Assembly

Name

Assembly

Legal name

Assembly Health

Website

https://assembly.health

Company type

Private

Operating status

Operating

Headcount range

1,001–5,000 employees

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management Services

NAICS

Computer Systems Design and Related Services (54151), Custom Computer Programming Services (541511)

SIC

Services-Misc Health & Allied Services, Nec (8090), Services-Computer Integrated Systems Design (7373), Services-Computer Programming Services (7371)

akta.pro primary industry

Claims Management, Scrubbing & Clearinghouse (HLACACAB)

akta.pro secondary industries

Patient Access, Registration & Intake (Front-End RCM) (HLACACAE), Enterprise Integration Engines & Interface Management (HL7 v2/X12/API) (HLACABAC)

Keywords

• Revenue cycle management
• Medical billing services
• Healthcare RCM
• Denial management
• Specialty medical billing

Headquarters

HQ city

Chicago

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Revenue Cycle Management Services: Assembly Health provides end-to-end revenue cycle management services to physician practices, post-acute communities, and behavioral health organizations. Services include medical billing and coding, A/R management, payment posting, denial management, reporting and analytics, provider enrollment, prior authorizations, and credentialing. The company operates as a B2B services provider charging healthcare organizations for RCM expertise, likely on a contract/fee basis tied to performance outcomes.

Go-to-market motion2 records

Distribution channels2 records

Marketing channels6 records

Core offering

Assembly Health provides end-to-end revenue cycle management (RCM) services to physician practices, post-acute communities, and behavioral health organizations. Its core offerings include medical billing and coding, accounts receivable (A/R) management, payment posting, denial management, reporting and analytics, provider enrollment and credentialing, prior authorizations, and specialty-specific revenue cycle support across nine physician specialties plus post-acute and behavioral health verticals. The platform integrates with major EHR and practice management systems (Epic, Cerner, Meditech, Nextech, ModMed, eClinicalWorks, PCC, MatrixCare, Kipu, PointClickCare, athenahealth, and others) and uses AI-enabled automation and clearinghouse connectivity via Availity to optimize revenue performance.

Product overview

Assembly Health is a revenue cycle management (RCM) platform offering specialized services across physician practices, post-acute communities, and behavioral health organizations. The core offering is end-to-end RCM encompassing medical billing and coding, A/R management, denial management, payment posting, reporting and analytics, provider enrollment, and prior authorizations. The company provides specialty-specific RCM modules for ophthalmology, orthopedics, pain management, radiology, radiation oncology, podiatry, ASCs, and multi-specialty physician practices. For post-acute care, it offers SNF-focused RCM combined with financial services (accounts payable, cash management, financial statements) and clinical consulting (MDS coordinators, Medicare consulting, mock surveys, risk assessments) via partnerships with Edge Consulting and Polaris Group. Behavioral health services include RCM for substance use disorder treatment centers (H0010-H2036 codes, ASAM levels) and mental health treatment centers. Point solutions include provider enrollment and credentialing and prior authorization management. All services integrate with a broad set of EHR and practice management systems including Epic, Cerner, Meditech, athenahealth, eClinicalWorks, Kareo, Nextech, ModMed, Kipu, MatrixCare, PointClickCare, and others.

Differentiator

Problem solved

Functional benefit

Products and services

• Revenue Cycle Management (RCM) for Physician Practices End-to-end revenue cycle management services for physician groups, encompassing medical billing and coding, A/R management, payment posting, denial management, reporting and analytics, provider enrollment and credentialing, and prior authorizations across multiple specialties. Intended for physician practice administrators and CFOs seeking to offload billing complexity and improve net collection rates.
• Ophthalmology RCM Specialized revenue cycle management for ophthalmology practices, covering CPT/HCPCS/ICD-10 codes for cataract surgery, glaucoma treatment, retinal procedures, refractive surgery, and diagnostic testing, with denial reduction and compliance monitoring.
• Orthopedic RCM Specialized revenue cycle management for orthopedic practices, covering joint replacements, arthroscopy, fracture care, spinal procedures, and sports medicine treatments, with ASC and hospital billing expertise.
• Pain Management RCM Specialized revenue cycle management for pain management practices, covering nerve blocks, epidural steroid injections, spinal cord stimulation, and radiofrequency ablation procedures, with payer-specific billing strategies.
• Radiology RCM Specialized revenue cycle management for diagnostic and interventional radiology, covering diagnostic imaging, interventional procedures, nuclear medicine, and teleradiology services across hospital-based and outpatient settings.
• Radiation Oncology RCM Specialized revenue cycle management for radiation oncology, covering IMRT, brachytherapy, stereotactic radiosurgery, and proton therapy with multi-modality treatment billing expertise.
• Podiatry RCM Specialized revenue cycle management for podiatry practices, covering bunionectomy, hammertoe correction, fracture care, orthotic devices, and wound care procedures across office and surgical settings.
• Ambulatory Surgical Center (ASC) RCM Specialized revenue cycle management for ambulatory surgical centers, covering multi-specialty and single-specialty ASC billing with accurate charge capture, CMS and commercial payer compliance.
• Multi-Specialty RCM Revenue cycle management for group practices and multi-specialty clinics managing cross-specialty coding, documentation, and compliance across multiple service lines.
• Post-Acute RCM & Financial Services Comprehensive RCM solutions for post-acute communities including skilled nursing facilities, encompassing insurance verification, claim submission, payment posting, financial services (accounts payable, cash management, financial statements), and clinical consulting through Edge Consulting and Polaris Group partnerships.
• SNF Clinical Solutions Skilled nursing clinical consulting solutions including outsourced MDS coordinators, Medicare consulting, clinical compliance consulting, mock surveys, and risk assessments to improve care outcomes and decrease operational risk.
• Behavioral Health RCM Revenue cycle management for behavioral health communities, including eligibility verification, billing, credentialing, utilization review, and reporting and analysis, with ASAM/DSM-5 coding expertise.
• Substance Use Disorder (SUD) Treatment RCM Specialized RCM for addiction and substance use disorder treatment centers, covering H0010-H2036 billing codes, ASAM-aligned levels of care, detox, residential, PHP, and IOP programs, with EMR and clearinghouse integration.
• Mental Health Treatment RCM Specialized RCM for mental health treatment centers covering CPT and ICD-10 codes for therapy, psychiatry, and behavioral health services with payer contracting, compliance, and documentation expertise.
• Provider Enrollment & Credentialing Standalone point solution for provider enrollment and payer credentialing to accelerate provider onboarding, prevent reimbursement delays, and support practice expansion and growth.
• Prior Authorizations Standalone point solution for prior authorization management to verify benefits, authorizations, and patient financial responsibility upfront, preventing avoidable denials and improving reimbursement predictability.

Quantifiable outcome

• Accounts receivable reduced by 50% after outsourcing to Assembly Health for one multi-divisional practice
• +3 more outcomes

Named customers15 records

Segments5 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration17 records

AI capability4 records

Feature4 records

Partnerships

16 partnerships are on record, tiered core, minor and supporting.

• EpiccoreTechnology or IntegrationAssembly Health integrates with Epic's EHR and practice management systems to enable seamless insurance verification, billing, and claims management for healthcare providers using Epic platforms.
• Cerner (Oracle Health)coreTechnology or IntegrationAssembly Health integrates with Cerner/Oracle Health EHR systems for seamless data exchange and revenue cycle management across Cerner-using provider organizations.
• MeditechcoreTechnology or IntegrationAssembly Health integrates with Meditech EHR and hospital information systems to support revenue cycle management for Meditech-using providers.
• Nextech SystemscoreStrategic or Co-development PartnerAssembly Health co-hosts an 'RCM Survival' webinar series with Nextech Systems, with panel participation at Nextech EDGE 2026. The partnership includes co-authored thought leadership content on revenue cycle management published on Assembly's blog.
• KipucoreTechnology or IntegrationAssembly Health integrates with Kipu EMR, a behavioral health-specific electronic medical records platform, to support addiction treatment and mental health billing workflows.
• MatrixCarecoreTechnology or IntegrationAssembly Health integrates with MatrixCare, a long-term care and skilled nursing EHR platform, to support post-acute RCM workflows for SNFs and long-term care communities.
• ModMedcoreTechnology or IntegrationAssembly Health integrates with ModMed's EHR platform to enable seamless RCM workflows for specialty medical practices using ModMed systems.
• eClinicalWorkscoreTechnology or IntegrationAssembly Health integrates with eClinicalWorks (eClinical) EHR/practice management systems to support medical billing and revenue cycle management across practices using the platform.
• PCC (Practice Management System)coreTechnology or IntegrationAssembly Health integrates with PCC practice management systems to enable revenue cycle management for pediatric and other specialty practices using PCC platforms.
• PointClickCarecoreTechnology or IntegrationAssembly Health integrates with PointClickCare, a leading skilled nursing and senior living EHR platform, to support post-acute community RCM workflows.
• AvailitycoreTechnology or IntegrationAssembly Health leverages Availity as a multi-payer clearinghouse and data exchange platform for eligibility verification, claims submission, and remittance management.
• AthenahealthcoreTechnology or IntegrationAssembly Health integrates with Athenahealth's EHR and practice management platform to support RCM workflows for practices using Athenahealth's cloud-based systems.
• HST PathwayscoreTechnology or IntegrationAssembly Health integrates with HST Pathways, an ambulatory surgery center (ASC) management and billing platform, to support ASC-specific revenue cycle workflows.
• Second Wind DreamsminorOthersAssembly Health partners with Second Wind Dreams for volunteering and philanthropy initiatives, as referenced in the company's Careers page benefits section.
• QHCR (Enrollment & Credentialing)supportingImplementation/ SI/ Consulting PartnerAssembly Health partners with QHCR for provider enrollment and credentialing services within its post-acute RCM and financial services offering, helping skilled nursing facilities manage payer enrollment workflows.
• Polaris Group (Clinical Consulting)supportingImplementation/ SI/ Consulting PartnerAssembly Health partners with Polaris Group for clinical consulting services including MDS coordinators, Medicare consulting, clinical compliance consulting, mock surveys, and risk assessments for skilled nursing communities.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Emerging players

• AKASA: AI-enabled automation company focused on revenue cycle workflows for hospitals and health systems. Comparable to Assembly as a forward-looking AI-in-RCM player, but more software- and automation-centric rather than full-service RCM.

Direct peers

• Waystar: Cloud-based revenue cycle technology platform serving hospitals, health systems, and physician practices with claims management, clearinghouse, denial management, and analytics. Comparable as an enterprise RCM technology stack competing for the same customers Assembly targets.
• Omega Healthcare: Large-scale outsourced RCM and medical coding services provider serving physician practices, hospitals, and payers globally. Directly comparable to Assembly as a managed-services RCM competitor leveraging scale and offshore delivery.
• R1 RCM: Largest pure-play healthcare RCM services company serving hospitals, health systems, and physician groups across the U.S. Directly comparable to Assembly as an end-to-end RCM outsourcer with specialty modules — but at materially larger scale and with greater capital backing.
• Aspirion: Specialized complex claims and denials management vendor for hospitals and physician groups. Comparable to Assembly on denial management and A/R recovery services, with overlap in hospital-based and specialty provider clients.
• Coronis Health: Outsourced RCM and medical billing services firm focused on specialty physician practices and ambulatory groups. Comparable to Assembly as a sub-segment-specialized RCM services competitor with similar go-to-market on specialty practices.
• Cotiviti: Healthcare payment accuracy and RCM analytics vendor serving payers and providers with audit, recovery, and analytics services. Comparable to Assembly on denial management, underpayment identification, and RCM analytics offerings.
• Experian Health: Healthcare technology business offering patient access, eligibility verification, claims management, and denials/collections automation. Comparable as a competitor across front-end and back-end RCM with material EHR and clearinghouse relationships overlapping with Assembly.

Broad incumbents

• Optum (UnitedHealth Group): Vertically integrated health services business including RCM, revenue cycle consulting, and analytics alongside payer and PBM operations. Comparable as a broader incumbent offering RCM as part of a much wider portfolio across providers and payers.

Others

• Availity: Healthcare clearinghouse and data exchange network used by providers and payers for eligibility, claims, and remittance. Comparable to Assembly as an ecosystem partner and infrastructure enabler for RCM — overlapping in payer-side data exchange rather than direct RCM delivery.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/assemblyhealth
• LinkedInlinkedin.com/company/assemblyhealth

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about Assembly