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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.
About Claim Health
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
- Billing processes reduced from days to hours, uncovering six-figure revenue recoveries for early clients.
- Preventable denials decreased by up to 50% while referral throughput increased fourfold for providers.
- The platform unlocked over $20 billion in annual revenue leakage within the $400 billion post-acute market.
What critics are saying
- Waystar’s AI platform offers 27% denial reduction, threatening differentiation within 9–12 months with high impact.
- Kore.ai’s 250+ integrations replicate authorization and denial features, enabling faster enterprise adoption in 12–15 months.
- Insufficient seed funding limits R&D against $100M+ competitor budgets, risking existential margin compression in 12–18 months.
What makes Claim Health unique
- Claim Health is the first AI revenue platform specifically designed for post-acute care.
- Its system automates billing from intake to claim submission, enabling one-click billing processes.
- It recovers lost revenue from denials and underpayments to improve cash flow and efficiency.
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Funding
Total Funding
$4.5M
Below
Industry Average
Funded Over
2 Rounds
Y CombinatorIndustry standards
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Unlimited Paid Time Off
Company Equity
Performance Bonus
Growth & Insights
6 month growth
↑ 22%1 year growth
↑ 22%2 year growth
↑ 37%Claim Health is Hiring for 8 Jobs on Simplify!
Find jobs on Simplify and start your career today
About Claim Health
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
Claim Health is Hiring for 8 Jobs on Simplify!
Find jobs on Simplify and start your career today