Connected care. Simplified.

Enterprise power. Any practice.

Connected workflows for scheduling, care management, value-based care, and reimbursements — so any lean team can operate like a health system, without the overhead.

See how it works ↓
HIPAA compliant
Sits alongside your EHR
Care orchestration
Running
Encounter readiness
The platform

Care orchestration

Every input flows through one connected layer. Every module reads from the same record, so nothing is rebuilt downstream.

Running Halomi Live
INPUTS Patient calls EHR / ADT feed Devices & labs Payer 270/271 HALOMI MODULES Smart appointments Care management Value-based care Reimbursements
One layer
0 modules
Handoffs
0
Your EHR
Stays
The modules

Four modules. One continuous workflow.

Each module is useful alone. Together they close the loop from the first patient call to a paid claim — with no handoffs, no re-typing, no lost information. Select a module to see it run.

Module 01

The right patient, in the right slot, already verified

Halomi answers the call, captures why the patient is coming in, checks coverage before a slot is ever offered, and ranks the calendar against clinical priority — not just first-available.

  • AI-supported calling captures intent, urgency and language
  • Real-time 270/271 returns coverage, copay and deductible
  • Slots ranked by acuity, plan rules and provider continuity
  • Booking writes back to your EHR with confirmations sent
Inbound & outboundEligibilityRecalls & AWV
Illustrative interface
📞
Inbound call · new patientKnee pain · Spanish · prefers mornings
🛡️
Eligibility · Payer 270/271Checking coverage…Active · $25 copay · deductible met
Tue 9:00 Tue 11:30 Wed 8:15 Wed 2:00 Thu 10:45 Fri 3:30
Booked · EHR updated · confirmation sent
The workflow

From the first call to a paid claim

Nothing is re-typed. Nothing waits for someone to remember it. Every step moves the patient through the system faster and cleaner.

📞
Booking
🛡️
Eligibility
🩺
Encounter
Quality
🧾
Coding
📤
Claim
💰
Payment
Manual handoffs in this path: 0
Solutions

Solutions by practice size and model

Whether you're a solo practice or a multi-site MSO, Halomi is built for your operating model — and built for outcomes.

🏥
Solo / Small Practice

Solo Practitioner (1–3 Providers)

Eliminate the coordination overhead that buries independent practices.

  • Reduce admin burden with AI-supported scheduling
  • Capture RPM/CCM revenue without hiring coordinators
  • Access to data that only health systems normally have
  • Keep your EHR — Halomi runs alongside
🏢
Medium Practice

Group Practice (4–20 Providers)

Coordinate across locations without the complexity of enterprise systems.

  • Single platform for all locations, no site-by-site setup
  • RPM enrollment at scale without duplicate infrastructure
  • Quality measure tracking that survives leadership changes
  • Reimbursement visibility across all payers and programs
🌐
Enterprise / MSO

MSO / Health System (20+ Providers)

Scale value-based care operations across hundreds of clinicians and locations.

  • Integrated workflows that survive vendor changes
  • Real-time visibility into quality and financial performance
  • Outcomes-based care programs tied to system capitation
  • Role-based access and audit trails for compliance
📋
Service Provider Model

RPM / Care Management Vendors

Integrate with practices while operating your own distinct reimbursement and compliance model.

  • White-label care management workflows
  • Practice-side transparency without loss of control
  • Outcomes tracking that strengthens your reimbursement story
  • Compliance and audit capabilities for payer relationships
🎯
Value-Based Care Focus

ACO / Shared Savings Organization

Run your value-based care strategy from population health to individual patient outcomes.

  • Integrated risk stratification and care gap identification
  • Provider coordination without losing clinical continuity
  • Outcomes measurement built for payer reporting
  • Financial transparency for shared savings reconciliation
💼
Outcomes-First Model

Fee-for-Service to Value-Based Transition

Build outcomes-based operations while you still rely on fee-for-service revenue.

  • Outcomes tracking that proves value when you contract with payers
  • Population insights that inform your value-based strategy
  • RPM/CCM revenue while you build the outcomes story
  • Compliance-ready data for outcomes-based contracts
Reimbursements

Reimbursements, end-to-end

Clean claims are the outcome of clean workflows.

Halomi runs the full cycle — eligibility verification, prior authorization, coding review, claim scrubbing, denials management, ERA posting, and reconciliation. Because eligibility and documentation already happened upstream, most of the claim is correct before scrubbing begins.

Published industry benchmarks

These are the numbers the revenue cycle is measured against, not Halomi results. They are the targets the workflow above is built to move.

Clean claim rate
0
Best-practice threshold per HFMA MAP Keys
First-pass resolution
0
Healthy rate; industry median sits near 80–85%
Initial denial rate
0
Healthy is under 5%; industry averages now exceed 11%
Cost to rework one denial
0
Staff time, resubmission and follow-up, per HFMA

Sources: HFMA MAP Keys; Experian Health State of Claims 2025; Kodiak Solutions 2025 hospital claims data. Benchmarks vary by specialty and payer mix — treat them as direction, not as a promise about your own panel.

Outcomes

What we measure, and report back

Outcomes-based contracts only reward what you can evidence. Halomi instruments each module against the measures that decide clinical performance and payment — so the reporting is a by-product of the workflow rather than a quarterly reconstruction.

📅 Access and utilisation

Slot fill rate, unfilled appointment recovery, time-to-third-next-available, AWV and recall completion.

⚕️ Care program delivery

Enrolment and retention by program, care minutes captured, threshold alerts actioned, TCM windows closed inside the required interval.

🎯 Quality and risk

Care gap closure by measure and payer, risk stratification movement, documentation completeness at the point of care.

💰 Revenue integrity

First-pass acceptance, denial rate with root cause, days in A/R, and revenue attributable to each care program.

Customer results

Verified outcome data from Halomi deployments will be published here, attributed to the organisation and the measurement period. We would rather show nothing than show numbers we cannot stand behind.

Where the market is going

The future of care programs is outcomes, not volume

CMS is signalling a clear direction: remote patient monitoring and chronic care programs are moving from fee-for-service to outcomes-based payment. That shift rewards practices where monitoring is tightly tied to the doctor–patient relationship and accountability for results is built in — not bolted on.

What Halomi enables for outcomes-based success:

CapabilityTraditional RPM vendorHalomi
Care integrationMonitoring sits outside the clinical workflowMonitoring lives inside the appointment workflow and clinical note
Provider accountabilityVendor manages the patient and owns the outcomeProvider keeps continuity and owns the outcome
DocumentationSeparate note in a separate systemTime captured where the work actually happens
Financial transparencyOutcomes data stays with the vendorReal-time visibility into the quality and outcomes that drive payment
Outcomes measurementLimited; oriented around utilisationBuilt for hospitalisations, readmissions and quality measures

The practice that wins the outcomes-based economy is the one where monitoring, care coordination and outcomes accountability are woven into the day-to-day workflow. Whether you're moving from fee-for-service to value-based care, running an ACO, or managing specialty populations under capitation, Halomi connects the workflows that prove outcomes and capture the reimbursement that reflects them.

See it running in a practice like yours

A guided 30-minute walkthrough built around your scheduling pressure points, care program targets, and reimbursement reality. No generic decks.