What it sells
AI native TPA starting with workers comp
Business model breakdown
Buyer: who owns the budget?
UnverifiedRisk managers at self-insured employers; claims leaders at carriers and MGAs.
Trigger: what makes them buy now?
The longer a claim stays open the more it costs; legacy TPAs assemble files by hand and post reserves late.
Workflow: what inputs become what output?
AI reads and organizes the claim file on day one, posts reserves within 72 hours, does bill review in house; licensed adjusters make every decision.
Economics: what it saves and how it charges
TPA service revenue with service guarantees (24h call returns, 72h reserves) written into contracts; no fee figures.
Distribution: how it reaches customers
Founder-led: book a 15-minute call; can start with one program or state without migration.
Funding history and coverage
| Round date | Stage | Amount | Investors | Source |
|---|---|---|---|---|
| — | Y Combinator Fall 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.