Transcarent
Transcarent is a privately-held healthcare technology company that provides an AI-powered WayFinding platform unifying medical, pharmacy, and point-solution benefits navigation plus care delivery for self-insured employers, health plans, labor unions, and public sector organizations, serving 21+ million members across 1,700+ clients.
- Company typePrivate
- Founded2020
- HeadquartersSan Francisco, United States
- Headcount1,001–5,000
- GTM typeB2B
- OfferingSoftware
What Transcarent does
Transcarent is a San Francisco-based, privately-held healthcare technology company founded in 2020 that provides an AI-powered healthcare navigation and care delivery platform for self-insured employers, health plans, labor unions, and public sector organizations. The company's WayFinding platform combines doctor-informed agentic AI with human Health Guides to deliver benefits navigation, virtual primary care, care coordination, and integration of medical, pharmacy, and point solutions into a single digital-first experience covering more than 21 million members across over 1,700 employer and health plan clients (combined entity following the April 2025 Accolade merger).
Transcarent's product surface spans a core WayFinding navigation system, modular Care Experiences (Pharmacy Care, Surgery Care, Weight Health, Cancer Care, and 2nd.MD for expert second opinions), and an Experience Store partner marketplace connecting members to curated solutions across musculoskeletal, women's health, mental health, cardiometabolic, and payment integrity categories. The technical architecture relies on generative and agentic AI for voice-enabled scheduling, symptom triage, medication adherence, anomaly detection on claims, and personalized health recommendations, supported by HIPAA-compliant infrastructure certified to HITRUST CSF r2, SOC 2 Type II, and ISO/IEC 27001 standards. Acquired sub-brands BridgeHealth (2020) and 98point6's virtual care platform (2023) anchor specific clinical capabilities, and a Chief Clinical Officer plus Chief Medical Officer provide physician oversight. Accolade, acquired in January 2025 and merged in April 2025, contributed its benefits navigation and advocacy platform as a wholly-owned subsidiary.
The company monetizes via B2B subscription contracts with self-insured employers and health plans on a per-employee-per-month (PEPM) basis, augmented by value-based at-risk pricing tied to engagement and savings targets, plus Care Coordination and Navigation services priced as add-ons to the core subscription. Distribution combines direct enterprise sales with a dedicated consultant relations team and benefits brokers as channel partners, supplemented by 18 health plan partnerships that power care for millions of additional members. Following the Accolade combination, Transcarent operates from offices in the US (San Francisco headquarters with operational presence in Denver, Chicago, Plymouth Meeting, and Seattle), Canada (Vancouver), and the Czech Republic (Prague), and has raised approximately $450 million in equity funding at a post-Series D valuation of $2.2 billion, with the Accolade deal representing an additional $621 million in transaction value.
Transcarent firmographics
Firmographics- Name
- Transcarent
- Legal name
- Transcarent
- Website
- https://www.transcarent.com
- Company type
- Private
- Founded year
- 2020
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Short description
- Transcarent is a privately-held healthcare technology company that provides an AI-powered WayFinding platform unifying medical, pharmacy, and point-solution benefits navigation plus care delivery for self-insured employers, health plans, labor unions, and public sector organizations, serving 21+ million members across 1,700+ clients.
- Ownership category
- akta.pro rank
Transcarent industry classification
Industry- Product category
- Digital Health Benefits Platform
- NAICS
- Ambulatory Health Care Services (621), Other Ambulatory Health Care Services (6219)
- SIC
- Services-Health Services (8000), Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Computer Programming, Data Processing, Etc. (7370)
- akta.pro primary industry
- Care Navigation, Referral & Digital Front Door Platforms (HLALABAH)
- akta.pro secondary industries
- Integrated Virtual-First Primary + Urgent Hybrid Platforms (HLALAJAM), Care Navigation & Triage-to-Provider Referral Platforms (HLALALAD), Clinical Triage, Care Navigation & Routing Engines (HLALAKAH)
Keywords
Where Transcarent is headquartered
LocationHeadquarters
- HQ city
- San Francisco
- HQ country
- United States
- HQ region
- North America
Offices7 records
Markets served
Transcarent business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Revenue model
- B2B Subscription (Employer Health Benefits): Transcarent generates revenue through B2B subscription contracts with self-insured employers and health plans. Employers pay per-employee-per-month (PEPM) fees for access to the WayFinding platform and integrated Care Experiences. The model includes at-risk pricing where missed engagement or savings targets trigger price adjustments, aligning incentives between Transcarent and client organizations.
- Care Coordination and Navigation Services: Revenue generated from care coordination services including surgery care, cancer care, pharmacy care, weight health, and expert second opinions. These services are integrated into the employer subscription or offered as add-on Care Experiences with value-based pricing.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise subscription with at-risk pricing for self-insured employers |
Go-to-market motion2 records
Distribution channels3 records
Marketing channels7 records
Transcarent product offering
Product offeringCore offering
Transcarent operates the WayFinding platform, an AI-powered healthcare navigation and care delivery system for self-insured employers, health plans, and labor unions. The platform combines doctor-informed agentic AI with human Health Guides to provide benefits navigation, virtual primary care, pharmacy benefits, surgery coordination, weight health management, cancer care, and expert second opinions. Integrated Care Experiences are delivered alongside the Experience Store, a partner ecosystem connecting members to curated health solutions through a single contract and unified experience.
Product overview
Transcarent operates as a unified healthcare platform offering a core AI-powered navigation system (WayFinding) augmented by integrated Care Experience modules and a partner marketplace (Experience Store). The WayFinding platform serves as the primary member interface, providing AI-powered benefits navigation, clinical guidance, and care delivery through conversational AI and agentic capabilities. Integrated Care Experiences include Pharmacy Care (transparent pharmacy benefits), Surgery Care (clinical review and COE coordination), Weight Health (comprehensive weight management including GLP-1s), Cancer Care (end-to-end oncology support), and 2nd.MD (expert second opinions). The Experience Store extends capabilities through curated third-party partners across categories including musculoskeletal, mental health, women's health, and payment integrity. The platform serves self-insured employers, health plans, and labor unions through relationships with over 1,700 organizations covering approximately 21 million people.
Differentiator
Problem solved
Functional benefit
Brands
- WayFinding: AI-powered personalized benefits, health, and care navigation platform using agentic AI and human support
- Pharmacy Care
- Surgery Care
- Weight Health
- Cancer Care
- 2nd.MD
- Experience Store
- Just Ask Transcarent
Products and services
- WayFinding AI-powered healthcare navigation platform that uses doctor-informed generative AI to help members understand symptoms, schedule care, and take next best actions with memory of past interactions. Available 24/7 for benefits navigation, clinical guidance, and care delivery through conversational and agentic AI.
- Pharmacy Care Transparent pharmacy benefits management offering real-time price comparisons, lowest-cost option surfacing, prior authorization handling, and medication adherence support across 850K+ national pharmacies, with 100% rebate pass-through pricing.
- Surgery Care Surgery care coordination with independent clinical review, nurse-led support, Centers of Excellence network including Hospital for Special Surgery partnership, and predictable bundled pricing to reduce unnecessary procedures and lower total surgical costs.
- Weight Health Comprehensive weight management program offering lifestyle coaching, behavioral support, GLP-1 and medication management including Zepbound, nutritional guidance, and bariatric surgery support through integrated Centers of Excellence.
- Cancer Care End-to-end cancer support from screening through survivorship, featuring ACS LION certified Oncology Nurse Navigators, expert second opinions, Center of Excellence connections, and caregiver support services.
- 2nd.MD Expert medical second opinion service connecting members with leading specialists including Cleveland Clinic experts for diagnosis clarification, treatment options review, and surgery decision support via video or phone consultations.
- Experience Store Partner ecosystem marketplace connecting members to curated health solutions across musculoskeletal, cardiometabolic, mental health, women's health, payment integrity, and other categories through a single contract, bill, and unified experience.
- Member App Mobile application providing members one place to access digital insurance cards, find in-network clinicians, receive personalized recommendations, chat with Health Guides, and manage all health and benefits in one app.
- AI Care Assistant Generative AI-powered conversational assistant providing accurate, personalized answers to health and benefits questions, customized to employer benefits and plan design, with learning from past interactions.
Quantifiable outcome
- 70% benefits utilization rate (4.4x industry benchmark)
- +6 more outcomes
Companies that use Transcarent
Customer profileNamed customers4 records
Segments4 records
Ideal customer profiles3 records
Transcarent technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability9 records
Feature5 records
Transcarent partnerships and signals
Strategic signalPartnerships
Nine partnerships are on record, tiered core, minor and flagship.
- BluespinecoreAI-driven health technology company partnership for payment integrity category in Experience Store. Bluespine analyzes 100% of medical and pharmacy claims to detect overbilling and reduce waste, addressing $300B annual healthcare fraud, waste, and abuse problem.
- Eli Lilly (Lilly Employer Connect)minorTranscarent is one of 15+ independent program administrators on Eli Lilly's Employer Connect platform offering Zepbound KwikPen at $449 per dose for obesity medications.
- ViewFiminorMSK partnership enabling employees to connect with nationally ranked orthopedic and sports medicine physicians within two days for musculoskeletal conditions.
- Maven CliniccoreWomen's health partner added to Experience Store. Maven Clinic provides fertility, pregnancy, and family-building services, expanding Transcarent's women's health offerings alongside existing partners Carrot and Kindbody.
- Midi HealthcoreWomen's health partner added to Experience Store. Midi Health specializes in menopause care and hormonal health, expanding comprehensive women's health solutions.
- ProgynycoreWomen's health partner added to Experience Store. Progyny (Nasdaq: PGNY) is a publicly traded fertility and family-building benefits manager, delivering 7.6x more referrals to women's health solutions.
- The Clinic by Cleveland CliniccorePartnership providing Transcarent members access to world-renowned Cleveland Clinic specialists for expert second opinions through the 2nd.MD service.
- Prescryptive HealthcorePharmacy technology partnership powering Transcarent's integrated, transparent pharmacy benefit experience with real-time price comparison and medication management.
- Hospital for Special Surgery (HSS)flagshipStrategic partnership providing self-insured employers and families access to HSS as a Center of Excellence for surgery care, with limited or no out-of-pocket costs.
Scale indicators10 records
Recent moves6 records
Expansion highlights6 records
Transcarent competitors and assessment
Company assessmentDirect peers
- Included Health: Included Health is a navigation and virtual care platform serving self-insured employers and health plans, combining medical, behavioral, and benefits support. Most direct competitor to Transcarent in employer healthcare navigation, with similar at-risk and PEPM pricing models.
- Quantum Health: Quantum Health is one of the largest independent healthcare navigation and care coordination companies for self-insured employers, founded in 1999. Directly comparable to Transcarent's WayFinding experience in serving employer benefits buyers with a human-first navigation model.
- Accolade: Accolade was a direct peer providing personalized healthcare navigation and benefits support to employers and health plans before being acquired by Transcarent in 2025 for $621M. Highly comparable operating model, customer base, and PEPM revenue structure.
- Health Advocate: Health Advocate (a subsidiary of Teleperformance) provides healthcare navigation, benefits support, and concierge services to employers and health plans. Comparable to Transcarent's Health Guides model and benefits navigation scope.
- Personify Health: Personify Health (formed by merger of Virgin Pulse and HealthComp) is a wellbeing and navigation platform serving self-insured employers and health plans. Directly comparable to Transcarent in employer benefits engagement and navigation.
Broad incumbents
- Teladoc Health: Teladoc Health is a publicly traded virtual care leader offering telehealth, mental health, and chronic condition management to employers, health plans, and providers. Larger incumbent with broader clinical surface area but less specialization in navigation.
- One Medical (Amazon): One Medical, owned by Amazon, provides membership-based primary care plus virtual care services increasingly offered through employer benefits. Broader incumbent whose primary-care offering overlaps with Transcarent's virtual primary care module.
Emerging players
- Hinge Health: Hinge Health is a leading digital MSK care provider serving employers and health plans. It is a partner-level peer—available through Transcarent's Experience Store—while also competing for MSK-specific employer benefits spend.
- Sword Health: Sword Health is a digital MSK and pelvic health virtual care provider serving employers and health plans. Comparable as an Experience Store partner and as an emerging alternative for MSK-specific benefits spend.
- Maven Clinic: Maven Clinic is a digital women's and family health platform serving employers and health plans with fertility, pregnancy, and parenting support. Strategic partner in Transcarent's Experience Store (since Oct 2025) and competing for women's health benefits spend.
Market position
Strengths5 records
Weaknesses4 records
Competitive moat7 records
Key risks6 records
Key highlights7 records
Customer concentration
Transcarent social profiles
Digital presenceTranscarent compliance and trust
Trust signalCompliance5 records
Transcarent financial estimates
Financial estimateRevenue estimate
Valuation estimate
Transcarent leadership team
Management profileNumber of profiles
Profiles20 records
Transcarent subsidiaries and ownership
Company hierarchySubsidiaries3 records
Transcarent funding detail
Funding detailFunding overview
Funding rounds5 records
Investors19 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Transcarent M&A and investment
M&A and investmentM&A3 records
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Transcarent
What does Transcarent do?
Transcarent operates the WayFinding platform, an AI-powered healthcare navigation and care delivery system for self-insured employers, health plans, and labor unions. The platform combines doctor-informed agentic AI with human Health Guides to provide benefits navigation, virtual primary care, pharmacy benefits, surgery coordination, weight health management, cancer care, and expert second opinions. Integrated Care Experiences are delivered alongside the Experience Store, a partner ecosystem connecting members to curated health solutions through a single contract and unified experience.
Is Transcarent a public or private company?
Transcarent is a private company. It is classified as venture growth investor backed and is currently operating.
When was Transcarent founded?
Transcarent was founded in 2020. It employs 1,001 to 5,000 people.
Where is Transcarent based?
Transcarent is headquartered in San Francisco, United States, in the North America region.
How does Transcarent make money?
Two revenue lines are on record. B2B Subscription (Employer Health Benefits) is the primary driver. The others are care Coordination and Navigation Services.
Who are Transcarent's main competitors?
Direct peers on record are Included Health, Quantum Health, Accolade, Health Advocate and Personify Health. Broad incumbents are Teladoc Health and One Medical (Amazon). Emerging players are Hinge Health, Sword Health and Maven Clinic.
Does Transcarent have an API?
No public API is recorded for Transcarent.
What industry is Transcarent in?
Transcarent's product category is Digital Health Benefits Platform. Its primary akta.pro industry code is HLALABAH, Care Navigation, Referral & Digital Front Door Platforms, with a secondary code of HLALAJAM, Integrated Virtual-First Primary + Urgent Hybrid Platforms. Its NAICS code is 621 and its SIC code is 8000.