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Transparent, AI-powered healthcare TPA.
TrueClaim is rebuilding health plan administration software from the ground-up, with modern technology and AI. Most health plans and third-party administrators (TPAs) still operate on outdated legacy technology that’s slow, error-prone and costly. We’re the modern alternative: AI-powered claims review, API-first architecture, and a platform that makes operating great health plans radically simpler. Think Shopify, but for health plans. We're on a mission to modernize how health plans operate to make the healthcare system more transparent, efficient and affordable for everyone.
TrueClaim is an AI-native third-party administrator (TPA) for health plans, offering real-time administration, cost savings, and AI-powered claim auditing to reduce errors and improve member experience.
The product provides real-time administration of members, claims, and dollars via an AI-enhanced platform. It automates error catching in billing and adjudication, offers customizable plan design, real-time dashboards and alerts, multi-channel concierge support, and seamless integration with existing vendor stacks to launch and operate health plans quickly. The platform emphasizes transparent data access, security (SOC II Type II and HIPAA compliance), and non-reselling of client data.
Who it’s for: Employers and health plans seeking modern, AI-powered TPA services with real-time insights and customizable plan design.
revenue/sales metrics cited (e.g., $50M claims processed, 7% average savings) and certifications (SOC II Type II, HIPAA compliance) indicating traction and maturity
Barbora got her MBA at Stanford. She joined Hinge Health as employee #30 where she built and ran a number of functions, including HR, benefits and customer billing. After scaling Hinge Health to >700 employees and hundreds of customers, Barbora ran clinical operations at Pine Park Health - a primary care provider for residents of assisted living facilities and a YC company - where she served on the executive team and was in charge of member support, care coordination and more.
Co-founder and CTO of TrueClaim (W24). Previously, Bobby spent 7 years as Senior Software Engineer building and scaling health tech solutions at pMD. He established and grew pMD’s RCM software and services divisions as Software Engineering Manager. Prior to that, he launched patient engagement software as a Senior Software Engineer. 30% of the revenue growth at pMD during his tenure could be directly attributed to a product that he launched.
Our technology saves self-insured companies 7% of their healthcare budget.
TrueClaim automates healthcare cost savings for self-insured companies by analyzing medical claims and price transparency data to detect billing errors and savings opportunities, with a cost recovery service and a 3x ROI guarantee. The product aims to help benefits leaders reduce healthcare spend for self-insured employers and invites demo scheduling.
From the original launch (Mar 2024) — may be outdated.
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