Streamline Health

What Streamline Health does

Streamline Health is a healthcare technology company that provides SaaS-based revenue cycle management solutions to hospitals and health systems, with core products spanning charge reconciliation (RevID™) and pre-bill/coding integrity (eValuator™). Founded in 1989 and headquartered in Atlanta/Alpharetta, Georgia, the company operates as a public entity on NASDAQ under ticker STRM, with an installed base spanning hospitals and health systems ranging from community hospitals (e.g., 70-bed facilities) to multi-site enterprises of up to 2,900 beds, including Tampa General Hospital among its named customers. The company was acquired by MDaudit in 2026, with the combined business operating as 'STRM by MDaudit.'

The platform's technical core is eValuator™, an AI-driven rules engine that analyzes 100% of patient encounters using anomaly detection and data clustering to surface coding-integrity and charge-capture issues before billing. Rules are continuously refined across the multi-client encounter corpus, creating a feedback loop where learning is shared across implementations. The architecture integrates with major electronic health record systems through partnerships with Oracle Health (Cerner), Altera Digital Health, and reseller/consulting channels including RSM and Guidehouse. The company has earned a KLAS Research 'Buy Again' rating, a widely-cited third-party validation in healthcare IT procurement.

The business model is enterprise SaaS subscription, generally sold on multi-year contracts directly to hospital finance and revenue cycle leadership. Revenue is generated primarily through recurring software licensing, supplemented historically by professional services and post-2021 by pharmacy consulting revenue contributed through the Avelead Consulting acquisition. The 2026 MDaudit acquisition repositions the business within an audit/compliance-domain parent, with cross-sell intent into MDaudit's compliance customer base.

Name

Streamline Health

Legal name

Streamline Health Solutions, Inc.

Website

https://streamlinehealth.mdaudit.com

Company type

Private

Founded year

1989

Operating status

Acquired

Headcount range

101–250 employees

Short description

Streamline Health provides SaaS-based revenue cycle management solutions including RevID™ and eValuator™ to US hospitals and health systems, applying AI-driven coding integrity and automated charge reconciliation to enterprise-scale pre-bill workflows.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management Software

NAICS

Business Support Services (5614)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Charge Capture & Clinical Documentation Improvement (CDI) for Billing (HLACACAF)

akta.pro secondary industries

Medical Billing & Coding Automation (HLACACAA), Claims Management, Scrubbing & Clearinghouse (HLACACAB)

Keywords

• Healthcare revenue cycle
• Pre-bill charge reconciliation
• Coding integrity software
• Medical coding audit
• Healthcare SaaS platform

Headquarters

HQ city

Alpharetta

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure

Revenue model

1. SaaS Software Subscriptions: Cloud-based subscription software solutions for revenue cycle management. The company provides pre-bill charge reconciliation (RevID™) and coding integrity (eValuator™) solutions on a subscription basis to healthcare providers.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels6 records

Core offering

Streamline Health sells two cloud-based SaaS solutions to hospitals and health systems: RevID™, which performs pre-bill charge reconciliation to capture and reconcile 100% of charges daily by ensuring every clinical activity has a corresponding charge; and eValuator™, which uses an AI-powered rules engine to analyze 100% of encounters prior to billing, flagging potential under-coded and over-coded encounters with confidence ratings to optimize coding accuracy and reimbursement. The solutions are sold on an enterprise subscription basis and supported by a client success program including dedicated client success managers and roundtables.

Product overview

Streamline Health provides a unified SaaS-based pre-bill revenue cycle management platform consisting of two core products: RevID™ for daily charge reconciliation that ensures all clinical activities are captured and billed, and eValuator™ for AI-powered pre-bill coding integrity analysis that reviews 100% of encounters before claim submission. The platform operates as a cloud-based solution empowering healthcare teams to prevent revenue leakage from missed charges, coding errors, and claim denials from within their own organizations. Supporting resources include eBooks and guides for implementation and best practices.

Differentiator

Problem solved

Functional benefit

Brands

• RevID™: Cloud-based pre-bill charge reconciliation solution that captures and reconciles 100% of charges daily by ensuring each clinical activity has a corresponding charge.
• eValuator™

Products and services

• RevID™ Cloud-based pre-bill charge reconciliation solution that captures and reconciles 100% of charges daily by ensuring each documented clinical activity has a corresponding billable charge, identifying discrepancies between clinical event documentation and billing data, and preventing missed and late charges before they become costly. Designed for hospitals and health systems' revenue cycle teams.
• eValuator™ Cloud-based pre-bill revenue and coding integrity solution that uses an AI-powered rules engine to perform 100% automated analysis of inpatient, outpatient, and professional fee encounters prior to billing, flagging potential under-coded and over-coded encounters with confidence ratings, narrative advice, and dynamic list reporting. Targets hospitals and health systems seeking CMS-compliant coding accuracy and optimized reimbursement.
• Streamline Health Revenue Integrity Solutions (formerly Avelead Consulting) Consulting-led revenue integrity services that complement the RevID and eValuator SaaS products, providing healthcare providers with revenue cycle consulting, implementation support, and back-office synergy capabilities.

Quantifiable outcome

• Health systems recover 5-8% of net revenue previously lost in mid-revenue cycle
• +3 more outcomes

Named customers7 records

Segments1 record

Ideal customer profiles1 record

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability5 records

Feature3 records

Partnerships

Four partnerships are on record, tiered core and supporting.

• Oracle HealthcoreTechnology or IntegrationOracle Cerner (now Oracle Health) partnership enables EHR integration for seamless data flow between clinical documentation and Streamline's charge reconciliation and coding integrity solutions. Oracle Cerner has over 30 years of experience making healthcare safer and more efficient with evidence-based clinical decisions.
• RSMsupportingImplementation/ SI/ Consulting PartnerRSM provides consulting services including cybersecurity, digital transformation, industry consolidation, and margin improvement. As a trusted leader in audit, tax and consulting services for the healthcare industry, RSM helps clients meet financial and operational goals.
• Altera HealthsupportingTechnology or IntegrationAltera Health provides EHR, population health, patient engagement and revenue cycle management services. With over 30 years of experience, Altera connects consumers, providers, payers and communities worldwide.
• GuidehousesupportingImplementation/ SI/ Consulting PartnerGuidehouse is a leading global consulting provider to public and commercial markets with capabilities in management, technology, and risk consulting. Helps clients address transformational change and technology-driven innovation challenges.

Scale indicators6 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• Waystar: Waystar is a leading healthcare revenue cycle management cloud platform covering claims management, denials, patient billing, and analytics. It competes directly with Streamline Health in pre-bill and broader RCM workflows for hospitals and health systems, but operates at significantly larger scale and a broader product footprint.
• FinThrive: FinThrive provides end-to-end revenue cycle management SaaS spanning patient access, charge integrity, claims, and denials. Its charge integrity and claims scrubbing modules directly overlap with Streamline Health's RevID and eValuator, and it targets the same hospital and health-system buyer.
• Availity: Availity operates a healthcare clearinghouse and revenue cycle platform connecting providers, payers, and technology partners. Its pre-bill eligibility, claim editing, and revenue cycle workflow products overlap with Streamline Health's charge reconciliation and coding integrity offerings.
• 3M Health Information Systems (Solventum): 3M HIS (now part of Solventum) is a long-standing leader in medical coding, CDI, and computer-assisted coding (CAC) software. Its coding integrity and CDI solutions are the most direct functional peer to eValuator and target the same hospital HIM and revenue cycle buyers.
• Dolbey: Dolbey offers computer-assisted coding (CAC), speech recognition, and CDI solutions for hospitals and health systems. Its coding and CDI offerings compete head-to-head with Streamline Health's eValuator in the mid-revenue cycle.

Broad incumbents

• R1 RCM: R1 RCM is a large-scale RCM technology and services provider serving hospitals and health systems. While it operates more as a tech-enabled services incumbent than a focused pre-bill SaaS, its technology platform and AI coding capabilities overlap materially with Streamline Health's offerings.
• Optum (UnitedHealth Group): Optum operates one of the largest healthcare technology and RCM portfolios, including claims management, coding, and analytics. Its coding integrity and pre-bill capabilities (including those absorbed from Change Healthcare) compete with Streamline Health across the hospital RCM stack.
• Experian Health: Experian Health provides RCM, patient access, identity management, and claims processing solutions to hospitals and payers. Its claims management and RCM workflow products overlap with Streamline Health's pre-bill focus and target the same large health-system buyers.

Emerging players

• AKASA: AKASA applies AI to revenue cycle operations for health systems, including coding assistance, claims, and denials workflows. Its generative AI coding capabilities and pre-bill focus overlap meaningfully with eValuator, making it an emerging AI-native competitor in the same niche.
• CodaMetrix: CodaMetrix provides AI-powered medical coding automation for hospitals, translating clinical documentation into coding and billing decisions. Its focus on automated inpatient and outpatient coding directly overlaps with eValuator's pre-bill coding integrity use case.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/STRM_Health
• Facebookfacebook.com/StreamlineHealthSolutions
• LinkedInlinkedin.com/company/streamline-health

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Subsidiaries1 record

Funding overview

Funding rounds2 records

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A7 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Streamline Health