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ImagineOne®
- ImagineOne®
  - ImagineOne^®
    ImagineOne^® is a comprehensive platform supporting revenue cycle management across 47+ specialties. It streamlines the entire process—from pre- or point-of-service to zero balance—under one solutions partner. Combined with ImagineCo-Pilot^® AI, it enables 95%+ automation, 400% productivity gains, and a 75% reduction in labor effort.
- ImagineApex™
  - ImagineApex
    ImagineApex™ is the AI engine embedded within ImagineOne®, combining agentic AI, intelligent automation, and workflow orchestration to move revenue cycle work from insight to action—and increasingly autonomous execution.
- Analytics
  - Analytics
    ImagineIntelligence™ and ImaginePowerOperations™ offer integrated, role-based dashboards that unify data from APIs, flat files, and cloud or on-prem systems. With MIPS registry integration and mobile-friendly access, teams can securely explore real-time insights and make informed decisions tailored to their responsibilities and workflows.
- EDI Solutions
  - EDI Solutions
    Accelerating healthcare payments, transparency, and accuracy, ImagineOne^® delivers EDI solutions, including seamless clearinghouse, bank posting and reconciliation, estimation, eligibility, and prior authorization tools, fueled by the power of automation and artificial intelligence. Get paid faster by automating EDI workflows, while also enhancing visibility into your organization’s financial health.
- Patient Payments & Engagement
  - Patient Payments & Engagement
    ImagineEngagement™ and ImaginePay™ transform patient payments and engagement with AI-driven tools like propensity-to-pay scoring, real-time eligibility checks, and transparent estimates. From branded portals to flexible payment plans, patients can pay at home or point-of-service—streamlining collections and improving financial experiences across multiple offices.
- Patient Follow-Up
  - Patient Follow-Up
    RADNAV^® positively impacts both patient outcomes and practice’s bottom line, leveraging intelligent reminders, tailored communications, and smart analytics. By streamlining navigation, improving transparency around results, and enabling autonomous updates, it reduces anxiety, boosts appointment adherence, and supports a personalized, fully guided care experience in radiology practices.
Here to Serve
- Here to Serve
  - Here to Serve
    ImagineSoftware™ delivers seamless RCM solutions for 47+ medical specialties, optimizing billing efficiency across physician practices and medical billing organizations. Our powerful tools streamline operations, improve performance, and help you stay connected to your business—freeing up resources to focus on growth and long-term success.
- Billing Companies
  - Billing Companies
    The industry’s first intelligent, multi-specialty medical billing software, ImagineOne^® connects the entire revenue cycle into one streamlined platform. Deliver real-time customizable reports and configurable workflows to fit the unique needs of your specialty focuses, team, and clients.
- Radiology
  - Radiology
    With 25+ years of experience, ImagineSoftware™ offers intelligent radiology billing solutions serving the nation’s top radiology groups and imaging centers. Our platform automates key RCM functions—from coding to denial management—streamlining operations and enhancing financial performance, provider reputation, and the patient experience across radiology practices.
- Anesthesiology
  - Anesthesiology
    Designed for anesthesiology’s unique billing and reporting needs, seamlessly set time-unit increments and physical status modifiers per payor or practice – increasing both accuracy and billing productivity with next-level robotic process automation and artificial intelligence.
- Pathology / Lab
  - Pathology
    Designed for pathology’s unique billing nuances, seamlessly perform and bill for individual tests as needed – increasing both accuracy and billing productivity. Encompassing the entire revenue cycle, deliver real-time patient/payor data verification, preventing denials and increasing both revenue and patient experiences.
- Emergency Medicine
  - Emergency Medicine
    Keeping up with the complex, fast-paced billing needs of emergency medicine, ImagineSoftware™ delivers comprehensive documentation, reporting, and payment solutions driving revenue at time of service and decreasing denials.
- Oncology
  - Oncology
    ImagineSoftware™ offers a complete oncology RCM solution, built to handle the complexities of cancer care billing—from surgical procedures to chemotherapy and radiation therapy. With intelligent automation and end-to-end precision, we support faster, more accurate billing from pre-service through final payment.
- Orthopedics
  - Orthopedics
    ImagineSoftware™ delivers advanced RCM solutions for orthopedic and musculoskeletal care, addressing the unique complexities of the specialty. From pre-service to final payment, our platform provides intelligent automation, accuracy, and speed—streamlining workflows and enhancing financial performance for orthopedic practices.
- Cardiology
  - Cardiology
    ImagineSoftware™ provides specialized RCM solutions for cardiology, including advanced EHR integration and automated workflows designed to support cardiovascular services/monitoring, cardiography procedures, and cardiac device evaluations.
About Us
- About Us
  - About Us
    The leading provider of revenue cycle management and medical billing automation software through its artificial intelligence-driven platform, ImagineOne^®. Offering powerful, quantum leap technology for medical billing offices, physician practices, and hospitals for 25 years, ImagineSoftware™ currently serves over 75,000 physicians across more than 47 specialties. ImagineSoftware solutions improve financial efficiency, build provider reputation, and ultimately enhance the patient experience.
- Leadership
  - Leadership
    Meet the leaders of ImagineSoftware™ – pioneering innovation across healthcare technology. Focused on delivering practical solutions and measurable results, our team guides the company’s strategic direction to meet the evolving needs of clients and the industry.
- ImagineGives™
  - ImagineGives
    At ImagineSoftware™, community giving is a core value. We’re committed to making a positive impact beyond our products by supporting causes that matter to our employees, partners, and clients. Through volunteerism and outreach, we foster a culture of generosity that uplifts the communities we serve.
- Our Culture
  - Our Culture
    Experience a culture of excellence at ImagineSoftware™, where innovation, collaboration, and client success drive everything we do. Our team thrives in a fast-paced environment that encourages new ideas and meaningful contributions, empowering employees to grow while shaping the future of healthcare technology.
- Careers
  - Careers
    Build your career with ImagineSoftware™, where innovation meets opportunity. Join a collaborative team that values growth, recognition, and meaningful work. We empower employees to thrive in a supportive environment focused on professional development and shared success—your next chapter starts here.
- Recognition & Certifications
  - Recognition & Certifications
    ImagineSoftware™ is proud to be recognized for excellence in technology, culture, and client service. Our awards reflect the dedication of our team and the trust of our partners. Backed by leading security and compliance certifications, we ensure reliable, standards-driven solutions that protect your data and support continuous improvement.
- Press Releases
  - Press Releases
    Visit the ImagineSoftware™ Newsroom for the latest updates on our software solutions, partnerships, and industry developments. Stay informed with current news and press releases that highlight how we’re supporting healthcare organizations and advancing operational efficiency through technology.
- Industry Meetings
  - Industry Meetings
    ImagineSoftware™ actively participates in leading industry events and conferences, sharing expertise and insights that support healthcare innovation and operational excellence. Join us at upcoming meetings to connect with our team, explore our solutions, and stay informed on key topics shaping the medical billing and revenue cycle landscape.
- Client Conference
  - Client Conference
    Imagine’s annual Client Conference is a premier gathering for revenue cycle management professionals to gain hands-on insights into maximizing their ImagineOne investment. Explore the latest advancements shaping healthcare in connection with industry professionals from across the country.
- Contact Us
  - Contact Us
    Connect with ImagineSoftware™—we’re here to support clients, future partners, and industry professionals. Whether you’re exploring solutions or have questions, our team is ready to collaborate and help you achieve your goals in medical billing and revenue cycle management.
Resources
- Resources
  - Resources
    Stay informed and empowered with ImagineSoftware’s™ comprehensive Resource Center. Explore a wide range of accessible content—including blogs, white papers, case studies, eBooks, and more—designed to support your success in the ever-evolving world of medical billing software. Whether you’re looking for in-depth industry analysis, practical solutions, or company updates, our curated resources deliver clarity, compliance, and confidence at every step.
- Blog
  - Blog
    Stay ahead in a changing healthcare environment with ImagineSoftware™ Blogs. Access expert insights, industry trends, and practical guidance to support informed decision-making. Our content helps healthcare professionals explore innovation, adapt to challenges, and discover new strategies driving the future of care and revenue cycle success.
- eBooks
  - eBooks
    Discover how healthcare is evolving with ImagineSoftware™ eBooks. Explore real-world insights into automation, accuracy, and productivity gains in medical billing. Our expert resources highlight transformative technologies that streamline operations and boost financial performance—empowering healthcare organizations to operate more efficiently in a tech-driven landscape.
- Webinars
  - Webinars
    Gain on-demand access to expert-led webinars from ImagineSoftware™, covering key topics in revenue cycle management, industry trends, and medical billing innovation. These recorded sessions deliver practical insights and in-depth knowledge to help healthcare professionals stay informed, optimize performance, and lead in an ever-changing healthcare landscape.
- Case Studies
  - Case Studies
    Explore ImagineSoftware™ case studies to see real-world results from healthcare organizations using our advanced medical billing software. Learn how automation improves accuracy, accelerates billing, and drives productivity. These success stories highlight our commitment to empowering clients with solutions that enhance operational efficiency and financial performance.
- White Papers
  - White Papers
    Discover in-depth insights with ImagineSoftware™ white papers, covering industry trends, strategic guidance, and the impact of advanced billing solutions. These expert resources help healthcare organizations navigate challenges, optimize operations, and stay competitive in an increasingly complex and evolving healthcare landscape.
- Industry Insights
  - Industry Insights
    ImagineSoftware™ delivers advanced medical billing solutions backed by industry expertise and a clear understanding of healthcare’s evolving needs. Our resources provide practical strategies and timely insights to help organizations improve efficiency, adapt to change, and maintain strong financial performance. Explore how we support smarter healthcare operations.
- FAQs
  - FAQs
    Find clear, reliable answers with ImagineSoftware™ FAQs. Covering product details, billing processes, and technical support, our expert-curated responses help customers quickly access accurate, up-to-date information. This resource is designed to support a smoother experience and ensure confidence in using our solutions.
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ImagineApex™

Artificial Intelligence Powering the Autonomous Billing Era

ARTIFICIAL INTELLIGENCE + RCM

Your RCM AI Engine, ImagineApex™

Revenue cycle management is evolving from workflow management to workflow completion.

ImagineApex™ is the embedded AI engine within ImagineOne®, ImagineSoftware’s Autonomous Revenue Cycle Operating System. Building on the conversational AI foundation of ImagineCo-Pilot®, it advances from AI assistance to coordinated, agentic execution – unifying intelligence, workflow, automation, and action in one RCM environment.

Rather than only identifying issues, ImagineApex helps move revenue cycle work forward by predicting problems, resolving exceptions, initiating authorized actions, and completing workflows with configurable human oversight.

137% Return on Investment
$4M+ Net Savings
350,000+ Hours Returned
Up to 97% Autonomous Billing

Schedule a Demo

AI Built Into the Revenue Cycle Operating System

AI without workflow can only recommend. Workflow without intelligence can only follow predefined paths. ImagineApex™ brings both together.

Unlike standalone AI tools layered beside the revenue cycle, ImagineApex™ operates within ImagineOne® – where revenue cycle data, workflows, rules, reporting, permissions, and authorized actions already exist.

That embedded architecture gives ImagineApex the context to understand what is happening, the intelligence to determine what should happen next, and the ability to help execute the appropriate action.

ImagineOne® is the system of record + system of action. ImagineApex™ is the intelligence that connects the two.

RCM, orchestrated.

From AI Assistance to Coordinated Action

ImagineApex™ brings intelligent agents directly into the workflows, data, rules, and operational context of ImagineOne®. These agents can evaluate information, determine appropriate next steps, and execute authorized actions across high-volume revenue cycle workflows – from claim and denial activity to payment exceptions, patient engagement, payer intelligence, and more.

The result is a revenue cycle that does more than organize work. It helps complete it. Every action operates within defined permissions, approval thresholds, and auditability, giving organizations the ability to expand autonomy while maintaining control.

Autonomy with accountability.

Make Every Patient Financial Interaction More Intelligent

ImagineApex™ works within ImagineOne® to support personalized, automated patient financial experiences across the revenue cycle.

Using operational and financial context, intelligent workflows can help determine the appropriate communication, timing, and next action – supporting digital engagement through text, email, statements, portals, and other connected channels.

The result is less administrative effort for staff and a more convenient, responsive financial experience for patients.

Move From Managing Denials to Preventing and Resolving Them

ImagineApex™ brings intelligence and action together to address denials throughout the revenue cycle.

AI can identify patterns in payer behavior and claim activity, predict potential issues, recommend or execute appropriate corrections within configured parameters, and support the appeals process when denials occur.

Instead of adding another alert to a work queue, ImagineApex™ helps turn insight into action – reducing repetitive intervention and helping teams focus their expertise on the exceptions that require human judgment.

From prediction to correction. From denial to resolution.

Turn Revenue Cycle Intelligence Into Action

Revenue cycle data is most valuable when it changes what happens next.

ImagineApex™ brings conversational and agentic intelligence into ImagineOne®, allowing teams to explore operational and financial information using natural language, uncover payer and workflow patterns, and move from insight toward action within the same operating environment.

Rather than separating analytics from execution, ImagineApex™ connects intelligence to the workflows that drive revenue forward.

From dashboards to decisions. From decisions to action.

Learn From Outcomes

ImagineApex™ helps create a more adaptive revenue cycle by applying AI to the operational context already available within ImagineOne®. As workflows execute and outcomes become available, intelligence can help identify patterns, strengthen decision-making, and improve how repetitive work is handled over time. Rules manage predictable volume. AI helps address residual complexity. ImagineOne® orchestrates the workflow.

Together, they create a path toward increasingly autonomous revenue cycle operations, with human oversight where it matters.

On-Demand Webinar

AI Is Changing the Rules of Healthcare Leadership

This on-demand webinar goes beyond hype to focus on practical realities, real-world use cases, and the critical role leaders play in guiding AI adoption with intention and confidence. Explore how forward-thinking healthcare leaders are using AI today to enhance visibility, improve decision-making, and unlock efficiency – while also addressing common misconceptions, risks, and organizational barriers that can slow progress.

WATCH NOW

See how ImagineApex™ (formerly ImagineCo-Pilot®) brings the power of AI directly into your revenue cycle workflow. ImagineSoftware’s Sr. Vice President of Data Science, Rob Gontarek, explains how ImagineApex helps healthcare organizations work smarter by delivering intelligent automation, real-time insights, and faster access to the information teams need to make confident decisions. Learn how AI-driven assistance can reduce administrative burden, improve productivity, and empower your staff to focus on what matters most – delivering exceptional patient care and maximizing financial performance.

EBOOK

Enter The Autonomous Billing Era

Discover how agentic AI is transforming healthcare revenue cycle management by moving organizations beyond workflow automation toward intelligent, coordinated execution.

Explore how ImagineApex™ (formerly ImagineCo-Pilot®), the AI engine within ImagineOne®, turns intelligence into action to help reduce manual work, accelerate revenue, and advance the autonomous billing era.

Agentic AI + Intelligent Workflow Orchestration

ImagineApex™ combines AI with the workflows, business rules, data, and operational context of ImagineOne®. Intelligent agents can support multi-step revenue cycle work, coordinate actions, and help drive workflows toward completion, not simply generate recommendations.

Conversational Intelligence

Ask questions using natural language and quickly explore revenue cycle information, operational performance, payer behavior, and workflow activity. Conversational intelligence makes complex data easier to access and understand while connecting insights to the work happening within ImagineOne®.

Revenue Cycle Intelligence & ROI Visibility

Understand the operational and financial impact of automation with reporting and ROI visibility designed to demonstrate where technology is returning capacity, reducing repetitive work, and improving revenue cycle performance.

Intelligent Patient Engagement

Support personalized patient financial interactions through connected digital workflows, intelligent communication, and automated engagement designed to reduce administrative effort while creating a more convenient patient experience.

ImagineVoice™

Native to ImagineOne®, ImagineVoice™ extends agentic intelligence into voice interactions, supporting inbound patient calls, outbound patient outreach, and payer follow-up. Account context and connected workflows help conversations move beyond interaction toward resolution, with escalation for exceptions that require staff involvement.

Learn More about ImagineVoice

Controlled Autonomy

ImagineApex™ is designed to increase automation without sacrificing organizational control. Permission-based actions, configurable approval thresholds, human oversight, explainability, role-based security, and audit trails help organizations determine where AI can act and where human judgment remains essential.

Autonomy with accountability.

AI That Moves Revenue Forward

Most revenue cycle technology helps teams see work, organize work, and manage work. ImagineApex™ helps complete it. Embedded within ImagineOne®, ImagineApex™ brings together artificial intelligence, agentic execution, automation, analytics, and workflow orchestration to create a revenue cycle that can increasingly act on its own – within the controls your organization defines.

The opportunity is bigger than another productivity tool. It is a new operating model for revenue cycle management.

ImagineOne®. RCM, orchestrated. ImagineApex™. Intelligence turned into action. We don’t just track workflow. We complete it.

Schedule a Demo

Frequently Asked Questions

What is ImagineApex™?

ImagineApex™ (formerly ImagineCo-Pilot®) is the AI engine embedded within ImagineOne®, ImagineSoftware’s Autonomous Revenue Cycle Operating System. It combines conversational AI, predictive intelligence, automation, and agentic capabilities to help healthcare organizations analyze information, coordinate workflows, and complete authorized revenue cycle actions.

How is ImagineApex™ different from ImagineCo-Pilot®?

ImagineCo-Pilot® introduced conversational AI and AI-assisted workflows within ImagineOne®. ImagineApex™ builds on that foundation, advancing from AI assistance toward coordinated, agentic execution. The evolution expands how intelligence can interact with workflows and take authorized action while maintaining human oversight, permissions, and auditability.

What is agentic AI in revenue cycle management?

Agentic AI is AI designed to work toward defined outcomes by evaluating context, determining appropriate next steps, and taking authorized actions across a workflow. In RCM, agentic AI can help organizations move beyond individual task automation toward coordinated workflow execution while maintaining governance and human oversight.

How does ImagineApex™ support autonomous revenue cycle management?

ImagineApex™ operates within ImagineOne®, where revenue cycle data, business rules, workflows, reporting, and authorized actions are connected. This allows AI to use operational context to help predict issues, resolve repetitive exceptions, coordinate actions, and move workflows toward completion. The level of autonomy can be configured according to organizational requirements and the workflow involved.

Does ImagineApex™ replace revenue cycle staff?

No. ImagineApex™ is designed to complete repetitive and predictable work while keeping human expertise focused on complex exceptions, strategic decisions, patient needs, and workflows requiring judgment. Configurable autonomy and human oversight allow organizations to determine where AI acts and where staff remain directly involved.

How is AI governance handled within ImagineApex™?

ImagineApex™ is designed around controlled autonomy. AI-driven actions operate within the permissions, workflows, and governance framework of ImagineOne®, with capabilities including configurable oversight, role-based access, approval controls, explainability, and audit trails.

What revenue cycle workflows can ImagineApex™ support?

ImagineApex™ supports intelligence and automation across areas of the revenue cycle including claim processing and correction, denial prediction and resolution, appeals, payment and posting workflows, patient financial engagement, payer intelligence, analytics, and other repetitive revenue cycle activities. Available functionality varies by workflow and configuration.

“ImagineApex (formerly ImagineCo-Pilot) is 100% going to make us a stronger practice…”

Amber Stephenson, Practice Administrator

“ImagineSoftware has helped us evolve in ways that we really couldn’t have anticipated. Whether that’s improving workflows or increasing visibility across teams, integrating new capabilities, incorporating artificial intelligence, ImagineOne continues to grow as we grow as a business.”

Rich Whitney, Chairman and Chief Executive Officer

“We have multiple clients across multiple specialties… We have one that we switched to ImagineApex (formerly ImagineCo-Pilot) where we have seen double the payments for that organization, within four months’ time… It’s been a huge boost for us and for our clients.”

Betty Roork, Account Manager

“ImagineApex (formerly ImagineCo-Pilot) gives me the next layer of automation… It allows us to start to think out of the box, taking AI to different levels and being able to automate more pieces [of the revenue cycle]… ImagineOne definitely is the future of what we’re doing.”

Michelle Juette, Business Services Manager

Discover More: AI-Driven RCM Solutions

How Agentic AI is Transforming Healthcare Revenue Cycle Management

Receive our Agentic AI and ImagineCo-Pilot eBook Healthcare revenue cycle teams face massive complexity: inconsistent payer behavior, high volumes of exceptions, […]

From our whitepapers

The Last Mile of RCM Workflow Automation: How Agentic AI Turns Insights into Actions

By equipping intelligent agents with goals, tools, and the ability to act autonomously within ImagineSoftware’s ImagineCo-Pilot® platform, revenue cycle teams can now bridge the gap between recommendation and resolution. These self-directed systems don’t just suggest what should be done – they do it. This white paper explores how Agentic AI within ImagineCo-Pilot completes the “last mile” of RCM automation, delivering measurable efficiency, accuracy, and financial return.

From our blog

From ImagineCo-Pilot to ImagineApex: The Next Evolution of Intelligent Revenue Cycle Management

Kendall Lee

Wednesday, 19 Aug 2026

ImagineApex expands AI from an assistant within the revenue cycle into an intelligent platform designed to connect capabilities, orchestrate work, and […]

See the
Future of Revenue Cycle Management
in Action