Revenue Cycle Management (RCM) · Vendor file
Optum
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Active · verified June 2026
Categories Optum serves
The B4 Index places Optum in 4 categories. Each category page lays out the build-versus-buy considerations for that decision.
Revenue Cycle Management (RCM) Custom; typically 3–6% of net collections
Healthcare EDI Clearinghouse & Transaction Network Per-transaction
Payer Payment Integrity Platform (Pre & Post-Pay) Contingency/share-of-savings; custom enterprise
Medical Coding Software (Encoder / Computer-Assisted Coding) Subscription, per-facility / per-coder
The B4 Index scores every software category on two axes, strategic differentiation and AI feasibility, to
classify it Build, Buy, Bridge, or Beware. Vendor facts here are independent of that call. See the full
methodology.