Clearest Health Analysis: $3M Raised
What is Clearest Health?
Clearest Health helps independent healthcare practices recover out-of-network revenue through Independent Dispute Resolution appeals under the No Surprises Act. The company says it built the largest database of real IDR outcomes in the country and trains AI models on those results. Public site content emphasizes pricing intelligence, audit-ready disputes, and a 48-hour free analysis.
Location
111 Executive Blvd, Farmingdale, New York 11735, United States
Employees
1-10
Founded
2023
Revenue
$100-850M
Investors
- Pioneer Fund
- Third Prime
Product Features & Capabilities
- Plan Intelligence, AI Claims Guidance, automated dashboard subscriptions, insightful analytics, AI-generated medical summaries, timeline generation, recommended care pathways
How much Clearest Health raised
Seed - $2,750,000
May 13, 2023Lead Investor: Pioneer Fund and 2 other investors
Who are the founders of Clearest Health
NR
Nicolas Raga
CEO and Co-founder
Competitors Overview
Clearest Health operates in the health insurance technology solutions market, specifically targeting third-party administrators (TPAs). Its main competitors include:
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Cigna HealthCare: Known for its comprehensive administrative solutions, Cigna focuses on balancing cost control and member satisfaction. They have a strong presence in managing health benefits for employers and insurers.
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Aetna (CVS Health): Aetna offers a wide range of services, including claims processing and provider network management, similar to Clearest Health. Their integration with CVS Health provides additional advantages in pharmacy benefits management.
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Blue Cross Blue Shield Association (BCBSA): BCBSA is a significant player in the TPA market, providing extensive provider networks and regulatory compliance support. Their established brand and market reach give them a competitive edge.
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Humana: Humana emphasizes innovative technology solutions in health insurance, which aligns with Clearest Health's focus on data-driven insights and AI-driven claims guidance.
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Sedgwick: Sedgwick leverages advanced technology, including AI, to expedite claims processing, providing a competitive advantage in efficiency and service delivery.
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Crawford and Company: This company has partnered with technology firms to enhance its claims processing capabilities, making it a formidable competitor in the TPA space.
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CorVel Corporation: CorVel utilizes AI and predictive analytics for better claims management, which positions it well against Clearest Health's technology-driven approach.
Notable differences among these competitors include their specific service offerings, market focus, and technological capabilities, which can influence their competitive positioning in the TPA market.
Market Focus
Clearest Health primarily focuses on the health insurance industry, providing technology solutions for third-party administrators (TPAs) with an emphasis on data-driven insights and AI-driven claims guidance.
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