Calpion/Plutus Health

Calpion/Plutus Health

AI-enabled medical billing, coding, AR management

Overview

Calpion/Plutus Health provides tech-enabled revenue cycle management for healthcare, using an AI-first approach for medical coding, billing, denial overturn, credentialing, AR follow-up, and IDR/out-of-network negotiations. They deploy 100+ AI agents to automate RCM tasks, aiming for faster turnarounds and higher collections. They serve behavioral health areas like ABA, outpatient psychiatry, SUD, ASC, and FSERs, and emphasize transparency, turnaround time, and technology as core values. Their goal is to reduce denials, cut days in AR, and improve cash flow with clear, compliant reporting.

About Calpion/Plutus Health

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

Industries

Enterprise Software

Healthcare

Company Size

11-50

Company Stage

N/A

Total Funding

N/A

Headquarters

Dallas, Texas

Founded

2008

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Simplify's Take

What believers are saying

  • Plutus Health reported 131% three-year growth and third straight Inc. 5000 ranking in August 2026.
  • September 2026 product messaging shifted toward agentic AI, payer intelligence, and real-time denial prevention.
  • Industry pressure on behavioral health reimbursement and FSER IDR keeps demand high through 2027.

What critics are saying

  • No disclosed funding, audited financials, or customers make 2026 growth claims hard to verify.
  • Sponsor-heavy lead generation at BHT2026, NAFEC, and BHASe creates event-driven pipeline concentration.
  • Epic, Waystar, and in-house AI tools can compress margins and commoditize RCM by 2027.

What makes Calpion/Plutus Health unique

  • OlympusAI 3.0 uses 25+ agents across seven RCM stages, updated September 29, 2026.
  • Plutus Health specializes in behavioral health, ABA, and freestanding emergency centers, not generic billing.
  • Outcome-based fees tie compensation to client collections, aligning incentives with net cash performance.

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Benefits

Remote Work Options

Company News

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.

The National Law Review
Feb 11th, 2026
Plutus Health CEO Thomas John to Speak at BHASe Summit 2026 on Sustainable Revenue for Behavioral Health

Plutus Health CEO Thomas John to speak at BHASe Summit 2026 on Sustainable Revenue for behavioral health. Plutus Health announced participation in the 2026 BHASe Summit as a Platinum Sponsor. CEO Thomas John will address revenue workflows for behavioral health. DALLAS, TX, UNITED STATES, February 11, 2026 /EINPresswire.com/ - BHASe brings together senior executives, operators, investors, lenders, and advisors from across the behavioral health continuum, including mental health, substance use disorder treatment, ABA, IDD, residential, outpatient, and inpatient care. Plutus Health's presence at the summit underscores the importance of AI-driven automation and analytics in RCM shaping next-generation revenue operations. A Leadership View on Sustainable Revenue Operations As part of the conference program, Thomas John will speak on how behavioral health organizations can design revenue workflows that remain stable as operations grow. His session focuses on moving beyond reactive billing models toward disciplined, repeatable systems supported by AI-enabled insights, predictive analytics, and workflow automation that improve predictability and long-term value. "Sustainable growth in behavioral health depends on revenue operations that can withstand scale and complexity," said Thomas John, CEO of Plutus Health. "This conversation is about combining human expertise with AI-driven intelligence to build workflows that hold - not just processes that function." Plutus Health at BHASe summit 2026 As Platinum Sponsors, Plutus Health at BHASe Summit 2026 will actively engage with attendees throughout the summit and provide an exclusive RCM assessment. The company's leadership team will be on-site to connect with executives and investors around revenue integrity, operational clarity, financial sustainability, and the role of AI in reducing revenue leakage and accelerating reimbursement cycles. Designed as an executive retreat, BHASe Summit emphasizes curated networking and peer-level discussion over traditional conference formats. The summit is widely recognized as a setting where strategic alignment and long-term partnerships are formed. BHASe Summit 2026 will take place February 11 - 13 in Miami, Florida. About Plutus Health ADVERTISING Plutus Health is an AI-powered, technology-enabled revenue cycle management partner specializing in behavioral health billing. The company combines automation, advanced analytics, and human expertise to help organizations improve cash flow, reduce revenue leakage, and scale with confidence through intelligent, data-driven revenue operations. 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.

EIN News
Oct 28th, 2025
Plutus Health Named to 2025 Inc. 5000 List, Celebrating Sustained Growth and Innovation in U.S. Healthcare RCM

Plutus Health named to 2025 Inc. 5000 List, celebrating sustained growth and innovation in U.S. Healthcare RCM. October 28, 2025, 08:30 GMT Plutus Health - Excellence in Healthcare Revenue Cycle Management Plutus Health Ranks on 2025 Inc. 5000 List for the second consecutive year Plutus Health earns a second consecutive ranking on the prestigious Inc. 5000 list, underscoring its continued growth, AI-driven innovation & measurable impact. DALLAS, TX, UNITED STATES, October 28, 2025 / EINPresswire.com / - Plutus Health, a Dallas-based leader in AI-powered revenue cycle management (RCM), has been named for the second consecutive year to the Inc. 5000 List of America's Fastest-Growing Private Companies. The Inc. 5000 honors the most resilient and high-performing companies in the nation, those that not only weather economic shifts but grow through them. For Plutus Health, this achievement marks another milestone in its journey to modernize how U.S. healthcare organizations manage their revenue cycles. "Earning this recognition for the second year running is about more than growth - it's about consistency, clarity, and commitment," said Thomas John, CEO of Plutus Health. "Our team has proven that when you build technology that actually solves providers' financial pain points and execute relentlessly, sustainable growth follows." Backed by Agentic AI, 70+ RPA bots, and a 1,600+ member team of certified medical billing and coding experts, Plutus Health helps healthcare organizations nationwide increase collections, reduce denials, and gain financial visibility through intelligent automation. Why This Matters for Healthcare Providers | AI-powered precision: Automation and real-time analytics that cut denials to below 3% and shorten A/R cycles to under 25 days. | Scalable efficiency: Lean workflows that support multi-state providers, behavioral health networks, and ASCs without adding administrative burden. | Measured impact: Net collection rates consistently exceed 98%, turning RCM from a cost center into a growth engine. This recognition reaffirms Plutus Health's role as one of the fastest-growing companies in the U.S. RCM space and one of the few combining AI innovations with deep healthcare domain expertise. The company continues to partner with hospitals, behavioral health providers, ABA therapy centers, and ASCs to build financially resilient organizations. About Plutus Health Plutus Health Inc. is a Dallas-based leader in healthcare revenue cycle management solutions. Combining AI, automation, and human expertise, Plutus Health delivers coding, billing, denial management, and AR optimization services that enable providers to scale sustainably and focus on patient care. 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. October 28, 2025, 08:30 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.

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