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CareLumi

CareLumi provides an AI-native platform that automates the full credentialing lifecycle—from CAQH and state board data ingestion to payer enrollment—reducing enrollment time to 60 days or less. Its autonomous agent, Carl, continuously monitors licenses and certifications, while the same verification layer audits third-party AI and software used across healthcare operations. The platform serves health systems, group practices, staffing agencies, and digital health platforms.

Traction 10/10
Chicago, Illinois, United States · HQ
Founded 202510500+ followers
  • Healthcare Technology
  • Regulatory & Compliance Technology
  • Artificial Intelligence
  • AI Agents
  • Software Only
Updated today

Funding

Raised to date

$2.5MRaised 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.

across 1 round

CEFSIDIP+3

$2.5M · Pre-Seed

Announced Oct 2026

Disclosed cumulative: $2.5M

Founders

1 founder

Irena Kaplan

Chicago, United States

Co-Founder

Profile summary: MBA in Business Administration at The University of Chicago Booth School of Business

Product

Problem

Healthcare organizations rely on manual credentialing and compliance tracking, which creates lengthy enrollment cycles, duplicate data entry, and frequent billing interruptions when licenses or payer registrations lapse. These operational bottlenecks expose providers to revenue loss and increase audit risk.

Solution

CareLumi delivers an AI-native platform that automates the entire credentialing lifecycle—from CAQH, state board, and payer portal data ingestion to application submission—reducing enrollment time to 60 days or less. Its autonomous agent, Carl, continuously monitors licenses, certifications, DEA/NPI updates, and facility permits, flagging expirations and generating renewal reminders before they affect billing. All data are stored in a single compliance hub that syncs in real time with EHR, practice-management, and RCM systems, eliminating duplicate entry. The platform also produces audit-ready packets and on-demand compliance reports, keeping scheduling teams and regulators satisfied without manual effort. By leveraging parallel processing and AI-driven primary-source verification, CareLumi minimizes revenue-at-risk exposure and scales across multi-state, multi-specialty operations. The same verification layer can audit AI, automated workflows, and software that healthcare organizations already use, logging and checking every action taken by people and AI.

Target Audience

Primary customers are multi-specialty physician groups, ambulatory surgery centers, behavioral health networks, urgent-care chains, home-health/hospice providers, health systems, staffing and locum agencies, management services organizations, and digital health platforms that need fast, reliable provider enrollment and ongoing compliance management.

Features

  • AI agent Carl that auto-populates credentialing applications by connecting to CAQH, state medical boards, payer portals, and existing practice systems
  • Parallel, feel-free submission to all payer networks, cutting average enrollment from 120+ days to ≤60 days
  • 24/7 license and certification monitoring with predictive expiration alerts and automated renewal workflow orchestration
  • Centralized document repository with version control, secure HIPAA-compliant storage, and one-click audit packet generation
  • Real-time compliance dashboard offering status heatmaps, risk scoring, and customizable reporting for providers, facilities, and payers
  • API-based integrations with major EHRs and practice-management platforms (e.g., athenahealth, Kareo, AdvancedMD, DrChrono) to ensure data consistency
  • Multi-state licensing automation, including IMLC processing and state-specific CME tracking
  • Delegated credentialing support for large groups, handling roster file maintenance and bulk submissions
  • AI audit and verification APIs that log, check, and trace every action taken by third-party AI and software tools
This profile is AI-generated and may contain inaccuracies.