Top 8 Rivet Health Alternatives & Competitors 2024

Healthcare industry leaders agree that organizations can cut costs, improve revenue, and modernize operations by automating large portions of their revenue cycle management (RCM). Automation maximizes healthcare organizations' revenue while simultaneously reducing the escalating costs associated with manual labor.  Software solutions like Rivet Health can now automatically verify benefits, generate good faith estimates, detect underpayments, check patient registration data, and more. 

The landscape of RCM solution providers is diverse. Some companies offer proprietary software solutions. Others provide a hybrid approach, combining software with management services, consultants, and offshore staff support. Rivet is primarily a software provider offering several point solutions. While, like most, it offers onboarding and maintenance support, it doesn't provide consultants for overarching strategy or specialists to conduct patient verifications, underpayment detection, or any other RCM task.

If Rivet doesn't seem like the best RCM software for your healthcare organization, keep reading to learn about its top eight alternatives.

Top 8 Rivet Health Alternatives

• MD Clarity
• TriZetto
• Change Healthcare
• Waystar
• TruBridge
• AZZLY
• Dentrix
• StrataPT

A Rivet Health alternative that is most similar and more mature

MD Clarity

Description

MD Clarity is a mature player in the RCM software space.  It has provided advanced RCM software solutions for over 10 years. Their solutions include precise contract management, underpayment recovery, and patient payment estimate tools. Their new contract modeling feature allows healthcare providers to simulate proposed changes to insurance contracts and trial run their own fee schedule numbers.  

As a mission-driven organization, MD Clarity was founded on the principles that providers deserve full payment for their services and that patients deserve to know exactly what their healthcare will cost upfront. Their flagship products, RevFind and ClarityFlow, enhance revenue processes by digitizing contracts, detecting payment discrepancies, and producing automated patient payment estimates. ClarityFlow improves patient satisfaction by providing accurate pricing information throughout the care journey, while also helping providers collect more revenue upfront. The company serves managed service organizations, forward-thinking provider groups, and medical practices. It support a wide array of medical specialties. 

MD Clarity has earned recognition as a top workplace by BuiltIn. It also made Inc. magazine’s list of the 5000 fastest-growing private companies in America in 2024.  MD Clarity has earned an average of 4.8 / 5 stars on G2.

MD Clarity and Rivet Similarities and Differences

MD Clarity and Thoughtful AI revenue cycle management both solutions include:

•  automated eligibility and benefits verification tools
•  analytics for various points in the revenue cycle
• point solutions software rather than combining software with human specialists
•  expert knowledge incorporated into their software
• implementation support and ongoing customer service

However, key differences between the two companies are:

Thoughtful AI emphasizes:

•  improving workflow efficiency 
•  enhancing productivity
•  controlling labor costs

MD Clarity focuses on:

•  quickly improving revenue 
• contract management and modeling
•  generating good faith estimates for more upfront collections and transparency

MD Clarity and Rivet provide similar tools, including:

• Clarity Flow is similar to Rivet's Patient Pricing. It generates out-of-pocket cost estimates, encouraging patients to make upfront deposits. Clarity Flow can auto-send patient cost estimates through text, email, or letter. The good faith estimates it creates are compliant with the No Surprises Act.‍
• Contract Analytics is similar to Rivet's Payer Performance. Contract Analytics tells you how your insurance contracts are performing, ranking payers in order of highest fees, lowest underpayments, and more. By plugging your preferred numbers in, you can also simulate the impact of contract changes on cash flow. You can also use it to compare performance across payer contracts so you can renegotiate from stronger positions.‍
• RevFind is similar to Rivet's Claim Resolution. RevFind provides transparency for your revenue cycle staff. It spots patterns of underpayment by insurance providers, ensures your team is setting your chargemaster optimally, and assigns appeals and investigations to staff. Users can also see task statuses all in one place.

Take a quick, self-guided tour through a powerful contract performance optimization and underpayments recovery tool:

TriZetto

Description

TriZetto Provider Solutions was founded as Gateway EDI and was acquired by Cognizant in 2014. TriZetto provides some solutions in the RCM space, but is heavily focused on billing, coding, and credentialing services as well.

Features in common with Rivet Health

Like Rivet, TriZetto combines customer-focused services and intuitive products with in-depth industry knowledge to simplify medical practice management. TriZetto solutions include:

• Patient engagement solutions: You can use it to verify patient eligibility, simplify the authorization process, have informed conversations about financial responsibility and eligibility with patients, and increase upfront payments.
• Denials and contract management solutions: You can automate the identification of institutional and professional denials and underpayments, audit payers for compliance, streamline recovery, and optimize operations with business intelligence and analytics.

Ratings

TriZetto has an average rating of 4.3/5 stars on G2.

A Rivet Health alternative that produces APIs for automating RCM

Change Healthcare

Description

Change Healthcare Inc. was formerly known as Emdeon before rebranding in 2015. It aims to accelerate healthcare transformation through the Change Healthcare Platform.

Features similar to those of Rivet Health

The Change Healthcare Platform has features in common with Rivet Health; however, some features are provided in the form of APIs, which does not make it an ideal fit for some. Features include:

• Healthcare application programming interfaces (APIs): You can manage and consolidate transactions by streamlining the intake process for benefits verification, eligibility, claims submission, payments, and processing.
• Reimbursement solutions: These solutions help payers and providers streamline claims processing and prevent denials before submission.
• Data access APIs: You can use these tools to manage risk adjustments better, ensure accurate payments, and improve Healthcare Effectiveness Data and Information Set (HEDIS) scores.

Ratings

Change Healthcare has a score of 3.7/5 stars on G2.

A Rivet Health alternative that is known for its claims clearinghouse

Waystar

Description

ZirMed and Navicure merged in 2017 and rebranded to Waystar in 2018. The company is headquartered in Louisville, KY. Waystar is known for running one of the largest and most recognized claims clearinghouses.

Features in common with Rivet Health

Waystar has some shared features with Rivet Health. These include:

• Financial Clearance: This draws on predictive analytics and the latest tech to simplify prior authorization processes and eligibility verification. It also helps patients understand their financial obligations and gives providers visibility into patients' propensity to pay.
• Revenue Capture: This tool uses machine learning and predictive analytics as well as Waystar's dedicated team of certified coding experts to identify and correct coding mistakes.
• Claim Management: This suite helps you prevent denials and rejections before they happen, automate claim monitoring, and simplify attachments. It is also the only platform that lets you work on both government and commercial claims in one place.

Ratings

Waystar has 4.5/5 stars on G2.

A Rivet Health alternative that provides outsourced RCM services

TruBridge

Description

TruBridge was founded in 2013 and has helped many healthcare organizations with revenue cycle management. The company provides both consulting services and software solutions. 

Features similar to those of Rivet Health

TruBridge has some features in common with Rivet Health. These are:

• Patient Liability Estimates (PLEs): Essentially, PLEs are TruBridge's name for GFEs. TruBridge's PLEs give patients approximate out-of-pocket expenses before service, giving them more confidence to pay faster.
• Claim Scrubbing and Submission: This product accelerates payments and minimizes processing time with a 97% first-pass clean claim rate according to TruBridge.
• Denial and Audit Management: This solution offers cross-departmental workflow management tools that spot and resolve denied and audited claims. Use this system to get paid faster, drive productivity, and minimize repetitive tasks.

Ratings

TruBridge has a rating of 3.4/5 on G2.

A Rivet Health alternative that specializes in behavioral health centers

AZZLY

AZZLY was established in 2009 and is headquartered in Orlando, Florida. The company focuses on delivering an integrated, cloud-based solution for behavioral health and addiction treatment providers to streamline their practice management, electronic health records, and revenue cycle management processes.

Features

AZZLY's features include:

• eBilling & Claims: A feature that streamlines the submission and tracking of electronic bills and insurance claims. This allows providers to efficiently manage their billing processes, monitor claim status, and reduce errors. Additionally, it ensures timely reimbursements by facilitating faster claim submissions and addressing any issues that may arise during the process.
• Auto-Claims: An automated feature that generates insurance claims based on the provided patient and service information. This simplifies the claims process and reduces the possibility of errors, leading to faster reimbursements and fewer denials. By streamlining the claims process, healthcare providers can devote more time to patient care and other essential tasks.

Azzly has 3.9/5 stars on Capterra.

A Rivet Health alternative that is geared toward dentists

Dentrix

Description

Dentrix Dental Systems was founded in 1985 and acquired by Henry Schein, Inc. in 1997. It was the first practice management system for Windows in 1989 and the first to be approved for Windows 98.

Unlike the other Rivet competitors on this list, the Dentrix practice management software is specifically designed for dental practices.

Features

Dentrix’s features include:

• Billing and collection tools: You can use this to accelerate payment collection, manage debit and credit card payments, create and send billing statements, and collect payments in less time. They also let you track patient eligibility and insurance claims.
• Clinical tools: These tools integrate with a wide range of office tools and place information about every payer in one centralized hub. You can also use them to record, store, and view data graphically or numerically.

Ratings

Dentrix has 4.3/5 stars on Software Advice and GetApp.

A Rivet Health alternative that specializes in physical therapists

StrataPT

Description

StrataPT was founded in 2010 for physical, occupational, and speech therapists. The company provides more than just practice management software — it also offers a full-service billing team dedicated to helping practices and providers get paid.

Features in common with Rivet Health

StrataPT's RCM and billing solution has several features in common with Rivet Health. These include:

• Patient statement clarity and online bill pay features: Use these features to schedule real-time balance alerts for clients and give them a simple way to review and pay their invoices through text or email.
• Automated Medicare eligibility features: This shows you a patient's Medicare eligibility so you don't have to log into Medicare's portal.
• StrataPT's insurance credentialing service: This service conducts paper analyses for your local market, submits payer applications, and conducts weekly follow-ups with payers until you receive approval letters.

Ratings

StrataPT has a rating of 4/5 on Software Advice and a rating of 5/5 stars on Software Finder.

See for yourself how the competition stacks up

If you want a solution that is similar to Rivet but more established, consider MD Clarity. MD Clarity's products boost patient experience and your bottom line by automating patient cost estimates, contact optimization, and payer underpayment detection in one place. MD Clarity's Clarity Flow, Contract Analytics, and RevFind provide nearly all of the same features as Rivet's Patient Pricing, Payer Performance, and Claim Resolution, respectively.

Interested in seeing firsthand how MD Clarity stacks against Rivet Health? Book a personalized demo today.

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