The problem
Out-of-network providers get underpaid by payers and lack the staff to work the complex federal dispute process
What they do
Software plus managed service that runs No Surprises Act IDR disputes for providers
Traction 200+ hospital-based clients, 15x client growth in 2025, 2.5M+ claims (company figures)
Hiring trend
- Open roles
- 21
- Ops roles
- 4
- Headcount
- ~100-140
LinkedIn ~138 staff, +376% YoY (Jul 2026, est.); 16 of 21 open roles posted since Sep 2026
Hiring in
- Williamsburg
- Santa Monica
- Provo
- Remote (US)
Latest news
Sep 2026
Named preferred IDR partner of Massachusetts Health & Hospital Association (75+ hospitals) ↗Funding
- Last round
- Undisclosed
- Stage
- Venture-backed (Bessemer; PitchBook tags latest deal PE Growth)
- Date
- Dec 2025
Led by Bessemer Venture Partners
- Hiring+1.7521 open roles on the live job board (20–29 roles = +1.75)
- Funding recency+1Venture-backed (Bessemer; PitchBook tags latest deal PE Growth) · Undisclosed, Dec 2025 (11 months ago): 6–12 months = +1
- Traction—200+ hospital-based clients, 15x client growth in 2025, 2.5M+ claims (company figures)
- Red flags—None on file
- Total3.0Stored score → Steady (1.5–3.49)
Hiring and funding from the stored fields add up to +2.75. The stored score of 3 includes a judgment call the fields don't capture (often a boundary month or a round we don't count), so traction and red-flag points can't be split out exactly.
Distance (10K) is a separate read on how long the lead can last. It doesn't change the score.
Distance
10K · edge: learns from use
Fast-growing IDR vendor with RCM integrations and data from 2.5M+ claims, but it trails high-volume filers like HaloMD and in-house provider groups, and its whole market rests on No Surprises Act rules that CMS, Congress and payer lawsuits keep reshaping.
Sources: Pivotal Health: MHA partnership, 200+ hospital-based clients, 2.5M+ claims, 89% win rate (Sep 2026) ↗ · Health Affairs: 2025 IDR data, HaloMD, TeamHealth, Radiology Partners and SCP drive most disputes; payer suits pending (Mar 2026) ↗ · Becker's: Senate HELP roundtables on legislative IDR fixes, House oversight letters (Sep 2026) ↗
Last checked Nov 5, 2026