Headless RCM platform
RCMbox
Go live faster and expand into new states and payers — with a reusable backend for claims, ERAs, and billing workflows.
When you need RCMbox
Off-the-shelf RCM doesn’t fit — and rebuilding billing from scratch is too slow and too risky.
You’re expanding into new states, payers, or lines of business — and each rollout becomes a new project.
You want predictable delivery instead of billing operations held together by manual work and unwritten rules.
You need clear answers in production: what happened, why it happened, and what needs attention next.
You want an extensible backend foundation you can tailor safely over time — without rewriting core billing logic.
You want automation and AI — but first you need workflows that behave predictably and are easy to audit.
Each new client brings edge cases. You need a backend that absorbs variation without creating parallel processes.
What you get
Ship faster — while keeping billing predictable and auditable.
Get to first production claims in weeks, not quarters.
Adapt as payer rules evolve without turning every change into a rewrite.
Make billing runs explainable: what happened, why, and what to do next.
Reuse workflows and integrations across markets, clients, and payers.
What’s inside RCMbox
A modular backend for billing operations: compose workflows, control execution, and keep production explainable.
Start from ready-made building blocks and templates — then extend flows as your requirements evolve.
Generate, validate, submit, track, and resubmit claims through deterministic workflows.
Receive remittances (ERAs), match them to claims, surface analytics, and define the next action.
Create or modify workflows directly in the developer UI — from templates or from scratch.
Connect via API or SFTP with X12 conversion in the middle — without rebuilding transport for each payer.
Start with an operations UI your team can tailor, instead of building every screen from scratch.
Why Health Samurai
Health Samurai builds FHIR-first healthcare infrastructure and ships production billing systems — from first claims to long-term evolution.
Infrastructure products for teams that need configurable, production-grade systems — not one-off implementations.
The team has delivered billing modules in production, including work on a billing module for Sandata's Agency Management Platform.
We can build your billing module quickly, then either keep evolving it with you — or hand it off to your team with a clean, maintainable foundation.
We are looking for early adopters.
Leave a short note about what you are building and, if you know it, your target go-live date. We will follow up with suggested time slots for a call.
