Moxe Health
Moxe Health operates a proprietary hosted integration platform that automates bi-directional clinical data exchange between health plans and provider organizations via direct EHR embedding. The Madison-based company sells enterprise SaaS subscriptions plus transaction-based chart retrieval to payers and health systems across the US.
- Company typePrivate
- Founded2012
- HeadquartersMadison, United States
- Headcount101–250
- GTM typeB2B
- OfferingSoftware
What Moxe Health does
Moxe Health Corporation is a Madison, Wisconsin-based healthcare interoperability company founded in 2012 that operates a proprietary hosted integration platform for bi-directional clinical data exchange between health plans and provider organizations. The company's core technology bundles FHIR, HL7v2, and X12 integration tools into a single API and embeds directly into major Electronic Health Record systems including Epic, Cerner (Oracle Health), MEDITECH, athenahealth, AllScripts, and Greenway Health, achieving coverage of over 75% of the EHR market. Moxe's product portfolio centers on Digital ROI (Release of Information) for providers, which automates clinical data release within EHR workflows, and Clinical Data Exchange for payers, which automates chart retrieval with structured data delivery. The company also operates a Clinical Data Clearinghouse for third-party requestors and partners, and is rolling out enterprise EHR connections — beginning with Greenway Health in May 2026 — that enable network-wide integration through a single vendor connection.
Moxe generates revenue through enterprise SaaS subscriptions (custom-quoted, annual billing) combined with transaction-based fees for chart retrieval processing, supplemented by professional services for implementation, configuration, and training. The go-to-market is direct enterprise sales targeting health plans (Medicare Advantage, commercial insurers) for HEDIS reporting, Medicare Risk Adjustment, payment integrity, care management, and value-based care use cases, alongside health systems and provider organizations seeking to automate release-of-information workflows. Distribution is increasingly channel-driven through EHR vendor partnerships and app galleries (e.g., Oracle Cerner code Developer Program).
The company is venture- and PE-backed, having raised approximately $30M in a June 2022 Series B led by Piper Sandler Merchant Banking and Vensana Capital, $25M from Trinity Capital in February 2024, and a majority investment from BV Investment Partners in March 2026. Moxe is SOC 2 Type II audited and HIPAA-compliant, was named the inaugural 2026 Best in KLAS for Payer-Provider Data Exchange, and has received four consecutive years of KLAS Points of Light recognition. The company reports operational metrics including a 98% patient-member match rate, 90%+ of charts delivered within five business days, and a 95% customer repurchase rate.
Moxe Health firmographics
Firmographics- Name
- Moxe Health
- Legal name
- Moxe Health Corporation
- Website
- https://moxehealth.com
- Company type
- Private
- Founded year
- 2012
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Moxe Health operates a proprietary hosted integration platform that automates bi-directional clinical data exchange between health plans and provider organizations via direct EHR embedding. The Madison-based company sells enterprise SaaS subscriptions plus transaction-based chart retrieval to payers and health systems across the US.
- Ownership category
- akta.pro rank
Moxe Health industry classification
Industry- Product category
- Healthcare Interoperability Software
- NAICS
- Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518210)
- SIC
- Services-Computer Integrated Systems Design (7373)
- akta.pro primary industry
- Patient-Mediated Exchange & Personal Health Data Access (Blue Button, SMART on FHIR) (HLACABAN)
- akta.pro secondary industry
- Healthcare Terminology, Ontology & Code Set Management (SNOMED/LOINC/ICD/RxNorm) (HLACAIAF)
Keywords
Where Moxe Health is headquartered
LocationHeadquarters
- HQ city
- Madison
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Moxe Health business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Revenue model
- Clinical Data Exchange Platform Subscription: SaaS-based platform providing clinical data exchange services between providers and health plans. Revenue generated from subscription fees for access to the Moxe platform, API services, and network connectivity.
- Professional Services: Professional services including setup, configuration, implementation, consulting, technical services, training, education, development of educational content, systems analyses, software programming, and maintenance.
- Transaction-based Chart Retrieval: Revenue from processing chart retrieval requests for health plans. The platform processes thousands of charts in minutes, with fees based on volume of requests fulfilled.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise healthcare organizations - custom pricing |
Go-to-market motion3 records
Distribution channels2 records
Marketing channels7 records
Moxe Health product offering
Product offeringCore offering
Moxe Health operates a hosted integration platform that automates bi-directional clinical data exchange between health plans and health systems. The platform embeds directly into Electronic Health Record systems (Epic, Cerner, MEDITECH, athenahealth, Greenway, AllScripts, Oracle Health) using FHIR, HL7v2, and X12 APIs to automate chart retrieval, release of information, and delivery of structured clinical data for HEDIS, risk adjustment, payment integrity, and value-based care use cases.
Product overview
Moxe Health is a healthcare interoperability company offering a unified platform of clinical data exchange solutions built on a proprietary hosted integration platform. The product portfolio centers on two core offerings: Digital ROI (Release of Information) for providers, which automates clinical data release directly within the provider's EHR, and Clinical Data Exchange for payers, which automates chart retrieval and delivers formatted clinical data within 24 hours. Both solutions are powered by the Moxe hosted integration platform, which embeds directly into EHR systems (Epic, Cerner, MEDITECH, athenahealth, Greenway, AllScripts, Oracle) using FHIR, HL7v2, and X12 APIs, and delivers structured data in FHIR, PDF, XML, and JSON formats. Moxe also operates a Clinical Data Clearinghouse for third-party partners. The company has established enterprise-level EHR connections that enable network-wide integrations through a single connection (starting with Greenway Health). The platform is SOC 2 Type II audited, HIPAA-compliant, and was named #1 Best in KLAS for Payer-Provider Data Exchange in 2026.
Differentiator
Problem solved
Functional benefit
Brands
- Clinical Data Clearinghouse: Moxe's Clinical Data Clearinghouse enables partners to get better clinical data faster through automated exchange
- Digital ROI
Products and services
- Moxe Hosted Integration Platform Proprietary hosted integration platform that automates chart retrieval and brokers the exchange of patient data between healthcare organizations and health plans. Includes source code, documentation, processes, machine learning/AI algorithms, enhancements, and functionality.
- Digital ROI (Release of Information) EHR-integrated solution that modernizes the release of information process for providers, replacing manual ROI workflows with automated, digital clinical data exchange. Embedded directly within the provider's EHR and runs as a background process.
- Clinical Data Exchange for Payers Payer-facing platform that automates the chart retrieval process, eliminating manual record collection and enabling delivery of high-quality discrete clinical data formatted for specific payer workflows within 24 hours.
- Clinical Data Clearinghouse Neutral data brokering intermediary that connects providers and payers for clinical data exchange, serving third-party requestors and partners to deliver better clinical data faster.
- Enterprise EHR Connections Enterprise-level EHR connections that allow Moxe to connect directly to an EHR vendor's platform, enabling providers across all sites of that EHR to join Moxe's network through a single connection rather than individual site-by-site integration.
- Moxe API Clinical data exchange API that bundles FHIR, HL7v2, and X12 integration tools to deliver clinical data in standard and custom output formats (FHIR, PDF, XML, JSON). Accessed through Moxe's Developer Portal.
Quantifiable outcome
- 98% patient-member match rate ensuring data accuracy
- +7 more outcomes
Companies that use Moxe Health
Customer profileNamed customers5 records
Segments2 records
Ideal customer profiles3 records
Moxe Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration8 records
AI capability4 records
Feature9 records
Moxe Health partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- Greenway HealthcoreEnterprise partnership to automate clinical data exchange for ambulatory practices. The integration allows practices to securely share clinical data within EHR workflows using FHIR-based APIs across Intergy, Prime Suite, and Novare platforms. Moxe's first enterprise EHR connection went live at the end of May 2026, providing secure access to data from over 400 Greenway sites.
Scale indicators9 records
Recent moves6 records
Expansion highlights5 records
Moxe Health competitors and assessment
Company assessmentDirect peers
- Particle Health: Particle Health offers a clinical data API for payers and digital health vendors, providing longitudinal patient records via a national network—closely comparable to Moxe's payer-side record retrieval and API-first approach.
- 1upHealth: 1upHealth is a FHIR-based clinical data platform that aggregates and normalizes EHR data for payers and providers, overlapping with Moxe's FHIR API capabilities and payer-provider exchange use cases.
- Health Gorilla: Health Gorilla operates a clinical data exchange network for payers, providers, and digital health companies, directly overlapping with Moxe's record locator, roster exchange, and payer-facing chart retrieval use cases.
- Redox: Redox provides an API platform for healthcare data exchange and EHR integration, competing directly with Moxe's hosted integration platform and FHIR/HL7v2 API-based approach to clinical data exchange.
- Availity: Availity operates a large-scale clinical and administrative data exchange network connecting health plans and providers, directly competing with Moxe's payer-provider interoperability and chart retrieval solutions.
- Ellkay: Ellkay is a healthcare data connectivity company that aggregates and migrates clinical, financial, and operational data across EHRs, competing with Moxe in EHR-integrated clinical data exchange and interoperability.
Emerging players
- Smile Digital Health: Smile Digital Health provides a FHIR-based health data platform for payers, providers, and government agencies, emerging as a competitor in clinical data interoperability and standards-based data exchange where Moxe plays.
- Zus Health: Zus Health provides a shared clinical data platform and 'data fabric' for digital health builders and providers, emerging as a partial competitor in longitudinal clinical data exchange and EHR data aggregation.
Broad incumbents
- Change Healthcare (Optum): Change Healthcare, now part of Optum, is a broad incumbent in clinical and claims data exchange, offering overlapping payer-provider connectivity, eligibility, and chart retrieval solutions at significantly greater scale than Moxe.
- Surescripts: Surescripts operates a large-scale health information network for prescriptions and clinical data exchange, serving payers and providers as a broad incumbent in the data exchange space where Moxe competes.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat6 records
Key risks5 records
Key highlights6 records
Customer concentration
Moxe Health social profiles
Digital presenceMoxe Health compliance and trust
Trust signalCompliance3 records
Moxe Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Moxe Health leadership team
Management profileNumber of profiles
Profiles6 records
Moxe Health funding detail
Funding detailFunding overview
Funding rounds6 records
Investors11 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Moxe Health 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 Moxe Health
What does Moxe Health do?
Moxe Health operates a hosted integration platform that automates bi-directional clinical data exchange between health plans and health systems. The platform embeds directly into Electronic Health Record systems (Epic, Cerner, MEDITECH, athenahealth, Greenway, AllScripts, Oracle Health) using FHIR, HL7v2, and X12 APIs to automate chart retrieval, release of information, and delivery of structured clinical data for HEDIS, risk adjustment, payment integrity, and value-based care use cases.
Is Moxe Health a public or private company?
Moxe Health is a private company. It is classified as private equity controlled and is currently operating.
When was Moxe Health founded?
Moxe Health was founded in 2012. It employs 101 to 250 people.
Where is Moxe Health based?
Moxe Health is headquartered in Madison, United States, in the North America region.
How does Moxe Health make money?
Three revenue lines are on record. Clinical Data Exchange Platform Subscription is the primary driver. The others are professional Services and transaction-based Chart Retrieval.
Who are Moxe Health's main competitors?
Direct peers on record are Particle Health, 1upHealth, Health Gorilla, Redox, Availity and Ellkay. Emerging players are Smile Digital Health and Zus Health. Broad incumbents are Change Healthcare (Optum) and Surescripts.
Does Moxe Health have an API?
Yes. Moxe offers a clinical data exchange API that bundles FHIR, HL7v2, and X12 integration tools to deliver the right data in the right format at the right timeframe for payer-provider payment and operations use cases. The API enables automated chart retrieval and clinical data brokering, supporting standard and custom output formats including FHIR, PDF, XML, and JSON. Developers can access the API through Moxe's Developer Portal at developer.moxehealth.com. Developer documentation is at developer.moxehealth.com.
What industry is Moxe Health in?
Moxe Health's product category is Healthcare Interoperability Software. Its primary akta.pro industry code is HLACABAN, Patient-Mediated Exchange & Personal Health Data Access (Blue Button, SMART on FHIR), with a secondary code of HLACAIAF, Healthcare Terminology, Ontology & Code Set Management (SNOMED/LOINC/ICD/RxNorm). Its NAICS code is 518210 and its SIC code is 7373.