Our RealMed Story

Through the past decade, RealMed’s healthcare administration tools have become some of the most widely used in the industry. Along the way, our services have become the leading solution for providers and payers to manage their healthcare transactions. We never wanted to settle for being just another clearinghouse. We wanted to be the revenue cycle management solution, built by payer specifications and provider needs.

Today, RealMed continues to offer new and convenient solutions that serve the needs of providers, payers and patients. The efficiencies created by RealMed’s enhanced workflows automate many routine provider office functions and reduce payer administrative burdens resulting in reduced operating costs.

  • RealMed services all types of providers, from small practices to large academic medical centers, including Duke University Health System and Johns Hopkins Medicine, as well as other specialty and primary care providers all over the U.S.
  • RealMed connects and supports more than 2,000 payers and more than 25,000 providers with national and regionally based teams that provide individualized customer support. For groups larger than ten providers, RealMed provides in-office consultations three to four times a year at no additional charge.
  • RealMed’s payer teams have built complex healthcare information exchanges, consumer directed health plan services, and claim system integrations, which result in fewer provider phone calls, fewer appealed claims by members, and lower operating costs for the health plan.
  • RealMed facilitates industry compliance. Our translators, filters and compliance management tools ease migration to new standards, such as HIPAA, NPI, 4010, 5010 and ICD-10.