MedAI Verdict
Billing & coding

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Optum Integrity One logo

Optum Integrity One

by Optum  ·  founded 2011  ·  US

Last verified

AI platform for medical coding, clinical documentation integrity and auditing in hospital revenue cycle teams.

Visit Optum Integrity One (opens in new tab)Read our methodology

At a glance

Pricing
No public price. Product page offers "Schedule a live demo".
HIPAA
Not disclosed
SOC 2
Not disclosed
EHRs
—
Founded
2011
HQ
US
On this page

Independent score  ·  By our public rubric

16/100Tracked

Not rated: too little independent evidence yet.

How it’s computed →
  • Regulatory & Compliance
    0/10

    No public HIPAA/SOC2/BAA attestation

  • Clinical Integration
    0/31.4

    No EHR integrations listed

  • Evidence Strength
    0/10

    No peer-reviewed coverage

  • Vendor & Market
    9/18

    Founded 2011 (15 years)

  • Sentiment & Transparency
    3.3/6.5

    Pricing on request, no public amounts

▸ Show all 11 dimensions

Regulatory & Compliance

  • HIPAA / SOC2 / BAA0/10

    No public HIPAA/SOC2/BAA attestation

Clinical Integration

  • EHR integrations (count)0/18

    No EHR integrations listed

  • Top-3 EHR coverage (Epic / Oracle / Athena)0/8

    None of the top-3 EHRs covered

  • Bidirectional write-back0/5

    No bidirectional write-back documented

Evidence Strength

  • Peer-reviewed papers0/7

    No peer-reviewed coverage

  • RCT / meta-analysis / systematic review0/3

    No RCT, meta-analysis, or systematic review

Vendor & Market

  • Funding & adoption signal3/12

    Seed-stage or unfunded

  • Years in market6/6

    Founded 2011 (15 years)

Sentiment & Transparency

  • Pricing transparency3/7

    Pricing on request, no public amounts

Scored November 2, 2026 · Public scoring method v1.2.0

AI platform for medical coding, clinical documentation integrity and auditing in hospital revenue cycle teams.

No public price. Product page offers "Schedule a live demo".

Evidence record

Verification
  • Score computed November 2, 2026, method 1.2.0
  • Review written November 2, 2026
Cite this record

MedAI Verdict, Optum Integrity One record, https://medaiverdict.com/tools/optum-integrity-one, version November 2, 2026

Change history
View every change to this record

Bottom line

Optum Integrity One is the revenue cycle platform Optum introduced in a press release on May 7, 2025, built on Optum Clinical Language Intelligence. The product page frames it for hospital revenue cycle teams that handle coding, clinical documentation integrity (CDI) and auditing. Optum's release offers both fully autonomous and partially autonomous coding, with a human in the loop for complex cases.

What the product page lists

The product page describes an integrated platform for the middle revenue cycle that brings facility and professional coding, outpatient charging, CDI and auditing into a single solution. It also lists CDI queries "at the point of care," reporting dashboards, education and consulting services.

Clinical Language Intelligence and the autonomy claims

The product page FAQ describes Clinical Language Intelligence as "a hybrid AI approach that combines statistical, knowledge-driven and machine learning components" that reads clinician documentation, identifies clinical facts and maps them to codes. The same FAQ claims the platform automates "100% of clinical documentation review, case identification and code assignment" through exception-based workflows. The press release names Optum Insight as the product-management unit.

Results Optum has cited

The press release says a pilot with "a health system" raised coding productivity by "over 20%." The health system is not named. A quoted-phrase PubMed search for "Optum Integrity One" returns 5 hits from 2016 to 2026, none about the product, with Optum appearing as a data source or an author affiliation.

Integrations and compliance on the product page

The product page lists no EHR integrations and states no HIPAA, BAA, SOC 2, HITRUST or ISO 27001 status.

How peers describe their own coding

R1's launch release for Phare OS claims autonomous coding accuracy "as high as 97%" for ER and physician office visits. QuickIntell's QuickCode page describes AI-assisted suggestions "for qualified staff to assess," while its comparison page against Optum Insight markets "autonomous coding." QuickIntell wrote the comparison page itself. Penguin Ai's about page labels its output "recommendation."

Who sells it

Optum describes itself on its about page as "a UnitedHealth Group company," founded in April 2011 and headquartered in Eden Prairie, Minnesota. Becker's Hospital Review covered the launch under the headline "Optum launches AI-powered RCM platform for hospitals."

How Optum sells it

The product page offers "Schedule a live demo" and a sales contact form, and it lists no price.

The verdict

Integrity One is worth a demo for a hospital that wants coding, CDI and auditing under one vendor and is comfortable with Optum's exception-based workflow model. A group that wants named customers or an EHR list in hand first has to get them from Optum, because the product page gives neither.

Editorial review last generated November 2, 2026. Synthesized from clinician sentiment, peer-reviewed coverage, and our editorial silo picks. Refined by hand where vendor facts change.

What it costs

All tiers are custom-quoted. The vendor does not publish per-provider list pricing.

TierMonthlyAnnualNotes
EnterpriseNot statedNot statedNo public price. Product page offers "Schedule a live demo".

Source: vendor pricing page. Last checked November 2, 2026.

Who builds it

Optum Integrity One (Optum) was founded in 2011 in US, putting it 15 years into market.

Other billing & coding

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