
Claim Health
Claim Health is a YC Spring 2025 (P25) company. Team of 2.
About Claim Health
Summary
Claim Health builds a revenue operations platform for post-acute and home-based care agencies. It connects documentation to billing outcomes, catching coverage gaps, authorization issues, and claim errors before they trigger denials or payment delays. The platform replaces manual portal logins, fragmented referral intake, and reactive claims workflows with automated digital workers that move a patient from referral to discharge without billing leakage.
Go-to-market
Post-acute care agencies and home-based care providers are the buyers. Agencies get access through a direct sales motion, with the founding team drawing on prior healthtech GTM experience to land and expand accounts.
From the Y Combinator listing
The first AI revenue platform for post-acute healthcare
Post-acute agencies lose up to 15% of revenue each year to denials, non-compliant documentation, and delayed payments. Most treat it as a cost of doing business. Instead of waiting weeks for rejections and appealing claims one by one, Claim Health flags issues in real-time and automates claim corrections and appeals—before revenue is lost. While working with healthcare providers, we found most denials stem from small, preventable documentation errors. As payor requirements grow increasingly complex and fragmented, billing has become a manual, error-prone process. Claim Health closes the loop between documentation and billing outcomes—using AI to detect issues, automate workflows, and recover thousands in missed revenue each week. Kevin and JJ bring nearly a decade of experience building and scaling healthtech companies. At Dandy, JJ was a founding engineer and Kevin was the first GTM hire; together they helped grow the business from 0 to $150M+ ARR. At Perry (now Jolly), JJ led engineering and Kevin was Head of Sales, driving the company through a $16.5M Series A led by Tesla’s former CFO. In under three weeks since incorporation, we've launched with three agencies and are in early discussions with large U.S. health systems. Post-acute care is a $400B market with over $20B in annual revenue leakage due to broken billing workflows. Claim Health is fixing that—starting with denials, and expanding into the full revenue cycle stack.
Facts
- Healthcare / Healthcare
- 2
- Active
- Early
Founders (2)
- Jayen Ram
- Kevin Calcado
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