Resolv Healthcare
- Company typePrivate
- Founded2022
- HeadquartersWest Warwick, United States
- Headcount251–500
- GTM typeB2B
- OfferingServices
Resolv Healthcare firmographics
Firmographics- Name
- Resolv Healthcare
- Legal name
- Resolv Healthcare
- Website
- https://resolvhealthcare.com
- Company type
- Private
- Founded year
- 2022
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Ownership category
- akta.pro rank
Resolv Healthcare industry classification
Industry- Product category
- Healthcare Revenue Cycle Management
- NAICS
- Computer Systems Design and Related Services (54151), Management Consulting Services (54161)
- SIC
- Services-Prepackaged Software (7372), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Claims Management, Scrubbing & Clearinghouse (HLACACAB)
- akta.pro secondary industries
- Patient Billing, Statements & Payment Processing (HLACACAG), Provider Credentialing & Enrollment (Payer Contracting Ops) (HLACACAM)
Keywords
Where Resolv Healthcare is headquartered
LocationHeadquarters
- HQ city
- West Warwick
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Resolv Healthcare business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- RCM Services Revenue: Comprehensive revenue cycle management services including billing, coding, claims management, denial management, credentialing, and payer enrollment for healthcare organizations. Services are customized to practice type and delivered through high-touch service model.
- Software Product Licenses/Subscriptions: Proprietary RCM software products including CareTracker, PrognoCis, SalientView, Conexem, CompData, and Practice View offered to healthcare providers. Products provide analytics, claims management, and practice management functionality.
- Professional Services: Consulting services, workflow optimization, credentialing support, and implementation services for healthcare revenue cycle operations.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Multi-year contract | Custom quote-based pricing determined through consultation |
Go-to-market motion2 records
Distribution channels2 records
Marketing channels5 records
Resolv Healthcare product offering
Product offeringCore offering
Resolv Healthcare provides end-to-end revenue cycle management services — including billing, coding, claims management, denial management, credentialing, and payer enrollment — for ambulatory practices, hospitals, laboratories, dental practices/DSOs, and workers' compensation providers. The company complements these services with a portfolio of proprietary RCM software products (CareTracker, PrognoCis, SalientView, Conexem, CompData, and Practice View) and offers professional consulting, workflow optimization, and implementation services under multi-year, quote-based contracts.
Product overview
Resolv Healthcare is a Harris Revenue Cycle Business offering a unified suite of revenue cycle management (RCM) solutions across multiple healthcare segments. The product portfolio includes CareTracker, PrognoCis, and SalientView as core RCM brands, complemented by specialized products: CompData and Conexem for workers' compensation and personal injury claims management, and Practice View (integrated with Open Dental) for dental practice revenue cycle management. The company serves ambulatory practices, hospitals and hospital-based providers, laboratory services, dental practices and DSOs, and workers' comp and personal injury providers.
Differentiator
Problem solved
Functional benefit
Brands
- CareTracker: Healthcare revenue cycle management product
- PrognoCis
- SalientView
- Conexem
- CompData
- Practice View + Open Dental
Products and services
- CareTracker CareTracker is a Resolv Healthcare revenue cycle management product for healthcare providers, offering RCM functionality tailored to provider workflows.
- PrognoCis PrognoCis is a Resolv Healthcare revenue cycle management product for healthcare providers, providing RCM functionality as part of the company's vertical software portfolio.
- SalientView SalientView is a Resolv Healthcare revenue cycle management product for healthcare providers, providing RCM functionality across the company's product portfolio.
- Conexem Conexem is workers' compensation and personal injury billing and claims management software that helps medical practices manage injury-based cases with specialized reporting requirements and legal case integration. It is used by more than 200 medical providers in California for hospital, outpatient surgery center, and provider RCM including legal representation.
- CompData CompData is workers' comp case resolution software with the industry's only fully integrated EAMS and EDEX search, enabling 75% faster claims search and verification. Since 1987, CompData has helped hospitals with lien recovery and has electronically filed more than 2 million liens and other documents.
- Practice View + Open Dental Practice View is a web-based dental practice management and revenue cycle dashboard that integrates seamlessly with Open Dental, a HIPAA-compliant open-source dental practice management software. It provides practice analytics, patient accounts management, FPC funding details, claims list with timely filing deadline tracking, comprehensive reporting, patient eTools, and secure off-site data backups for dental practices and DSOs.
- Revenue Cycle Management Services Comprehensive managed RCM services including billing, coding, claims management, denial management, credentialing, and payer enrollment for ambulatory practices, hospitals, laboratories, dental practices/DSOs, and workers' compensation and personal injury providers. Services are customized to practice type and delivered through a high-touch service model.
- Medical Credentialing and Payer Enrollment Services Credentialing support, payer enrollment, workflow optimization, consulting, and implementation services for healthcare revenue cycle operations, with documented 1-5% revenue lift from credentialing improvements.
Quantifiable outcome
- 1-5% revenue lift from credentialing improvements
- +4 more outcomes
Companies that use Resolv Healthcare
Customer profileNamed customers2 records
Segments5 records
Ideal customer profiles5 records
Resolv Healthcare technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration1 record
Feature6 records
Resolv Healthcare partnerships and signals
Strategic signalScale indicators5 records
Recent moves7 records
Expansion highlights5 records
Resolv Healthcare competitors and assessment
Company assessmentDirect peers
- Availity: Healthcare information network providing eligibility, claims and prior authorization solutions. Competes with Resolv in payer-provider data exchange and revenue cycle workflow software.
- Waystar: Cloud-based healthcare RCM software platform spanning claims management, patient billing and payments. Competes with Resolv's CareTracker/PrognoCis/SalientView products across the same hospital and ambulatory verticals.
- Coronis Health: Mid-market healthcare RCM services and technology provider serving ambulatory, hospital and specialty practices. Closely comparable scale and vertical mix to Resolv, often competing for similar mid-market RCM contracts.
- Revecore: Specialist in complex claims RCM, including workers' compensation and motor vehicle accident cases. The closest direct comparable to Resolv's Conexem and CompData products within California workers' comp and PI niches.
- EnableComp: Specialized workers' compensation and complex claims RCM provider for hospitals and health systems. Directly comparable to CompData/Conexem in the workers' comp and complex claims subsegment Resolv targets.
- R1 RCM: Largest publicly-traded pure-play healthcare RCM services and software provider. Directly comparable to Resolv in serving hospitals and ambulatory providers with end-to-end revenue cycle solutions, but at materially larger scale.
Broad incumbents
- Optum (UnitedHealth Group): Diversified healthcare services and technology giant with a significant RCM and payment integrity franchise. Competes with Resolv across enterprise hospital RCM, but as one capability within a much broader payer-provider-services portfolio.
- athenahealth: Cloud-based EHR and practice management vendor with a bundled RCM services offering. Targets many of the same ambulatory and group provider customers Resolv serves, often competing on integrated workflow.
- Experian Health: Healthcare-focused division of Experian offering eligibility, claims management, patient billing and identity products. Overlaps with Resolv's RCM software stack, especially in patient access and billing workflows.
- NextGen Healthcare: EHR/PM and RCM vendor serving ambulatory practices and specialty groups. Competes directly with Resolv's ambulatory and group provider solutions through bundled software-plus-services offerings.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Resolv Healthcare social profiles
Digital presenceResolv Healthcare compliance and trust
Trust signalCompliance2 records
Resolv Healthcare financial estimates
Financial estimateRevenue estimate
Valuation estimate
Resolv Healthcare leadership team
Management profileNumber of profiles
Profiles10 records
Resolv Healthcare subsidiaries and ownership
Company hierarchySubsidiaries5 records
Resolv Healthcare funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Resolv Healthcare M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Resolv Healthcare
What does Resolv Healthcare do?
Resolv Healthcare provides end-to-end revenue cycle management services — including billing, coding, claims management, denial management, credentialing, and payer enrollment — for ambulatory practices, hospitals, laboratories, dental practices/DSOs, and workers' compensation providers. The company complements these services with a portfolio of proprietary RCM software products (CareTracker, PrognoCis, SalientView, Conexem, CompData, and Practice View) and offers professional consulting, workflow optimization, and implementation services under multi-year, quote-based contracts.
Is Resolv Healthcare a public or private company?
Resolv Healthcare is a private company. It is classified as corporate owned and is currently operating.
When was Resolv Healthcare founded?
Resolv Healthcare was founded in 2022. It employs 251 to 500 people.
Where is Resolv Healthcare based?
Resolv Healthcare is headquartered in West Warwick, United States, in the North America region.
How does Resolv Healthcare make money?
Three revenue lines are on record. RCM Services Revenue is the primary driver. The others are software Product Licenses/Subscriptions and professional Services.
Who are Resolv Healthcare's main competitors?
Direct peers on record are Availity, Waystar, Coronis Health, Revecore, EnableComp and R1 RCM. Broad incumbents are Optum (UnitedHealth Group), athenahealth, Experian Health and NextGen Healthcare.
Does Resolv Healthcare have an API?
No public API is recorded for Resolv Healthcare.
What industry is Resolv Healthcare in?
Resolv Healthcare's product category is Healthcare Revenue Cycle Management. Its primary akta.pro industry code is HLACACAB, Claims Management, Scrubbing & Clearinghouse, with a secondary code of HLACACAG, Patient Billing, Statements & Payment Processing. Its NAICS code is 54151 and its SIC code is 7372.