RECLAIM

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.

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

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

• Healthcare financial advocacy
• Claims-driven AI platform
• Employee benefits optimization
• Medical bill review
• Self-insured employer benefits

Headquarters

HQ city

Cambridge

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. 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

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core 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

Named customers6 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

AI capability5 records

Feature6 records

Partnerships

Six partnerships are on record, tiered core.

• Business Group on HealthcoreStrategic or Co-development Partner · 21 March 2025Invited to present at Health Innovations Forum hosted by Business Group on Health, which convenes industry leaders to explore groundbreaking healthcare solutions.
• Silicon Valley Employers ForumcoreStrategic or Co-development Partner · 26 February 2025Selected for 2025 Winter Innovation Lab Cohort to showcase AI-powered healthcare advisory and advocacy platform to leading Bay Area employers.
• World 50 AcceleratorcoreStrategic or Co-development Partner · 21 February 2025Selected 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.
• WEXcoreTechnology or IntegrationReclaim 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 FinancialcoreStrategic or Co-development PartnerPartnership 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)coreTechnology or IntegrationReclaim 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

Others

• 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

• LinkedInlinkedin.com/company/reclaimhealth
• Xx.com/reclaimapp

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles17 records

Funding overview

Funding rounds4 records

Investors2 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 RECLAIM