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AI Revenue Platform for Post-Acute Care
Post-acute care loses billions to broken revenue infrastructure. Claim Health prevents it. We catch denials before they happen, automate the work drowning ops teams, and connect every step from referral to cash so agencies can scale without adding headcount. Kevin and JJ bring nearly a decade of experience building and scaling healthtech companies across different segments. Post-acute care is a $400B market with over $20B in annual revenue leakage due to broken revenue infrastructure. Claim Health is fixing that.
Claim Health is an AI-driven revenue operations platform for post-acute care that automates and unifies the revenue cycle from intake to reimbursement. It aims to reduce manual work, prevent denials, and provide real-time visibility into revenue performance.
A single platform that automates revenue workflows across four core areas: Revenue Assurance to identify upfront data and coverage risk within the EMR before claims submission; Smart Intake to centralize referrals from multiple channels, extract data, verify eligibility, and route cases; Authorization Autopilot to automate prior authorizations from submission to renewal with exception alerts; Billing Operations to post payments, reconcile, handle denials, and drive follow-up. The Platform Intelligence layer provides a real-time view of revenue risk and performance across the organization.
Who it’s for: Post-acute care providers and home-based care organizations that manage referrals, authorizations, and billing.
seed round announced; YC/Maverick Ventures investor backing; claims of enterprise-grade security and HIPAA/SOC II certifications
Building the AI revenue platform for post-acute healthcare. Previously scaled revenue from zero to $XXXm as a founding sales leader at Dandy and led GTM teams as SVP of Revenue across healthcare and tech.
Building the AI revenue platform for post-acute healthcare. 4-time startup engineer veteran (2x health tech, 1x con tech, 1x document AI)
We're making at-home care billing a one-click process
Claim Health launches the first AI revenue platform for at-home care to automate routine claim submissions, surface claims needing attention, and assist with denials and appeals, targeting home health, home care, and hospice providers. The product aims to reduce billing cycles (from days to hours) and recover lost revenue from denials and underpayments.
We audit medical claims for self-insured employers and health plans.
Automating Healthcare Revenue Cycle Management with AI Workforce
