# ClaimInformatics, Inc.

> ClaimInformatics is a Bloomfield, Connecticut health-tech company that independently checks medical claims and health-plan contracts for self-funded employers, captives, third-party administrators and benefits consultants. Its ClaimIntelligence platform reviews claims before and after payment, while FOCUS and CLEAR turn that review into a documented fiduciary process. The company's bet is that the organization paying or pricing a claim should not be the only organization judging whether it was correct.

- **Founded:** 2017
- **Headquarters:** Bloomfield, Connecticut, United States
- **Founders:** Stephen Carrabba (Co-Founder and CEO), Dawn Cornelis (Co-Founder and Chief Transparency Officer), Steven Shepherd (Co-Founder and Lead Application Engineer)
- **Team size:** 23 employees listed in the supplied record; LinkedIn lists 11-50 employees and showed 23 employee profiles in 2026
- **Products:** ClaimIntelligence, Pre-Pay Review, Post-Pay Review and Recovery, PAIR, Ongoing Monitoring
- **Notable:** Founded in 2017 and built a 23-person team according to the supplied record and LinkedIn employee count., Raised $3.75 million across two publicly filed debt offerings in 2022 and 2024., Reported reviewing more than $2 billion in claims over the six months preceding April 2026.

## Products & services

- **ClaimIntelligence** — Payment-integrity platform that applies evidence-based and proprietary edits to 100% of submitted medical claims for pre-pay and post-pay review, including coding, billing, medical-necessity and fraud, waste and abuse patterns.
- **Pre-Pay Review** — Reviews claims before plan funds are released and returns a corrected claims file to the administrator; ClaimInformatics announced flat per-claim pricing in July 2026.
- **Post-Pay Review and Recovery** — Analyzes already-paid claims, documents improper payments and supports recovery and reconciliation.
- **PAIR** — Plan Accountability and Integrity Review covering roughly one to three years of historical paid claims to identify errors, systemic issues and recovery opportunities.
- **Ongoing Monitoring** — Monthly claims analysis and dashboards for emerging billing patterns, high-cost members and providers, utilization, recoveries and fiduciary documentation.
- **FOCUS** — Fiduciary Oversight, Compliance and Utilization Safeguard platform connecting claims oversight, contract review, compliance tasks and evidence of prudent process.
- **CLEAR** — Contract Language ERISA Analysis and Redline for ASO or TPA agreements, Summary Plan Descriptions, PBM contracts and stop-loss agreements, with more than 1,100 stated compliance checks and proposed redlines for counsel.
- **Litigation and Regulatory Tracker** — Public tracker mapping self-funded-plan court decisions, rules and statutes to affected duties and contract types.

## Achievements

- Founded in 2017 and built a 23-person team according to the supplied record and LinkedIn employee count.
- Raised $3.75 million across two publicly filed debt offerings in 2022 and 2024.
- Reported reviewing more than $2 billion in claims over the six months preceding April 2026.
- Reported an 8.7% questioned-payment identification rate across that six-month claims population.
- CEO Stephen Carrabba reported finding $7.4 million in improperly paid claims for one client in 60 days, equal to a 10.9% questioned-payment rate.
- Says its platform is SOC 2 certified and operated with HIPAA-compliant controls.
- Reduced annual operating costs by nearly $1 million and reported three consecutive cash-flow-positive quarters in its April 2026 COO announcement.
- Integrated pre-payment review with Detego Health in production in September 2025.
- Released a public litigation and regulatory tracker plus audience-specific fiduciary playbooks in July 2026.

## Latest updates

- **2025-10** — Announced a strategic partnership with Detego Health after the integrated pre-payment review platform entered production in September.
- **2026-04** — Appointed Michael Riemer chief operating officer after a ten-month consulting engagement and platform redesign.
- **2026-04** — Stephen Carrabba joined PLANSPONSOR's Roadmap 2026 program for a session on claims data, payment integrity and fiduciary oversight.
- **2026-05** — Carrabba appeared on the Broken Healthcare podcast and discussed the company's origin, pricing incentives, pre-pay workflow and AI-assisted contract review.
- **2026-07** — Launched flat per-claim pre-pay pricing, a redesigned website, a self-funded-plan litigation tracker and three fiduciary playbooks.
- **2026-07** — Hired Dena Miller as vice president of sales to expand partnerships with brokers, consultants and plan sponsors.

## Links

- Website: https://www.claiminformatics.com
- LinkedIn: https://www.linkedin.com/company/claiminformatics
- Twitter/X: https://twitter.com/claiminformatic

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Profile page: https://yespress.io/claiminformatics-inc
Published by YesPress — https://yespress.io
Last updated: 2026-08-22