TL;DR: The leading revenue cycle automation options for NextGen practices in 2026 include Honey Health, Waystar, Notable, Infinitus and NextGen's own financial management tools. They differ mainly in integration depth, which revenue cycle tasks they cover, and how they're priced. The right pick depends on whether your biggest problem is front-end eligibility and authorizations, denial follow-up, or payer phone work.
If you run a NextGen practice and you're shopping for revenue cycle automation, you'll find a long list of vendors and very little help comparing them. This guide narrows it to five, explains how we chose them, and describes what each does well and where it falls short. We're Honey Health, so we've listed ourselves first and described what we do the same way we describe everyone else. Verify details with each vendor before you buy.
How did we choose these vendors?
A vendor made this list if it meets four criteria:
- Built for healthcare. The product is designed around payers, claims and clinical workflows, not general office automation.
- Works with NextGen. It integrates with NextGen or can operate in the workflow around it.
- Automates at least one core revenue cycle task. That means eligibility and benefits, prior authorization, denial management, claim status or payment posting.
- Actively serves U.S. practices. It has a real customer base and a clear HIPAA posture, including a willingness to sign a business associate agreement.
We kept the list to five so you can compare them in an afternoon. The vendors after Honey Health appear in no particular order, and nobody here is ranked.
Honey Health
Honey Health is an AI-native company building agents for back-office healthcare work. Its agents cover eligibility and benefits verification, prior authorization, denial management, payment posting, referral intake, fax triage, refills and data fetching. They work alongside the EHR, do the portal and document work your staff would otherwise do by hand, and send exceptions to a human.
Best for: specialty practices, primary care groups and MSOs that want to automate several back-office workflows with one vendor, especially work that arrives as faxes or documents.
Trade-off: it's a newer company than the established platforms in this list, so ask for references from practices similar to yours and a pilot on your own payers before committing.
Waystar
Waystar is a long-established revenue cycle platform with broad coverage across claims management, denial prevention and recovery, eligibility and authorization workflows. It has a public NextGen partnership, which makes it a natural candidate for practices that want a mature, enterprise-grade platform.
Best for: larger groups and organizations that want a single platform covering much of the revenue cycle and have the resources to implement it.
Trade-off: broad platforms can take longer to implement, and they're built around structured electronic workflows. Practices with a lot of fax, paper and portal work may still need additional tools.
Notable
Notable is an AI-native platform focused on automating operational and patient-facing workflows, including intake, scheduling and referral-related work, and it has expanded into broader administrative automation. It tends to appeal to organizations looking to reduce manual work across the patient journey, not just the claim.
Best for: health systems and larger groups that want automation spanning front-door patient workflows and administrative tasks.
Trade-off: its center of gravity is patient and operational workflow, so check how deeply it covers the specific revenue cycle tasks you care about, such as denial work and payment posting.
Infinitus
Infinitus builds AI voice agents that make phone calls to payers on your behalf, covering tasks like benefits verification and prior authorization status checks. If your staff spends hours on hold with payers, this is the problem it targets.
Best for: practices and organizations where payer phone calls are a major time sink and the information you need can't be retrieved electronically.
Trade-off: it focuses on the phone channel. It isn't a full revenue cycle platform, so you'll likely pair it with other tools for claims, denials and posting.
NextGen's own financial management tools
NextGen offers a financial management suite and revenue cycle capabilities built into its platform, including practice management, claims and billing functionality. For practices that want to stay inside one vendor's ecosystem, it's the simplest starting point.
Best for: practices that want tight native integration and prefer to add automation within their existing vendor relationship.
Trade-off: native tools tend to focus on the structured, in-system parts of the workflow. The manual work in payer portals, faxes and unstructured documents is often where outside automation adds the most.
How should you choose between them?
Match the vendor to your biggest bottleneck, not to the longest feature list.
- Start with your data. Pull your denial reasons, your hours spent on eligibility and authorizations, and your A/R aging. Where's the money or time leaking?
- Check the NextGen fit. Ask how the product connects to your NextGen environment, what it reads and writes, and who handles setup.
- Ask about exceptions. Every automation tool hits cases it can't handle. How are those routed, and how fast can your staff resolve them?
- Pilot with your own payers. Demos use clean examples. Your payers and documents are messier.
- Compare total cost. Include implementation time, staff review effort and ongoing support, not only the license price.
Many practices end up combining tools: a platform for claims and denials, plus specialized automation for phone work, faxes or authorizations.
Frequently Asked Questions
What is the best revenue cycle automation software for NextGen?
There isn't one best option. The right choice depends on where your revenue cycle leaks: front-end eligibility and authorizations, denial follow-up, payer phone calls, or claims volume. Match each vendor's strengths to your own data and test with a pilot.
Does revenue cycle automation software integrate with NextGen?
Many vendors do, either through direct integration or by working in the workflow around NextGen. Integration depth varies, so ask exactly what the tool reads from and writes back to NextGen, and who handles the setup.
How much does revenue cycle automation software cost?
Pricing varies by vendor and model. Some charge per transaction, some per provider or location, and some as a platform subscription. Ask for a quote based on your volume and compare total cost, including implementation and staff time.
Can I use more than one automation vendor?
Yes, and many practices do. A common pattern is a core platform for claims and denials plus specialized tools for tasks like payer phone calls or fax and document handling. Just confirm that the tools don't duplicate work or conflict in NextGen.
Is revenue cycle automation HIPAA compliant?
It can be if the vendor operates as a HIPAA business associate. Ask for a signed BAA, details on access controls, audit logging, encryption and data retention, and any security certifications they hold.
How long does implementation take?
It depends on scope. A single-workflow pilot can start within weeks, while a full platform rollout can take months. Ask each vendor for a realistic timeline based on your size and systems.
