Revenue Assurance
Prevent revenue loss before billing
Smart Intake
Convert referrals into clean admissions
Authorization Autopilot
Eliminate authorization leakage
Billing Operations
Resolve claims to cash
Platform Intelligence
Track revenue performance in real time
Seed Announcement
Claim Health announces $4.4m Seed Round led by Maverick Ventures.
Customers
The AI Revenue Platform for Post-Acute Care
Claim Health is the automation layer for your revenue operations. From referral to reimbursement, our AI removes the administrative burden — so your team can focus on care.
Trusted by leading home-based care providers
Enterprise-grade security & compliance
HIPAA Compliant
SOC II Certified
Privacy First
Backed by world-class investors
Y Combinator
Maverick Ventures
Peak XV Partners
DHVP
[ 01 / 10 ]
the problem
Healthcare revenue infrastructure wasn’t built for today’s complexity
Teams still rely on manual clicks and outdated workflows that can’t keep up with modern care delivery.
The Traditional Process (Before)
Slow. Fragmented. Reactive.
Manual portal logins
Fragmented referral intake
Hours spent on eligibility checks
Delayed or missed authorizations
Invisible AR bottlenecks
Admin team burnout
The Claim Health Way (After)
Ultrafast. Unified. Effortless.
Automated digital workers
Unified referral intake
Real-time eligibility verification
Instant authorization tracking
Complete AR visibility
Team focused on growth
[ 02 / 10 ]
the solution
One platform.
Every revenue workflow.
Claim Health connects revenue operations end to end — from intake through cash resolution
Revenue Assurance
Continuously identify upstream data, documentation, and coverage risk inside your EMR — preventing denials, delays, and revenue loss before claims are submitted.
Revenue Assurance
Smart Intake
Centralize referrals from fax, email, and portals into one workflow — automatically extracting data, verifying eligibility, and routing accepted cases without manual entry.
Smart Intake
Authorization Autopilot
Automate prior authorizations from submission to renewal — continuously tracking approvals and alerting teams only to exceptions that require human review.
Authorization Autopilot
Billing Operations
Resolve claims to cash through post-submission workflows — including payment posting, reconciliation, denial handling, and prioritized follow-up.
Billing Operations
scroll →
[ 03 / 10 ]
revenue assurance
Protect revenue before it ever hits billing
Claim Health identifies revenue risk inside your EMR — before claims are submitted.
december
WEEK 1
WEEK 2
WEEK 3
WEEK 4
january
Mollie Smith
01/08/1985
Colorado Medicaid
//
[I831827]
Status
Eligible
Daniel Shore
10/12/1953
MedCost Value
Humana Select
//
[G048429]
Status
Eligible
Ineligible
Henry Chase
04/09/1960
Aetna Medicare
//
[A231066]
Status
Eligible
Press
to Replay
Patient has inactive Medicaid Coverage
Suggested fix: New insurance found
Connect
[ 04 / 10 ]
SMART INTAKE
Turn referral chaos into clean admissions
Claim Health unifies every referral and automates intake, turning hours of manual entry into instant, accurate admissions.
FAX COVER:
Admissions Dept.
NAME:
INSURANCE:
.svg){kind=spacer}
D.O.B:
N/A - Missing
REFERRAL:
General Hospital
SCANNED PDF:
pages 3 of 9
FAX COVER:
Admissions Dept.
NAME:
INSURANCE:
D.O.B:
N/A - Missing
REFERRAL:
General Hospital
SCANNED PDF:
pages 3 of 9
FAX COVER:
Admissions Dept.
NAME:
INSURANCE:
D.O.B:
N/A - Missing
REFERRAL:
General Hospital
SCANNED PDF:
pages 3 of 9
Claim AI Analysis..
James M. Davison
[Patient #4084]
Date of Birth
Payer
Coverage
Referee
01/04/1955
BCBS PPO
Verified
General Hospital
EMR
Status
Admitted
Press
to Replay
[ 05 / 10 ]
Authorization Autopilot
Prior auths handled from start to finish
Claim Health automates every authorization from submission to renewal, eliminating follow-ups and missed renewals for faster starts of care.
Press
to Replay
Documentation Mess
Zero Tracking
Painful Resubmission
Claim Health
Docs Complete
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Home Healthcare Software
Inconsistencies
Code/Item
Description
M0064
If (M0064) Social Security Number “UK” response is unchecked, then (M0064) number field should be completed.
M0090
Should not be blank…The (M0090) date is either missing or contains an invalid date for the submitted record.
M0102
If M0102 Physician ordered SOC ROC is blank, then M0102 Physician ordered SOC ROC – NA should be checked.
M0104
If M0104 Physician ordered SOC ROC blank, then M0104 Date of referral must contain a valid date.
M0080
should not be blank…(M0080)Discipline of Person Completing Assessment.
M1005
M1005 Date Should not be blank. If M1005 (M0180) Most recent inpatient discharge date field is blank...
M1000
M1000 Should not be blank. atleast one item from M1000_DC_LTC_14_DA through M1000_DC_NONE_14_DA should...
Auth: 82310
ID: 1728**
Authorized: 60 Hours
Usage Meter
Rejected: Hours Exceeded
Submission Date: 11/03
Reason: Authorization Expired
[ Return to Start ]
Auth: 82310
[ID: 1728**]
60 hours
H&P Notes
Plan of Care
Physician Order
ADL Assessment
ID: 1728**
Authorized: 60 Hours (Oct 1–31)
0
10
20
30
40
50
60
70
80
Approaching Limit
[ 06 / 10 ]
billing operations
From payer response to paid in full
Claim Health automates payment posting, reconciliation, and denial follow-up so teams focus only on exceptions — not every claim.
Claim Submitted
$331.29
$456.78
$768.36
$249.99
$768.36
$203.33
$140.95
$768.36
$342.32
$500.45
$390.50
$390.50
Tyler Ventura
Claim ID: 19480
Millie Smith
Claim ID: 88471
Raymond Miao
Claim ID: 30656
Grace Johnson
Claim ID: 24903
Claim & Payment Match
Payment Mismatch
Payment Received
$331.29
$456.78
$768.36
$249.99
$642.87
$203.33
$140.95
$768.36
$342.32
$500.45
$390.50
$390.50
Press
to Replay
Denial Explanation
Cost Delta: $125.49
BCBS TX stated that the patient’s home plan “Anthem GA” covers this patient’s pre-auth.
Generating Appeal..
Appeal for Claim ID: 24903 - Authorization Denial Override Request
Per review of EOB, payment was denied citing pre-authorization requirements under patient's Anthem GA plan. However, verification through Availity portal confirms patient Grace Johnson maintains active coverage which explicitly includes coverage for this procedure when medically necessary. The denial appears to stem from a payer-side authorization workflow error, as our records show timely submission of clinical documentation supporting medical necessity prior to date of service. We respectfully request reconsideration and reprocessing of this claim for the full submitted amount of $768.36.
Suggested Actions
[ 07 / 10 ]
platform intelligence
One source of truth for revenue
Claim Health provides real-time, end-to-end visibility into revenue risk, performance, and impact.
Platform Intelligence
See exactly where revenue is flowing, where it's at risk, and what to do about it — in real time.
One system, complete visibility — Track intake, authorizations, billing, and cash in a single platform built for accuracy and audit-readiness.
Catch problems while they're fixable — Surface revenue risk across the entire cycle before it becomes a denial, delay, or write-off.
Know where your leverage is — See which automation is working, where teams are stretched, and how you're scaling without adding headcount.
Make decisions today, not next month — Run your business on live data with clear line of sight into performance, ROI, and execution risk.
[ 08 / 10 ]
measureable results
Real results your team can feel in weeks
Claim Health drives operational lift with automated workflows that reduce manual hours, shrink aging, and surface every dollar owed.
80%
manual hours
15%
approved claims
3%
EBITDA lift
[ 09/ 10 ]
testimonials
Results that speak for themselves
Claim Health helps teams move faster and smarter. Hear from agencies who’ve automated intake and transformed operations.
“We are thrilled with what Claim Health has been able to do in automating our agency’s revenue operations. After a decade in home healthcare, I know most agencies struggle with billing efficiency, cost, collections, and revenue recognition. Claim Health has made HCRN a premier agency in billing and financial ops. Reduced admin costs mean more investment in caregivers and better outcomes for patients.”
Max Geselkovich
COO, Home Care RN
“We moved from spreadsheets and tribal knowledge to automated revenue management. After operating at scale, I know how easily revenue breaks down between auths, payment posting, and reconciliation. Claim Health gave us consistent visibility and control across those workflows — without adding overhead. That operational confidence matters when you’re running a large, multi-state organization.”
Haden Gilder
CEO, Home Helpers
“What impressed us most was how quickly Claim Health moved from understanding our operation to delivering real impact. Onboarding new workflows across multiple locations and lines of business is usually slow and disruptive — Claim Health was neither. They helped establish a more disciplined operating model across our revenue workflows without burdening our teams. It changed how we think about execution and financial control at scale.”
David Baruch
Exec, Ascend Health
[ 10 / 10 ]
partnerships
Trusted by leading home care associations
We’re proud to partner with national and state organizations shaping the future of home health.
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368 9th Ave,
New York, NY 10001
New York, NY 10001
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