medical-billing
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AdvancedMD Bet on the Boring Machinery of Medicine - Then Sold for $1.13 Billion
The company began with a medical office manager who was fed up with clumsy billing software. Twenty-five years later, its single-database bet runs the daily machinery of 13,000 practices - and reveals both the appeal and the cost of buying the whole stack.
TruBridge Found $4.3 Million Hiding in a Rural Hospital’s Paperwork
The former CPSI spent 45 years selling hospital software. Its more revealing act was learning to operate the business office - and getting paid when its clients do.
Experity Won Urgent Care by Making the Software Move as Fast as the Clinic
The company merged the market's two toughest rivals, built one operating system around the peculiar speed of urgent care, and now serves nearly half of America's clinics. Its real advantage is not a shinier chart - it is knowing exactly where a 20-minute visit gets stuck.
XiFin Spent 29 Years Teaching Software How to Get a Medical Bill Paid
The San Diego company began with the least glamorous problem in diagnostics - low-dollar claims at punishing volume. Now it is turning decades of billing rules, denials and payor behavior into an AI operating layer for labs, pharmacies and radiology groups.
Machinify’s $670 Million Bet: Fix America’s Medical Bills Before They’re Paid
Machinify started with a broad promise to turn enterprise data into decisions. A decade later, it is making a narrower, harder wager: teach machines the rules of American healthcare, then catch costly claims errors before the money leaves the building.
RXNT Bet on Boring Healthcare Software - Then Built a $54 Million Business
A Palm Pilot, an SBA-backed loan and one ugly lesson from the IRS became a 26-year lesson in building durable SaaS: solve the dull workflow first, listen when customers ask for the next one, and keep the price visible.
Ben Buchanan Learned to Close Games. Now He Opens Markets.
Before Ben Buchanan was translating medical-billing complexity for a market, he was a 6-foot-3 right-hander trusted with the ninth inning. His path from UNC Asheville’s bullpen to ImagineSoftware’s executive team is a study in pressure, preparation and the quiet value of finishing the job.
Elation Health Bet the EHR Was the Problem. Now It Wants AI to Give Primary Care Its Evenings Back.
Two siblings built a chart for their father's clinic, then spent 16 years turning that family workaround into the operating system for independent primary care. The new wager is bigger: AI should finish the paperwork without hijacking the visit.
The Back Office Behind One in Five American Doctor Visits
athenahealth doesn't see patients. It runs the billing, charts, and reminders for the clinicians who do - and it's betting the whole network on AI.
Waystar
The company that runs the plumbing behind American medical bills is betting AI can drain billions in administrative waste - and half the country's patients are already in its pipes.
Akash Magoon
He learned how insurers deny claims from the inside. Then he built the machine that fights back for the doctors.
Aegis
Aegis is a San Francisco healthtech startup (YC X25) that automates the insurance denial appeals process for healthcare providers, hospitals, and medical billing groups. Its AI detects denied claims, pulls supporting records from EHRs and clearinghouses, drafts policy-specific appeal letters, and submits and tracks them through payer portals - helping providers recover revenue that would otherwise go unclaimed because appeals are too slow and costly to file by hand.
Arctic Health
Arctic Health is a New York healthcare startup (YC P26) that automates provider credentialing and payer contracting. It pairs credentialing experts with an AI platform to get healthcare providers in-network across all 50 states and 300+ insurance networks, handling documentation, CAQH profiles, payer submissions, rate negotiation, and ongoing compliance so clinics and health systems can get paid faster.
Mantys
Mantys is a Y Combinator W23 company founded by Kriti Arora and Mudit Dangi. It began as a real-time ARR reporting and forecasting tool that pulled revenue data out of the spreadsheets SaaS finance teams live in, and has since moved into healthcare, building AI that automates patient insurance eligibility verification for revenue cycle management. In both incarnations the pitch is the same: take a slow, error-prone, spreadsheet-and-phone-call process and let software do it in real time.
Adonis
Adonis is a New York-based health-tech company that builds an AI orchestration platform for healthcare revenue cycle management (RCM). Founded in 2022 by brothers Akash and Aman Magoon, the platform uses context-aware AI agents to detect revenue risks early and automate resolution across denials, delays, and payer friction - helping physician groups, hospitals, and health systems collect more of the money they are owed while spending less to do it.
Amperos Health
Amperos Health is a New York-based healthcare technology company building agentic AI that automates insurance denial management and revenue recovery for medical providers. Its AI biller, Amanda, works inside providers' existing billing systems to follow up on claims, place calls to payors, file appeals, and collect on denied and outstanding claims. Amperos serves more than 3,000 clinical locations across all 50 states and supports roughly $700 million in annual recovered revenue across 500,000+ claims. The company raised a $16M Series A led by Bessemer Venture Partners in April 2026, bringing total funding to about $20.2M.
Arrow
Arrow is a New York-based healthcare technology company building an AI-powered operating system for revenue cycle management (RCM). Formerly known as Walnut and often described as 'Stripe for healthcare,' Arrow helps healthcare organizations reduce claim denials, accelerate collections, and run billing, claims, and payer communications from a single platform. Founded in 2020 by Roshan Patel and Yash Joshi, the company emerged from stealth in 2024 with $110M in Series A financing led by Gradient Ventures.
Camber
Camber is a New York-based healthtech company building AI-driven revenue cycle management (RCM) software for specialty care practices. Formerly known as Juniper, it automates medical claims processing, denial prevention, and payment reconciliation for ABA therapy, physical therapy, ENT and allergy, and other high-recurring care specialties. Trained on more than $2.5 billion in claims data, Camber helps providers reach roughly 95% first-pass paid rates and get reimbursed faster, replacing the manual, call-center-heavy processes of traditional billing firms.
Cedar
Cedar is a New York-based healthcare financial technology company that helps hospitals, physician groups and payers modernize the way patients understand and pay their medical bills. Founded in 2016 by Florian Otto and Ariel Lidow, Cedar combines consumer-grade digital billing, personalized payment plans, coverage and benefits tools, and AI-powered support - including its Kora AI voice agent - into a single patient financial engagement platform. It works with more than 55 leading health systems and payers, has processed billions of dollars in patient payments, and reached a $3.2 billion valuation after a 2021 Series D.
Headway
Headway is a New York-based healthtech company building a software-enabled network that makes it easier to find a therapist and to pay for one with insurance. Its three-sided marketplace connects patients, mental health clinicians, and insurance plans: patients search for in-network providers with transparent copays, clinicians offload credentialing, billing, scheduling, and claims to Headway, and insurers gain a larger accessible network. Founded in 2019 by Andrew Adams and co-founders, Headway operates in all 50 states with roughly 34,000 clinicians and, after a $100M Series D in 2024, is valued at about $2.3 billion.
Joyful Health
Joyful Health is a New York-based health-tech company building AI-powered financial infrastructure for healthcare revenue. Its platform connects fragmented revenue cycle systems - EHRs, billing software, clearinghouses, payer portals, and bank deposits - into a single structured view of every claim's lifecycle, then pairs AI with experienced revenue cycle operators to investigate denials, file appeals, and recover unpaid and underpaid insurance claims. The company targets the roughly $125 billion U.S. providers lose to denied and underpaid claims each year and charges on a performance basis tied to recovered revenue.
Silna Health
Silna Health is a New York-based healthcare technology company that built what it calls the first ever "care readiness platform." It uses AI paired with insurance specialists to handle prior authorizations, benefit checks, and insurance monitoring upfront - clearing patients for care before their appointments. Founded in 2023 by Jeffrey Morelli, Pavel Asparouhov, and Sagar Jajoo, the company has raised $27 million from Accel and Bain Capital Ventures and says it has cut pre-visit insurance verification from roughly 30 minutes to 30 seconds.
Synthpop - Healthcare AI
Synthpop is a Cambridge, Massachusetts healthcare AI company building agentic automation that eliminates administrative bottlenecks across payer, provider and patient operations. Its platform combines document intelligence, payer-aware reasoning and conversational voice agents into one coordinated system that automates as much as 80% of healthcare back-office processes - referrals, prior authorizations, eligibility checks and claims follow-ups - by integrating directly with EHR, billing and e-prescribe systems. Founded in 2023 by Elad Ferber and Jan Jannink, the company has raised $23M total, including a $15M Series A in February 2026.
Elad Ferber
Elad Ferber is the CEO and co-founder of Synthpop, a healthcare AI company that uses multi-agent automation to handle the administrative work behind patient care - referrals, prior authorizations, eligibility checks, documentation, and claims. A former Israeli Air Force Talpiot cadet and systems engineer with a Stanford MBA, Ferber previously co-founded the remote patient monitoring startup Spry Health, which was acquired by ZOLL Itamar in 2021. Founded in 2023 with CTO Jan Jannink, Synthpop has raised $23 million to date and pitches its AI as a labor solution that compresses 40-minute back-office tasks into under a minute.
Eliana Berger
Eliana Berger is the co-founder and CEO of Joyful Health, a New York startup building AI-powered financial infrastructure for healthcare providers. The company focuses on the hardest part of the revenue cycle - chasing down denied and unpaid insurance claims - and works on performance-based pricing, getting paid only when it recovers money for clients. In April 2026, Joyful Health raised a $17M Series A led by CRV, bringing total funding to $22M. Berger's path to the problem was personal: she grew up watching her mother and grandmother run a therapy practice and struggle to understand what had been paid and what was still owed.
Florian Otto
Florian Otto is the co-founder and CEO of Cedar, a New York healthcare financial technology company that reworks how patients understand and pay their medical bills. A former physician trained in Germany, Otto moved from medicine into consulting at McKinsey, built a daily-deals business in Brazil that became Groupon Brazil, and ran commercial sales at ZocDoc before starting Cedar in 2016. He built the company around a simple frustration - a confusing hospital bill his fiancee received - and a bigger question: why can't healthcare billing feel as clear as buying from Amazon or Expedia? Cedar has since raised roughly $400M+ and works with hospitals and health systems across the United States.
Collectly
Collectly is a San Francisco-based healthcare fintech that automates the patient side of revenue cycle management. Its AI platform plugs into more than 20 EHR and practice-management systems to run digital billing, eligibility checks, cost estimates, payments and follow-up, so medical groups collect more, faster, with fewer staff hours. Founded in 2017 and a Y Combinator graduate, Collectly says it serves 3,000+ healthcare facilities and has processed over $1 billion in patient payments. In 2025 it launched Billie, a 24/7 AI agent that answers patient billing questions and takes action across voice, chat, text and email.
Roshan Patel
Roshan Patel is the co-founder and CEO of Arrow, a New York-based healthcare payments company (formerly Walnut) that uses AI to detect claim errors, accelerate reimbursement, and give revenue cycle teams real-time visibility into what payers are doing. He built the original company as a buy-now-pay-later product for medical bills after watching a family member's bills pile up, raised a $110 million Series A led by Gradient Ventures in 2022, then pivoted the business toward provider-side claims infrastructure and rebranded to Arrow in 2024.
Apero Health
Apero Health is a San Francisco-based, Y Combinator-backed healthcare software company that folds scheduling, clinical visit notes, revenue cycle management, patient billing, e-prescriptions, and financial reporting into a single API-first platform. Founded in 2019 by Jacinda and Nick Shelly, Apero aims to bring transparency and speed to the notoriously opaque business of getting doctors paid - promising implementation in under a day, claim denials cut through custom validation rules, and payer enrollment across all 50 states.
Exactrx
Exactrx is a Nashville- and New York-based healthcare AI company that automates revenue cycle management for ambulatory surgery centers and outpatient providers. Its platform reads the operative note, codes the case, validates each charge against more than 80,000 payer rules with a tri-engine system, and generates a submission-ready claim in under 30 seconds - leaving humans to review and submit. Founded in 2024 by Athena Doshi and a clinician-and-engineer team, the company positions itself as access-to-care infrastructure rather than billing software, aiming to recover the revenue that denials and documentation gaps quietly drain from surgical facilities.