The startup offers a health data platform that integrates financial wellness tools, enabling users to select health plans, access clinical data, and compare prescription drug prices. This platform consolidates insurance plans, claims, and health savings accounts, helping patients manage financial stress while optimizing their healthcare choices.
Funding
$4.5M 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 costs are a significant burden for both employers and employees, with many individuals overpaying due to billing errors, lack of benefits optimization, and difficulty navigating complex healthcare systems. Traditional methods of managing healthcare finances are often reactive, requiring manual bill uploads and extensive documentation from members.
Solution
Reclaim Health offers an AI-powered healthcare financial advocacy platform that proactively manages healthcare spending for employers and their employees. By partnering with TPAs to access detailed claims data, Reclaim's algorithms identify potential billing errors, overcharges, and opportunities to leverage voluntary benefits. The platform provides personalized recommendations for plan selection, optimizes benefit utilization, and offers proactive engagement through a member-facing application. Reclaim's AI-driven approach is complemented by human advocates who resolve complex billing issues, file claims, and assist in bill negotiations, ensuring members maximize their savings and understand their healthcare options.
Target Audience
Reclaim Health primarily targets employers and benefit leaders seeking to optimize their healthcare spending, enhance employee benefits engagement, and provide financial peace of mind to their workforce, as well as brokers and consultants looking to provide more value to their clients.
Features
- AI-powered bill review to identify overbilling, adjudication errors, and savings opportunities
- Proactive notifications to plan members regarding potential savings and benefit optimization
- Integration with TPAs for seamless access to claims data, eliminating the need for manual bill uploads
- Personalized recommendations for health plan selection based on individual healthcare needs and utilization patterns
- Human financial advocates to assist with complex billing issues, claims filing, and bill negotiations
- Benefit design simulation and sensitivity analysis for employers to optimize their benefit strategy
- Reporting and analytics dashboards to track activation, engagement, and ROI
- Voluntary benefit payout notifications to ensure members receive eligible reimbursements