hi.health by Pliant provides a cashless, real-time payment platform specifically for the insurance industry to manage claims and disbursements. This technology replaces manual reimbursement models with digital-first card payments, offering instant settlement and configurable spend controls. The platform integrates fraud prevention directly into the payment flow, enhancing transparency and reducing operational risk for insurers.
Funding
$40M 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.
MVFounders
Product
Problem
Existing payment processes in private health insurance often involve complex claims procedures, leading to administrative overhead for insurers and a cumbersome payment experience for insured members and medical providers. Traditional systems lack real-time data processing and effective fraud prevention mechanisms, increasing operational costs and potential financial risks.
Solution
The startup provides a white-label payment card solution that integrates with digital wallets like Apple Pay, enabling insured members to make direct, secure payments to medical providers. This system streamlines the claims process by providing real-time data processing and structured data capture, which reduces administrative costs for insurers. The platform incorporates advanced fraud prevention measures, safeguarding both insurers and members against unauthorized transactions. Furthermore, the solution enhances the payment experience for both patients and healthcare merchants through a seamless and efficient transaction process.
Target Audience
The primary target audience includes private health insurers seeking to reduce administrative costs and improve the payment experience for their members, as well as medical providers looking to streamline payment processing.
Features
- White-label payment cards customizable with insurer branding
- Integration with digital wallets such as Apple Pay for convenient payments
- Real-time data processing and structured data capture for efficient claims management
- Advanced fraud prevention mechanisms to protect against unauthorized transactions
- Online checkout system to improve the buying experience for privately insured individuals
- Steering mechanism to guide members towards preferred medical providers