Rivio
Rivio provides an AI-driven revenue cycle management platform for Brazilian hospitals, combining artificial intelligence agents with human billing experts to automate the entire billing workflow from claim submission to appeal management. The company operates the revenue cycle end-to-end, with compensation tied to financial outcomes and a contractual guarantee that hospitals receive 100% of reimbursements from health plans. The platform reduces claim audit time from 40 hours to 6 minutes per 100 claims and improves first-submission approval rates from roughly 60% to 95%.
- Healthcare Technology
- AI Agents
- Artificial Intelligence
- Software Only
- Data & Analytics
- Enterprise Software
Funding
Raised to date
$73MRaised 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 3 rounds
AEVC$33M · Series A Extension
Announced Oct 2026 · from article date
Disclosed cumulative: $73M
Founders
Founder details are not available yet.
Product
Problem
Hospitals in Brazil face significant revenue loss due to billing errors, missed procedures, and manual glosa (claim rejection) handling. Fragmented submission processes across dozens of insurer portals, each with its own rules and contracts, compound the problem, leading to high first-submission denial rates and payment cycles that can stretch to 80 days.
Solution
Rivio offers an AI-driven revenue cycle management platform that automates the entire billing workflow for hospitals. The system cross-checks electronic health record data against billing claims to ensure every procedure and material is captured, reducing preventable losses. AI agents generate and submit XML invoices centrally, eliminating the need to access multiple insurer portals and preventing missed deadlines. Post-submission, the platform automatically detects and appeals rejected claims, with human billing experts overseeing the process. Rivio backs its technology with a contractual guarantee that hospitals will receive 100% of reimbursements from health plans, aligning incentives and providing financial certainty. The company embeds its team within hospital operations during a 120-day implementation period, and AI agents gain autonomy only after proving accuracy over time.
Target Audience
Primary customers are medium to large hospitals and health systems in Brazil that manage complex billing operations with private insurers and public payers, including leading institutions such as Hospital Israelita Albert Einstein, Hospital Sírio-Libanês, and Hospital Alemão Oswaldo Cruz.
Features
- Intelligent audit engine that performs preventive, concurrent, and retrospective claim reviews by matching EHR data to billing codes
- Centralized, AI-validated XML generation and automatic submission to all insurer portals
- Automated glosa detection and appeal workflow, supported by expert billing staff
- Real-time command center dashboard showing claim status, exceptions, and performance metrics across the entire operation
- Integration layer that connects to hospital EMR systems and extracts procedural data without manual entry
- AI agents that begin by suggesting actions and progress to autonomous execution with human governance of exceptions
- Performance metrics including claim audit time reduced from 40 hours to 6 minutes per 100 claims, first-submission approval rates improved from ~60% to 95%, and billing cycle shortened from 30 days to 7 days