Claim Health Care Continuity Platform

Claim Health is a New York-based software company that describes its product as the care continuity platform for home-based care. It automates referral intake, insurance coverage checks, prior authorizations, billing and revenue operations for post-acute and home care providers.

The platform includes Coverage Assurance inside the EMR, Smart Intake for referrals from fax, email and portals, Authorization Autopilot, Billing Operations for payment posting and denial follow-up, and Platform Intelligence dashboards. Customers shown include Interim, Ascend Health and Home Care RN.

• Coverage Assurance: monitors coverage, documentation and eligibility in the EMR.
• Smart Intake: centralizes referrals and checks them against clinical criteria.
• Authorization Autopilot: automates prior authorizations.
• Billing Operations: payment posting, reconciliation and denial follow-up.
• Platform Intelligence: real-time view of referrals, admissions and revenue risk.

Home care agencies could automate referral intake and insurance verification. Elderly care providers could automate billing reconciliation and denial follow-up.

• Company-reported 80% reduction in manual hours.
• Automated prior authorizations from submission to renewal.
• Fewer denials through continuous coverage monitoring.
• Real-time visibility into referrals, admissions and revenue risk.

Home-based and post-acute care providers face heavy administrative work in intake and authorization, driving AI-native revenue operations tools. Vietnam's growing home healthcare and elderly care sector may face similar intake and billing workloads.

450 Park Ave S, New York. Seed of USD 4.4M in Jan 2026 led by Maverick Ventures; investors include Y Combinator, Peak XV Partners and DHVP.