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§ Private Profile · New York City, NY, USA
AI-powered revenue platform automating medical billing and revenue cycle management for post-acute care, focused on cash flow.
Claim Health has raised $4.9M across 2 funding rounds.
Key people at Claim Health.
Claim Health was founded in 2025 by Kevin Calcado (Founder) and Jayen Ram (Founder).
Claim Health has raised $4.9M in total across 2 funding rounds.
Based in New York, Claim Health is an AI-powered revenue cycle management platform that automates medical billing for post-acute care providers. The enterprise software company operates with a team of six employees to address a $400 billion market that experiences over $20 billion in annual revenue leakage. Backed by Y Combinator, the platform serves healthcare organizations such as Ascend Health, Interim HealthCare, and Home Care RN. The system streamlines the billing process from patient intake through claim submission, enabling early users to reduce administrative workloads by over 50 percent and decrease preventable denials by up to 50 percent while increasing referral throughput up to four times. Following a period of 30x revenue growth, the startup secured $4.4 million in seed funding. Claim Health was founded in 2025 by former Dandy executives Kevin Calcado and Jayen Ram.
Claim Health was founded in 2025 by Kevin Calcado (Founder) and Jayen Ram (Founder).
Claim Health has raised $4.9M in total across 2 funding rounds.
Claim Health's investors include Lexi Henkel, DHVP, Peak XV Partners (Sequoia Capital India), Y Combinator, Phillip Pierini.
Claim Health has raised $4.9M across 2 funding rounds. Most recently, it raised $4.4M Seed in January 2026.
| Date | Round | Lead Investors | Other Investors | Status |
|---|---|---|---|---|
| Jan 21, 2026 | $4.4M Seed | Lexi Henkel | DHVP, Peak XV Partners (Sequoia Capital India), Y Combinator | Announced |
| Jun 1, 2025 | $500K Seed | — | Y Combinator, Phillip Pierini | Announced |
Key people at Claim Health.
Claim Health is the first AI-powered revenue platform specifically designed for the post-acute healthcare sector, particularly at-home care providers such as nursing homes, home health, and hospice agencies. Its platform automates and streamlines the entire medical billing process—from surfacing claims that need attention to automating routine submissions and managing denials through AI-driven workflows. This reduces the traditionally manual, error-prone, and complex billing cycle to a near “one-click” process, enabling billing teams to focus on critical decision-making rather than repetitive tasks. By recovering lost revenue from denials and underpayments, Claim Health helps post-acute care providers improve cash flow and operational efficiency, which is critical for their growth and ability to serve more patients[1][2][3][5].
Claim Health was founded in 2025 by Kevin Calcado and Jayen Ram, both with extensive backgrounds in SaaS and healthcare technology. They identified the inefficiencies and revenue losses caused by manual billing processes and complex insurance rules in post-acute care during their prior experiences. Motivated by these challenges, they built Claim Health to leverage AI to automate and optimize billing workflows. Early traction includes successfully reducing billing processes from multiple days to hours and uncovering six-figure revenue recoveries for initial customers, validating the platform’s impact and market need[1][4][5].
Claim Health rides the wave of AI transformation in healthcare revenue cycle management, a sector historically plagued by inefficiency, manual errors, and slow reimbursements. The timing is crucial as post-acute care providers face increasing regulatory complexity and financial pressure, making automation and AI-driven insights essential for survival and growth. Market forces such as rising demand for home-based care, payer complexity, and the need for operational efficiency favor solutions like Claim Health. By pioneering AI in this niche, Claim Health influences the broader ecosystem by setting new standards for billing automation, revenue integrity, and provider financial health, potentially inspiring further innovation in healthcare AI applications[3][6][7].
Looking ahead, Claim Health is poised to expand its AI capabilities beyond claim submission and denial management to encompass the entire revenue cycle stack, including deeper EMR integration and real-time payer interactions. Trends such as increasing AI adoption in healthcare, regulatory shifts, and the growth of home-based care will shape its trajectory. As the platform matures, its influence could extend to transforming how post-acute care providers manage financial operations, enabling them to scale sustainably while improving patient care. The company’s vision of making healthcare billing a seamless, one-click process encapsulates its potential to redefine revenue cycle management in a critical and growing healthcare segment[3][5].
