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EnableComp收购 Helix Advisory,在其复杂收入追回平台中推进零余额审查技术

EnableComp Acquires Helix Advisory, Advancing Zero Balance Review Technology in Its Complex Revenue Recovery Platform

PR Newswire 等信源发布 2026-08-12 21:05

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Hospitals no longer leave money on the table because a claim is too small, too complex

医院不再因索赔金额过小或过于复杂而放弃应得收入

FRANKLIN, Tenn.

田纳西州富兰克林

,

Aug. 12, 2026

2026年8月12日

/PRNewswire/ --

/美通社/ --

EnableComp

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, the leading provider of technology-driven complex revenue cycle management (RCM) solutions, today announced its acquisition of Helix Advisory, a Cincinnati-based revenue recovery firm whose technology identifies underpayments that traditional rules-based audit systems are structurally unable to catch..

,作为技术驱动的复杂收入周期管理(RCM)解决方案的领先提供商,今天宣布收购位于辛辛那提的收入追回公司Helix Advisory。该公司的技术能够识别传统基于规则的审计系统结构性地无法发现的少付款项。

The investment expands EnableComp's Zero Balance Review capabilities as part of its broader platform roadmap. The acquisition strengthens EnableComp's platform with three specific capabilities:

此次投资扩大了 EnableComp 的零余额审核能力,作为其更广泛平台路线图的一部分。此次收购通过三项具体能力增强了 EnableComp 的平台:

the ability to identify underpayments that standard audit logic cannot see

识别标准审计逻辑无法发现的少付款项的能力

clinical signal detection that flags discrepancies between how a case was coded and what a payer actually reimbursed

临床信号检测,用于标记病例编码方式与实际支付方报销内容之间的差异

root-cause analytics that trace why an underpayment occurred, so clients can prevent future losses, not just recover past ones

追溯少付原因的根因分析,帮助客户预防未来损失,而不仅仅是挽回过往损失

For EnableComp's hospital clients, the integration means underpayment recovery that previously required a standalone audit vendor — or that didn't happen at all because the claim fell below a manual review threshold — now runs natively inside the same platform handling their complex claims and denials..

对于EnableComp的医院客户而言,这一集成意味着以往需要依赖独立审计供应商才能实现的少付款追回,或者因索赔金额低于人工审核阈值而根本无法进行的追回工作,如今可直接在同一个处理复杂索赔和拒付的平台上原生运行。

'Most recovery programs are built to find what they're told to look for. Helix's technology finds what nobody told it to look for — that's the difference between a rules engine and real intelligence,' said Frank Forte, CEO of EnableComp. 'Bringing that into EnableComp's platform means our clients stop leaving money on the table simply because a claim was too small or too complex for a standard audit to flag it.

EnableComp 首席执行官 Frank Forte 表示:“大多数恢复型程序只能根据预设指令去查找目标。而 Helix 的技术能够发现那些未被明确指示要去查找的内容——这正是规则引擎与真正智能之间的区别。”“将这项技术融入 EnableComp 的平台,意味着我们的客户不再因索赔金额过小或过于复杂、无法被常规审计标记而错失本应收回的资金。”

The work of unifying these capabilities into a single, more powerful platform is already underway — and what we are building is something the market has not seen before.'.

将这些能力整合到一个更强大的统一平台中的工作已经展开——我们正在构建的是市场上前所未有的产品。

Hospital underpayments represent a persistent and largely unaddressed problem across the U.S. healthcare system. According to the American Hospital Association, hospitals are underpaid by more than $130 billion annually by Medicare and Medicaid alone — and commercial payer underpayments add significantly to that figure.

医院报销不足是美国医疗体系中一个持续存在且 largely 未得到解决的问题。根据美国医院协会的数据,仅联邦医疗保险(Medicare)和医疗补助计划(Medicaid)每年对医院的报销缺口就超过1,300亿美元,而商业保险支付方的报销不足进一步加剧了这一数额。

The majority goes unrecovered not because the revenue isn't there, but because conventional audit technology is designed around predefined rules and claim size thresholds that structurally exclude a large share of the opportunity..

大部分款项未能追回,并非因为缺乏可回收的收入,而是因为传统审计技术围绕预定义规则和索赔金额阈值设计,从而在结构上排除了大量的潜在机会。

'The technology we built at Helix was purpose-built to find revenue that traditional recovery programs leave on the table,' said Zack Higbie, founder of Helix Advisory, who joins EnableComp as vice president of Revenue Recovery Products. 'Joining EnableComp means we can bring that capability and the clinical expertise behind it to a much larger base of hospitals.

“我们在Helix开发的技术专为挖掘传统回收计划所忽视的收入而设计,”Helix Advisory创始人、现加入EnableComp担任收入回收产品副总裁的Zack Higbie表示。“加入EnableComp意味着我们可以将这一能力及其背后的临床专业知识带给更广泛的医院群体。”

Our early clients, large and small, are already seeing greater than 2% net revenue improvements on revenue that was previously unrecognized or written off.'.

我们的早期客户,无论规模大小,已经在之前未确认或已核销的收入上实现了超过2%的净收入提升。

EnableComp currently supports more than 1,000 hospitals nationwide and recovers approximately $3 billion annually across its Complex Claims, Complex Denials, and Complex Revenue Recovery solution suites. The company has been recognized as Black Book's #1 Specialty Revenue Cycle Management firm for complex claims and revenue integrity for three consecutive years — 2024, 2025, and 2026 — and maintains SOC 2 Type II and HITRUST e1 certification..

EnableComp 目前支持全国超过1,000家医院,其复杂索赔、复杂拒付和复杂收入回收解决方案套件每年可收回约30亿美元。该公司在2024年、2025年和2026年连续三年被Black Book评为复杂索赔和收入完整性领域排名第一的专业收入周期管理公司,并保持SOC 2 Type II和HITRUST e1认证。

About EnableComp

关于 EnableComp

EnableComp works the hardest part of the revenue cycle: complex claims, denials, and revenue recovery. The company combines 25 years of specialized expertise with AI-driven technology to uncover revenue others leave behind. Powered by Complex Revenue Intelligence™ and the e360 RCM

EnableComp 专注于收入周期中最具挑战性的环节:复杂索赔、拒付处理以及收入追回。该公司将25年的专业经验与人工智能驱动的技术相结合,挖掘其他机构未能收回的收入。其核心驱动力为 Complex Revenue Intelligence™ 和 e360 RCM。

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AI-driven platform, EnableComp helps more than 1,000 hospitals nationwide recover $3 billion annually from complex claims, denials, and other revenue recovery challenges. EnableComp has earned Black Book's top ranking in complex claims for three consecutive years, including the 2026 Complex Claims and AR Recovery Services category.

作为人工智能驱动的平台,EnableComp 帮助全国1000多家医院每年从复杂索赔、拒付及其他收入回收挑战中追回30亿美元。EnableComp 已连续三年在 Black Book 的复杂索赔领域排名中位列榜首,其中包括2026年“复杂索赔与应收账款回收服务”类别。

The company is also a multi-year Top Workplaces honoree, and its platform is SOC 2 Type II and HITRUST e1-certified. EnableComp is backed by Welsh, Carson, Anderson & Stowe (WCAS), a New York-based private equity firm with more than four decades of experience investing exclusively in healthcare and technology companies.

该公司也连续多年荣登“最佳工作场所”榜单,其平台已通过SOC 2 Type II和HITRUST e1认证。EnableComp由位于纽约的私募股权公司Welsh, Carson, Anderson & Stowe(WCAS)支持,该公司在医疗和科技领域拥有超过四十年的专注投资经验。

Learn more at EnableComp.com..

了解更多,请访问 EnableComp.com。

Greenberg Advisors served as financial advisors to EnableComp.

格林伯格顾问公司担任了EnableComp的财务顾问。

Media Contact

媒体联系人

Philip Anast

菲利普·阿纳斯特

Supreme Communications for EnableComp

EnableComp 的最高级通信

[email protected]

[email protected]

SOURCE EnableComp

源 EnableComp

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