Fathom vs Solventum (formerly 3M Health Information Systems)
Two Autonomous Medical Coding vendors, side by side. Facts from public sources; judgments are ours.
At a glance
Derived from public facts · a rough scale, not a ranking
| Fathom | Solventum (formerly 3M Health Information Systems) | |
|---|---|---|
| Pricing model | Not published · custom quote based on coding volume | Enterprise contract (custom) · Module-based licensing, quotes only |
| Speed to go live | 4 to 6 months, EHR integration and validation | Enterprise install, deep EHR integration |
| Automation model | Autonomous agents · autonomous coding, human review fallback | Software platform · CAC, CDI, grouping; autonomous coding add-on |
| Built for | Enterprise systems, Billing companies | Enterprise systems, Payers |
| Security posture | HITRUST, SOC 2 Type II, HIPAA | No certifications published |
| Company maturity | 10 yrs (est. 2016) | 2 yrs (est. 2024) |
| Financial backing | $61M+ · Series B | Public (NYSE: SOLV) |
| Named customers | 2 named | 1 named |
| Published results | Specific numbers public | No public numbers |
| Documented integrations | 3 listed | 4 listed |
| Third-party validation | None found | None found |
Bottom line
- Pick Fathom if you code high chart volumes and want most encounters coded autonomously, and can fund a multi-month EHR integration.
- Pick Solventum if you are a large hospital that wants the incumbent market-standard coding, CDI, and grouping stack with decades of regulatory content behind it.
Fathom
High-volume autonomous coding across specialties
- Founded
- 2016
- HQ
- San Francisco, CA
- Stage
- Series B
- Raised
- $61M+
What it does
- Codes encounters autonomously with deep learning and NLP
- Automates 90%+ of coding volume in many deployments
- Covers ED, radiology, primary care, and other specialties
- Routes low-confidence charts to human coders
- Improves HCC/RAF capture for value-based contracts
- Reduces coding cost, denials, and days to bill
Where it's strong
- Highest published automation rates in the autonomous coding market, with customer-verified results like Your Health's 95.5% automation at 98.3% accuracy.
- Epic Toolbox listing and multi-specialty deployment model shorten implementation for health systems.
- Strategic backing from CVS Health Ventures and clinical investors like Cedars-Sinai signals enterprise credibility.
What buyers should weigh
- Narrowly focused on coding, so you still need separate vendors for the rest of the revenue cycle.
- Automation rates vary a lot by specialty and documentation quality; your mix may not hit headline numbers.
- Total disclosed funding is modest relative to peers, worth probing on enterprise support depth.
Named customers
ApolloMD · Your Health
Integrations
Solventum (formerly 3M Health Information Systems)
The incumbent coding and CDI platform, adding autonomous coding
- Founded
- 2024
- HQ
- St. Paul, MN
- Stage
- Public (NYSE: SOLV)
- Raised
- n/a
What it does
- 360 Encompass computer-assisted coding and CDI platform
- Autonomous coding that finalizes 80%+ of qualified outpatient charts
- Over 1 million proprietary coding rules as guardrails
- Grouping, reimbursement, and quality methodologies (MS-DRG, APR-DRG)
- Semi-autonomous fallback workflow for complex visits
Where it's strong
- Decades of coding content, terminologies, and payment methodologies that startups have to rebuild from scratch.
- Already installed in most large US hospitals, so autonomous coding can be turned on without a new vendor relationship.
- Public-company stability and a compliance track record that eases legal and audit review.
What buyers should weigh
- Autonomous coding is a newer bolt-on to a legacy platform; automation rates and chart eligibility trail some startup claims, so test on your own case mix.
- Enterprise contracts are large and multi-year, with less pricing flexibility than per-chart startup models.
- The company is mid-restructuring after the 3M spinoff, with a $500M cost-cutting program that buyers should watch for support impact.
Named customers
Ensemble Health Partners
Integrations
Compare against the rest of Autonomous Medical Coding
Deciding between these two?
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