Best Healthcare Payer Tech Companies in New York, United States
The 43 best Healthcare Payer Tech companies in New York, United States in 2026, ranked by funding and momentum. Funding, investors, founders, valuation, tech stack and live signals. Top: Judi Health.
Ranked: Best Healthcare Payer Tech companies in New York
| # | Company | Disclosed funding | Last round | Stage | Employees | Founder | Tech stack | Patents & IP focus | Recent signals |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Judi Health Unified pharmacy and medical benefit management solutions for healthcare ecosystem 69Funding top 13%Product top 32%Talent top 38%AI top 45% All 7 signals ▾Fundingtop 13% Producttop 32% Talenttop 38% AItop 45% Techtop 49% Globalbottom 48% Customersbottom 22% Funding: Raised $593M across 7 rounds · 7 rounds over 7 yrs (1.0/yr) Product: 1 published app (44.5k installs) · Company stage: Series F rank vs industry peers · Fliar Intelligence Index 69/100 | $593M | 12 mo ago | Series F | — | Anthony Loiacono Co-Founder & CEO | WebflowSentryWistia+18 | — | — |
| 2 | Chapter 🦄 Digital medicare plan and benefits management tool for employees and individuals 64Funding top 18%Tech top 26%Moat top 26%Market top 42% All 8 signals ▾Fundingtop 18% Techtop 26% Moattop 26% Markettop 42% Growthtop 48% Talentbottom 49% Globalbottom 36% Newsbottom 34% Funding: Raised $109M across 6 rounds · 6 rounds over 13 yrs (0.5/yr) Tech: 48 technologies across 5/8 capability areas · Cloud: Amazon S3, Amazon Web Services rank vs industry peers · Fliar Intelligence Index 64/100 | $109M | 4 mo ago | Series E | 91 | Cobi Gantz Co-Founder & CEO | DatoCMSTurbopackNode.js+22 | — | — |
| 3 | Wellthy Online platform to guide families and patients with long term health conditions | $80M | 39 mo ago | Series B | 124 | Lindsay Jurist-Rosner Co-Founder & CEO | WebflowSentryZendesk+24 | — | 1 partnership |
| 4 | Truveris Pharmacy cost containment company dedicated to reducing pharmacy costs and driving transparency for employers… | $69M | 27 mo ago | Series E | 156 156 → 92 (-41%) | — | WordPressMySQLPHP+29 | 17 patents Healthcare payment data exchange and pharmacy transaction reconciliation platforms | — |
| 5 | Prognos Health Provider of AI-based data sharing platform for clinics | $67M | 39 mo ago | Series C | 50 50 → 56 (+12%) | Jason Bhan Co-Founder & CMO | HubSpot CMS HubAmazon Web Servicescore-js+12 | — | — |
| 6 | Ribbon Health Provider of predictive data analytics platform for healthcare providers | $59M | 57 mo ago | Acquired | 80 | Nate Fox Co-Founder | Google Mapsstyled-componentsReact+13 | — | — |
| 7 | Zipari Provider of cloud-based customer experience management platform for payers | $45M | 68 mo ago | Acquired | 161 | — | WordPress Block EditorwpBakeryElementor+43 | — | — |
| 8 | Alaffia Provider of AI-powered platform for healthcare claims management and review 57Funding top 26%AI top 45%Talent bottom 49%Global bottom 25% All 4 signals ▾Fundingtop 26% AItop 45% Talentbottom 49% Globalbottom 25% Funding: Raised $40.0M across 1 rounds · 1 rounds over 1 yrs (1.0/yr) AI: Product described with: ai-powered rank vs industry peers · Fliar Intelligence Index 57/100 | $40M | 9 mo ago | Series C | — | Adun Akanni Co-Founder & COO | — | — | 2 partnerships |
| 9 | Vi Provider of AI SaaS platform for health outcome and financial returns | $36M | 26 mo ago | Series A | 26 | Omri Yoffe Founder & CEO | WordPressApple iCloud MailGoogle Workspace+22 | — | — |
| 10 | pulseData AI based health treatment and pateint monitoring tool for healthcare professionals and payers | $20M | 64 mo ago | Series A | 26 | Dean Panovich Chief Executive Officer | — | 8 patents AI-powered renal risk prediction and modular data pipeline platforms for healthcare analytics | — |
| 11 | Alaffia Health AI platform for healthcare claims management and automation 48AI top 30%News top 34%Funding top 36%Talent top 38% All 7 signals ▾AItop 30% Newstop 34% Fundingtop 36% Talenttop 38% Moattop 39% Globalbottom 37% Marketbottom 34% AI: Classified as an AI company · Product described with: ai-powered News: 3 BI events in 12 mo (of 10 tracked, 3 types) · Top themes: Funding rank vs industry peers · Fliar Intelligence Index 48/100 | $18M | 6 mo ago | Series B | 22 | Adun Akanni Co-Founder & COO | — | — | — |
| 12 | Mighty Provider of software solutions for the management of legal funding | $14M | 101 mo ago | Series B | 33 33 → 62 (+88%) | — | WebflowApple iCloud MailGoogle Workspace+19 | 21 patents Valve-actuated vacuum suction systems and quick‑release anchoring mechanisms for electronic devices | — |
| 13 | Circle AI based platform to connect benefits provider and health companies | $8M | 50 mo ago | Series A | — | Joseph Schneier Chief Executive Officer | — | 26 patents Patents concentrated in chemistry & materials | — |
| 14 | Quantile Health Developer of an AI rebate agent automating validation at scale | $8M | 31 mo ago | Series A | — | Andrew Lo Co-Founder | PlyrBootstrapGoogle Cloud+9 | — | — |
| 15 | Red Sky Health AI-powered platform to fix denied health insurance claims | $6M | 19 mo ago | Seed | — | Dean Margolis Co-Founder and CEO | Cart FunctionalitySquarespace CommerceSquarespace+19 | — | — |
| 16 | Wellthie Consumer engagement products for health insurance companies | $6M | 112 mo ago | Deadpooled | 65 | — | — | — | — |
| 17 | eFamilyCare Provider of SaaS-based online teleconsultation platform for healthcare professionals, employees, and payers | $3M | 66 mo ago | Series A | 11 | Larry Sosnow Co-Founder | — | — | — |
| 18 | Zipdrug Provider of medication delivery platform for health plans to manage adherence & cost | $3M | 110 mo ago | Acquired | 16 | — | — | — | — |
| 19 | CoverRight Online platform for insurance comparison | $2M | 13 mo ago | Series A | 10 | Thomas Ness Co-founder & Chief Operating Officer | SentryTypeScriptGraphQL+28 | — | 2 partnerships |
| 20 | Tivara Provider of a platform to automate insurance approval processes for healthcare clinics | $500K | 26 mo ago | Seed | — | Aumesh Misra Co-Founder & CTO | WebflowYouTubejQuery+4 | — | — |
| 21 | Pledge Health Developer of AI-powered revenue cycle management assistant for healthcare providers | $125K | 38 mo ago | Acquired | 15 | Andrew Tang Co-Founder & CTO | — | — | — |
Top 12 Healthcare Payer Tech companies in New York
#1
Chapter 🦄Series E · New York City, New York · founded 2013 · 91 employees$109Mraised▾
Digital medicare plan and benefits management tool for employees and individuals. The company has developed a platform that enables users to compare and calculate different insurance plans. It has features for personalizing plans and financial saving calculators as well.
- Apr 2026Series E$100M
- Apr 2025Series D$75M
- May 2024Series C$50M
- Jan 2022Series B$42M
#2
Series F · New York City, New York · founded 2017$592.9Mraised▾
Unified pharmacy and medical benefit management solutions for healthcare ecosystem. The company offers full-service health benefit management and pharmacy benefit management solutions, enhanced by an AI-powered enterprise health platform. It provides pharmacy and medical care navigation, along with unbundled and level-funded pharmacy benefit management options. The company's technology includes an AI-powered enterprise health platform and a Medicare prescription payment plan. It serves employers, health plans, brokers, consultants, providers, and members. The company focuses on transparent pharmacy benefit management, full-service health benefit management, and an enterprise health platform for health plans. It aims to simplify, connect, and bring transparency to health benefits administration. The company's platform unifies all pharmacy operations, offering a flexible and financially aligned health benefit administration experience. It delivers cost-effective unified health benefits administration solutions across pharmacy, medical, vision, and dental benefit programs. The company's AI-powered care navigation solution helps plan members find care, book appointments, and understand
- Aug 2025Series F$252M
- Mar 2024Series D$115M
- Oct 2023Series C$50M
- May 2022Series C$106M
#3
Series B · New York City, New York · founded 2020 · 22 employees$17.6Mraised▾
AI platform for healthcare claims management and automation. It offers AI-powered agents designed to enhance clinician productivity and streamline claims processing. It provides tools for pre-processing claims, intelligent routing, and clinical reasoning. The platform integrates with existing technology and adheres to security standards. It serves payment integrity, utilization management, and appeals teams.
- Feb 2026Series B$55M
- Mar 2024Series A$10.9M
- Feb 2022Seed$5M
- Jul 2020Seed$100K
#4
Series C · New York City, New York · founded 2020$40Mraised▾
Provider of AI-powered platform for healthcare claims management and review. The platform streamlines medical claim reviews, enhances clinician productivity, and eliminates administrative waste. It offers AI agents that incorporate plan-specific data, policies, and workflows. The platform prioritizes claims for review, provides clinical reasoning, and allows for human validation.
- Nov 2025Series C$40M
#5
Series A · Brooklyn, New York · founded 2020 · 10 employees$2.2Mraised▾
Online platform for insurance comparison. It provides a platform for online forms, requests of quotes, interacts with agents, drug coverage plans, medical insurance plans, etc.
- Jul 2025Series A$5.9M
- Dec 2022Seed$2.2M
#6
Series E · New York City, New York · founded 2009 · 156 employees$68.7Mraised▾
Pharmacy cost containment company dedicated to reducing pharmacy costs and driving transparency for employers and benefit consultants. Its proprietary, data-driven technology and deep industry expertise empower smarter pharmacy benefit decisions through contract optimization and PBM oversight. Independent and unbiased, it delivers measurable savings and accountability across every pharmacy program.
- May 2024Series E$15M
- Aug 2017Series D$24.7M
- Mar 2016Series C$2.5M
- Jun 2014Series C$12.8M
#7
Seed · New York City, New York · founded 2022$6.5Mraised▾
AI-powered platform to fix denied health insurance claims. The company offers a platform called Daniel that utilizes machine learning algorithms to analyze and fix denied health insurance claims, helping healthcare providers address a long-standing problem.
- Jan 2025Seed$3M
- Mar 2024Seed$3.5M
#8
Series A · New York City, New York · founded 2016 · 26 employees$36Mraised▾
Provider of AI SaaS platform for health outcome and financial returns. The platform facilitates acquisition, engagement, and retention models throughout the member lifecycle. It offers tools to lower acquisition costs by leveraging data to target media spend. The platform also optimizes enrollment, engagement, utilization, and retention to enhance member lifetime value.
- 2024Series A—
- Jun 2018Series A$20M
- Mar 2016Series A$16M
#9
Series B · New York City, New York · founded 2014 · 124 employees$80Mraised▾
Online platform to guide families and patients with long term health conditions. It provides care concierge for caregivers with a digital dashboard and real-time advice from care experts, health plans to enhance care management and improve the member experience.
- May 2023Series B$25.5M
- Jun 2021Series B$35M
- May 2020Series A$5.6M
- Jan 2019Series A$5.2M
#10
Series C · New York City, New York · founded 2010 · 50 employees$66.5Mraised▾
Provider of AI-based data-sharing platform for clinics. The company has developed a platform that enables data-sharing and management for clinics and hospitals. The software helps providers protect and share their clinical data, such as lab-testing results and EHR information. It also helps in protecting data for pharma companies.
- May 2023Series C$23.3M
- Nov 2017Series C$20.5M
- Jun 2013Series B$15M
- Nov 2011Series A$7M
#11
Acquired · New York City, New York · founded 2016 · 80 employees$58.9Mraised▾
Ribbon Health offers a predictive analytics data information platform for healthcare providers. The platform provides information about doctors, plans, and costs for digital health solutions to make informed decisions for treatment. The offerings include provider director, referral management, care navigation, insurance enrolments through data aggregator and predictive models.
- Nov 2021Series B$43.5M
- Feb 2021Series A$3.5M
- Feb 2020Series A$11.8M
- Feb 2018Seed$90K
#12
Series A · New York City, New York · founded 2021$7.7Mraised▾
Developer of an AI rebate agent automating validation at scale. The company offers solutions to expand patient access and reduce rebate slippage. It provides tools for healthcare experts, financial engineers, and data scientists. The company focuses on automating processes related to rebates within the healthcare industry.
- Jan 2024Series A$7.7M
Funding & investor landscape
Notable founders
Market landscape — 10 sub-themes by coverage
Share of Healthcare Payer Tech coverage by sub-theme.
Regulatory-risk over time rising
Funding & growth over time
funding rising · growth rising
Common questions
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