Rialtic provides a cloud‑native SaaS platform that centralizes the entire healthcare payment lifecycle, offering real‑time claim accuracy checks, policy‑driven edits, and automated analytics. The solution replaces fragmented on‑premise systems for insurers and large provider networks, reducing administrative costs, improving payment accuracy, and enabling self‑service configuration and transparent reporting.
Funding
$81M 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 rely on fragmented, on‑premise systems to process claims, leading to high administrative costs, inaccurate payments, and limited visibility into cost drivers.
Solution
Rialtic offers a cloud‑based enterprise platform that centralizes the entire payment lifecycle, delivering real‑time accuracy checks, policy‑driven edits, and automated analytics. The SaaS solution replaces legacy infrastructure with a unified, user‑friendly interface that enables payers to reduce claim errors, contain medical expenses, and streamline collaboration with providers. Interactive dashboards provide aggregate performance metrics and granular policy‑by‑policy breakdowns, while self‑service configuration tools let users customize rules without extensive IT involvement. By consolidating workflows in a single platform, Rialtic improves operational efficiency, enhances transparency, and supports data‑driven decision making across the healthcare payment ecosystem.
Target Audience
Primary customers are health insurers, Medicare/Medicaid payers, and large provider networks that manage high volumes of claims and seek to reduce administrative overhead while improving payment accuracy.
Features
- Cloud‑native SaaS architecture that eliminates costly on‑premise hardware and supports scalable deployment
- Automated claim edit engine with transparent, policy‑driven rules to improve payment accuracy
- Interactive aggregate dashboards and drill‑down analytics for performance monitoring and savings identification
- Self‑service configuration and reporting tools that enable providers to manage relationships and customize workflows
- Integrated workflow management to reduce redundancies and promote cross‑team collaboration
- Secure, HIPAA‑compliant data handling with HITRUST certification for high‑level information protection