Healthcare technology leader EnableComp® has officially acquired Helix Advisory, a Cincinnati-based revenue recovery specialist. The strategic acquisition integrates Helix’s proprietary detection engine into EnableComp’s complex revenue cycle management (RCM) platform, expanding its Zero Balance Review capabilities to identify hospital underpayments that bypass traditional rules-based audit software.
The transaction strengthens EnableComp’s platform roadmap by introducing three advanced revenue recovery features:
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Non-Linear Underpayment Detection: Uncovers hidden reimbursement shortfalls that fall outside conventional, static audit logic.
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Clinical Signal Detection: Automatically flags discrepancies between submitted case coding and actual payer reimbursements.
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Root-Cause Analytics: Traces the structural origin of underpayments, empowering healthcare systems to prevent recurring losses rather than relying solely on retrospective recovery.
By unifying these tools within EnableComp‘s native environment, health systems can systematically review zero-balance claims and complex denials without relying on third-party vendors or discarding smaller claims that fall below manual review thresholds.
Unlocking Lost Revenue Across U.S. Healthcare Systems
Hospital underpayment remains a systemic challenge across the United States. Data from the American Hospital Association indicates that Medicare and Medicaid underpay hospitals by more than $130 billion annually, with commercial payers contributing significantly to the deficit.
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A substantial portion of this uncollected revenue is routinely written off. Traditional audit tools rely heavily on rigid, predefined parameters and high dollar-value thresholds, structurally ignoring complex or lower-balance claims that accumulate into significant financial losses over time. The integration of Helix Advisory’s technology removes these operational barriers, allowing health systems to audit 100% of their claims automatically.
“Most recovery programs are built to find what they’re told to look for. Helix’s technology finds what nobody told it to look for that’s the difference between a rules engine and real intelligence,” said Frank Forte, CEO of EnableComp. “Bringing that into EnableComp’s platform means our clients stop leaving money on the table simply because a claim was too small or too complex for a standard audit to flag it. The work of unifying these capabilities into a single, more powerful platform is already underway and what we are building is something the market has not seen before.”
“The technology we built at Helix was purpose-built to find revenue that traditional recovery programs leave on the table,” said Zack Higbie, founder of Helix Advisory, who joins EnableComp as vice president of Revenue Recovery Products. “Joining EnableComp means we can bring that capability and the clinical expertise behind it to a much larger base of hospitals. Our early clients, large and small, are already seeing greater than 2% net revenue improvements on revenue that was previously unrecognized or written off.”
Industry Leadership and Market Impact
EnableComp currently partners with more than 1,000 hospitals nationwide, processing complex claims, complex denials, and specialty revenue recovery to collect approximately $3 billion annually for its clients.
The acquisition reinforces EnableComp’s position as a market leader in specialty revenue cycle management. Recognized by Black Book Research as the #1 Specialty RCM firm for complex claims and revenue integrity for three consecutive years (2024, 2025, and 2026), the company maintains stringent data security standards with SOC 2 Type II and HITRUST e1 certifications.

