From 158 Clicks to One: Claim Health’s Vision for Seamless Healthcare Billing
In the fragmented world of U.S. post-acute healthcare, billing inefficiencies are not a surprise—they’re a daily reality. Agencies providing at-home care, including home health, nursing homes, hospice, and home care, collectively operate in a $400 billion industry. But every year, they lose an estimated $20 billion in revenue due to claim denials, documentation errors, underpayments, and delayed reimbursement.
At the heart of this crisis is a system overwhelmed by outdated processes. Billers face an exhausting maze of compliance requirements, complex and constantly evolving insurance rules, and disjointed data systems. In one case, a customer of Claim Health revealed it took 158 separate clicks just to submit a single insurance claim.
Most agencies have come to accept this dysfunction as the price of doing business. But this status quo not only restricts cash flow, it forces agencies to turn away patients who need care. For Claim Health’s founders, this was unacceptable.
How Does Claim Health Redefine the Revenue Cycle for Healthcare Agencies?
Claim Health emerged in 2025 with a bold promise: to become the first AI revenue platform specifically built for post-acute healthcare. Unlike traditional medical billing software, Claim Health actively intervenes in real-time to identify issues before revenue is lost.
The platform serves as a co-pilot for billing teams, flagging documentation errors, automating the correction process, and managing claims from submission to appeal. Rather than waiting weeks for rejections and manually appealing claims, agencies using Claim Health benefit from a proactive approach. The software monitors claims continuously, surfaces only those that require human attention, and handles the rest automatically.
The vision? To make medical billing a “one-click process,” freeing billers from mundane, repetitive tasks and enabling them to focus on decision-making that truly matters.
Why Is Documentation So Crucial—and So Problematic?
The founders of Claim Health, Kevin Calcado and Jayen "JJ" Ram, identified a major theme while working with healthcare providers: most denials stem from small, easily preventable documentation errors. These aren’t dramatic system failures; they’re the result of overworked staff, convoluted workflows, and insurance rules that change faster than providers can keep up.
As payor documentation requirements grow increasingly granular and inconsistent, even skilled billing teams struggle to keep pace. This isn’t just frustrating—it’s devastating to an agency’s financial health. Every missed check-in, incorrect code, or misplaced note can mean thousands of dollars lost.
Claim Health addresses this by closing the feedback loop between documentation and billing. It uses AI to analyze clinical data in real-time, spot inconsistencies or missing fields, and proactively notify billers before a claim is ever submitted. By catching problems early, Claim Health prevents downstream issues and safeguards agency revenue.
What Results Has Claim Health Achieved So Far?
Despite being incorporated only weeks before its public debut, Claim Health has already launched with three agencies and is in conversation with some of the largest health systems in the country. The early results have been staggering:
- Agencies have reduced their billing time from three full workdays per week to just two hours.
- The platform has uncovered six-figure sums in previously lost revenue due to denials and underpayments.
- Billing teams are spending less time clicking through outdated portals and more time focusing on complex, high-value claims.
The company is delivering value not just by automating tasks, but by reshaping the economics of post-acute care. Agencies that previously had to reject patients due to uncertain reimbursement are now in a better position to grow and serve more communities.
Who Are the Founders Behind Claim Health?
Claim Health is led by two experienced healthtech entrepreneurs with a track record of building and scaling high-growth startups.
Kevin Calcado, the company’s go-to-market (GTM) leader, previously served as the first sales hire at Dandy, a healthtech startup that grew from zero to over $150 million in annual recurring revenue. Later, he took on leadership roles across healthcare and tech, including SVP of Revenue positions that required navigating complex sales environments.
JJ Ram (Jayen), the technical co-founder, is a four-time startup engineer veteran. He brings experience from previous ventures in health tech, construction tech, and document AI. At Perry (now Jolly), he led engineering while Kevin spearheaded sales. Their work helped the company secure a $16.5 million Series A led by Tesla’s former CFO.
Together, they’ve applied their complementary skills—Kevin’s expertise in scaling sales, and JJ’s deep technical knowledge—to build a platform that meets both the business and engineering demands of modern healthcare billing.
How Is Claim Health Expanding the Boundaries of AI in Healthcare?
Claim Health isn’t just about fixing what’s broken—it’s about redefining how the post-acute care industry thinks about revenue.
Currently, the platform is focused on automating claims and managing denials. But the broader vision includes transforming the entire revenue cycle stack. That means deeper integration with electronic medical records (EMRs), automating appeals with real-time payor interactions, and even using AI voice agents to enrich claim data directly from insurance companies.
This is not an abstract future. The company is already testing natural language processing tools that allow AI to draft appeal letters and communicate with payors. These features could soon make traditional back-office tasks obsolete.
By combining automation, AI-driven analysis, and a customer-centric design, Claim Health is building a new infrastructure layer for post-acute care—one that’s smarter, faster, and more resilient.
Why Does This Matter for the Future of At-Home Care?
At-home care is one of the fastest-growing sectors in healthcare, driven by an aging population, patient preferences, and cost-effectiveness. But despite its potential, growth has been stifled by a broken financial infrastructure.
Claim Health’s platform changes the economics of care delivery. By reducing revenue leakage and accelerating reimbursement it gives agencies the financial stability they need to expand services. That means more patients served, more staff hired, and more access to quality care at home.
In an industry where many providers are forced to choose between compliance and scalability, Claim Health offers a third path: intelligent automation that allows both.
What’s Next for Claim Health?
Claim Health is still in its early days, but momentum is growing quickly. With a strong founding team, rapid customer adoption, and a product that demonstrably reduces costs and increases revenue, the company is poised to become the backbone of billing for post-acute care in the U.S.
Their current focus remains on home health and home care agencies, but the long-term roadmap includes expanding to serve skilled nursing facilities, hospice organizations, and other segments of post-acute care. As more agencies adopt the platform, Claim Health will continue to gather insights, refine workflows, and unlock new capabilities.
In doing so, Claim Health isn’t just creating software—it’s ushering in a new era for post-acute healthcare.
Conclusion
Claim Health is proving that revenue loss in post-acute care isn’t inevitable—it’s solvable. By leveraging AI to detect errors, streamline documentation, and automate complex billing workflows, the company is helping agencies reclaim lost revenue and focus on what matters most: patient care.
In an industry long plagued by inefficiency and delay, Claim Health is delivering speed, clarity, and control. And it’s doing it all with a single, ambitious goal in mind: making healthcare billing as easy as one click.