YC-backed company sees rapid adoption as home health, hospice, and home care providers replace manual revenue workflows with AI
Claim Health, a company providing AI-driven revenue operations for post-acute care providers, has raised $4.4 million in a Seed funding round led by Maverick Ventures with additional support from Peak XV, Y Combinator, and DHVP. The round also saw participation from executives, including CEOs and COOs of major post-acute care organizations, underscoring the market’s strong interest and alignment with Claim Health’s vision. Since completing Y Combinator’s Spring 2025 program, Claim Health has achieved a thirty-fold increase in revenue in less than a year, reflecting rapid adoption by post-acute care providers looking to replace manual and outdated systems with AI-powered solutions.
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Across the United States, roughly 68,000 post-acute care providers are experiencing growing demand as referral volumes continue to exceed pre-pandemic levels. Home health referrals are expected to rise about 13 percent over the next five years. At the same time, providers face increasing payer complexity, staffing shortages, and higher claim denial rates. These challenges make revenue operations one of the most resource-intensive bottlenecks in delivering care.
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Claim Health is addressing this challenge by building a complete AI-powered revenue platform from the ground up. The platform manages the entire referral-to-reimbursement workflow including patient intake, eligibility verification, authorization tracking, and payment reconciliation without requiring manual portals or paperwork. By automating and coordinating these processes, Claim Health allows providers to scale operations efficiently while reducing administrative burdens and minimizing revenue losses.
“Post-acute care providers face tremendous operational pressure and revenue operations is where that pressure is most visible,” said Kevin Calcado, Co-Founder and CEO of Claim Health. “Our mission is to remove the administrative friction that slows care and creates financial uncertainty. AI runs continuously in the background to free teams to focus on patients rather than paperwork.”
Early adopters such as Ascend Health, Interim HealthCare, and Home Care RN are already seeing benefits. Providers report more than a fifty percent reduction in administrative workload, up to four times faster referral processing, and a thirty to fifty percent decrease in preventable claim denials.
“Post-acute care is a rapidly growing sector that has not yet embraced modern technology,” said Lexi Henkel of Maverick Ventures. “Kevin and JJ bring deep experience in healthcare startups and engineering, giving them a unique combination of market insight and technical capability to create a lasting solution in this space.”
Founded in 2025 by Kevin Calcado and JJ Ram, Claim Health emerged from years of experience in building and scaling venture-backed healthcare software. Both founders previously worked at Dandy, one of the fastest-growing healthtech companies in the U.S., where Kevin led go-to-market initiatives and JJ supported engineering efforts to scale the platform to thousands of practices. Through hundreds of conversations with post-acute care operators, they identified revenue operations as a major failure point requiring a fully AI-native approach. Their long-term goal is to create a self-driving revenue cycle powered by intelligent automation that reduces administrative work and enables sustainable growth for providers.
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