The startup develops a generative artificial intelligence platform that automates healthcare administrative workflows, including claims adjudication and billing processes. By streamlining these operations, the platform reduces manual errors and accelerates payment cycles, enhancing overall efficiency in the healthcare industry.
Funding
$18.2M raised to dateRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.
Founders
Product
Problem
Healthcare payers and providers face challenges with inefficient and error-prone administrative processes, including claims adjudication, provider credentialing, and contact center operations. Manual processes lead to delays in payment cycles, increased operational costs, and potential inaccuracies in data management.
Solution
32Health provides an AI-powered platform designed to automate and streamline healthcare administrative workflows for payers, TPAs, and health plans. The platform leverages AI to automate claims adjudication with high accuracy, expedite provider credentialing, and enhance contact center efficiency through autonomous agents. By integrating AI at the core of every process, 32Health reduces manual intervention, accelerates data migration, and improves the accuracy of billing and payment solutions. The cloud-based platform is designed to scale from small to large organizations and offers seamless integration with existing CRM, ERP, accounting, and contact center systems through an API-first architecture.
Target Audience
The primary target audience includes payers, third-party administrators (TPAs), health plans, Medicare/Medicaid systems, dental service organizations (DSOs), and educational institutions.
Features
- AI-powered claims adjudication that auto-adjudicates over 90% of claims with 99% accuracy.
- Real-time provider credentialing to onboard new providers in days instead of months.
- Autonomous contact center agents that reduce average handle time and improve first call resolution by 50%.
- Automated billing and payment solutions to improve payments and collections accuracy and speed.
- Robust sales and broker management to effortlessly manage sales and broker commissions and payouts.
- Cloud-based platform that scales to accommodate organizations with 50 to 50 million members.
- API-first architecture for wide-ranging integrations with CRM, ERP, accounting, and contact center systems.
- Pre-configured templates for faster and more accurate data migration.