Brellium

What Brellium does

Brellium is a New York-based healthcare technology company that operates an AI-powered clinical compliance SaaS platform targeting healthcare providers and, more recently, payors. The platform conducts real-time audits of 100% of clinical documentation against payor, regulatory, and quality requirements, replacing the industry-standard 5-10% manual sampling approach. Core functionality spans AI chart auditing, MDM and E/M coding validation, clawback protection, compliance dashboards, automated provider coaching, payor audit response generation, and clinical incident reporting. The platform integrates with 60+ EMR systems and supports audit criteria across 50 U.S. states and 100+ payors.

The company serves primarily ABA therapy, mental health, and hospice providers across single-site, multi-site, enterprise, and digital health customer segments, and has expanded into a Payor Solutions offering for utilization management, payment integrity, and FWA detection. Disclosed scale metrics include 250,000+ providers on the platform, 16M+ charts audited annually, and $1.4B+ in claims protected.

Brellium generates revenue through annual SaaS subscriptions priced by organization size (Single-Site, Multi-Site, Enterprise, Digital Health, Payor Solutions), supplemented by professional services billed via statements of work. Distribution is exclusively direct enterprise sales with custom quotes, personalized demos, and white-glove onboarding. The company is privately held and venture-backed, having closed a $16.7M Series A in April 2025 co-led by First Round Capital and Left Lane Capital, following earlier rounds including approximately $11.1M in late 2024. The company is led by co-founders Zach Rosen (CEO), Alex Tu, Henry Kasa (CTO), and Max Katzman (Head of Engineering), and has added strategic advisors including former Kaiser Permanente Chief AI Officer Dr. Ainsley MacLean and former CMS/Medicaid CMO Dr. Andrey Ostrovsky.

Name

Brellium

Legal name

Brellium, Inc.

Website

https://brellium.com

Company type

Private

Founded year

2021

Operating status

Operating

Headcount range

11–50 employees

Short description

Brellium is an AI-powered clinical compliance SaaS platform that audits 100% of clinical documentation in real time for ABA therapy, mental health, and hospice providers, protecting revenue from payor clawbacks. It serves 250,000+ providers across 200+ healthcare organizations in the United States.

Ownership category

akta.pro rank

Product category

Healthcare Compliance Software

NAICS

Software Publishers (513210)

SIC

Services-Computer Programming, Data Processing, Etc. (7370), Hospital & Medical Service Plans (6324)

akta.pro primary industry

Clinical Coding Support (ICD/CPT/SNOMED) & Documentation Compliance Tools (HLACAAAO)

akta.pro secondary industries

Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD), Claims Administration & Payment Integrity (Medical/Dental/Vision) (HLAEALAD), Payment Integrity, Audit, Appeals & Grievance Support (BPAAAFAJ)

Keywords

• Clinical compliance software
• AI chart auditing
• Healthcare documentation
• Payor audit protection
• Behavioral health compliance

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Technology or R&D, Personnel, Marketing or Sales, Operations, Infrastructure

Revenue model

1. SaaS Subscription (Platform Access): Subscription-based access to Brellium's clinical compliance platform. Fees are specified in Sales Orders with annual invoicing and 10% annual price increases on renewals. Includes access to AI chart auditing, compliance dashboards, and automated training features. Tiered by organization size (Single-Site, Multi-Site, Enterprise).
2. Professional Services: Customization, development, data migration, integration, testing, implementation, training, conversion, consulting, and other services delivered via Statements of Work. Billed separately from subscription fees.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

Brellium provides an AI-powered clinical compliance SaaS platform that audits 100% of clinical documentation in real time against payor, regulatory, and quality requirements. The platform integrates with Electronic Medical Record systems and uses configurable audit criteria tailored to each healthcare organization's payor-specific and state-specific rules, flagging documentation errors before billing. It serves healthcare organizations across ABA therapy, mental health, and hospice specialties, with revenue protection through guaranteed clawback coverage.

Product overview

Brellium offers a unified AI-Powered Clinical Compliance Platform with multiple integrated modules. The core product, AI Chart Auditing, enables real-time review of 100% of clinical documentation against payor, regulatory, and quality requirements. This core capability is extended through complementary modules: MDM & E/M Coding provides automated coding validation; Clawback Protection shields revenue from payor audits; Quality Trend Data delivers analytics dashboards and provider benchmarking; Automated Provider Training enables personalized clinician coaching; Payor Audit Support generates compliance-verified audit responses; and Incident Reporting manages compliance events and clinical risk detection. The platform serves healthcare organizations across ABA therapy, mental health, and hospice specialties, supporting single-site, multi-site, enterprise, and digital health provider organizations.

Differentiator

Problem solved

Functional benefit

Products and services

• Brellium Clinical Compliance Platform Unified SaaS platform that audits 100% of clinical documentation in real time against payor, regulatory, and quality requirements, integrating with 60+ EMR systems. Includes AI Chart Auditing, MDM & E/M Coding validation, Clawback Protection, Quality Trend Data dashboards, Automated Provider Training, Payor Audit Support, and Incident Reporting modules. Sold as a tiered subscription (Single-Site, Multi-Site, Enterprise, Digital Health, Payor Solutions) to healthcare organizations across ABA therapy, mental health, and hospice specialties.

Quantifiable outcome

• 13x faster chart reviews compared to manual auditing processes
• +8 more outcomes

Named customers13 records

Segments8 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

AI capability5 records

Feature10 records

Scale indicators12 records

Recent moves5 records

Expansion highlights5 records

Broad incumbents

• Optum (UnitedHealth Group): Optum is a large incumbent healthcare services and technology platform that offers payment integrity, coding, and compliance software through its RCM and analytics divisions. It is comparable as a broad incumbent that competes with Brellium across payor-side audit, coding, and provider compliance.
• Cotiviti: Cotiviti provides payment integrity, risk adjustment, and quality analytics for health plans. It is comparable as a broader incumbent operating in the payor-side audit and documentation compliance category that Brellium is expanding into via Payor Solutions.
• Teguar Computers (athenahealth): athenahealth provides EHR plus RCM and coding services for ambulatory providers. It is comparable as a broad incumbent whose EHR/RCM stack competes with Brellium's chart-auditing and coding-compliance layer for clinical documentation quality.

Direct peers

• AKASA: AKASA provides AI-powered revenue cycle automation for healthcare providers, including coding, claims, and denial management. It is comparable as an AI-driven healthcare compliance/RCM SaaS targeting enterprise provider organizations.
• Olive AI: Olive AI (and its spinoff/follow-ons such as Healthcare IT Leaders-adjacent offerings) deployed AI solutions across revenue cycle, prior authorization, and documentation workflows for hospitals. It is comparable as a healthcare-AI SaaS in adjacent revenue-cycle compliance.
• CodaMetrix: CodaMetrix uses AI to automate medical coding for healthcare providers, improving accuracy and reducing manual coder workload. It is comparable as an AI clinical-coding SaaS targeting the same hospital and provider compliance buyer as Brellium.
• Infinx Healthcare Solutions: Infinx offers AI-driven prior authorization, coding, and revenue cycle management tools for healthcare providers and payors. Its coding, documentation, and payor-side compliance workflows overlap directly with Brellium's MDM & E/M coding, payor audit support, and payment integrity capabilities.
• Smile Digital Health: Smile Digital Health provides a clinical data and interoperability platform used by payors and providers to manage clinical data, including FHIR-based clinical repositories and clinical rule evaluation. It is comparable to Brellium as a clinical-data-and-rules platform serving payor/provider compliance workflows.
• Fathom: Fathom delivers AI-driven medical coding and clinical documentation integrity automation for healthcare providers. It directly competes with Brellium's MDM & E/M coding and chart auditing modules in automating revenue cycle compliance.

Emerging players

• Clarify Health / Healthcare.ai coding startups: Clarify Health applies AI to clinical and claims data analytics for healthcare organizations and payors. It is comparable as an emerging data/AI platform addressing adjacent payor-side compliance and documentation analytics use cases.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds3 records

Investors8 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Brellium