HealthRecon Connect

What HealthRecon Connect does

HealthRecon Connect (legal entity HealthRecon Connect LLC, Delaware) is a technology-enabled Revenue Cycle Management (RCM) provider that delivers end-to-end billing services to US healthcare providers. The company serves six primary verticals: medical laboratories (its anchor segment, including molecular diagnostics, pharmacogenomics, and toxicology labs), physicians, hospitals, ambulatory surgery centers, imaging centers, and hospital medicine / emergency department groups. Its core product is a cloud-based RCM platform that automates the full revenue cycle from pre-billing through collections, integrating pre-billing verification, coding, billing, posting, AR recovery, patient services, credentialing and contracting, bookkeeping and accounting, and consulting. Proprietary technology components include the HRC Analytics platform (HIPAA-compliant, customizable, multi-level real-time dashboards accessible on iPhone and iPad), HIPAA EDI X12N claim scrubbing for 837P and 837I formats, and workflow automation layers described as leveraging AI, machine learning, and blockchain for denial prevention and first-pass resolution improvement. A newer standalone product, HRC Kollect (launched 2025), extends the platform into patient-side payment collections, complemented by the HRC Payment Portal.

HealthRecon Connect's business model is outcome-based managed services pricing on multi-year contracts, delivered through a direct enterprise sales motion targeting US healthcare providers with consultative selling, complementary benchmark assessments, and dedicated account teams. The company has no disclosed channel partner or reseller network and earns revenue as a full-service RCM BPO rather than per-transaction SaaS. Its certified delivery footprint spans the US (Southlake, TX headquarters; Nashville, TN), Singapore (APAC regional HQ), Australia, Sri Lanka (Colombo and Kandy delivery centers), Philippines, India (Gurgaon), and UAE, enabling offshore labor cost leverage for US-facing clients. The firm claims 30+ years of combined executive RCM expertise, processes over $1B in client revenue annually, and reports outcome metrics including 90%+ claims collected within 90 days, 80% net collections improvement, and lab-specific outcomes such as a 14.93% revenue increase for NCFDNA.

The company's compliance posture is exceptionally dense for its size, including HITRUST r2 (2023, reaffirmed 2026), ISO 9001, ISO 27001:2022, ISO 27701, ISO 22301, SOC 1 Type 1 and 2, SOC 2 Type 1 and 2, SOC 3, CMMI Level 3, and an annually renewed HIPAA Seal of Compliance. HealthRecon Connect is privately held with no disclosed institutional investor, no public funding rounds, and no M&A activity in the record. Recent strategic moves include the HRC Kollect product launch (2025), a second Sri Lankan delivery center (March 2024), the NSBM Green University talent partnership (2025), and continued certification accumulation through 2025.

Name

HealthRecon Connect

Legal name

HealthRecon Connect LLC

Website

https://healthreconconnect.com

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

HealthRecon Connect is a cloud-based, AI-enabled Revenue Cycle Management provider delivering end-to-end billing, coding, and collections services to US healthcare providers, anchored in the diagnostic laboratory vertical and supported by global delivery centers.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

SIC

Services-Misc Health & Allied Services, Nec (8090), Services-Health Services (8000), Services-Prepackaged Software (7372), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

RCM Outsourcing & Managed Billing Services (HLACACAN)

akta.pro secondary industries

Patient Billing, Statements & Payment Processing (HLACACAG), Patient Access, Registration & Intake (Front-End RCM) (HLACACAE), Price Transparency, Estimates & Patient Financial Clearance (HLACACAK), Revenue Cycle, Coding & Telehealth Compliance Platforms (for provider orgs) (HLALABAM)

Keywords

• Revenue cycle management
• Medical billing services
• Healthcare claims processing
• Medical coding services
• Healthcare analytics platform

Headquarters

HQ city

Southlake

HQ country

United States

HQ region

North America

Offices9 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Revenue Cycle Management Services: End-to-end RCM managed services covering the entire revenue cycle from pre-billing through collections, including credentialing, coding, billing, AR recovery, and patient services. The company operates an outcome-based pricing model with concierge service, dedicated operations teams, and weekly consultation calls.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels10 records

Core offering

HealthRecon Connect provides end-to-end, technology-enabled revenue cycle management (RCM) services to US healthcare providers, including laboratories, physician practices, hospitals, surgery centers, imaging centers, and hospital medicine/emergency departments. The offering combines a cloud-based RCM platform with managed services across pre-billing, billing, posting, collections, patient services, AR recovery, coding, credentialing, bookkeeping, and consulting, supported by proprietary HRC Analytics and AI/ML/blockchain automation.

Product overview

HealthRecon Connect (HRC) offers a cloud-based, technology-enabled Revenue Cycle Management (RCM) platform providing end-to-end RCM services for U.S. healthcare providers. The core platform is complemented by multiple specialized service modules — Pre-Billing, Billing, Posting, Collections, Patient Services, AR Recovery, Coding, Credentialing and Contracting, Bookkeeping and Accounting, Consulting, and HRC Analytics — all powered by AI, machine learning, and blockchain. The company also operates HRC Kollect as a patient collections sub-brand and the HRC Payment Portal as an online payment facility. The integrated portfolio covers the full revenue cycle from patient scheduling and insurance verification through claims submission, denial management, and final collections, with real-time analytics and workflow automation across all modules.

Differentiator

Problem solved

Functional benefit

Brands

• HRC Kollect: Online payment solution facility for processing payments towards HRC services. Available at hrckollect.com.

Products and services

• Revenue Cycle Management (RCM) Platform

Quantifiable outcome

• 8.33–13.67% increase in client revenue on average
• +4 more outcomes

Named customers5 records

Segments6 records

Ideal customer profiles6 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability2 records

Feature6 records

Partnerships

Six partnerships are on record, tiered minor and core.

• NSBM Green UniversityminorStrategic or Co-development Partner · 31 July 2025HealthRecon Connect forged a strategic partnership with NSBM Green University to empower future talent. The partnership aims to develop talent in the healthcare and revenue cycle management space, providing educational and professional development opportunities for students and graduates.
• M. RajaramcoreOthers · 11 August 2023M. Rajaram joined HealthRecon Connect as an Advisor, bringing extensive industry experience to support the company's strategic direction and growth initiatives in the healthcare RCM sector.
• Wade McFaulcoreOthersMr. Wade McFaul serves as an independent compliance advisor with over 25 years of service with the Office of the Inspector General – U.S. Department of Health and Human Services. He provides strategic compliance oversight to HealthRecon Connect's compliance framework.
• Dr. John McHenrycoreOthersDr. John McHenry serves as an independent compliance advisor, bringing over 33 years of experience as a specialist cardiologist. He provides clinical expertise to support HealthRecon Connect's compliance and RCM advisory functions.
• Dr. Alberto J. MonterocoreOthersDr. Alberto J. Montero serves as an independent compliance advisor, a board-certified oncologist and clinical director of the Breast Cancer Medical Oncology Program at University Hospitals Seidman Cancer Center, and associate professor of medicine at Case Western Reserve University School of Medicine. He provides oncology and academic medical center expertise to the advisory board.
• Compliancy GroupminorOthersCompliancy Group is the recognized third-party HIPAA compliance verification standard for healthcare professionals, vendors, and IT professionals. HealthRecon Connect earned the HIPAA Seal of Compliance from Compliancy Group, validating adherence to HIPAA Privacy Rule, Security Rule, Breach Notification Rule, Omnibus Rule, and HITECH.

Scale indicators12 records

Recent moves8 records

Expansion highlights5 records

Broad incumbents

• Oracle Health (formerly Cerner): Oracle Health offers hospital and ambulatory EHR systems with integrated RCM capabilities for large health systems. It is a broad incumbent competing with HRC in enterprise hospital RCM through embedded claim management, coding, and billing workflows.
• Optum (UnitedHealth Group): Optum is the largest healthcare services and innovation arm of UnitedHealth Group, offering RCM, population health, and payer-provider services. It competes broadly with HRC across hospital, physician, and ancillary RCM but operates at much greater scale and with deeper payer-side integration.

Direct peers

• AGS Health: AGS Health is a tech-enabled RCM and healthcare analytics services provider for US providers and health systems. It is a direct competitor in outsourced coding, billing, AR, and analytics with offshore delivery operations similar to HRC's global model.
• GeBBS Healthcare Solutions: GeBBS Healthcare Solutions is an offshore-driven RCM, coding, and HIM outsourcing provider serving US hospitals, physician groups, and labs. It is a direct competitor in managed RCM services with a similar global delivery model and lab/ancillary focus.
• R1 RCM: R1 RCM is a leading end-to-end revenue cycle management provider serving US hospitals and healthcare systems. It directly competes with HRC in the enterprise RCM managed services category, including coding, billing, AR, and patient access.
• Waystar: Waystar provides cloud-based revenue cycle management software for claims management, patient access, and analytics to US healthcare providers. It is a direct competitor in mid-market and enterprise RCM software, particularly around analytics, eligibility, and denial management where HRC Analytics also plays.
• Athenahealth: Athenahealth offers an integrated EHR plus RCM platform with outsourced billing services for physician practices and hospitals. It competes directly with HRC's physician and ambulatory segments and increasingly with hospital RCM offerings.

Emerging players

• Availity: Availity operates a healthcare information network offering provider-payer data exchange, eligibility, claims, and RCM-adjacent tools. It overlaps with HRC's front-end RCM and payer connectivity workflows, particularly around eligibility verification.
• Cedar (Cedar Pay): Cedar is a patient engagement and billing platform focused on patient financial experience and post-visit collections for US providers. It is comparable to HRC's HRC Kollect patient payments initiative and adjacent to HRC's broader Patient Services module.
• Experian Health: Experian Health provides revenue cycle management software including patient access, claims management, and identity tools to US providers. It overlaps with HRC in eligibility verification, patient access, and front-end RCM workflows but is more software-led than services-led.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xtwitter.com/Health_Recon
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• LinkedInlinkedin.com/company/healthreconconnect
• Instagraminstagram.com/health_recon

Compliance10 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Subsidiaries4 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 HealthRecon Connect