Aptarro
Aptarro is a Tallahassee-based healthcare revenue cycle management software company serving 130,000+ providers with AI-powered rules engines, real-time claim scrubbing, autonomous medical coding, and eligibility verification, integrating with 150+ EHR, PM, and RCM systems.
- Company typePrivate
- Founded1983
- HeadquartersTallahassee, United States
- Headcount101–250
- GTM typeB2B
- OfferingSoftware
What Aptarro does
Aptarro (formerly Alpha II, LLC, rebranded October 2024) is a Tallahassee, Florida-based healthcare revenue cycle management (RCM) software company founded in 1983. The company operates a SaaS platform that applies AI-powered rules and decisioning at mid-cycle moments to identify coding gaps, automate charge corrections, and route claims in real time before errors become downstream denials. Its core product suite includes RevCycle Engine (AI-assisted rules engine), HCC Coding (real-time encounter review for risk adjustment), ClaimStaker (clinical claim scrubber), AI Medical Coding (delivered via aiHealth partnership), maxRTE (real-time eligibility verification), E&M Generate, CodeWizard (developer SDK), and Easy Coder, with Health eFilings (MIPS reporting) and RCxRules (workflow automation) integrated following 2022 and 2023 acquisitions.
Aptarro serves 130,000+ healthcare providers across hospitals, health systems, medical practices, and specialty groups, with 97% client retention. The platform integrates with 150+ EHR, PM, RCM, and clearinghouse systems including NextGen, athenahealth, Oracle Health, Greenway Health, eMDs, EZClaim, Allscripts, and Waystar, enabling embedded distribution through partner ecosystems. Distribution combines direct enterprise sales (custom demos and consultation-led design) with channel partnerships, marketplace listings (athenahealth Marketplace), and reseller relationships.
The company generates revenue through volume-based SaaS subscriptions priced to customer size, complexity, and claim volume, with annual billing cadence and quote-based enterprise contracts. Licensing also flows through OEM/embedded partnerships with EHR/PM vendors. The company is privately held by TA Associates (lead investor since May 2023) with WestView Capital Partners retaining a minority stake. Operationally, Aptarro hosts solutions in HITRUST-certified active/active data centers in Tallahassee, FL and Aurora, CO, with HITRUST Risk-based 2-year (r2) certification, NIST CSF compliance, HIPAA adherence, and CMS Qualified Registry status. Leadership transitioned in March 2026 with Jeff Diamond appointed CEO, succeeding Ashley Womack.
Aptarro firmographics
Firmographics- Name
- Aptarro
- Legal name
- Alpha II, LLC d/b/a Aptarro, Inc.
- Website
- https://aptarro.com
- Company type
- Private
- Founded year
- 1983
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Aptarro is a Tallahassee-based healthcare revenue cycle management software company serving 130,000+ providers with AI-powered rules engines, real-time claim scrubbing, autonomous medical coding, and eligibility verification, integrating with 150+ EHR, PM, and RCM systems.
- Ownership category
- akta.pro rank
Aptarro industry classification
Industry- Product category
- Healthcare Revenue Cycle Management Software
- NAICS
- Software Publishers (513210)
- SIC
- Services-Prepackaged Software (7372), Services-Computer Integrated Systems Design (7373)
- akta.pro primary industry
- Medical Billing & Coding Automation (HLACACAA)
- akta.pro secondary industries
- Claims Management, Scrubbing & Clearinghouse (HLACACAB), Accounts Receivable (A/R) & Collections Management (HLACACAJ)
Keywords
Where Aptarro is headquartered
LocationHeadquarters
- HQ city
- Tallahassee
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Aptarro business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Marketing or Sales, Infrastructure, Operations
Revenue model
- SaaS Subscription Revenue: Aptarro operates as a software-as-a-service (SaaS) provider offering revenue cycle management solutions. The company uses volume-based pricing aligned to customer size, complexity, and goals, ensuring predictable costs and value that scales with growth. Pricing is quote-based with custom solutions tailored to customer needs.
- Platform Licensing: Products integrate with electronic health record, practice management, RCM, and clearinghouse partner systems, creating embedded licensing opportunities through reseller and OEM partnerships.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Volume-based SaaS pricing with custom quotes |
Go-to-market motion2 records
Distribution channels4 records
Marketing channels9 records
Aptarro product offering
Product offeringCore offering
Aptarro sells AI-powered healthcare revenue cycle management software to hospitals, health systems, medical practices, and RCM service providers. Its RevCycle Engine rules engine, HCC Coding, ClaimStaker claims scrubber, AI Medical Coding, and maxRTE eligibility products catch billing errors before claims are submitted, automate corrections in real time, and route work intelligently to prevent denials. The platform integrates with 150+ EHR, practice management, RCM, and clearinghouse systems and is sold primarily as a SaaS subscription with embedded and channel licensing.
Product overview
Aptarro is a healthcare revenue cycle management software company offering a unified platform that brings together multiple products: RevCycle Engine (AI-assisted rules engine for charge validation), HCC Coding (real-time code review), ClaimStaker (claims scrubber), AI Medical Coding (autonomous coding), and maxRTE (eligibility verification). The company, formerly Alpha II, has integrated acquired solutions including RCxRules (workflow automation) and Health eFilings (MIPS reporting). The platform uses AI-powered rules and decisioning to prevent denials, automate corrections, and improve claim accuracy. Pricing is volume-based and scales with growth.
Differentiator
Problem solved
Functional benefit
Brands
- RevCycle Engine: AI-assisted rules engine that reviews every charge before a claim is created, applying intelligent rules immediately after charges leave the EMR.
- HCC Coding
- ClaimStaker
- AI Medical Coding
- maxRTE
Products and services
- RevCycle Engine AI-assisted rules engine that reviews every charge before a claim is created. Applies intelligent rules immediately after charges leave the EMR, identifies coding gaps, automates corrections upstream, and reports a 50-70% reduction in hours of labor and under-2% denial rates for customers.
- HCC Coding Real-time code review solution that reviews every encounter leaving the EMR, automatically passing through clean encounters to the revenue cycle system while directing encounters with HCC coding gaps to coders for review, increasing RAF scores and recovering revenue.
- ClaimStaker SaaS-based clinical claim and encounter scrubbing solution that takes a proactive approach to denial avoidance rather than reacting to rejections. Available through EZClaim to 4,500+ customers and integrated with eMDs practice management, EHR, and RCM platforms.
- AI Medical Coding AI-powered autonomous medical coding solution delivered through Aptarro's partnership with aiHealth. Streamlines complex documentation and specialty billing by reducing errors, denials, and the time from clinical notes to claim submission.
- maxRTE Real-time eligibility and coverage discovery solution integrated with Aptarro's revenue cycle engine. Automatically finds missing insurance, verifies eligibility instantly, and flags authorizations before service; discovered $45M in incremental revenue for Aptarro customers in FY25.
- Aptarro-MIPS Simplified quality reporting product ensuring compliance and accuracy for Merit-based Incentive Payment System (MIPS) reporting, derived from the Health eFilings acquisition and CMS Qualified Registry service.
- E&M Generate Evaluation and Management (E&M) coding tool that leverages risk assessment to objectively determine medical decision-making, helping providers code visits with accuracy and ensuring compliance with 2021 E&M guideline updates. Available through athenahealth's Marketplace.
- CodeWizard Development toolkit enabling software developers to implement complex coding and editing logic via cloud-based web services, embedded into any practice management system, EHR, or hospital information management system.
- Easy Coder Web-based coding tool enabling administrative and clinical staff to look up codes and perform edits in a single program, part of the CodeWizard development solution.
Quantifiable outcome
- 130K+ providers trust Aptarro for revenue cycle management
- +20 more outcomes
Companies that use Aptarro
Customer profileNamed customers16 records
Segments4 records
Ideal customer profiles2 records
Aptarro technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration15 records
AI capability7 records
Feature5 records
Aptarro partnerships and signals
Strategic signalPartnerships
Seven partnerships are on record, tiered core, strategic and minor.
- maxRTEcoreAptarro partners with maxRTE (a product under the same parent company ADP) to provide real-time eligibility and coverage discovery integrated into Aptarro's revenue cycle engine. The partnership enables finding missing insurance, instant eligibility verification, and flagging authorizations before service. maxRTE discovered $45M in incremental revenue for Aptarro customers in FY25. Denials are kept under 2% with this integrated solution.
- aiHealthcoreStrategic partnership to reimagine the revenue cycle with AI-powered coding and claim automation. New partnership delivers streamlined revenue reducing errors, denials, and accelerating payment from clinical notes to claims submission.
- athenahealthcoreE&M Generate joined athenahealth's Marketplace program. Integration makes Aptarro's E&M coding solution available to athenahealth's growing network of healthcare providers. Solution helps simplify subjectivity of E&M coding, produce codes faster, increase accuracy and reimbursement, and prevent under-coding and denials.
- Greenway HealthstrategicPartnership for No Surprise Act educational webinar titled 'Implementing the No Surprise Act from the Executive Level'. Webinar featured expert advice from Greenway Health and Alpha II (now Aptarro) leadership on applying requirements under the law effective January 1, 2022.
- AllscriptsstrategicAllscripts solutions support veteran care daily for clients. Alpha II incorporates extensive background in VA reimbursement programs to support partners through integrated claims editing solutions.
- eMDsminoreMDs selected Alpha II's ClaimStaker clinical claim and encounter scrubbing solution. Integration enhances claims accuracy for eMDs practice management, electronic health record, and revenue cycle management platforms.
- EZClaimminorPartnership allows EZClaim to offer ClaimStaker clinical claim and encounter scrubbing solution to more than 4,500 EZClaim customers. Integration enhances claims accuracy for EZClaim practice management, EHR, and RCM platforms.
Scale indicators20 records
Recent moves7 records
Expansion highlights5 records
Aptarro competitors and assessment
Company assessmentEmerging players
- Infinx: Infinx provides AI-driven revenue cycle solutions including prior authorization, eligibility, coding, and claims management for healthcare providers. Its technology-forward approach to RCM automation makes it a comparable emerging competitor in Aptarro's specialty.
- RCxRules (Aptarro subsidiary): RCxRules, now an Aptarro subsidiary, was an independent AI-driven revenue cycle workflow automation vendor prior to acquisition. It is included as a peer reference because the brand remains active in market and competes alongside Aptarro's broader portfolio.
Direct peers
- Availity: Availity operates a large-scale healthcare information network offering eligibility, claims, and revenue cycle solutions to providers and payers. Aptarro lists Availity among its integration partners and Julie Klapstein (Availity's founding CEO) sits on Aptarro's board, reflecting direct category overlap.
- Waystar: Waystar is a leading cloud-based revenue cycle management platform combining claims management, denials, patient billing, and analytics for healthcare providers. It directly overlaps Aptarro's claims scrubbing, denial prevention, and eligibility offerings and is identified in Aptarro's own competitive materials.
- Cotiviti: Cotiviti delivers payment accuracy, claims editing, and risk adjustment analytics to healthcare payers and providers. Its claims editing and HCC/risk-adjustment focus directly parallels Aptarro's RevCycle Engine and HCC Coding products.
- FinThrive: FinThrive offers an end-to-end RCM platform spanning patient access, claims, denials, and analytics—directly overlapping Aptarro's claims scrubbing and denial prevention stack and competing for the same hospital and large practice customers.
- Experian Health: Experian Health provides revenue cycle management software including eligibility verification, claims management, and denials—directly comparable to Aptarro's maxRTE and ClaimStaker offerings across hospitals and large provider groups.
Broad incumbents
- Optum (UnitedHealth Group): Optum's healthcare services arm offers revenue cycle, coding, claims, and analytics solutions at massive scale alongside payer-owned infrastructure. It represents the upper bound of incumbency against which mid-market RCM specialists like Aptarro compete for enterprise hospital contracts.
- R1 RCM: R1 RCM is a major end-to-end revenue cycle management company serving large hospital systems with technology plus outsourced services. Aptarro's new CEO Jeff Diamond previously held senior leadership at R1 RCM, signaling direct strategic and competitive overlap in the provider RCM space.
- 3M Health Information Systems (Solventum): Solventum (formerly 3M HIS) is a dominant provider of medical coding, reimbursement, and health information systems. Its coding automation suite competes with Aptarro's AI Medical Coding and HCC Coding offerings across large provider enterprises.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Aptarro social profiles
Digital presenceAptarro compliance and trust
Trust signalCompliance5 records
Aptarro financial estimates
Financial estimateRevenue estimate
Valuation estimate
Aptarro leadership team
Management profileNumber of profiles
Profiles9 records
Aptarro subsidiaries and ownership
Company hierarchySubsidiaries2 records
Aptarro funding detail
Funding detailFunding overview
Funding rounds1 record
Investors2 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Aptarro M&A and investment
M&A and investmentM&A4 records
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Aptarro
What does Aptarro do?
Aptarro sells AI-powered healthcare revenue cycle management software to hospitals, health systems, medical practices, and RCM service providers. Its RevCycle Engine rules engine, HCC Coding, ClaimStaker claims scrubber, AI Medical Coding, and maxRTE eligibility products catch billing errors before claims are submitted, automate corrections in real time, and route work intelligently to prevent denials. The platform integrates with 150+ EHR, practice management, RCM, and clearinghouse systems and is sold primarily as a SaaS subscription with embedded and channel licensing.
Is Aptarro a public or private company?
Aptarro is a private company. It is classified as private equity controlled and is currently operating.
When was Aptarro founded?
Aptarro was founded in 1983. It employs 101 to 250 people.
Where is Aptarro based?
Aptarro is headquartered in Tallahassee, United States, in the North America region.
How does Aptarro make money?
Two revenue lines are on record. SaaS Subscription Revenue is the primary driver. The others are platform Licensing.
Who are Aptarro's main competitors?
Emerging players on record are Infinx and RCxRules (Aptarro subsidiary). Direct peers are Availity, Waystar, Cotiviti, FinThrive and Experian Health. Broad incumbents are Optum (UnitedHealth Group), R1 RCM and 3M Health Information Systems (Solventum).
Does Aptarro have an API?
Yes. CodeWizard is a development solution that can be implemented through cloud-based web services and embedded into any practice management system, EHR, or hospital information management system. It enables software developers to implement complex coding and editing logic.
What industry is Aptarro in?
Aptarro's product category is Healthcare Revenue Cycle Management Software. Its primary akta.pro industry code is HLACACAA, Medical Billing & Coding Automation, with a secondary code of HLACACAB, Claims Management, Scrubbing & Clearinghouse. Its NAICS code is 513210 and its SIC code is 7372.