Claim Health

Claim Health

AI-powered post-acute billing optimization

Overview

Claim Health offers an AI-powered platform for revenue cycle management in post-acute care. It uses an AI rules engine to automatically generate and submit compliant claims, with 24/7 expert support, a compliance engine, and advanced analytics. The solution targets post-acute care providers, demonstrating a high first-pass acceptance rate and a rise in appealed denials through continuous analytics and support. Its goal is to help financial leaders reclaim lost revenue, shrink denial rates, and improve overall financial performance to let providers devote more resources to patient care.

YC Company
Launched Recently
Significant Headcount Growth

About Claim Health

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

Industries

Data & Analytics

Enterprise Software

AI & Machine Learning

Healthcare

Company Size

11-50

Company Stage

Seed

Total Funding

$4.5M

Headquarters

New York City, New York

Founded

2025

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Simplify's Take

What believers are saying

  • January 21, 2026 seed funding added Peak XV, Y Combinator, and operator angels.
  • Early customers Ascend Health, Interim HealthCare, and Home Care RN validate demand.
  • Claim Health reported 30x revenue growth after YC and 50% admin workload reduction.

What critics are saying

  • Medusind, FinThrive, and Rivet crowd post-acute revenue cycle workflows with deeper distribution.
  • Eleven employees as of June 2026 limits implementation capacity against enterprise buyers.
  • If authorization automation misses payer changes, denials and customer churn follow quickly.

What makes Claim Health unique

  • January 2026 product spans referral-to-reimbursement, not isolated claims scrubbing.
  • Claim Health centralizes fax, email, and portal referrals inside provider EMRs.
  • Y Combinator Spring 2025 backing and Maverick-led seed signal strong founder-market fit.

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Funding

Total Funding

$4.5M

Below

Industry Average

Funded Over

2 Rounds

Notable Investors:
Seed funding is usually the first official round after pre-seed, when a startup has a prototype or concept. It’s typically used to develop the product, test the market, and start building the team. Investors here are often angel investors or early-stage venture capitalists.
Seed Funding Comparison
Above Average

Industry standards

$3.3M
$2M
Netflix
$2.3M
Instacart
$3M
Robinhood
$4.4M
Claim Health

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Unlimited Paid Time Off

Company Equity

Performance Bonus

Growth & Insights and Company News

Headcount

6 month growth

22%

1 year growth

22%

2 year growth

37%
FinSMEs
Jan 22nd, 2026
Claim Health Raises $4.4M in Seed Funding

Claim Health raises $4.4M in Seed funding. Claim Health, a NYC-based company empowering AI-native revenue operations for post-acute care, raised $4.4M in Seed funding. The round was led by Maverick Ventures, with participation from Peak XV, Y Combinator, and DHVP. It also included C-suite executives. including CEOs and COOs, at large post-acute care providers. Led by CEO Kevin Calcado, Claim Health provides an AI-powered revenue platform that manages the referral-to-reimbursement workflow, including intake, eligibility verification, authorization management, and payment reconciliation, without manual portals or paperwork. By automating and coordinating these workflows, it enables providers to reduce administrative burden and revenue leakage. Early customers include Ascend Health, Interim HealthCare, and Home Care RN.

Business Wire
Jan 22nd, 2026
Claim Health Launches AI-Powered Revenue Infrastructure for Post-Acute Care with $4.4M Seed Funding

Claim Health, the company powering AI-native revenue operations for post-acute care, today announced a $4.4 million Seed round led by Maverick Ventures, with...

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