rcm
(10)
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.
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.
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.
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.
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.
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.
Standard Practice
Standard Practice builds voice AI for healthcare revenue cycle teams. Its AI agents place outbound phone calls to insurance payors and pharmacies - dialing, navigating IVR menus, waiting on hold, and speaking in a human-sounding voice - to handle claim follow-ups, benefits verification, prior authorizations, and EDI enrollment. The goal is to strip the phone-tag drudgery out of medical billing so practices get paid more, faster, while staff focus on higher-value work. Founded by Steven Greene and Phil Markunas after pivoting from their earlier venture Nibble Health, the New York company targets the roughly $1 trillion in annual U.S. healthcare administrative costs.
SuperDial
SuperDial is a San Francisco voice AI company that builds agents to handle the endless administrative phone calls between healthcare providers, billing companies and insurers - navigating phone trees, waiting on hold, and conducting live conversations with payer reps. Its agents automate benefits verification, prior authorizations, claim status follow-up, credentialing and provider data attestation, logging structured results directly into a customer's EHR or RCM platform. Founded by Stanford classmates Sam Schwager and Harrison Caruthers (originally as the billing startup SuperBill), the company launched in late 2023, scaled to seven-figure revenue and tens of thousands of calls per week, and raised a $15M Series A in June 2025 led by SignalFire.