For RCM & billing companies
Programmatic EHR Access for Your Billing Operation.
Cobalt gives your billers a unified API for patient data, encounters, claims, and insurance across every client. No manual logins. No copy-paste workflows.
The daily tax on your operation
Log into each client's EHR. Copy patient data. Toggle systems to verify insurance. Paste payment info back. Repeat, all day, across every client.
Manual logins, all day
8 clients means 8 separate EHR logins before lunch. Different credentials, different configurations, different workarounds.
Copy-paste as a workflow
Data moves between systems via clipboard. Every paste is a chance for error. Errors mean denials.
Client onboarding takes weeks
New practice means new credentials, new setup, new training. Your sales team says "seamless." Your ops team says "chaos."
Scaling means hiring
20 more practices means more billers. Revenue goes up, but so does headcount. Margins stay flat.
What the integration tax actually costs you
3,333 hrs/yr
Wasted on EHR navigation instead of billing work (20 billers x 40 min/day)
$83,000/yr
In labor cost that produces zero revenue
2–3 weeks
To onboard each new client (vs. days with API access)
5–10% of denials
Linked to manual data entry errors
It's not a line item in your P&L. It's spread across every biller, every client, every day. And it gets worse as you grow.
What changes with a unified API
Before: Manual
- 01Biller logs into Client A's eClinicalWorks
- 02Copies patient demographics into billing system
- 03Looks up encounter details, copies to coding tool
- 04Submits claim through clearinghouse
- 05Gets remittance, copies payment info back to EHR
- 06Logs out. Logs into Client B. Repeats everything.
After: Cobalt API
- Billing platform pulls all client data via one API
- Demographics, encounters, claims, insurance sync automatically
- Payments post back to the chart programmatically
- Biller works in one system. Handles 2-3x more clients.
- New client? Connect their clinic. Same API, same workflow, same day.
Everything your billers need, one API
Patient Demographics
Real-time access to patient records across every client's EHR. No manual lookups, no stale data.
Encounters & Visits
Pull encounter details, diagnoses, and procedure codes directly. Your coders get structured data instead of screen captures.
Billing & Claims Data
Access charges, claim status, and submission history programmatically. No toggling between systems.
Insurance & Eligibility
Verify coverage and pull insurance info before billing. Fewer denials from bad insurance data.
Payment Posting
Write payments back to the chart automatically. No more copy-pasting remittance data into the EHR.
Scheduling
See appointment data across all clients. Know what's coming, staff accordingly.
The operational leverage
The value isn't just saving labor. It's what your team can do when they're not navigating EHRs all day.
Current
Manual EHR Access
With Cobalt
Unified API
Clients per biller
4–6
10–15
Biller time on EHR navigation
40 min/day per biller
Near zero
New client onboarding
2–3 weeks
Days
Data entry error rate
5–10%
<1% (programmatic)
Revenue per biller
Capped by manual throughput
2–3x current capacity
Scaling model
Hire proportionally
Grow revenue without adding headcount
The RCM market is splitting in two
The RCM industry is consolidating. PE firms are rolling up regional billing companies. Pricing pressure is constant. Client expectations are rising.
The companies that survive will be the ones with the best unit economics. API-connected RCM operations can offer lower prices, faster turnaround, higher accuracy, and better reporting. Manual-access operations can't.
EHR connectivity is becoming the dividing line between RCM companies that scale profitably and RCM companies that stay stuck.
Cobalt Ignite
$3,500 in creditsAccepted companies receive $3,500 in credits toward the Growth plan. Start with the clinics you already manage, prove the ROI, then expand. For full platform pricing across all supported EHRs, see our pricing page.
Your margins don’t have to be flat.
If your team is still logging into each client's EHR manually, there's a better way. Start with Cobalt Ignite for your eClinicalWorks practices and see the difference in your first week.
Eliminate the EHR tax. Let's talk.
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