ModMed Revenue Cycle Management

Paid#7 of 20 in Healthcare softwareMedical Billing SoftwareClinic Management SoftwarePatient Scheduling

ModMed Revenue Cycle Management: Specialty-focused billing and revenue-cycle tools built around the ModMed ecosystem. Ranked #7 of 20 in Healthcare software by our editors (8.3/10); pricing: Pricing on request; best for specialty practices using the ModMed ecosystem.

8.3/10★★★★☆Editor score

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ModMed Revenue Cycle Management8.3 Visit ModMed

At a glance

• Editor score
  8.3 / 10
• Pricing
  Pricing on request
• Best for
  Specialty practices using the ModMed ecosystem
• Founded
  2010 · Boca Raton, Florida, United States
• Facts checked
  20 Sep 2026

• Where it wins

  • Covers eligibility, specialty coding, claim scrubbing, and electronic claims
  • Tracks denials and supports ERA posting, patient payments, and reporting
  • Connects with ModMed products, HL7, APIs, and third-party applications

• Where it doesn't

  • Pricing requires contacting a sales representative
  • ModMed Pay is an add-on rather than included with Premium+
  • 24/7 support is not offered

Our verdict on ModMed Revenue Cycle Management

ModMed Revenue Cycle Management combines cloud-based practice-management software with billing services for specialty medical practices. Its capabilities span eligibility verification, specialty-specific coding suggestions, claim scrubbing and submission, denial tracking, remittance posting, patient payment processing, and financial reporting. Optional services add billing specialists and certified medical coders to help manage claims, denials, and patient balances. The product is most relevant to practices already working in the ModMed ecosystem that want revenue-cycle functions alongside practice management and related services.

The plans are named Fundamentals+, Premium+, and Enterprise, and the published tiers require contacting a representative for pricing. Fundamentals+ includes Practice Management, a clearinghouse interface, electronic eligibility, claims submission and ERA, plus patient collaboration tools. Premium+ adds the Premium Analytics Platform and makes ModMed Pay available as an add-on. Enterprise includes the analytics platform, enterprise services and features, and two supported third-party interfaces. This gives buyers a tier-based distinction in analytics and interface support, but requires a sales conversation to assess cost and plan fit.

ModMed lists integrations with ModMed EHR and Practice Management, ModMed Pay, HL7, synapSYS APIs, and third-party applications; web, iOS, Android, and API platforms are supported. That makes ecosystem fit a central consideration: practices using ModMed’s products can connect revenue-cycle workflows with those tools, while organizations evaluating other systems should check whether their required interfaces fit the available options. Email, phone, and documentation are listed as support channels, with no 24/7 support. Practices seeking specialty-oriented billing services and reporting within ModMed may find the scope relevant; buyers who need round-the-clock support or prefer pricing available without a sales contact should weigh those constraints.

Your product? Our editors can test ModMed Revenue Cycle Management in depth and publish a review, labelled as paid · from $149/mo →

ModMed Revenue Cycle Management pricing

All 3 ModMed Revenue Cycle Management plans and prices →

ModMed Revenue Cycle Management fact sheet

ModMed Revenue Cycle Management integrations

ModMed Revenue Cycle Management lists 6 integrations on its own site.

• ModMed EHR
• ModMed Practice Management
• ModMed Pay
• HL7
• ModMed synapSYS APIs
• Third-party applications

See all ModMed Revenue Cycle Management integrations →

Alternatives to ModMed Revenue Cycle Management

• CareCloud RCMBroad RCM coverage for practices that want connected billing workflows and analytics.8.9
• WaystarBroad revenue-cycle workflows connect claims, payments, denials, and analytics.8.8
• AdvancedMD Medical BillingA specialty-focused billing platform with extensive claims, payment, and denial workflows.8.7

See all ModMed Revenue Cycle Management alternatives →

ModMed Revenue Cycle Management vs the competition

• ModMed Revenue Cycle Management vs CareCloud RCM
• ModMed Revenue Cycle Management vs Waystar
• ModMed Revenue Cycle Management vs AdvancedMD Medical Billing
• ModMed Revenue Cycle Management vs eClinicalWorks Revenue Cycle Management
• ModMed Revenue Cycle Management vs RXNT Medical Billing
• VPModMed Revenue Cycle Management vs Veradigm Practice Management

Compare ModMed Revenue Cycle Management with any tool side by side →

Featured on iTechGuides

ModMed Revenue Cycle Management is listed in our Healthcare software directory. Add the badge to your site — it links back to this page.

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Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

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Last updated 7 Oct 2026 · How we research and update