PracticeForceOne is the complete operating platform for ambulatory clinics and billing services — patient access, scheduling, charting, encounters, coding, claims, denials, and A/R — with explainable AI that catches denials before you submit.
They struggle because the work crosses too many disconnected systems — a scheduler here, an EHR there, a clearinghouse portal, a spreadsheet of denials. The patient, the chart, the claim, and the balance drift apart. Work goes unowned, stale, and invisible.
PracticeForceOne unifies the entire clinic day on one source-record backbone. Every patient, appointment, chart, encounter, claim, denial, and balance stays connected — and the board always shows what's next.
Nine connected pillars replace a drawer full of logins. Everything a clinic needs to run — and get paid — in a single system.
Self-service registration and check-in that clinics still control.
A staff review desk for everything patients submit.
Demographics, coverage, clinical history — together in one record.
Provider availability and full-day 15-minute slots.
The live operating map of the whole practice.
Rooming through signature, with clean state transitions.
Signed documentation flows straight into clean charges.
From clean claim to posted payment, all in-workflow.
Grow with confidence — built-in staging and governance.
Cards are generated from real source records — appointments, registrations, check-ins, encounters, claims, denials, A/R, balances, and follow-ups. Twenty lanes carry the clinic day from first contact to final dollar.
Scroll the rail → · Full lane set: Needs Appointment · Scheduled · Needs Pre-Check-In · Review Registration · Arrived · Insurance Exception · Ready For Rooming · Rooming/Intake · Ready For Provider · Encounter In Progress · Clinical Follow-Up · Documentation Incomplete · Ready To Sign · Ready For Coding · Ready To Claim · Ready To Submit · Payer Response · Denial/Appeal · A/R Follow-Up · Patient Balance
Most tools tell you a claim was denied. PracticeForceOne tells you it will be — with a risk score, the exact reasons, and a fix — before you ever hit submit. Every suggestion is auditable, flag-gated, and human-reviewed.
ClaimsAI scored this claim 82/100 and held it for review.
A 0–100 risk score with the specific factors driving it — not a post-mortem after the money's gone.
"This claim is risky because…" in plain language your billers learn from — never a black box.
The model learns each payer's quirks continuously, instead of relying on static rules that go stale.
Full appeal letters drafted with the evidence and citations attached — not a blank template.
Work is ranked by probability × dollar value, so your team touches the highest-yield claims first.
Purpose-built for billing services and multi-practice groups — the capabilities the big platforms charge a percentage of collections for.
| Capability | PracticeForceOne | Tebra | AdvancedMD | eClinicalWorks | Waystar |
|---|---|---|---|---|---|
| Built for billing services | Native | Practice-first | Add-on | Add-on | Enterprise |
| AI denial prediction | Pre-submission | None | None | None | Post-submission |
| Explainable AI | Full reasoning | — | — | — | Black box |
| Conversational AI assistant | Natural language | None | None | None | None |
| Payer intelligence learning | Continuous | Static rules | Static rules | Static rules | Limited |
| Transparent pricing | Published | Quote-based | Quote-based | Quote-based | % of collections |
| Starting price | $499/mo | $150–349/mo | $349–500/mo | Quote | % of collections |
Base + per-claim, no percentage of collections, no surprise fees. Comparable enterprise RCM runs $17,500–$25,000/mo for the same footprint — while charging a cut of everything you collect.
Pick a plan by the size of your operation. Every tier includes the full clinic workflow, staging, audit logs, and support.
For a single clinic running the full patient-to-payment workflow.
For multi-practice groups and billing services scaling their book.
For large billing services and MSOs that need white-label & scale.
Prices shown are illustrative starting points. Mock clearinghouse & payer workflows are included for training and UAT; production payer connectivity is scoped during onboarding.
Keep your clearinghouse. Bring your history. Let the AI learn your patterns within 30 days.
Export claim history via API and preview it in staging before anything goes live.
Guided onboarding wizard sets up practices, providers, payers, and roles.
Optional parallel-running period and a full training program for your team.
ClaimsAI learns your denial patterns within 30 days; ROI typically visible by day 60.
The board shows my whole practice at a glance — who's waiting, what's blocked, which claims are at risk. Nothing falls through the cracks anymore, and my billers finally understand why a claim gets denied.Practice Operations LeadMulti-site ambulatory group
The patient, appointment, chart, encounter, claim, denial, and balance stay linked as one story — not seven exports.
Revenue-cycle follow-up is operational work on the board with an owner and a next action — not a PDF you read later.
Patient-submitted data is visible instantly but stays evidence until staff review accepts it. No silent bypass.
Scheduling, arrival, rooming, documentation, signing, coding, and billing are distinct states — no faked progress.
Feature flags, PHI-scrub controls, human review, and deterministic mock behavior govern every AI action.
One clinic or a whole billing service — with staging, import preview, demo reset, and full auditability built in.
Both. It's a complete ambulatory operating platform — patient access, scheduling, charting, encounters, and clinical follow-up — that flows directly into coding, claims, denials, A/R, and patient balances. It's not billing bolted onto an EHR; it's one connected system.
Our AI predicts denials before submission with a 0–100 risk score and the specific reasons — then suggests the fix. Every recommendation is explainable, so your billers learn from it. Enterprise tools tend to score post-submission and keep the reasoning in a black box.
No. PracticeForceOne works with any clearinghouse and any EHR. You can keep your existing clearinghouse relationships and bring your claim history in via API. Mock clearinghouse and payer workflows are included for training and UAT.
Typically 2–4 weeks, versus the 2–4 months common with enterprise platforms. A guided onboarding wizard, optional parallel-running period, and training program get your team live fast — and the AI learns your patterns within about 30 days.
Yes. The platform runs role-based access control, PHI-scrub controls on AI, full audit and runtime logging, staging with import preview, and release evidence. Patient-submitted data stays evidence until staff review accepts it.
Transparent and published — starting at $499/mo for a single practice, with a base-plus-per-claim model for multi-practice and billing-service scale. No percentage of your collections and no surprise fees. For 25 practices, that's roughly $4,000/mo versus $17,500–$25,000 for enterprise alternatives.
We'll analyze your denial patterns, walk your team through the command center, and project your ROI. Every patient, every task, every claim — on one platform.
demo@practiceforceone.com · (800) 555-0199