RECLAIM
Reclaim Health operates an AI-powered healthcare financial advocacy platform that reviews 100% of claims for self-insured employers (2,000+ employees) to recover billing errors, identify voluntary benefit payouts, and optimize benefit decisions for 1.75M+ families.
- Company typePrivate
- Founded2015
- HeadquartersCambridge, United States
- Headcount1–10
- GTM typeB2B
- OfferingSoftware
What RECLAIM does
Reclaim Health, Inc. (legal entity MyA Health, Inc.) is a Cambridge, Massachusetts-based healthcare technology company founded in 2015 as an MIT spinoff by Nataly Youssef, PhD and Dimitris Bertsimas, PhD. The company operates an AI-powered healthcare financial advocacy platform targeting large self-insured employers with 2,000 or more employees, as well as their covered employees and dependents. Reclaim combines proprietary, in-house machine learning and optimization algorithms with structured claims data sourced through data sharing agreements with all national carriers and a growing set of regional carriers and TPAs. The platform proactively reviews 100% of healthcare claims for billing errors, recovers overcharges, identifies owed voluntary benefit payouts, and delivers personalized benefit recommendations to members.
The platform is organized around five integrated modules — a core Healthcare Financial Advocacy Platform, Bill Review & Correction, Voluntary Benefit Optimization, Benefit Decision Support, and Analytics & Reporting — plus a dedicated Broker & Consultant Tools layer. AI capabilities span anomaly detection across claims coding and adjudication, predictive utilization analytics, a personalized recommendation engine for plan selection, and end-to-end process automation that files and recovers owed benefit reimbursements without requiring member intervention. Human advocates support AI-driven resolution, and the platform is SOC2 Type II certified and HIPAA compliant. Reported customer outcomes include up to 3.5% reduction in employer total annual medical spend, an average 14% reduction in member out-of-pocket costs, 79% average year-one program activation, and $6.3M in recovered dollars per 10,000 employees.
Reclaim generates revenue through quote-based subscription pricing tied to measurable savings outcomes, sold via multi-year enterprise contracts with 8–12 week implementations. Go-to-market combines direct enterprise field sales with a channel ecosystem including benefits consultants and brokers, plus white-label and embedded integrations with benefits administration platforms such as WEX, Securian Financial, Empyrean, and Paylocity. The company serves more than 1.75 million families across 100+ self-funded employers in financial services, healthcare, manufacturing, energy, and professional services, and was awarded consecutive Artificial Intelligence Excellence Awards (Health Category) from the Business Intelligence Group in 2025 and 2026. As of March 2026, Reclaim had raised a $20 million Series A round to expand operations.
RECLAIM firmographics
Firmographics- Name
- RECLAIM
- Legal name
- MyA Health Inc.
- Website
- https://reclaimhealth.com
- Company type
- Private
- Founded year
- 2015
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Reclaim Health operates an AI-powered healthcare financial advocacy platform that reviews 100% of claims for self-insured employers (2,000+ employees) to recover billing errors, identify voluntary benefit payouts, and optimize benefit decisions for 1.75M+ families.
- Ownership category
- akta.pro rank
RECLAIM industry classification
Industry- Product category
- Healthcare Financial Advocacy Software
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Health and Welfare Funds (525120), Insurance and Employee Benefit Funds (5251)
- SIC
- Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321)
- akta.pro primary industry
- Accounts Receivable (A/R) & Collections Management (HLACACAJ)
- akta.pro secondary industries
- Flexible Benefits Administration (FSA/HSA/HRA) (HLAEALAK), Self-Funded (ASO) Group Health Plans & Stop-Loss (FSAIAFAB), Healthcare & Wellness Personalization (HDAAAGAI)
Keywords
Where RECLAIM is headquartered
LocationHeadquarters
- HQ city
- Cambridge
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
RECLAIM business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Marketing or Sales, Operations, Infrastructure
Revenue model
- Healthcare Financial Advocacy Platform Subscription: Reclaim generates revenue through subscription-based pricing tied to measurable savings outcomes. The platform delivers approximately 3.5% of total medical spend in recovered savings, and members see an average of 14% reduction in annual out-of-pocket costs. Pricing is quote-based and not publicly disclosed.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Multi-year contract | Enterprise self-insured employer pricing - quote-based subscription model |
Go-to-market motion2 records
Distribution channels3 records
Marketing channels6 records
RECLAIM product offering
Product offeringCore offering
Reclaim Health sells an AI-powered, claims-driven healthcare financial advocacy platform for self-insured employers. The platform reviews 100% of healthcare claims to detect billing errors, identify owed voluntary benefit payouts, optimize FSA/HSA utilization, and deliver personalized benefit recommendations. It combines proprietary machine learning algorithms with human advocates to recover dollars for both the employer plan and covered employees, typically reducing total medical spend by up to 3.5% and member out-of-pocket costs by an average of 14%.
Product overview
Reclaim Health is a unified AI-powered healthcare financial advocacy platform designed for self-insured employers. The core platform combines proprietary machine learning algorithms with claims data to deliver proactive, end-to-end financial advocacy. It consists of five integrated modules: the core Healthcare Financial Advocacy Platform that orchestrates all capabilities, Bill Review & Correction for identifying and resolving billing errors, Voluntary Benefit Optimization for recovering owed benefit payouts and FSA/HSA reimbursements, Benefit Decision Support for personalized plan recommendations, and Analytics & Reporting for employer population insights. The platform also includes Broker & Consultant Tools for benefits advisors. Reclaim differentiates from traditional advocacy by being proactive rather than reactive, operating continuously across 100% of claims rather than only high-dollar claims, and taking action to resolution without requiring member intervention.
Differentiator
Problem solved
Functional benefit
Products and services
- Healthcare Financial Advocacy Platform AI-powered, claims-driven platform that proactively reviews 100% of healthcare claims for all covered members to identify billing errors, recover overcharges, optimize benefit utilization, and deliver personalized benefit recommendations. Sold to large self-insured employers (typically 2,000+ employees) on a subscription basis.
- Analytics & Reporting Suite
Quantifiable outcome
- Reduces employer's total annual medical spend by as much as 3.5%
- +5 more outcomes
Companies that use RECLAIM
Customer profileNamed customers6 records
Segments3 records
Ideal customer profiles3 records
RECLAIM technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
AI capability5 records
Feature6 records
RECLAIM partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered core.
- Business Group on HealthcoreInvited to present at Health Innovations Forum hosted by Business Group on Health, which convenes industry leaders to explore groundbreaking healthcare solutions.
- Silicon Valley Employers ForumcoreSelected for 2025 Winter Innovation Lab Cohort to showcase AI-powered healthcare advisory and advocacy platform to leading Bay Area employers.
- World 50 AcceleratorcoreSelected for Spring 2025 and Fall 2025 Innovation Program. World 50 Accelerator brings together most innovative companies in healthcare, HR, and benefits technology to foster collaboration and accelerate growth.
- WEXcoreReclaim integrated AI-powered healthcare financial management into WEX's benefits administration solution, enabling seamless delivery of proactive healthcare financial advocacy to WEX's employer client base.
- Securian FinancialcorePartnership for automatically substantiated benefit payments. Reclaim and Securian Financial now paying auto-substantiated benefit claims, streamlining the process for employers and employees.
- National Carriers and TPAs (Data Sharing Agreements)coreReclaim has existing data sharing agreements with all national carriers and a growing number of regional carriers, enabling direct access to claims data for analysis.
Scale indicators10 records
Recent moves6 records
Expansion highlights6 records
RECLAIM competitors and assessment
Company assessmentOthers
- Sword Health: Digital health platform for employers focused on MSK and pelvic health. Weak comparability but adjacent in employer digital health benefits category; occasionally covered by the same benefits buyers evaluating Reclaim.
Broad incumbents
- Zelis: Large healthcare technology and payment integrity company providing claims cost management and network solutions to payers and self-funded employers. Comparable in payment integrity and claims cost reduction capabilities that overlap with Reclaim's bill review and overcharge recovery.
- MultiPlan: Established payment integrity and cost management company serving payers and large self-funded employers. Comparable as it operates in claims cost containment with overlapping capabilities around billing error detection and overcharge recovery.
- Cotiviti: Payment integrity and analytics company serving health plans and large employers. Comparable in claims-based payment integrity, overpayment recovery, and clinical analytics adjacent to Reclaim's claims review functionality.
- Optum Health: UnitedHealth Group's health services arm offering care navigation, advocacy, payment integrity, and benefits administration at massive scale. Comparable as a broad incumbent whose advocacy, payment integrity, and analytics capabilities overlap with Reclaim's full platform.
Direct peers
- Accolade: Public benefits navigation and advocacy platform serving large self-insured employers. Directly comparable as it offers personalized advocacy, benefits navigation, and clinical integration for employer health plans, overlapping heavily with Reclaim's member-first advocacy model.
- Included Health: Healthcare navigation and advocacy platform formed via merger of Doctor On Demand and Grand Rounds. Comparable as it combines virtual care, navigation, and advocacy for self-insured employer populations, similar target buyers and use cases to Reclaim.
- Quantum Health: Healthcare navigation and care coordination platform serving large self-funded employers. Comparable in serving self-insured employer market with proactive member engagement, claims integration, and benefits optimization workflows.
Emerging players
- Personify Health: Employer wellbeing, navigation, and benefits engagement platform (formed via Virgin Pulse merger with HealthComp). Comparable as it combines benefits navigation with health plan administration, with potential overlap in self-funded employer advocacy workflows.
- HealthJoy: Benefits navigation and virtual care platform for employers. Comparable in targeting employer benefits engagement with AI-driven recommendations, though it is more focused on point-of-care decision support than claims-driven financial recovery like Reclaim.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks2 records
Key highlights7 records
Customer concentration
RECLAIM social profiles
Digital presenceRECLAIM compliance and trust
Trust signalCompliance2 records
RECLAIM financial estimates
Financial estimateRevenue estimate
Valuation estimate
RECLAIM leadership team
Management profileNumber of profiles
Profiles17 records
RECLAIM funding detail
Funding detailFunding overview
Funding rounds4 records
Investors2 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
RECLAIM 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 RECLAIM
What does RECLAIM do?
Reclaim Health sells an AI-powered, claims-driven healthcare financial advocacy platform for self-insured employers. The platform reviews 100% of healthcare claims to detect billing errors, identify owed voluntary benefit payouts, optimize FSA/HSA utilization, and deliver personalized benefit recommendations. It combines proprietary machine learning algorithms with human advocates to recover dollars for both the employer plan and covered employees, typically reducing total medical spend by up to 3.5% and member out-of-pocket costs by an average of 14%.
Is RECLAIM a public or private company?
RECLAIM is a private company. It is classified as venture growth investor backed and is currently operating.
When was RECLAIM founded?
RECLAIM was founded in 2015. It employs 1 to 10 people.
Where is RECLAIM based?
RECLAIM is headquartered in Cambridge, United States, in the North America region.
How does RECLAIM make money?
One revenue line is on record: healthcare Financial Advocacy Platform Subscription.
Who are RECLAIM's main competitors?
Sword Health is listed as an others. Broad incumbents are Zelis, MultiPlan, Cotiviti and Optum Health. Direct peers are Accolade, Included Health and Quantum Health. Emerging players are Personify Health and HealthJoy.
Does RECLAIM have an API?
No public API is recorded for RECLAIM.
What industry is RECLAIM in?
RECLAIM's product category is Healthcare Financial Advocacy Software. Its primary akta.pro industry code is HLACACAJ, Accounts Receivable (A/R) & Collections Management, with a secondary code of HLAEALAK, Flexible Benefits Administration (FSA/HSA/HRA). Its NAICS code is 524292 and its SIC code is 6324.