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Explore Solutions for Providers, Payers, and Partners

Streamline every step of the healthcare financial journey with integrated RCM, coding, denial management, and analytics solutions tailored for providers, payers, and partners.

PCH Global is dedicated to enhancing the entire healthcare experience. By streamlining operations, harnessing advanced analytics, and placing patient engagement at the center, we lead the way in transforming healthcare outcomes.

PCH Global Ecosystem

PCH Global is committed to optimizing every aspect of the healthcare journey. We are at the forefront of transforming healthcare outcomes by streamlining operations, leveraging advanced analytics, and prioritizing patient engagement.

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Payers

PCH Health helps healthcare payers streamline operations by managing member enrollment, processing claims with high accuracy, ensuring payment integrity, and administering provider networks. The company leverages AI and automation to reduce manual work, improve efficiency, and scale operations for payers.

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Providers

PCH Health provides healthcare providers with AI-driven revenue cycle management solutions that reduce claim rejections, improve cash flow, and streamline claims processing. Serving 71K+ providers with HIPAA-compliant technology, PCH Health converts medical information into payer-recognized formats and ensures faster claim approvals across multiple medical specialties.

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One Platform

Our PCH Health SaaS platform gives healthcare providers a unified, all-payer digital gateway to manage claims, appeals, attachments, eligibility checks, authorizations, and ERA transactions in one place, helping reduce administrative effort and accelerate reimbursements.

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Trusted by Providers

Transforming healthcare operations.

With advanced automation and global reach, PCH Health empowers providers to focus more on care and less on complexity.

32M+

Claims Processed Annually

8.11M+

Claims Adjudicated Annually

365K

Providers Managed

109M+

Lives supported Aggregate

Healthcare Expertise

Support for every healthcare entity

From large hospital systems to government agencies and financial institutions, PCH Health delivers tailored revenue cycle management solutions that scale seamlessly. Our technology-driven services empower providers, payers, and patients to streamline operations, ensure compliance, and achieve stronger financial outcomes.

Health Systems

Solutions to support large healthcare networks by streamlining operations, improving patient outcomes, and optimizing resources across facilities and services.

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Financial Institutions

Services for banks, credit unions, and investment firms in healthcare. Improve compliance, risk management, and efficiency to support healthcare financing and payments.

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State/Federal Health Agencies

Support for government health organizations and regulators. Improve program administration, ensure compliance, and strengthen public health with advanced technology and data management.

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Provider Groups

Scalable solutions for multi-location practices and physician groups. Boost operational efficiency, improve care coordination, and maximize revenue across locations and specialties.

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Transformation in Action

Case study

PCH Health delivers tailored solutions that streamline complex workflows, elevate patient and staff experiences, and drive measurable operational efficiency across healthcare organizations.

How Did This Surgery Center Slash Coding Time by 50%?

The case study looks at an ambulatory surgery center that sought to address productivity challenges in its coding department. This challenge was complicated by evolving industry guidelines. The organization partnered with PCH Global to reimagine its coding workflow with advanced AI technology and expert oversight to improve operational efficiency.

By Hitesh Shrawgi

September 9, 2025

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How Can Healthcare Providers Optimize Late-Stage Collections and Boost Revenue?

A prominent academic health system partnered with XBP Global to address challenges related to healthcare consumer late-stage collections. The goal was to recover investments faster while also improving returns on new and renegotiable agreements with third-party payers.

By Sushil Ghorpade

March 17, 2025

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Large-sized multi-specialty hospital reduced unbilled accounts from $14M to $2M

The client, a large multi-specialty hospital based in Texas, sought HIM document management and remote coding outsourcing solutions. PCH Health provided coding support seven days a week and delivered an end-to-end solution to manage all inbound documents, from medical records

By Hitesh Shrawgi

July 2, 2024

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Mid-sized academic health system identified and recovered $12M

The client, a mid-sized academic health system based in California, sought a partner to calculate expected reimbursements for all third-party payers based on their respective terms and conditions. PCH Health implemented retrospective underpayment identification and recovery services, providing extensive standard and customized reporting packages.

By Hitesh Shrawgi

July 2, 2024

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Large-sized multi-specialty healthcare provider got $16M ACV engagement for the first 12 months

A large multi-specialty healthcare provider in Texas faced numerous challenges, including unprocessed claims, high-volume B2B payments, and work backlogs. Seeking a comprehensive solution, they turned to PCH Health Solutions to revolutionize their operations.

By Sushil Ghorpade

January 5, 2023

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PCH Health Helps Top US Provider Collect $4.3B in Net Revenue

PCH Health collaborated with a leading US academic patient financial service provider, addressing documentation loss, manual errors, and high overhead costs. By implementing a blended delivery model, PCH streamlined processes, unified information access

By Sushil Ghorpade

January 5, 2023

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One of the largest multinational healthcare service providers reduced its A/R cycle by nine days

One of the largest multinational healthcare service providers in the U.S. encountered operational inefficiencies, payment delays, and high call volumes. These challenges prompted them to seek assistance from PCH Health to streamline their processes and improve overall efficiency.

By Sushil Ghorpade

January 5, 2023

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Certifications & Awards

Our awards highlight our commitment to excellence, innovation, and delivering impactful solutions that drive positive results for our clients and the patients in their care.

idc

Major Player

IDC MarketSpace U.S.RCM Service Solutions, 2022-2023

nelsonhall-Neat-Leader

NelsonHall

NelsonHall’s Healthcare Payer Operational Transformation NEAT Vendor Evaluation 2023

Medical Coding Operations

Everest Peak Matrix

PEAK Matrix® for Medical Coding Operations 2022

PEAK Matrix® for Intelligent Automation Healthcare 2022

Everest Peak Matrix

PEAK Matrix® for Intelligent Automation Healthcare 2022

HI TRUST CSF Certification

HI TRUST CSF Certification

PCI DSS Certified

PCI DSS Certified

Veracode Verified Attestation

Veracode Verified Attestation

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Resources

Featured Resources

From large hospital systems to government agencies and financial institutions, PCH Health delivers tailored revenue cycle management

Blogs

Common Denial in Medical Billing: Top Causes & Solutions

In the high-stakes world of healthcare finance, a clean claim is the lifeblood of a thriving practice. However, encountering a common denial in medical billing is a frequent reality that can disrupt revenue cycles and strain administrative resources.
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Case Studies

How Did This Surgery Center Slash Coding Time by 50%?

The case study looks at an ambulatory surgery center that sought to address productivity challenges in its coding department. This challenge was complicated by evolving industry guidelines. The organization partnered with PCH Global to reimagine its coding workflow with advanced AI technology and expert oversight to improve operational efficiency.
Read More

Infographics

Revenue Cycle Management in Healthcare: A Comprehensive Guide

Revenue Cycle Management (RCM) is the financial backbone of healthcare, ensuring timely revenue generation, reducing claim denials, and improving patient satisfaction.
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