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Calpion/Plutus Health

AI-enabled medical billing, coding, AR management

Overview

Calpion/Plutus Health provides tech-enabled revenue cycle management services for healthcare providers, using AI-first, outcome-driven medical coding, billing, denial overturn, credentialing, AR follow-up, and IDR plus out-of-network negotiations. Its platform uses a large team of AI agents to automate and augment RCM tasks, delivering faster turnarounds and higher collections with transparent reporting. The company differentiates itself through a scalable AI-powered workflow, proven results (over $1.2 billion in client collections), and recognized industry accolades, along with compliant, clear metrics. Its goal is to fix clients’ revenue challenges by increasing cash flow, reducing days in AR, lowering denials, and providing auditable financial reporting.

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About Calpion/Plutus Health

Simplify's Rating
Why Calpion/Plutus Health is rated
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Enterprise SoftwareHealthcare

Company Size

11-50

Company Stage

N/A

Total Funding

N/A

Headquarters

Dallas, TX

Founded

2008

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What believers are saying

  • August 11, 2026 Inc. 5000 recognition signals 131 percent three-year growth.
  • November 9-10, 2026 Autism Investor Summit East sponsorship expands autism RCM visibility.
  • Open sales hiring and Chief Sales Strategy search signal active commercial expansion.

What critics are saying

  • No disclosed funding or audited financials leave 2026 growth claims unverified.
  • EINPresswire-heavy marketing and self-reported metrics create credibility risk with enterprise buyers.
  • A bad OlympusAI denial error could trigger client churn and damage expansion contracts.

What makes Calpion/Plutus Health unique

  • OlympusAI, launched September 29, 2026, pairs 25-plus agents with 1,700 specialists.
  • PIE uses 15 years of payer intelligence to target denials before submission.
  • Plutus Health serves 9,000-plus providers across behavioral health, ABA, and freestanding emergency centers.

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Benefits

  • Remote Work Options

Company News

ForPressRelease
Oct 14th, 2026
Plutus Health to sponsor Autism Investor Summit East 2026, advancing smarter RCM for autism care.

Plutus Health to sponsor Autism Investor Summit East 2026, advancing smarter RCM for autism care. Plutus Health will sponsor Autism Investor Summit East 2026, joining autism service providers, investors, commercial and Medicaid payers, policymakers, and industry partners in Washington, DC, on November 9-10. The summit focuses on business, policy, and payment realities shaping autism services. As a Silver Sponsor at Booth #02, Plutus Health will bring the revenue cycle perspective to an agenda where payer dynamics, reimbursement pressure, authorization practices, operating models, and sustainable growth are central to the conversation. Where Growth Meets Payment Reality The 2026 agenda goes deeper into the financial pressures behind those themes, with conversations around payer relations during industry contraction, autism therapy coverage decisions, reimbursement and regulatory oversight, changing underwriting assumptions, and how CEOs are rethinking capital allocation and operating models. For Plutus Health, those conversations create an opportunity to connect with autism care leaders around the revenue cycle factors behind sustainable growth, including: Payer reimbursement and collections Authorization and eligibility workflows Denial prevention and management Aging A/R and revenue recovery Revenue visibility across growing ABA organizations What You Can Expect from Plutus Health at Booth #02 Plutus Health helps ABA organizations strengthen revenue cycle performance with specialized RCM expertise, Agentic AI, automation, and analytics. 1:1 Revenue Conversations Meet with Plutus Health to discuss the RCM challenges affecting collections, payer performance, and operational scale. Free RCM Assessment Bring your numbers. Plutus Health will assess key revenue signals, including Net Collection Rate, denial trends, aging A/R, authorizations, and payer performance to identify where revenue may be getting delayed or lost. Payer & Revenue Insights Take a closer look at the revenue impact of payer requirements, authorization processes, denials, and reimbursement patterns, especially as AIS East examines how health plans approach coverage, utilization, and network strategy. Agentic AI for RCM Explore how Plutus Health combines Agentic AI with RCM expertise to reduce repetitive work, identify exceptions, and give leadership greater visibility into revenue cycle performance. Read Daily News Company :-Plutushealth User :- Thomas John Email :[email protected] Phone :-(469) 242-6053 * 1040ez online form * Income tax forms * Form Tax * More Information * Notebook Computer

EIN Presswire
Sep 29th, 2026
Plutus Health redefines RCM around financial outcomes, Payer Intelligence, and Agentic AI.

Plutus Health redefines RCM around financial outcomes, Payer Intelligence, and Agentic AI. September 29, 2026, 12:04 GMT Plutus Health combines payer intelligence, OlympusAI, agentic AI RCM, and human expertise to reduce revenue loss and improve financial performance. DALLAS, TX, UNITED STATES, September 29, 2026 / EINPresswire.com / - Plutus Health is introducing the next evolution of its Revenue Cycle Management Services, built around a simple principle: healthcare organizations should measure RCM by financial performance, not by how much activity happens behind the scenes. Traditional RCM models often concentrate resources on downstream problems after revenue has already been delayed or put at risk. Plutus Health takes a more proactive approach by combining payer intelligence, Agentic AI, disciplined processes, and specialized RCM expertise to identify issues earlier and improve how efficiently earned revenue becomes collected cash. Moving RCM Upstream "Healthcare organizations do not need more activity in their revenue cycle. They need fewer preventable problems and stronger financial outcomes," said Thomas John, CEO of Plutus Health. "AI gives us the ability to act earlier and at greater scale, but it has to operate with the right payer intelligence and human judgment behind it." This approach shifts attention from repeatedly resolving downstream issues to identifying the payer, process, and workflow patterns creating them in the first place. Payer Intelligence Meets Agentic Execution At the center of the model is PIE, Plutus Health's proprietary Payer Intelligence Engine, which applies more than 15 years of payer and RCM intelligence to revenue cycle decision-making. That intelligence works alongside OlympusAI, the company's Agentic AI RCM execution layer, with 25+ specialized AI agents operating across seven stages of RCM. Human expertise remains an intentional part of the model, with 1,700+ RCM specialists managing complex exceptions and decisions that require deeper payer, specialty, and financial judgment. Financial Performance as the Measure Plutus Health currently supports 9,000+ providers and more than $1 billion in annual collections, with operating benchmarks that include 97%+ clean claims, 98% Net Collection Rate, denial rates of 5% or less, and A/R as low as 25 days. The company's evolved website reflects this direction across its specialty RCM services, payer intelligence, OlympusAI capabilities, case studies, and Free RCM Assessment. The experience gives healthcare leaders a clearer view of how Plutus Health connects intelligence, technology, process, and human expertise to financial performance. Plutus Health Media Plutus Health Inc. +1 469-242-6053 email us here Visit us on social media: LinkedIn Bluesky Instagram Facebook YouTube X Legal Disclaimer: EIN Presswire provides this news content "as is" without warranty of any kind. We do not accept any responsibility or liability for the accuracy, content, images, videos, licenses, completeness, legality, or reliability of the information contained in this article. If you have any complaints or copyright issues related to this article, kindly contact the author above. You just read: September 29, 2026, 12:04 GMT EIN Presswire's priority is author transparency. We do our best to weed out false and misleading content. The content above is the sole responsibility of the author who makes it available. If you have any complaints, kindly contact the author above. Plutus Health Media Plutus Health Inc. +1 469-242-6053

Plutus Health Inc.
Sep 22nd, 2026
Plutus Health joins Behavioral Health Tech 2026 as exhibitor, bringing Agentic AI to Nashville's largest Behavioral Health gathering.

Plutus Health joins Behavioral Health Tech 2026 as exhibitor, bringing Agentic AI to Nashville's largest Behavioral Health gathering. Tuesday, September 22, 2026 Nashville, Tennessee Dallas, TX - September 21, 2026 Plutus Health, a technology-driven revenue cycle management company serving behavioral health providers, today announced it will exhibit at Behavioral Health Tech 2026 (BHT2026), taking place September 22-24 at the Gaylord Opryland Resort and Convention Center in Nashville, Tennessee. The conference, drawing more than 2,500 executives from health plans, health systems, government, and digital health innovators, is among the largest gatherings dedicated to expanding access to behavioral healthcare through technology. Why this matters now. Behavioral health providers face growing pressure to expand access as payer requirements grow more complex and reimbursement models shift toward outcomes-based structures. Plutus Health built its Agentic AI workflow, Olympus AI, to address this directly. The system handles claims, eligibility checks, and denial management, pairing automated workflows with human oversight to help behavioral health organizations keep pace with payer demands without expanding headcount. What Plutus Health is bringing to Nashville. Rather than a standard booth pitch, Plutus Health is offering BHT2026 attendees working sessions built around their own numbers: * A Free Net Collection Rate Check - In a short, no-obligation session, its team benchmarks your net collection rate, denial trends, and AR days against high-performing behavioral health organizations, reserved for BHT2026 attendees. * Understanding Agentic AI - Know more about how Olympus AI processes claims and flags denials pre-submission in real time, rather than reading about it on a slide. * Straight Answers on Payer Complexity - Where Medicaid shifts, commercial payer rules, and evolving value-based contract terms are quietly eroding margin, and what leaders should do about it. * A Benchmark Against the Field - See how collection rate, denial rate, and AR days compare to what top-performing behavioral health organizations are actually achieving today. Leadership perspective. "Every conversation in this industry eventually comes back to sustainability, how do you grow access to care without the back office collapsing under the weight of it," said Clive Sheldon, Vice President of Sales at Plutus Health. "That's the conversation we're bringing to Nashville. It's less about a product demo and more about showing operators, with their own numbers, where the leaks are and what fixing them looks like." - Clive Sheldon, Vice President of Sales at Plutus Health Clive Sheldon and Senior Sales Executive Stephen Moore will be available throughout BHT2026 for one-on-one meetings.

Plutus Health Inc.
Sep 22nd, 2026
Plutus Health to sponsor NAFEC Fall 2026 Members Meeting in Houston.

Plutus Health to sponsor NAFEC Fall 2026 Members Meeting in Houston. Tuesday, September 22, 2026 Houston, TX September 21, 2026 | Houston, Texas Plutus Health will sponsor the NAFEC Fall 2026 Members Meeting, joining freestanding emergency center leaders in Houston as the industry comes together for conversations with state and lobby teams, regulators, and leading industry experts. As a continuing NAFEC sponsor, Plutus Health will bring its focus on FSER revenue performance, payer reimbursement, IDR, and AI-powered revenue cycle management to the September gathering. Where FSER leaders come together. The NAFEC Fall Members Meeting brings together the people directly involved in the issues affecting freestanding emergency care. The September 22 Member Meeting will feature a full day of speakers, including state and lobby teams, state regulators, and industry experts. For Plutus Health, the meeting creates an opportunity to connect directly with FSER operators about the financial realities behind those industry conversations, including: * IDR and out-of-network reimbursement * Payer underpayments and reimbursement gaps * Denial prevention and recovery * Aging A/R and collections * Revenue cycle automation and performance visibility What you can expect from Plutus Health. Plutus Health combines specialized FSER revenue cycle expertise with Olympus AI-powered workflows to help emergency centers identify revenue leakage, accelerate collections, and strengthen payer reimbursement. 1:1 FSER Revenue Conversations Meet directly with Plutus Health to discuss the revenue cycle issues affecting your organization. Free FSER Revenue Assessment Bring your revenue cycle data and uncover underpayments, denial patterns, aging A/R, and potential recovery opportunities. IDR & Payer Revenue Insights Take a closer look at where reimbursement is being delayed, reduced, disputed, or written off. AI-Powered Revenue Cycle Strategies Explore how Agentic AI, analytics, and RCM expertise can help improve financial performance across high-volume FSER workflows. Leadership perspective. "NAFEC gives us the opportunity to have focused conversations with the people operating freestanding emergency centers every day," said Michael J. LaBay, Vice President of Sales at Plutus Health. "We want FSER leaders to bring us the numbers that concern them, whether that is aging A/R, denials, underpayments, or IDR. Those numbers usually tell us where the opportunity is." - Michael J. LaBay, Vice President of Sales at Plutus Health Plutus Health continues to support freestanding emergency centers with AI-powered, expert-led revenue cycle management designed around the complexities of emergency care reimbursement. Join Plutus Health at the:

Associated Press
Aug 12th, 2026
Plutus Health lands 3rd consecutive Inc. 5000 spot with 131% three-year growth

Plutus Health has secured a spot on the 2026 Inc. 5000 for the third consecutive year, posting 131% revenue growth over three years. The Dallas-based company provides AI-driven revenue cycle management for healthcare organisations. The firm attributes its growth to OlympusAI, its intelligent revenue cycle platform that combines automation, payer intelligence, and reporting to help providers identify revenue leakage and reduce claim denials. Plutus Health has supported more than 9,000 healthcare providers and recovered over $1 billion in insurance collections, maintaining a 98% net collection rate. Its services span credentialing, billing, claims processing, denial management, and accounts receivable. Chief executive officer Thomas John said the ranking validates the company's focus on predictive healthcare finance rather than reactive processing.

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