What it sells
AI automated prior-auths for private medical practices
Business model breakdown
Buyer: who owns the budget?
Private practice owners and practice managers in orthopedics, physiatry, pain and behavioral health.
Trigger: what makes them buy now?
Prior-auth denials and delays; staff dedicated only to prior auths (40% of physicians per site).
Workflow: what inputs become what output?
Create prior-auth requests pulling data from EMR, submit, follow up with payers, auto-generate appeals and phone payers, store approval evidence in PM system.
Economics: what it saves and how it charges
Claims 20 minutes saved per submission, 13 hours per physician per week, and removal of prior-auth-only headcount.
Distribution: how it reaches customers
Demo-led (Book Demo); custom setup per practice.
Funding history and coverage
| Round date | Stage | Amount | Investors | Source |
|---|---|---|---|---|
| — | Y Combinator Winter 2026 | — | Y Combinator | ycombinator.com |
Profiles summarize public reporting and company websites. Business-model notes are MaxBC's reading of that material, not confirmed facts; unknowns are left blank rather than guessed. Updated 2026-10-12.