Amy by CombineHealth

Name: Amy by CombineHealth
Brand: CombineHealth

VerifiedEditor reviewed

AI medical coding automation for mid-sized hospitals and physician groups

AI & Automation Healthcare Medical Billing

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What is Amy by CombineHealth?

Editorial review

Amy by CombineHealth is payer-outcome-aligned AI medical coding automation for mid-sized hospitals and multi-specialty physician groups. Amy automates coding across CPT, ICD-10, HCPCS, E/M, modifiers, HCC, and specialty workflows, with explainable recommendations, confidence scores, human review for exceptions, code audit, and CDI support. Claim outcomes are fed back to improve future coding performance.

LCLouis CorneloupUpdated Jul 2, 2026 · how we evaluateSourcecombinehealth.ai ↗

Key Features

Payer-outcome-aligned coding automation: Uses denials, reimbursements, underpayments, and payer edits as feedback to improve future coding.Autonomous medical coding: Automates CPT, ICD-10, HCPCS, E/M, modifiers, HCC, and specialty-specific coding with confidence scoring. Achieved 98%+ accuracy and 85%+ automation rates.Explainable coding recommendations: Provides evidence, rationale, guideline references, and missing-information flags for each code.Code auditing: Reviews provider- or coder-assigned codes to identify discrepancies, missed codes, overcoding, and undercoding.CDI opportunity identification: Identifies documentation gaps, incomplete diagnoses, missed services, and CDI opportunities.

Pricing Plans

Pricing checked Aug 21, 2026

Usage-Based Pricing

Free

A fixed monthly platform fee plus usage-based charges tied to actual workflow volume, such as charts coded, claims processed, follow-ups completed, or appeals drafted.

Fixed Pricing

Free

A predictable fixed monthly fee calculated based on estimated workflow volume, solution scope and integration needs.

Revenue Share

Free

A model where we take a percentage of revenue generated, aligning our pricing directly with the outcomes achieved.

Calculate your cost View full pricing

Is Amy by CombineHealth worth the price?

85/100

Amy's pricing is uniquely fair and outcome-aligned, with no upfront cost for Usage-Based or Revenue Share models.

The Revenue Share tier is especially generous for risk-averse providers, though the lack of published dollar amounts makes direct comparison tricky. Best for mid-to-large health systems wanting to minimize financial risk.

Hidden Costs & Gotchas

Fixed monthly platform fee not disclosed

Usage overage may scale steeply

Revenue share percentage not specified

Setup or integration fees may apply

Potential minimum commitment in Fixed tier

How Amy by CombineHealth Compares to Competitors

Compared to CodaMetrix's per-chart fee of $0.50-$1.00, Amy's usage-based model could be cheaper for fluctuating volumes. In contrast, 3M's fixed licensing often costs $50k+/year upfront, making Amy's no-upfront tiers more accessible for smaller organizations.

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Still deciding?

Most buyers shortlist 2 or 3 tools before committing. Pull a side-by-side comparison or browse the full alternatives shortlist below.

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Amy by CombineHealth FAQ

How does Amy automate medical coding for a multi-specialty physician group?

Amy automates coding across CPT, ICD-10, HCPCS, E/M, modifiers, HCC, and specialty workflows, providing explainable recommendations and confidence scores. It supports human review for exceptions, making it suitable for multi-specialty physician groups.

How does Amy's coding automation approach differ from that of CodaMetrix?

Amy offers explainable recommendations with confidence scores, human review for exceptions, and continuous improvement through claim outcome feedback. Unlike some competitors, it is purpose-built for mid-sized hospitals and physician groups.

What are the main trade-offs when using Amy for medical coding?

Amy requires human review for exceptions, meaning it is not fully autonomous. It is optimized for mid-sized hospitals and multi-specialty physician groups, so it may not be suitable for very large health systems or solo practices.

Which teams benefit most from Amy's coding automation?

Coding teams in mid-sized hospitals and multi-specialty physician groups benefit most, as Amy is designed to handle their specialty workflows and volume. It reduces manual effort and improves accuracy for these settings.

How is Amy priced?

Amy is a paid product with no permanently free tier. It is typically offered under a subscription model tailored to the organization's size and coding volume.

Does Amy support HCC coding and risk adjustment?

Yes, Amy automates HCC coding as part of its comprehensive code set coverage, including ICD-10 and specialty workflows. It also provides CDI support and code audit features.

How does Amy improve coding accuracy over time?

Claim outcomes are fed back into the system to improve future coding performance. This continuous learning cycle enables Amy to adapt and enhance its accuracy based on real-world results.

Source: combinehealth.ai

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