Manta Health provides a cloud‑based platform that automates real‑time insurance eligibility checks, prior authorization processing, and patient payment collection for private medical and specialty practices. The solution integrates with existing EHRs, uses AI agents for routine tasks, and offers on‑demand billing expert support with analytics to improve reimbursement and reduce administrative workload.
Funding
Funding not disclosed
Founders
Product
Problem
Private healthcare practices spend extensive time and resources on manual eligibility verification, prior authorizations, and collecting patient out‑of‑pocket payments, leading to delayed care, revenue loss, and administrative overload.
Solution
Manta Health offers a cloud‑based Intelligent Coverage Platform that automates real‑time eligibility checks, end‑to‑end prior authorization processing, and patient payment collection. The system integrates directly with existing EHR and practice management tools, preserving current workflows while offloading repetitive tasks to AI agents. When complex cases arise, on‑demand billing experts intervene to ensure compliance and successful completion. AI‑driven analytics provide actionable insights and reporting across the practice, helping teams monitor denial rates, revenue trends, and operational efficiency. The platform is HIPAA‑compliant, with data encrypted at rest and in transit, and supports outcome‑based pricing tied to completed jobs.
Target Audience
Primary customers are private medical, ophthalmology, and specialty practices that manage their own revenue cycle and seek to reduce administrative burden while improving reimbursement.
Features
- Real‑time eligibility verification with detailed benefit breakdowns for each patient
- Automated prior authorization determination, packaging, and submission for any payer and treatment
- Integrated out‑of‑pocket payment collection for surgeries, injections, and other services
- Seamless EHR integration that pulls required data without altering existing clinical workflows
- Human‑in‑the‑loop support where expert billers handle edge cases or AI failures
- AI‑powered analytics dashboard delivering practice‑level metrics, denial analysis, and revenue insights
- HIPAA‑compliant security with encryption at rest and in transit