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Operations and technology

Revenue cycle management

Real-time intelligence and automation that deliver faster decisions, fewer denials and improved outcomes.

Transforming revenue cycle management in healthcare

Optum Revenue Cycle Management (RCM) solutions simplify today’s complex revenue cycle. Our end-to-end approach drives operational excellence and elevates the financial and patient experience across the care continuum.

We deliver value through real-time payer transparency,  AI-driven tools and advisory expertise, helping health systems make faster, more accurate decisions. The result is a more efficient revenue cycle with accelerated reimbursement, fewer denials, reduced administrative burden and a smoother patient journey.

As a trusted RCM partner, Optum helps build a revenue cycle that can adapt, scale and perform in a changing health care environment. With the strength of our technology, services and expertise behind them, health systems gain financial stability, sustainable growth and a more resilient future.

$1.1M
Average unbilled revenue identified per client, per year

$4.3M
Average cost avoidance based on denial prevention edits

~$75B
Net patient revenue managed

Revenue cycle management solutions

Software

Ambulatory Revenue Cycle Technology

Best for:
  • Health systems and hospitals

Get end-to-end, automated revenue performance solutions to optimize cash flow, streamline workflows and improve patient experience.

Solution suite

Healthcare consulting services

Best for:
  • Executives
  • Health systems and hospitals
  • Payers
  • Providers

Our services turn your challenges into opportunities as we help you create more equitable and efficient systems of quality care.

Software

Medical Claims and Reimbursement Management

Best for:
  • Health systems and hospitals
  • Providers

Improve claims accuracy and prevent claim errors to minimize denials and boost reimbursement.

Software

Optum Integrity One

Best for:
  • Health systems and hospitals
  • Payers
  • Providers

Unlock new levels of efficiency, accuracy and revenue integrity with our revolutionary end-to-end solution for the middle revenue cycle.

Solution suite

Optum Real

Best for:
  • Health systems and hospitals
  • Payers

Improve transparency and administrative efficiency through real-time payer-provider connection.

Software

Patient Access

Best for:
  • Health systems and hospitals

Our patient access services help you improve engagement, loyalty and revenue while driving patient acquisition.

Software

Patient Payments

Best for:
  • Health systems and hospitals

Get patient financial engagement e-cashiering solutions to increase revenue performance and patient satisfaction.

Software

Revenue Integrity

Best for:
  • Health systems and hospitals
  • Payers

Leverage innovative technology and expert staff to optimize the middle revenue cycle and drive reimbursement compliance.

Optum is proud to be recognized as the Frost Radar™ Revenue Cycle Management Operations 2025 growth and innovation leader, highlighting our innovative and comprehensive RCM solutions.

Related healthcare insights

Automating Success: A Smarter Path to Revenue Cycle Transformation

E-book

Automating success: A smarter path to revenue cycle transformation

Learn how health systems are using revenue cycle automation to provide better patient experience, financial outcomes and operational resilience.

Pre‑Care: What Consumers Expect Today and in the Future

Infographic

Pre‑Care: What Consumers Expect Today and in the Future

Find out what we learned when we asked more than 1,000 people how they feel about the pre-service journey, from provider search to AI use.

A Forward Approach to Medical Coding Accuracy

E-book

A forward approach to medical coding accuracy

Our coding software can systemize aspects of your middle revenue cycle, resulting in a seamless and cost-effective workflow.

2024 Revenue Cycle Denials Index

E-book

Denials index

Learn about the latest trends in medical claim denials and find out how to decrease them.

Ready to transform your revenue cycle?