# R1 RCM Alternatives: 11 Tools Compared (2026) > Nine R1 RCM alternatives in HIM / RCM Outsourcer & LPO at scale, compared on turnaround, pricing model and published rate. Canonical page: https://medrecords.ai/alternatives/r1-rcm/ --- New — **Missing Records Detection:** flags every visit, provider, and date missing from the file. [See how →](https://medrecords.ai/product/missing-records-identification/) [Home](https://medrecords.ai/) ›[Alternatives](https://medrecords.ai/alternatives/) › — R1 RCM alternatives R1 RCM ALTERNATIVES ## R1 RCM alternatives, compared on what each vendor actually publishes R1 RCM publishes five of the eight facts a buyer needs; no rate, no turnaround. The nine alternatives below are compared on the same eight rows: processing model, human QA, turnaround, pricing model, indicative cost, export formats, fit and rating. Of the eleven tools in the table, one publish a rate you can act on. 11 tools compared — ·Eight rows each — ·Vendor claims captured 13 August 2026 ### What R1 RCM publishes The Content Hub files R1 RCM under HIM / RCM Outsourcer & LPO at scale. Its published fit: Large Hospitals & Health Systems - Full RCM. On the work itself it publishes a processing model (AI + Human (Phare clinical intelligence engine + RCM staff)) and a human-QA position (Included). Neither a rate nor a turnaround is published, which is where the comparison below starts. Processing model — AI + Human (Phare clinical intelligence engine + RCM staff) Human QA — Included Typical turnaround — Not published Pricing model — Percentage-of-collections or flat monthly fee (custom quote) Indicative cost — Not published Export formats — Not published Best for — Large Hospitals & Health Systems - Full RCM Customer satisfaction — 84.5/100 KLAS Services score; multiple Best in KLAS awards 2020-2026 #### Read the full R1 RCM profile Coding and charge capture as part of end-to-end RCM (pre-registration, financial clearance, charge capture, coding, billing/follow-up, underpayments, [R1 RCM in the Content Hub →](https://medrecords.ai/content-hub/services/r1-rcm/) Category: HIM / RCM Outsourcer & LPO at scale. Vendor claims captured 13 August 2026. Rows marked not published were searched for and not found on the vendor site. ### 11 tools, four questions each Processing model, turnaround, pricing model, published rate. Follow any vendor name for the full eight-row profile. A gold tag means the vendor does not publish that fact, which is itself worth knowing before a call. | Vendor | Processing model | Typical turnaround | Pricing model | Indicative cost | Published | | --- | --- | --- | --- | --- | --- | | R1 RCM | AI + Human (Phare clinical intelligence engine + RCM staff) | Not published | Percentage-of-collections or flat monthly fee (custom quote) | Not published | 5/8 | | Sutherland Healthcare Solutions | AI + Human (Autonomous Coding + Analytics + Human Insight) | Not published | Not published | Not published | 4/8 | | Ensemble Health Partners | Human + Technology Hybrid (full-service RCM outsourcing) | Not published | Not published | Not published | 4/8 | | Morae (incl. Elevate Services + LDM Global) | AI + Human Expert Review | Not published | Quote-based (custom per case volume) | Not published | 5/8 | | Epiq (incl. DTI legacy) | AI-assisted eDiscovery platform + Managed Human Review services | Not published | Quote-based (service-based, by data volume/complexity) | Not published | 5/8 | | Firstsource Solutions | Human + Technology Hybrid (BPM/RCM outsourcing) | Not published | Not published | Not published | 4/8 | | IKS Health | AI + Human Clinician Review | Minutes to 4 Hours (tiered by service) | Not published | Not published | 5/8 | | Access Healthcare | AI + Human Hybrid (AI-embedded automation with human oversight) | Not published | Not published | Not published | 4/8 | | WNS Healthcare | Not published | Not published | Not published | Not published | 3/8 | | Genpact (Healthcare) | AI + Human Workflow Automation | Not published | Not published | Not published | 4/8 | | Medrecords AI | AI drafts, a human decides. Every line cites its source page. | Minutes to hours per file | Pay per page, no subscription (Self-Service); annual licence for AI Enablement and On-Prem | from 10¢ to as low as 5¢ a page, duplicates free | 8/8 | [](https://medrecords.ai/content-hub/services/r1-rcm/) [](https://medrecords.ai/content-hub/services/sutherland-healthcare-solutions/) [](https://medrecords.ai/content-hub/services/ensemble-health-partners/) [](https://medrecords.ai/content-hub/services/morae-incl-elevate-services-ldm-global/) [](https://medrecords.ai/content-hub/services/epiq-incl-dti-legacy/) [](https://medrecords.ai/content-hub/services/firstsource-solutions/) [](https://medrecords.ai/content-hub/services/iks-health/) [](https://medrecords.ai/content-hub/services/access-healthcare/) [](https://medrecords.ai/content-hub/services/wns-healthcare/) [](https://medrecords.ai/content-hub/services/genpact-healthcare/) Of the 11 tools above, **1** publish an indicative cost. Across all 326 vendors profiled in the Content Hub, 57 do. Every claim was captured on 13 August 2026 from the vendor's own site; nothing here is a Medrecords AI rating of another vendor. HOW TO READ THE TABLE ### Four questions that decide this, and one that does not Feature lists in this market converge within a quarter. What separates these tools is commercial and procedural, and most of it is visible before you take a call. - **Who signs** Some tools produce a draft your own reviewer signs off. Others include reviewers of their own. Neither is better; they are different liabilities and different price points. - **What the meter counts** Per page, per file, per user, per credit or per year. A seat licence and a per-page rate diverge fast once one file gets large. - **Whether output is checkable** A summary you cannot trace back to a page is a summary you have to re-read the file to trust. Ask what a citation points at. - **Where the records go** Whose cloud, whose BAA, whose keys. This is the question procurement asks and the one vendor sites answer least often. - **Not: the model** Which foundation model sits underneath changes quarterly and tells you nothing about whether the output holds up on a file like yours. ### Where Medrecords AI fits, and where it does not The row above is ours, held to the same eight questions. So is this. #### What it does Reads the file you already have: PDFs, scans, handwriting, the DICOM imaging rather than only the radiologist's report. Removes duplicates, flags wrong-patient pages, builds the chronology, and links every line back to the page it came from. #### What it costs Ten cents a page on Self-Service, duplicates free, no seat licence and no subscription. AI Enablement and On-Prem are annual licences. All three are listed on the [plans page](https://medrecords.ai/plans/) , in numbers, without a call. #### What it will not do It does not retrieve records from providers, sign an opinion, score a case, or decide a claim. It drafts and cites; a qualified human decides. Any vendor promising otherwise is describing a liability, not a feature. ### R1 RCM alternatives: common questions By section and category, Sutherland Healthcare Solutions and Ensemble Health Partners are the nearest of the nine: all sit in the same services half of the Content Hub. The table compares each on the same eight published rows, and the published-rate column is usually where they separate. No. No indicative cost appears in its captured content, which is the norm here: only 57 of the 326 profiled vendors publish one. Of the nine alternatives on this page, zero publish a number you can act on. It does not commit to a turnaround in its captured content. The table records which of the alternatives do; a vendor that publishes a number is making a commitment you can hold it to. For the review itself, yes: a cited chronology in minutes at ten cents a page, duplicates free, with a human deciding what it means. Medrecords AI does not retrieve records from providers, so if R1 RCM handles retrieval for you, that part stays with a retrieval service. Each row is read out of that vendor's Content Hub profile, which cites the public page every value came from. Where a vendor publishes nothing for a row, the table says "Not published" rather than guessing; the profile records the search that came up empty. ### Run one of your own files against the table Send a real file. You get the chronology, the duplicate report and the citations back, and you can judge the output rather than the marketing. [Test a file](https://medrecords.ai/test-a-file/?src=alternatives-r1-rcm)