claims-adjudication
(5)
Bento
Bento is a Boston-based dental benefits technology company that replaces traditional dental insurance with a transparent, self-funded model. Its patented, AI-powered platform connects employers, associations, dentists and DSOs with real-time claims adjudication, customizable plan design and in-office membership plans. The only dental benefits solution endorsed by the American Dental Association, Bento says it can cut employer dental costs by 20-40% while giving members access to hundreds of thousands of provider access points nationwide.
Yuzu Health
Yuzu Health is a New York-based healthtech company that rebuilds the administrative backbone of health insurance into a single, white-labeled system of record. Operating as a vertically integrated third-party administrator (TPA), Yuzu runs the behind-the-scenes engine for claims processing, payments, and member administration, letting insurers, brokers, and self-funded employers launch highly configurable plan designs - direct provider contracts, cash-pay options, and dynamic copays - without the heavy services burden of legacy administrators. Founded in 2022, the company works with customers across all 50 states and has processed more than $1 billion in claims payment volume.
LightSpun
LightSpun (formerly 32Health) is a Boston-based, AI-first software company rebuilding the back office of dental insurance. Its modular, API-first platform automates claims adjudication, benefits administration, provider onboarding, credentialing, and contact-center workflows for dental payers and dental service organizations. Customers auto-adjudicate more than 90% of claims, cut administrative overhead roughly in half, and shrink provider onboarding from 45-60 days to under a week. The company raised a $13M Series A in September 2025 and powers credentialing and claims for a large share of U.S. dental providers, including through a collaboration with the American Dental Association.
Penguin Ai
Penguin Ai is a healthcare-native agentic AI platform built to chip away at the roughly $1 trillion in administrative waste choking U.S. healthcare. Founded by former chief data officers from UnitedHealthcare, Kaiser Permanente and Optum, the company ships Gwen, a build-your-own AI environment that turns plain-language prompts into containerized digital workers for prior auth, claims, coding and payment integrity.
Fawad Butt
Fawad Butt is the co-founder and CEO of Penguin AI, a Palo Alto-based healthcare AI platform company that raised $29.7M in Series A funding in September 2025. A former Chief Data Officer at Kaiser Permanente, UnitedHealthcare, and Optum, Butt spent years on the buyer side spending hundreds of millions on generic tech before deciding to build the solution healthcare actually needed. Penguin AI targets the $1 trillion annual administrative burden in US healthcare with purpose-built agentic AI, small language models, and digital workers that compress prior authorization reviews from 30 minutes to under two, positioning itself as 'the Epic of the healthcare back office.'