claims-adjudication
(4)
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.