third-party-administrators
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Avallon AI
Avallon AI is a New York-based Y Combinator (Spring 2025) startup building AI agents that automate insurance claims operations from intake to resolution. Its agents answer phones, chase down employers and providers, read medical reports, and enter data directly into claims systems - work that traditionally consumes weeks of adjuster time. Avallon sells to insurance carriers, MGAs, and third-party administrators (TPAs), and raised a $4.6M seed round led by Frontline Ventures in November 2025.
Flume Health
Flume Health is a New York-based healthcare technology company building operational infrastructure that connects the fragmented data ecosystem behind health plans. Founded in 2017 by Cedric Kovacs-Johnson and Vineeth Bhuvanagiri, Flume gives payers, third-party administrators, and vendors a way to move, translate, and make sense of healthcare data. It started as a plan administrator, pivoted to the Relay integration platform, and has since evolved into an AI-native data platform - mapping enterprise data estates into a living knowledge graph and running domain-specific AI agents so non-technical teams can query and act on healthcare data in plain language.
DataCare
DataCare is a San Jose, California software company that builds cloud-based tools for the workers' compensation and managed care industry. Its Ahshay platform unifies medical case management, utilization review, and document workflows in one HIPAA-compliant, SOC 2 certified system, helping insurers, third-party administrators, self-insured employers, and nurse case managers process medical claims faster while keeping evidence-based, defensible documentation.