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The operations stack for biologic infusion clinics
Ruma Care automates all admin work for infusion clinics - starting with prior authorizations & copay assistance enrollment. Biologics are expensive medications that cost $80-$150K+ per year per patient, and often need to be administered in specific settings called infusion clinics. Medical providers buy these drugs up front to secure pricing deals and safer inventory - they are reimbursed for the cost of the medications through the patients’ insurance. Current medical workflows aren't built for infusion clinics. Inventory, storage, transport, and billing is still managed through paper and excel spreadsheets. And because they’re so expensive, these specialty medications are denied by insurers at a rate of 37% each year. When they are denied, when workflows fail, or patients are infused before paperwork is cleared, providers don’t get reimbursed for the medication and are left covering the costs. Ruma Care solves this so clinics get paid, patients get treated faster, and care teams spend less time fighting forms. We do this in three ways: 1. For each medication, diagnosis, and insurance combination, Ruma extracts the submission criteria required to get the drug approved by insurers. 2. We pull out the correct forms, then automate the form-filling for prior authorizations. 3. Lastly, we enroll patients in copay assistance programs, all in one workflow and platform. We turn a process that traditionally spans 70+ online portals, disparate paper forms, and manual phone calling into a single, streamlined platform. As we process prior authorizations, our models learn from denial patterns to understand exactly what insurers need to see to get a prior authorization approved.
Ruma Care provides an operations platform for infusion clinics focused on enabling biologic access through automated prior authorizations, copay enrollment, and reimbursement support. The service aims to streamline buy-and-bill processes and reduce denials by integrating with EHR data and handling PA forms.
Ruma automatically pulls patient, provider, and payer data from the clinic's EHR to complete prior authorization forms in seconds. It offers an all-in-one platform to replace multiple portals and paper forms, and includes automated copay enrollment through EHR-integrated data to support patient assistance programs. The system is designed for infusion clinics to help prevent denials and ensure proper reimbursement for each infusion.
Who it’s for: Infusion clinics and rheumatology/biologics-focused clinics that manage prior authorizations, copays, and buy-and-bill reimbursements.
Funding mentioned (YCombinator); mentions of press coverage and product launch activity, including a 2025-2026 funding and events.
Co-founder & CEO @ Ruma Care (W26). Previously, led Uber One global to 13M+ members and AI integrations for 100K+ suppliers at Walmart Data Ventures. Runs a 120+ person music collective in SF @juicytrees
Co-founder & CTO @ Ruma Care (W26). Previously, led integrations with United Healthcare at Medallion, and built robots, multimodal models, and voice assisted experiences at Apple.
Automating prior auths for the most expensive meds
Ruma Care automates prior authorizations for high-cost specialty medications, starting with infusion clinics that administer biologics, to reduce denials, shorten time to reimbursement, and streamline staff workflow. They announce a three-part product approach (extracting submission criteria, auto-filling forms, and enrolling patients in copay programs) and launch a free Formulary Navigator tool for providers.
Autonomous intake and RCM for specialty clinics.
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