claims-analytics

(8)
Company
Reserv found the money hiding in the claims file
Ai · Fintech · Enterprise

Reserv found the money hiding in the claims file

A landlord’s unpaid rent, a left-hand turn, a forgotten file note: Reserv is turning the paperwork of misfortune into usable insurance intelligence. Its next wager is letting carriers take the technology without handing over the claims.

insurtech · claims-managementRead →
Company
CareHive Health wants your next lab test to cost less
Health · Ai · Enterprise

CareHive Health wants your next lab test to cost less

A cheaper lab is useful only if someone helps you get there. CareHive pairs predictive claims analysis with human navigation to turn a price comparison into a change of plan.

healthcare-navigation · price-transparencyRead →
Company
Pharmaceutical Strategies Group and the art of finding the missing money
Health · Enterprise · Saas

Pharmaceutical Strategies Group and the art of finding the missing money

A pharmacy contract can promise savings while the claims tell another story. Pharmaceutical Strategies Group pairs clinical expertise with its Artemetrx analytics platform to find the gap - and help payers close it.

pharmacy-benefits · pbm-consultingRead →
Company
Kalderos Found a $1 Billion Leak in America’s Drug-Discount Plumbing
Health · Saas · Enterprise

Kalderos Found a $1 Billion Leak in America’s Drug-Discount Plumbing

Drug discounts are supposed to lower costs. The data underneath them is so fragmented that the same prescription can trigger multiple concessions. Kalderos built the reconciliation layer - and in 2026, Model N bought it.

drug-discount-management · 340bRead →
Company
HaloMD Turned Medical-Bill Arbitration Into a Machine - Then the Machine Drew Fire
Health · Saas · Enterprise

HaloMD Turned Medical-Bill Arbitration Into a Machine - Then the Machine Drew Fire

The No Surprises Act removed patients from many billing fights. HaloMD built the machinery that helps providers fight the remaining battle - over what insurers must pay - at industrial scale.

halomd · healthcare-reimbursementRead →
Company
Codoxo Wants to Catch the $400 Billion Healthcare Leak Before a Claim Exists
Ai · Health · Saas

Codoxo Wants to Catch the $400 Billion Healthcare Leak Before a Claim Exists

Most payment-integrity teams hunt bad claims after the paperwork arrives. Codoxo built an AI company around a more useful question: what if the error never entered the system?

healthcare-ai · payment-integrityRead →
Company
The $280,000 Leak: How SlicedHealth Helps Small Hospitals Make Payers Pay What They Promised
Health · Saas · Enterprise

The $280,000 Leak: How SlicedHealth Helps Small Hospitals Make Payers Pay What They Promised

A 25-bed Texas hospital found $280,000 in underpayments in one month. SlicedHealth is turning that kind of invisible leakage into a to-do list - and betting that hospital finance teams will pay for proof before they pay for another dashboard.

healthcare-revenue-cycle · payer-contract-intelligenceRead →
Company
Healthee
Ai · Health · Saas

Healthee

Healthee is an AI-powered health benefits platform that helps employees understand, navigate, and use their health insurance. Its virtual assistant, Zoe, answers plan-specific questions about coverage, providers, and costs in plain language across 50+ languages, while giving HR teams and brokers tools to cut administrative burden and healthcare spend. Founded in 2021 and headquartered in New York with R&D in Tel Aviv, Healthee serves 15,000+ customer organizations including Instacart, SiriusXM, and Celonis, and raised a $50M Series B in 2025.

ai-benefits-navigation · health-benefits-platformRead →