) and No Surprises Act - Real-time eligibility verification and out-of-network (OON) benefits determination - Revenue diagnostics with real-time reporting and drill-down capabilities - AI-powered denials prevention engine - Auto-payment variance detection using statistical models - Integration with multiple EHR systems via API </features> <target_audience> Rivet targets medical practices, hospitals, consultants, and billing companies seeking to optimize their revenue cycle management processes and improve financial performance. </target_audience> ```

What does Rivet do?

Rivet is a healthcare revenue acceleration platform that utilizes payer contract management, claim denial management tools, and automated patient payment estimate workflows to enhance revenue cycle efficiency. It addresses the challenges of managing complex contracts and claim denials, enabling medical practices to recover lost revenue and provide accurate patient cost estimates quickly.

Where is Rivet located?

Rivet is based in Sandy, United States.

When was Rivet founded?

Rivet was founded in 2018.

How much funding has Rivet raised?

Rivet has raised 31500000.

Location
Sandy, United States
Founded
2018
Funding
31500000
Employees
81 employees
Major Investors
Catalyst Investors, Ankona Capital Partners

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Rivet

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Executive Summary

Rivet is a healthcare revenue acceleration platform that utilizes payer contract management, claim denial management tools, and automated patient payment estimate workflows to enhance revenue cycle efficiency. It addresses the challenges of managing complex contracts and claim denials, enabling medical practices to recover lost revenue and provide accurate patient cost estimates quickly.

rivethealth.com3K+
cb
Crunchbase
Founded 2018Sandy, United States

Funding

$

Estimated Funding

$20M+

Major Investors

Catalyst Investors, Ankona Capital Partners

Team (75+)

No team information available.

Company Description

Problem

Healthcare providers face challenges in managing complex payer contracts, leading to revenue leakage through claim denials and underpayments. Inaccurate patient payment estimates also contribute to financial uncertainty and patient dissatisfaction.

Solution

Rivet provides a revenue cycle management platform designed to streamline payer contract management, automate claim denial resolution, and generate accurate patient payment estimates. The platform offers tools for modeling contracted rates, auditing claims and remittances, and forecasting revenue using advanced data analytics. By centralizing contract information and automating key workflows, Rivet helps practices reduce claim denials, recover underpayments, and improve patient financial communication. The system integrates with various EHR systems to provide a comprehensive solution for revenue cycle optimization.

Features

Payer contract management with geographic benchmarking and scenario simulation

Automated claim denial management with analytics dashboards and team assignments

Patient payment estimation compliant with Good Faith Estimates (GFE) and No Surprises Act

Real-time eligibility verification and out-of-network (OON) benefits determination

Revenue diagnostics with real-time reporting and drill-down capabilities

AI-powered denials prevention engine

Auto-payment variance detection using statistical models

Integration with multiple EHR systems via API

Target Audience

Rivet targets medical practices, hospitals, consultants, and billing companies seeking to optimize their revenue cycle management processes and improve financial performance.

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