Goodbill
Goodbill is an AI-powered healthcare cost containment platform that identifies hospital billing errors, captures 501(r) financial assistance discounts, and negotiates bills for self-funded employer plans (via TPA partnerships) and individual consumers, covering 600,000+ members across all 50 US states.
- Company typePrivate
- Founded2021
- HeadquartersSeattle, United States
- Headcount11–50
- GTM typeB2B and B2C
- OfferingSoftware
What Goodbill does
Goodbill is a Seattle-based healthcare cost containment company founded in 2021 that uses AI-powered software combined with licensed medical coders and clinicians to identify hospital billing errors, flag inflated charges, and capture 501(r) financial assistance discounts available at nonprofit hospitals. The platform operates across two go-to-market motions: a B2B channel that integrates with Third-Party Administrators (TPAs) of self-funded and level-funded ERISA employer benefit plans to perform 501(r) eligibility screening and pre-payment claim reviews, and a direct-to-consumer website and mobile app where individuals can submit hospital bills for negotiation. The platform connects via OAuth to major EHR systems (Epic/MyChart, Cerner/HealtheLife, AllScripts/FollowMyHealth) to cross-check provider notes against claims before repricing and adjudication.
Goodbill's core products include 501(r) Discounts (financial assistance screening, with plans saving up to 80% off billed charges and members up to 100% off patient responsibility), Claim Reviews ($0 review threshold on all facility claims), and a Member Experience offering with personal case managers available seven days a week with bilingual support. In 2026 the company launched ClearAccess with Nationwide, an AI-powered solution that extends Goodbill's reach upstream into pre-care decision support (symptom search, provider location, cost estimates, and booking) for self-funded employer plans. The company reports capturing 8% average savings on annual plan spend across 600,000+ covered members, with 13,000+ employers and 6,000+ healthcare providers in its network.
Revenue is transaction-based on both sides. Consumer pricing is a 20% performance fee on money saved, capped at $1,000 per case with no charge if no savings are found. Plan-side pricing is not publicly disclosed but derives from a share of savings captured on plan claims. Goodbill has raised approximately $5.4M in disclosed funding across rounds in December 2021 (~$3.4M) and March 2024 (~$2M), with investors including Founders' Co-op (lead), Liquid 2 Ventures, Maveron, Eniac Ventures, Reach Ventures, and Founders Fund. The company was named to Time's Best Inventions of 2023 and operates across all 50 US states.
Goodbill firmographics
Firmographics- Name
- Goodbill
- Legal name
- Goodbill Inc.
- Website
- https://goodbill.com
- Company type
- Private
- Founded year
- 2021
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Goodbill is an AI-powered healthcare cost containment platform that identifies hospital billing errors, captures 501(r) financial assistance discounts, and negotiates bills for self-funded employer plans (via TPA partnerships) and individual consumers, covering 600,000+ members across all 50 US states.
- Ownership category
- akta.pro rank
Goodbill industry classification
Industry- Product category
- Healthcare Cost Containment
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Health and Welfare Funds (52512)
- SIC
- Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321)
- akta.pro primary industry
- Claims Management, Scrubbing & Clearinghouse (HLACACAB)
- akta.pro secondary industry
- Healthcare Billing & Patient Payments Presentment (FSAMAJAH)
Keywords
Where Goodbill is headquartered
LocationHeadquarters
- HQ city
- Seattle
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Goodbill business model
Business model- GTM type
- B2B and B2C
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Others
Revenue model
- Consumer Negotiation Services (Performance Fee): Goodbill charges consumers 20% of the money saved through negotiations. If no savings are found, customers pay nothing. Maximum fee capped at $1,000 per case regardless of savings amount achieved.
- Plan/Employer Services: Goodbill integrates with TPAs and self-funded employer plans to provide 501(r) discount screening and claim review services. Revenue derived from savings captured on plan claims. Captures 8% average savings on annual plan spend.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Outcome Based/ Performance | Pay-as-you-go | Consumer hospital bill negotiation - performance-based pricing |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels6 records
Goodbill product offering
Product offeringCore offering
Goodbill is an AI-powered healthcare cost containment platform that screens for 501(r) financial-assistance discounts at nonprofit hospitals and performs pre-payment claim reviews to catch coding errors, inflated charges, and unnecessary tests. For self-funded employer plans, it integrates with TPAs and major EHR systems (Epic, Cerner, AllScripts) to cross-check provider notes against claims before adjudication. For individual consumers, Goodbill directly negotiates hospital bills, charging 20% of savings (capped at $1,000) with no upfront cost.
Product overview
Goodbill offers a unified healthcare cost containment platform with multiple integrated solutions. The core products include 501(r) Discounts for securing nonprofit hospital financial assistance, Claim Reviews for pre-payment error detection, and Member Experience for patient engagement. For direct consumers, the Hospital Bill Negotiations service provides bill review and negotiation. The platform connects to major EHR systems (Epic, Cerner, AllScripts) via OAuth to access medical records for accurate claim analysis. All services leverage AI-powered anomaly detection to identify billing errors and overcharges, with an 8% average savings claim on annual plan spend.
Differentiator
Problem solved
Functional benefit
Companies that use Goodbill
Customer profileNamed customers9 records
Segments3 records
Ideal customer profiles3 records
Goodbill technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration4 records
AI capability5 records
Feature4 records
Goodbill partnerships and signals
Strategic signalPartnerships
Nine partnerships are on record, tiered core and minor.
- NationwidecoreNationwide has launched ClearAccess, powered by Goodbill, to help self-funded plans contain costs earlier in the healthcare journey. The solution offers features such as symptom searches, provider location, cost estimates, and booking options. Available through Nationwide's Self-Funded Program for small to medium-sized employers.
- Tall Tree AdministratorscoreTall Tree TPA has partnered with Goodbill to help its groups control one of the biggest drivers of healthcare costs through Goodbill's hospital savings program.
- Clearwater BenefitscoreClearwater TPA partnered with Goodbill to provide members access to Goodbill's full suite of hospital savings services, protecting clients and members from high hospital costs.
- Concierge Third-Party AdministratorminorConcierge TPA, a third-party administrator of self- and level-funded plans, now offers Goodbill to clients to tap into buried savings and deliver responsive service.
- netWell HealthminornetWell Health, a health share organization, partnered with Goodbill. Goodbill's medical billing savings for netWell members are described as a testament to real-world value brought to the community.
- Optimyl BenefitsminorOptimyl Benefits partnered with Goodbill to bring smarter ways to save on hospital claims for its self- and level-funded clients.
- SLI BenefitsminorBenefits consultant Ryan Cox uses Goodbill as a watchdog for group health clients to ensure they are not overpaying on hospital costs.
- Employer Driven Insurance ServicesminorCEO Stacy Morris describes Goodbill as one of their favorite vendor partners for hospital bill audits and reductions.
- BenefitsDNAminorCEO Justin Leader uses Goodbill to help plan sponsors fulfill fiduciary obligations by capturing overlooked savings.
Scale indicators10 records
Recent moves6 records
Expansion highlights6 records
Goodbill competitors and assessment
Company assessmentBroad incumbents
- Accolade: Personalized healthcare navigation and benefits platform serving employers and health plans. Comparable at the member-experience layer Goodbill emphasizes (case managers, navigation, bilingual support).
- MultiPlan: Public cost-containment vendor providing claim cost reduction, network-based repricing, and payment-integrity services to insurers and self-funded plans. Competes in the same self-funded cost-containment category.
- Zelis: Large healthcare cost-management platform offering claims editing, payment integrity, and network solutions to payers and TPAs. Broad incumbent that overlaps with Goodbill's pre-payment claim review capabilities.
Direct peers
- Pareto Intelligence: Healthcare analytics and payment-integrity vendor for health plans and providers, with overlapping focus on claim accuracy and cost containment for self-funded plans.
- Lyric (formerly ClaimLogiq): AI-driven claim editing and payment-integrity platform for payers and TPAs. Directly comparable to Goodbill's pre-payment claim review and coding-error detection capabilities.
- Aspirion: Specialized hospital claim denial management and complex claim recovery vendor. Closely comparable to Goodbill on hospital-bill-level claim intervention and recovery.
- Resolve Medical Bills: Consumer-facing medical bill negotiation and audit firm. Competes directly with Goodbill's patient-side service on hospital bill reduction outcomes.
- Copatient: Direct-to-consumer hospital and medical bill negotiation service. Closest head-to-head competitor to Goodbill's patient-facing bill negotiation product, using similar contingency-fee pricing.
- Medical Cost Advocate (MCP): Patient advocacy and medical bill review/negotiation firm. Direct competitor in the consumer hospital bill negotiation segment.
Emerging players
- Candid Health: AI-powered revenue cycle automation platform for healthcare providers. Adjacent in using AI on claims/billing data, though oriented toward provider RCM rather than payer/TPA savings.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Goodbill social profiles
Digital presenceGoodbill compliance and trust
Trust signalCompliance3 records
Goodbill financial estimates
Financial estimateRevenue estimate
Valuation estimate
Goodbill leadership team
Management profileNumber of profiles
Profiles2 records
Goodbill funding detail
Funding detailFunding overview
Funding rounds2 records
Investors4 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Goodbill 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 Goodbill
What does Goodbill do?
Goodbill is an AI-powered healthcare cost containment platform that screens for 501(r) financial-assistance discounts at nonprofit hospitals and performs pre-payment claim reviews to catch coding errors, inflated charges, and unnecessary tests. For self-funded employer plans, it integrates with TPAs and major EHR systems (Epic, Cerner, AllScripts) to cross-check provider notes against claims before adjudication. For individual consumers, Goodbill directly negotiates hospital bills, charging 20% of savings (capped at $1,000) with no upfront cost.
Is Goodbill a public or private company?
Goodbill is a private company. It is classified as venture growth investor backed and is currently operating.
When was Goodbill founded?
Goodbill was founded in 2021. It employs 11 to 50 people.
Where is Goodbill based?
Goodbill is headquartered in Seattle, United States, in the North America region.
How does Goodbill make money?
Two revenue lines are on record. Consumer Negotiation Services (Performance Fee) is the primary driver. The others are plan/Employer Services.
Who are Goodbill's main competitors?
Broad incumbents on record are Accolade, MultiPlan and Zelis. Direct peers are Pareto Intelligence, Lyric (formerly ClaimLogiq), Aspirion, Resolve Medical Bills, Copatient and Medical Cost Advocate (MCP). Candid Health is listed as an emerging player.
Does Goodbill have an API?
No public API is recorded for Goodbill.
What industry is Goodbill in?
Goodbill's product category is Healthcare Cost Containment. Its primary akta.pro industry code is HLACACAB, Claims Management, Scrubbing & Clearinghouse, with a secondary code of FSAMAJAH, Healthcare Billing & Patient Payments Presentment. Its NAICS code is 524292 and its SIC code is 6324.