Sovereign Healthcare Revenue Cycle Management Software

Run Your Entire Revenue Cycle with One Sovereign RCM Platform

Factum helps reimbursement law firms, medical billing companies, and healthcare providers manage the complete revenue cycle - from claim submission and medical billing to denial management, and reimbursement recovery, all within one sovereign platform built exclusively for your organization.

94%

Clean Claim Rate

industry avg. 75–85%

11 days

Avg. Days in A/R

vs. industry avg. 30–40

< 5%

Denial Rate

vs. industry avg. 10–15%

100%

Data Sovereignty

all IP owned by you

WHAT WE DO

Healthcare RCM Software Built Around Your Existing Healthcare Systems

Factum connects the systems you already use and transforms fragmented claim data into controlled recovery workflows.

Instead of forcing your team into a generic RCM tool, Factum creates a sovereign, integrated revenue recovery solution built around your organization's own systems, workflows, and data.

Integration Layer

01

Front-End

Patient Registration & Eligibility
Prior Authorization
EHR / EMR Connectivity
Clinical Documentation Retrieval
Provider & Facility Validation
Patient & Encounter Data

Integration Layer

02

Mid-Cycle

Medical Billing Workflow
Claim Submission Data
Clearinghouse Connectivity
ERA & Remittance Data
Coding & Charge Data
Secondary Claim Crossover

Sovereign Platform

03

Back-End

Denial Management & Appeals
Litigation Workflow Automation
Claim Evidence Management
Private AI Clinical Analysis
HIPAA-Hardened Infrastructure
Custom Reporting & Analytics

HOW WE HELP

The Full Lifecycle of a Claim Through 2 Structured Workflow Phases

Factum organizes healthcare claims management through two dedicated workflow solutions: Factum Recovery for reimbursement law firms and Factum RCM for medical billing companies, guiding each claim from intake to final resolution.

Legal Track

Factum Recovery Workflow

A 6-phase litigation workflow built for reimbursement law firms and in-house counsel - from case intake and clinical discovery through litigation management and final case closure.

01Intake
02Dispute Resolution
03Litigation Preparation
04Litigation Management
05Billing
06Case Closure

RCM Track

Factum RCM Workflow

A 4-phase RCM workflow built for billing companies and healthcare providers - automating the full claim lifecycle from submission and payment posting through patient billing and denial management.

01Claims Submission
02Payment Posting
03Patient Billing
04Denial Management

OUR PRICING MODEL

RCM Software Pricing Model Aligned With
Your Recovery

Factum's pricing is built around a simple principle: we earn more only when you recover more. Use our interactive calculator to estimate your investment based on your claim volume, recovery rate, and team size.

Calculate Your Pricing

Performance-Aligned

We earn more only when you recover more - zero misaligned incentives.

Sovereign Ownership

All code, AI models, and workflows are owned by your organization.

Dedicated Expert Team

Every client receives a dedicated team of 7+ handpicked specialists.

Interactive Calculator

Estimate your investment and projected recovery value in real time.

OUR BLOG

Your Go-To Insights for Healthcare Claims Excellence

Discover clinical-legal strategies and technical insights to bridge the denial gap and accelerate your recovery funnel.