Element5
Element5 provides AI and RPA-based workflow automation for post-acute care providers, using agentic AI agents to automate revenue cycle management, eligibility, authorization, and compliance workflows for home health, hospice, and skilled nursing organizations in the United States.
- Company typePrivate
- Founded2019
- HeadquartersSan Jose, United States
- Headcount101–250
- GTM typeB2B
- OfferingSoftware
What Element5 does
Element5 is an intelligent workflow automation company purpose-built for post-acute care provider organizations, including home health agencies, hospice providers, skilled nursing facilities, and senior living operators. Founded in 2019 and headquartered in San Jose, California, the company applies AI and robotic process automation (RPA) to automate revenue cycle management, eligibility and authorization workflows, compliance reporting, and operational processes that are heavily manual and regulatorily complex in post-acute settings. The company reports processing more than 121,000 transactions and 727 automated workflows daily across a client base that includes Amedisys, Compassus, Gentiva Health Services, Graham Healthcare Group, and VNA Health Group.
The core product is the Neos agentic AI platform, launched in January 2025, which orchestrates autonomous AI agents across the patient financial journey — spanning patient referral and intake, eligibility and benefit verification, prior authorization, claims processing, denials management, and remittance and collections. The platform connects to 49 systems including major post-acute EHRs (Homecare Homebase, WellSky, KanTime, MatrixCare, Netsmart, AlayaCare), payer portals, clearinghouses, and CMS government endpoints such as iQIES. Supporting modules include Eligibility Automation, Authorization Automation, Denial Management Automation, OASIS and iQIES Automation, RCD Automation, and Audits and Compliance Automation. The platform is SOC 2 Type II and HIPAA compliant.
Element5 generates revenue primarily through recurring SaaS subscription contracts with mid-market to enterprise post-acute care provider organizations, billed annually with pricing tied to organizational size, workflow volume, and module selection. Managed services represent a secondary revenue stream. Distribution is sales-led through field enterprise sales and inside sales teams, supplemented by partner referral channels from major EHR vendors. The company has raised $48.5 million in total funding across a 2020 seed, 2021 Series A, and 2022 Series B, all led by Insight Partners. Operations span the United States with a delivery center in Chennai, India.
Element5 firmographics
Firmographics- Name
- Element5
- Legal name
- Element5 Inc.
- Website
- https://e5.ai
- Company type
- Private
- Founded year
- 2019
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Element5 provides AI and RPA-based workflow automation for post-acute care providers, using agentic AI agents to automate revenue cycle management, eligibility, authorization, and compliance workflows for home health, hospice, and skilled nursing organizations in the United States.
- Ownership category
- akta.pro rank
Element5 industry classification
Industry- Product category
- Healthcare Workflow Automation Software
- NAICS
- Computer Systems Design and Related Services (54151), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821)
- SIC
- Services-Prepackaged Software (7372), Services-Computer Processing & Data Preparation (7374)
- akta.pro primary industry
- Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)
- akta.pro secondary industry
- IT Workflow Automation & Orchestration Platforms (HDAEALAF)
Keywords
Where Element5 is headquartered
LocationHeadquarters
- HQ city
- San Jose
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Element5 business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure
Revenue model
- SaaS Subscription Revenue: Element5 generates revenue primarily through recurring SaaS subscription contracts with post-acute care provider organizations. Pricing is structured as a recurring subscription model based on organizational size and workflow volume, with contracts typically billed annually.
- Managed Services Revenue: The company offers managed services wherein it operates and manages workflow processes on behalf of clients, providing an additional revenue stream alongside the core SaaS platform.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Custom Enterprise Subscription |
Go-to-market motion2 records
Distribution channels2 records
Marketing channels7 records
Element5 product offering
Product offeringCore offering
Element5 provides an AI and RPA-powered automation-as-a-service platform (Neos) for post-acute care provider organizations including home health agencies, hospice providers, skilled nursing facilities, and senior living operators. The platform automates revenue cycle workflows (eligibility verification, prior authorization, claims processing, denial management, remittance) and compliance/operations workflows (OASIS/iQIES submissions, RCD pre-claim reviews, physician notifications, audit compliance), connecting 49 EHR/EMR and payer systems to deliver end-to-end workflow automation. Element5 also offers managed services where it operates and manages automated workflows on behalf of clients.
Product overview
Element5 is an intelligent post-acute workflow automation platform that operates as a platform-plus-modules architecture. The core platform is the Neos agentic automation platform, which orchestrates AI agents across the patient financial journey. The Neos Solutions Suite provides modular capabilities including Eligibility Automation, Authorization Automation, and Denial Management Automation. The platform extends beyond RCM with compliance and operations modules including OASIS & iQIES Automation, Audits & Compliance Automation, Document Faxing Automation, and RCD Automation. Engagement models include Ready-to-Go Agents (pre-built, production-ready customizable agents) and Collaborative Design (co-development of new agents with Element5 AI experts). The platform connects to EHRs (Homecare Homebase, WellSky, KanTime, MatrixCare, Netsmart), payer portals, clearinghouses, and government systems (iQIES) to automate eligibility, authorization, and revenue cycle management workflows for post-acute care organizations.
Differentiator
Problem solved
Functional benefit
Brands
- Neos: An AI agent solution for managing the patient financial journey, focusing on eligibility and authorization automation for post-acute care organizations.
Products and services
- Neos AI Agent Platform Agentic AI platform for post-acute care that manages the patient financial journey end-to-end, including patient referral and intake, eligibility and benefit verification, prior authorizations, claims processing, denials management, and remittance and collections. Orchestrates autonomous AI agents across connected EHR, payer, and government systems.
- Eligibility Automation Automated eligibility and benefit verification solution that maintains accurate coverage data with automated checks, robust benefit validations, and exception handling, preventing downstream denials by identifying eligibility changes before they disrupt care.
- Authorization Automation Automated prior authorization solution that ensures visits are pre-approved by submitting requests and checking status timely, with Authorization Center for centralized tracking across payers and Action Center for managing denials and expiring authorizations.
- Denial Management Automation Automated denials resolution solution that categorizes denials and routes them through targeted workflows, prioritizing high-value cases for rapid response; extracts denials from clearinghouse and uploads billing notes with specific reasons to EHR.
- OASIS & iQIES Automation Automated OASIS submission workflow that handles download of OASIS files from EHR, upload to CMS iQIES system, review of submission history, validation reports, and updation of data back to EHR, operating 7 days a week with verification to triage exceptions.
- Document Faxing Automation for COP Compliance Automated faxing solution for Conditions of Participation compliance that automates physician notifications and facility notifications using EHR native fax service, reducing administrative burden by 75%.
- Review Choice Demonstration (RCD) Automation Automated pre-claim review submission solution for CMS Review Choice Demonstration that automates document collation, submission to Palmetto GBA, approval waiting, and documentation upload into EHR, reducing administrative hours by 50%.
- Managed Automation Services Fully managed service wherein Element5 operates and manages automated workflow processes on behalf of clients, including 24x7x365 monitoring, alerting, and anomaly detection to keep automation running smoothly.
Quantifiable outcome
- 727+ automated workflows executed per day across client organizations
- +3 more outcomes
Companies that use Element5
Customer profileNamed customers10 records
Segments1 record
Ideal customer profiles2 records
Element5 technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration7 records
AI capability4 records
Feature3 records
Element5 partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered core, preferred and supporting.
- Homecare HomebasecoreHomecare Homebase is a strategic technology partner providing EHR/EMR solutions for home health and hospice agencies. Element5 has a strategic alliance with Homecare Homebase, integrating with their platform to provide automated workflow and revenue cycle management capabilities to shared clients.
- WellSkycoreWellSky is a post-acute care software platform provider. Element5 has a partnership with WellSky enabling integrated workflow automation and revenue cycle management for post-acute care organizations using WellSky's software solutions.
- KanTimepreferredKanTime is an EHR platform provider for home health, hospice, and home care agencies. Element5 holds a preferred partnership status with KanTime, providing integrated automation and revenue cycle management solutions to agencies on the KanTime platform.
- AlayaCarecoreAlayaCare provides cloud-based home health and hospice care management software. Element5's partnership with AlayaCare enables seamless integration between the two platforms, delivering automated revenue cycle management and operational workflow solutions to shared clients.
- LBMCcoreLBMC is a professional services firm providing accounting, HR, and technology consulting. Element5 has a strategic partnership with LBMC to co-develop and deliver integrated workflow automation and managed services solutions for post-acute care provider clients.
- Maxwell TECsupportingMaxwell TEC is a technology partner referenced on Element5's about-us page, indicating a collaborative technology or integration relationship within the Element5 ecosystem.
Scale indicators5 records
Recent moves6 records
Expansion highlights5 records
Element5 competitors and assessment
Company assessmentDirect peers
- Waystar: Waystar provides a cloud-based revenue cycle management platform for healthcare providers covering claims, denials, prior authorization, and eligibility. It directly competes with Element5's RCM automation suite for provider organizations, though it serves a much broader set of care settings.
- AKASA: AKASA builds AI agents for healthcare revenue cycle operations, including eligibility, prior authorization, claims, and denials. Its vertical AI-RCM focus, agent-based architecture, and provider customer base closely mirror Element5's Neos platform.
- Notable: Notable applies intelligent automation to a broad range of healthcare administrative and clinical workflows for provider organizations. It competes with Element5 on AI-driven workflow automation for hospitals and ambulatory providers, though it is less post-acute-specialized.
- Infinitus: Infinitus provides AI-powered automation for healthcare administrative calls, primarily payer phone calls for eligibility, benefits verification, and prior authorization. It directly overlaps with Element5's eligibility and authorization automation capabilities.
- Availity: Availity operates a healthcare information network connecting providers and payers for eligibility, claims, prior authorization, and remittance. It is directly comparable to Element5's payer-provider data exchange and clearinghouse integration layer.
- Olive AI: Olive was a high-profile healthcare AI/RPA automation company serving hospital systems with revenue cycle and administrative workflow automations. It is a structural precedent for vertical AI-RCM plays comparable to Element5, though it wound down operations in 2024.
- Cedar: Cedar offers a patient financial engagement platform covering pre-visit eligibility, billing, and payment. It overlaps with Element5 on the patient financial journey, although Cedar is more patient-facing while Element5 is operations/RCM-facing.
Broad incumbents
- R1 RCM: R1 RCM is a large incumbent end-to-end revenue cycle management services and technology provider serving hospital systems and provider groups. It is a much broader incumbent competing for the same RCM dollars Element5 targets, with both technology and outsourced services.
- Optum: Optum (UnitedHealth Group) provides a sweeping set of healthcare technology, RCM, and payer-services capabilities including eligibility, claims, and analytics. It is a broad incumbent whose scale and payer integration represent a long-term competitive overhang for vertical RCM players like Element5.
- Experian Health: Experian Health offers identity, eligibility, claims management, and denials solutions to hospitals and providers. It competes with Element5 on eligibility verification, prior authorization, and denials management, though as part of a much broader portfolio.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Element5 social profiles
Digital presenceElement5 compliance and trust
Trust signalCompliance2 records
Element5 financial estimates
Financial estimateRevenue estimate
Valuation estimate
Element5 leadership team
Management profileNumber of profiles
Profiles6 records
Element5 funding detail
Funding detailFunding overview
Funding rounds3 records
Investors2 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Element5 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 Element5
What does Element5 do?
Element5 provides an AI and RPA-powered automation-as-a-service platform (Neos) for post-acute care provider organizations including home health agencies, hospice providers, skilled nursing facilities, and senior living operators. The platform automates revenue cycle workflows (eligibility verification, prior authorization, claims processing, denial management, remittance) and compliance/operations workflows (OASIS/iQIES submissions, RCD pre-claim reviews, physician notifications, audit compliance), connecting 49 EHR/EMR and payer systems to deliver end-to-end workflow automation. Element5 also offers managed services where it operates and manages automated workflows on behalf of clients.
Is Element5 a public or private company?
Element5 is a private company. It is classified as venture growth investor backed and is currently operating.
When was Element5 founded?
Element5 was founded in 2019. It employs 101 to 250 people.
Where is Element5 based?
Element5 is headquartered in San Jose, United States, in the North America region.
How does Element5 make money?
Two revenue lines are on record. SaaS Subscription Revenue is the primary driver. The others are managed Services Revenue.
Who are Element5's main competitors?
Direct peers on record are Waystar, AKASA, Notable, Infinitus, Availity, Olive AI and Cedar. Broad incumbents are R1 RCM, Optum and Experian Health.
Does Element5 have an API?
No public API is recorded for Element5.
What industry is Element5 in?
Element5's product category is Healthcare Workflow Automation Software. Its primary akta.pro industry code is HLACABAK, Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment), with a secondary code of HDAEALAF, IT Workflow Automation & Orchestration Platforms. Its NAICS code is 54151 and its SIC code is 7372.