RAAPID INC
RAAPID INC is a Louisville-based healthcare technology company that builds a Neuro-Symbolic AI Clinical AI Platform for Medicare Advantage risk adjustment, HCC coding, MEAT evidence documentation, and RADV audit defense, serving health plans, providers, ACOs, and healthcare technology partners.
- Company typePrivate
- Founded2021
- HeadquartersLouisville, United States
- Headcount101–250
- GTM typeB2B
- OfferingSoftware
What RAAPID INC does
RAAPID INC is a Louisville, Kentucky-based healthcare technology company that builds a Neuro-Symbolic AI-powered Clinical AI Platform for Medicare Advantage risk adjustment and medical coding. The platform combines large language models with a clinical knowledge graph of more than 4 million entities, enabling explainable HCC coding, MEAT evidence documentation, two-way coding (adding missed diagnoses while removing unsupported ones), and RADV audit defense. Products span a core Novel Clinical AI Platform plus workflow modules for retrospective risk adjustment, prospective risk adjustment with pre-visit planning, a RADV audit solution, an AI-as-a-Service (AIaaS) API offering, and professional services for HCC coding, chart review, and chart auditing. The platform integrates with major EHR systems (Epic, Oracle Health/Cerner, MEDITECH, athenahealth, eClinicalWorks, DrChrono) and is hosted on Microsoft Azure East, with DocumentAI OCR technology interoperable across Google Cloud, Microsoft Azure, and AWS.
RAAPID targets three primary customer segments: Medicare Advantage health plans seeking compliant and audit-defensible risk adjustment under intensifying CMS RADV scrutiny, healthcare providers and ACOs participating in value-based care arrangements, and healthcare technology or service partners integrating RAAPID's AI capabilities into their own platforms. The company sells through an enterprise field sales motion with consultative due-diligence on clinical, technical, and regulatory dimensions, supplemented by inbound demos and a Microsoft/Azure go-to-market channel via the Pegasus Program. Revenue is generated through annual subscription licenses, AIaaS/API integrations, and professional services including certified-coder chart review and audit work. The company is privately held, founded in 2021, employs 101–250 people across Louisville and an India R&D office in Ahmedabad, and has raised primary funding from M12 (Microsoft's venture fund), UPMC Enterprises, and Healthworx, supported by certifications including HITRUST r2, SOC 2 Type II, HIPAA, and Microsoft Healthcare AI Certified Software.
RAAPID INC firmographics
Firmographics- Name
- RAAPID INC
- Legal name
- RAAPID INC
- Website
- https://raapidinc.com
- Company type
- Private
- Founded year
- 2021
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- RAAPID INC is a Louisville-based healthcare technology company that builds a Neuro-Symbolic AI Clinical AI Platform for Medicare Advantage risk adjustment, HCC coding, MEAT evidence documentation, and RADV audit defense, serving health plans, providers, ACOs, and healthcare technology partners.
- Ownership category
- akta.pro rank
RAAPID INC industry classification
Industry- Product category
- Healthcare Risk Adjustment Software
- NAICS
- Custom Computer Programming Services (541511), Scientific Research and Development Services (5417)
- SIC
- Services-Health Services (8000), Services-Computer Programming Services (7371), Services-Misc Health & Allied Services, Nec (8090)
- akta.pro primary industry
- Software as a Medical Device (SaMD) – Clinical Decision & Diagnostic Software (HLACANAD)
- akta.pro secondary industry
- DTx/SaMD Evidence, Outcomes & Real-World Data (RWE) Platforms (HLACANAM)
Keywords
Where RAAPID INC is headquartered
LocationHeadquarters
- HQ city
- Louisville
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
RAAPID INC business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Marketing or Sales, Infrastructure
Revenue model
- Clinical AI Platform Subscription: RAAPID operates primarily as a SaaS/platform company offering its Neuro-Symbolic AI-powered Clinical AI Platform on a subscription basis to health plans, ACOs, and health systems. The platform is delivered as a hosted solution on Microsoft Azure.
- AI as a Service (AIaaS): RAAPID offers API integration and custom workflow solutions that allow healthcare organizations to integrate its Neuro-Symbolic AI capabilities into their existing systems. This includes scalable deployment options for risk adjustment coding and compliance workflows.
- Professional Services: Risk adjustment services including retrospective and prospective chart review, HCC coding, medical chart auditing, and compliance consulting. Expert certified coders provide coding assessment and quality assurance services.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise Platform Pricing |
Go-to-market motion2 records
Distribution channels4 records
Marketing channels7 records
RAAPID INC product offering
Product offeringCore offering
RAAPID INC develops and sells a Neuro-Symbolic AI-powered Clinical AI Platform that automates healthcare risk adjustment workflows, including retrospective and prospective HCC coding, MEAT-backed chart review, and RADV audit support for Medicare Advantage payers, providers, and ACOs. The company also offers AI-as-a-Service (AIaaS) APIs and professional HCC coding and chart review services built on the same platform.
Product overview
RAAPID INC offers a unified Neuro-Symbolic AI-powered Clinical AI Platform for healthcare risk adjustment and Medicare Advantage value-based care. The platform architecture consists of the core Novel Clinical AI Platform supporting two primary workflows: Retrospective Risk Adjustment (for post-visit chart review and coding validation) and Prospective Risk Adjustment (for pre-visit planning and in-workflow coding support). The RADV Audit Solution provides audit defense capabilities, while AI as a Service (AIaaS) enables API-based integration and custom deployments. Supporting service modules include HCC Coding Services, Chart Review Services, and Chart Audit Services. The platform is deployed on Microsoft Azure and integrates with major EHR systems including Epic, Oracle Health, MEDITECH, athenahealth, eClinicalWorks, Cerner, and DrChrono.
Differentiator
Problem solved
Functional benefit
Brands
- Novel Clinical AI Platform: Neuro-Symbolic AI-powered platform for retrospective risk adjustment and medical coding with audit defensibility.
- Clinical AI Platform
Products and services
- RAAPID Clinical AI Platform (Neuro-Symbolic AI Platform) Neuro-Symbolic AI-powered Clinical AI Platform that automates HCC coding, chart review, and risk adjustment workflows for Medicare Advantage payers, providers, and ACOs. Built on a Clinical Knowledge Graph of 4M+ medical entities with explainable, audit-ready outputs.
- Retrospective Risk Adjustment Automated retrospective risk adjustment solution that reviews historical medical records to identify and code previously missed or unsupported HCCs for payers and providers.
- Prospective Risk Adjustment Prospective risk adjustment solution that surfaces HCC opportunities at or near the point of care, enabling providers to capture accurate risk during the current performance year.
- RADV Audit Solution Dedicated solution for Risk Adjustment Data Validation (RADV) audit preparation, providing MEAT evidence-backed documentation and the ability to both add missing HCCs and remove unsupported ones to ensure defensibility under CMS audit.
- AI as a Service (AIaaS) API-based AI-as-a-Service offering that lets technology and service partners embed RAAPID's Neuro-Symbolic clinical AI capabilities (HCC coding, chart review, evidence extraction) directly into their own products and workflows.
- HCC Coding Services Professional services offering providing certified HCC coders augmented by the RAAPID Clinical AI Platform to deliver high-accuracy risk adjustment coding for health plans and providers.
- Chart Review Services Outsourced chart review service that combines AI pre-screening with human review to identify HCC opportunities and MEAT evidence across large medical record populations.
- Chart Audit Services Chart audit service that retrospectively validates coding accuracy, documentation quality, and MEAT compliance to support internal QA programs and external audit readiness.
Quantifiable outcome
- 98%+ coding accuracy rate
- +10 more outcomes
Companies that use RAAPID INC
Customer profileNamed customers4 records
Segments4 records
Ideal customer profiles3 records
RAAPID INC technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration10 records
AI capability10 records
Feature6 records
RAAPID INC partnerships and signals
Strategic signalPartnerships
Four partnerships are on record, tiered core and supporting.
- UPMC (Co-development)coreStrategic co-development initiative between RAAPID and UPMC to advance clinical AI solutions for healthcare risk adjustment. The partnership involves collaboration on expanding RAAPID's Clinical AI Platform with UPMC's clinical expertise.
- Microsoft (Pegasus Program)coreRAAPID was accepted into Microsoft's Pegasus Program, gaining access to Azure infrastructure, HITRUST-certified security, and Microsoft's healthcare provider network. The platform is hosted on Microsoft Azure East and received Microsoft Healthcare AI Certified Software designation.
- Google CloudsupportingRAAPID's DocumentAI OCR technology is integrated with Google Cloud Platform for document digitization and data extraction from medical records.
- Amazon Web Services (AWS)supportingRAAPID's OCR technology integrates with AWS for cloud-based document processing and healthcare data management.
Scale indicators14 records
Recent moves6 records
Expansion highlights6 records
RAAPID INC competitors and assessment
Company assessmentDirect peers
- CodaMetrix: AI-powered autonomous medical coding platform serving large health systems and payers. Direct competitor to RAAPID in using AI/NLP to automate HCC and ICD-10 coding for risk adjustment and reimbursement.
- Aidéo Technologies: NLP-based medical coding platform providing computer-assisted coding and risk adjustment solutions to payers and providers. Competes with RAAPID in AI-powered clinical coding accuracy.
- Fathom: Autonomous medical coding AI company backed by major venture investors, focused on automating coding workflows for health systems. Direct overlap with RAAPID's AI-driven HCC and risk adjustment coding capabilities.
Broad incumbents
- Cotiviti: Healthcare analytics and risk adjustment company providing payment accuracy, risk adjustment, and quality solutions to MA payers. Direct overlap with RAAPID's MA risk adjustment and coding accuracy value proposition.
- Nuance (Microsoft): Microsoft-owned clinical NLP and ambient AI documentation vendor with Dragon and DAX Copilot products. Adjacent but overlapping in clinical NLP, coding assist, and EHR-integrated documentation workflows.
- Solventum (formerly 3M Health Information Systems): Spin-off of 3M HIS, the dominant incumbent in medical coding, computer-assisted coding, and risk adjustment solutions. Broad enterprise footprint and deep payer relationships across the same buyers RAAPID targets.
- Health Catalyst: Healthcare data and analytics platform serving providers, payers, and ACOs on value-based care, population health, and risk adjustment. Comparable buyer overlap and value-based care orientation.
- Optum Risk Adjustment (UnitedHealth Group): Optum's risk adjustment and analytics business, part of UnitedHealth Group, offers end-to-end risk adjustment coding, RADV audit support, and prospective solutions to MA payers. Largest scaled competitor in the same buyer category.
Emerging players
- Olive AI: Healthcare AI automation company focused on revenue cycle and operational workflows. Partial overlap with RAAPID on payer/provider revenue cycle automation and AI-driven workflow tools.
- Suki AI: AI-powered clinical documentation and ambient scribe company expanding into coding and HCC gap suggestions. Emerging overlap with RAAPID's prospective risk adjustment and in-workflow coding prompts.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
RAAPID INC social profiles
Digital presenceRAAPID INC compliance and trust
Trust signalCompliance4 records
RAAPID INC financial estimates
Financial estimateRevenue estimate
Valuation estimate
RAAPID INC leadership team
Management profileNumber of profiles
Profiles2 records
RAAPID INC subsidiaries and ownership
Company hierarchySubsidiaries1 record
RAAPID INC funding detail
Funding detailFunding overview
Funding rounds3 records
Investors3 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
RAAPID INC M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about RAAPID INC
What does RAAPID INC do?
RAAPID INC develops and sells a Neuro-Symbolic AI-powered Clinical AI Platform that automates healthcare risk adjustment workflows, including retrospective and prospective HCC coding, MEAT-backed chart review, and RADV audit support for Medicare Advantage payers, providers, and ACOs. The company also offers AI-as-a-Service (AIaaS) APIs and professional HCC coding and chart review services built on the same platform.
Is RAAPID INC a public or private company?
RAAPID INC is a private company. It is classified as venture growth investor backed and is currently operating.
When was RAAPID INC founded?
RAAPID INC was founded in 2021. It employs 101 to 250 people.
Where is RAAPID INC based?
RAAPID INC is headquartered in Louisville, United States, in the North America region.
How does RAAPID INC make money?
Three revenue lines are on record. Clinical AI Platform Subscription is the primary driver. The others are AI as a Service (AIaaS) and professional Services.
Who are RAAPID INC's main competitors?
Direct peers on record are CodaMetrix, Aidéo Technologies and Fathom. Broad incumbents are Cotiviti, Nuance (Microsoft), Solventum (formerly 3M Health Information Systems), Health Catalyst and Optum Risk Adjustment (UnitedHealth Group). Emerging players are Olive AI and Suki AI.
Does RAAPID INC have an API?
Yes. RAAPID provides API access for its AI-as-a-Service (AIaaS) platform enabling API integration, custom workflows, and scalable deployment. The Terms of Service explicitly cover API usage terms, stating that abuse or excessively frequent requests may result in temporary or permanent suspension of API access, and RAAPID reserves the right to modify or discontinue access with or without notice.
What industry is RAAPID INC in?
RAAPID INC's product category is Healthcare Risk Adjustment Software. Its primary akta.pro industry code is HLACANAD, Software as a Medical Device (SaMD) – Clinical Decision & Diagnostic Software, with a secondary code of HLACANAM, DTx/SaMD Evidence, Outcomes & Real-World Data (RWE) Platforms. Its NAICS code is 541511 and its SIC code is 8000.