Optum Revenue Performance Advisor
Optum Revenue Performance Advisor: A broad RCM platform built around payer connectivity, claims control and denial management. Ranked #18 of 27 in Revenue Cycle Management Software by our editors (7.3/10); pricing: Pricing on request; best for organizations prioritizing payer connectivity.
At a glance
- Editor score7.3 / 10
- PricingPricing on request
- Best forOrganizations prioritizing payer connectivity
- Workflow scopeEnd-to-end
- Founded2011 · Eden Prairie, Minnesota, United States
- Facts checked22 Sep 2026
Where it wins
- Eligibility verification connects with 1,500 payers
- Claims validation, editing, filtering and resubmission support
- AI-assisted denial prediction plus appeals and benchmarking
Where it doesn't
- Pricing requires contacting Optum or requesting a demo
- Positioning centers on health systems and hospitals
- The broad workflow may exceed narrower RCM requirements
Our verdict on Optum Revenue Performance Advisor
Optum Revenue Performance Advisor is revenue cycle management software for health systems and hospitals. Its end-to-end workflow covers eligibility verification, claims management, medical claims attachments, denials management, reporting and metrics, and patient payment support. The product is designed for organizations prioritizing payer connectivity, with eligibility verification connected to 1,500 payers and tools that span claims validation, submission support, denial workflows, patient estimates and payment options.
Payer and claims operations are the clearest strengths. Claims can be sorted, filtered, edited and resubmitted, while claims validation and scrubbing support review before submission. Medical claims attachments and payment-effectiveness reporting extend the claims workflow, and AI-assisted denial prediction adds a forward-looking layer to denial reporting. An appeal letter library supports follow-up work after denials. Together, these capabilities make the product relevant to organizations seeking a connected workflow from eligibility through claims and denials rather than a narrow eligibility or collections tool.
The patient financial and analytics features broaden its scope. Patients can receive payment estimates and multiple payment options, while revenue reporting, metrics and peer benchmarking support performance review. According to Optum’s published product information, pricing is handled through contact with the company or a demo request rather than published plan tiers. Organizations should choose Revenue Performance Advisor when payer connectivity, denial management and end-to-end revenue workflows are central priorities. Teams seeking a narrowly focused tool, or organizations outside the health-system and hospital context, may prefer a more specialized option.
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Optum Revenue Performance Advisor pricing
Optum Revenue Performance Advisor fact sheet
| Free plan | Not verified |
|---|---|
| Paid from | Not verified |
| Workflow scope | End-to-end |
| Eligibility verification | Yes |
| Denial management | Yes |
| Payment posting | Not verified |
| Patient collections | Yes |
| Revenue analytics | Yes |
| Support | Community · 24/7 |
| Built for | Enterprise (editorial estimate) |
| Pricing | Pricing on request |
| Website | business.optum.com |
| Facts checked | 22 Sep 2026 |
Alternatives to Optum Revenue Performance Advisor
- athenaIDXEnd-to-end RCM for health systems managing complex billing operations.9.4
- WaystarBroad RCM automation spanning eligibility, claims, denials, payments, coding, and analytics.9.2
- QuadaxA mature, end-to-end RCM suite for providers with complex revenue workflows.9.1
See all Optum Revenue Performance Advisor alternatives →
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Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
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