Careviso
Careviso operates the seeQer healthcare transparency platform, providing real-time benefits verification, prior authorization automation, and patient cost estimates to healthcare providers, payers, pharmaceutical manufacturers, and healthcare service providers across the United States.
- Company typePrivate
- Founded2017
- HeadquartersFalls Church, United States
- Headcount51–100
- GTM typeB2B
- OfferingSoftware
What Careviso does
Careviso is a US-based healthcare technology company founded in 2017 by Andrew Mignatti and Perry Dimas, headquartered in Vienna, Virginia (originally Falls Church). The company operates the seeQer platform, a healthcare transparency and prior authorization solution that delivers real-time benefits verification, prior authorization processing, and patient cost estimates for healthcare providers, payers, pharmaceutical manufacturers, and healthcare service providers.
The seeQer platform processes structured and text-based healthcare data including insurance coverage, benefits structures, payer policies, and procedure codes to automate prior authorization eligibility determination, auto-populate payer-specific documentation, and predict denial risk. Core modules include Eligibility and Discovery, Patient Cost Responsibility, Prior Authorization Eligibility, and Prior Authorization Processing, complemented by newer features including Real-Time Pharmacy Benefit visibility, Coordination of Benefits for multiple insurance coverages, and Prior Authorization on File. The platform exposes its capabilities through both a web portal and an API for direct system integration, and participates in HL7 FHIR Da Vinci standards for price transparency compliance. Careviso has built a national physician network exceeding 460,000 enrolled providers and reports over 2 million prior authorizations processed with more than 90% patient cost accuracy.
The company operates a subscription-based enterprise SaaS model with annual billing and quote-based pricing, distributed through direct enterprise field sales and API-first integration channels. Target customer segments span four verticals: healthcare providers, healthcare service providers (HUB services, specialty pharmacy), payers, and pharmaceutical manufacturers. The company has raised approximately $36 million across multiple funding rounds through a 2022 Series B led by Ballast Point Ventures, and currently operates with 51-100 employees across offices in Virginia, Florida, and North Carolina. Strategic partnerships include integration with XiFin's Empower RCM platform and HL7 FHIR standards participation for No Surprises Act compliance.
Careviso firmographics
Firmographics- Name
- Careviso
- Legal name
- careviso
- Website
- https://careviso.com
- Company type
- Private
- Founded year
- 2017
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- Careviso operates the seeQer healthcare transparency platform, providing real-time benefits verification, prior authorization automation, and patient cost estimates to healthcare providers, payers, pharmaceutical manufacturers, and healthcare service providers across the United States.
- Ownership category
- akta.pro rank
Careviso industry classification
Industry- Product category
- Healthcare Administration Software
- NAICS
- Custom Computer Programming Services (541511), Computer Systems Design and Related Services (54151)
- SIC
- Services-Prepackaged Software (7372), Services-Health Services (8000), Services-Computer Programming, Data Processing, Etc. (7370)
- akta.pro primary industry
- Healthcare Master Data Management (MDM) & Patient/Provider Identity Data (HLACAIAB)
- akta.pro secondary industry
- Care Navigation, Referral & Digital Front Door Platforms (HLALABAH)
Keywords
Where Careviso is headquartered
LocationHeadquarters
- HQ city
- Falls Church
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
Careviso business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Revenue model
- seeQer Platform SaaS/Software Services: Subscription-based software platform providing prior authorization, eligibility verification, and cost transparency services to healthcare providers, payers, and pharmaceutical manufacturers. Revenue generated through software licensing and platform access fees.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Quote-based enterprise pricing |
Go-to-market motion2 records
Distribution channels3 records
Marketing channels6 records
Careviso product offering
Product offeringCore offering
Careviso develops and sells seeQer, a healthcare transparency and prior authorization SaaS platform that delivers real-time patient eligibility verification, benefits investigation, prior authorization eligibility and processing, and patient out-of-pocket cost estimates. The platform is offered through a web portal and a public API, and is used by healthcare providers, payers, healthcare service providers, and pharmaceutical manufacturers to reduce administrative workload and accelerate patient access to care.
Product overview
careviso offers a unified healthcare technology platform called seeQer, along with integrated modules and features. The core seeQer platform provides real-time patient transparency for healthcare administrators, enabling eligibility verification, benefits investigation, prior authorization processing, and patient cost estimates. The platform includes specific modules for Eligibility and Discovery, Patient Cost Responsibility, Prior Authorization Eligibility, and Prior Authorization Processing. Additional features include a Real-Time Pharmacy Benefit Feature for unified medical and specialty pharmacy visibility, a Coordination of Benefits (COB) feature for processing multiple insurance coverages, and a Prior Authorization on File feature. careviso has also built a National Physician Network exceeding 460,000 enrolled providers. The platform leverages AI for automation, predictive analytics, and real-time decision-making to reduce administrative burden and improve patient access to care.
Differentiator
Problem solved
Functional benefit
Brands
- seeQer: Healthcare transparency software platform that improves provider efficiency, delivers cost estimates, automates prior authorizations, and provides real-time patient eligibility verification.
Products and services
- seeQer Healthcare Transparency Platform seeQer is Careviso's core healthcare transparency and prior authorization SaaS platform that delivers real-time patient eligibility verification, benefits investigation, prior authorization eligibility determination and processing, and patient out-of-pocket cost estimation. It is offered through a web portal and a public API and is targeted at healthcare providers, payers, healthcare service providers, and pharmaceutical manufacturers seeking to reduce administrative burden and accelerate patient access to care.
Quantifiable outcome
- Reduced prior authorization submission time by 48% (from 3.1 days to 1.6 days)
- +7 more outcomes
Companies that use Careviso
Customer profileNamed customers3 records
Segments4 records
Ideal customer profiles4 records
Careviso technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability6 records
Feature5 records
Careviso partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- XiFincoreStrategic partnership with XiFin, a healthcare AI-powered RCM company. Joint case study demonstrated measurable gains in prior authorization efficiency. careviso serves as prior authorization partner while XiFin provides revenue cycle management through their Empower RCM platform.
Scale indicators13 records
Recent moves6 records
Expansion highlights5 records
Careviso competitors and assessment
Company assessmentDirect peers
- CoverMyMeds: McKesson-owned prior authorization and benefit verification platform for providers and payers. Most direct competitor to Careviso in the electronic prior authorization and patient access workflow, with significantly larger payer connectivity and brand recognition.
- Surescripts: Health information network providing prescription benefit, prior authorization, and clinical messaging across the US healthcare ecosystem. Comparable to Careviso in electronic prior authorization and pharmacy/medical benefit intelligence, with broader scale.
- Cohere Health: AI-powered prior authorization platform serving health plans and providers. Directly competes with Careviso's PA automation and clinical decision support capabilities, with a similar focus on reducing administrative burden and turnaround time.
- Infinx: Healthcare revenue cycle and prior authorization automation vendor serving providers, imaging centers, and labs. Closely comparable to Careviso in serving diagnostics-heavy providers with PA and eligibility workflows.
- Waystar: Public healthcare revenue cycle management platform with prior authorization, eligibility, and patient estimation modules. Competes with Careviso in patient access and provider financial clearance workflows at scale.
Broad incumbents
- Experian Health: Large healthcare data and RCM vendor offering eligibility verification, patient estimation, and prior authorization capabilities. Comparable to Careviso in transparency workflows but with a much broader portfolio and data assets.
- Phreesia: Public patient intake, eligibility, and payment platform serving ambulatory providers. Comparable to Careviso at the digital front door and patient responsibility estimation layer, with broader point-of-care reach.
- R1 RCM: Large end-to-end revenue cycle management company offering prior authorization and patient access services alongside billing and coding. Comparable to Careviso's PA and eligibility capabilities as part of a broader enterprise RCM offering.
Emerging players
- Olive AI: Healthcare automation company applying AI to administrative workflows including prior authorization and eligibility. Overlaps with Careviso's automation thesis though with a wider healthcare operations scope and an evolving focus.
- Avizia (now Cohere Health-adjacent): Telehealth and prior authorization vendor focused on value-based care arrangements. Partially comparable to Careviso in PA workflows but oriented toward virtual care delivery models.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks7 records
Key highlights7 records
Customer concentration
Careviso social profiles
Digital presenceCareviso financial estimates
Financial estimateRevenue estimate
Valuation estimate
Careviso leadership team
Management profileNumber of profiles
Profiles9 records
Careviso funding detail
Funding detailFunding overview
Funding rounds5 records
Investors4 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Careviso 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 Careviso
What does Careviso do?
Careviso develops and sells seeQer, a healthcare transparency and prior authorization SaaS platform that delivers real-time patient eligibility verification, benefits investigation, prior authorization eligibility and processing, and patient out-of-pocket cost estimates. The platform is offered through a web portal and a public API, and is used by healthcare providers, payers, healthcare service providers, and pharmaceutical manufacturers to reduce administrative workload and accelerate patient access to care.
Is Careviso a public or private company?
Careviso is a private company. It is classified as venture growth investor backed and is currently operating.
When was Careviso founded?
Careviso was founded in 2017. It employs 51 to 100 people.
Where is Careviso based?
Careviso is headquartered in Falls Church, United States, in the North America region.
How does Careviso make money?
One revenue line is on record: seeQer Platform SaaS/Software Services.
Who are Careviso's main competitors?
Direct peers on record are CoverMyMeds, Surescripts, Cohere Health, Infinx and Waystar. Broad incumbents are Experian Health, Phreesia and R1 RCM. Emerging players are Olive AI and Avizia (now Cohere Health-adjacent).
Does Careviso have an API?
Yes. careviso offers a public API that enables healthcare organizations to process and display multiple insurance coverages for patients. The API supports the Coordination of Benefits (COB) feature, allowing users to submit secondary insurance information and automatically identifies which payer is primary and secondary. The platform returns verified primary and secondary insurance information in approximately 20 seconds. The API also supports the pharmacy benefit feature and is available to patient support service providers. careviso also participated in HL7 FHIR Connectathon, demonstrating real-time end-to-end Good Faith Estimate and Advance Explanation of Benefits exchanges using HL7 FHIR standards.
What industry is Careviso in?
Careviso's product category is Healthcare Administration Software. Its primary akta.pro industry code is HLACAIAB, Healthcare Master Data Management (MDM) & Patient/Provider Identity Data, with a secondary code of HLALABAH, Care Navigation, Referral & Digital Front Door Platforms. Its NAICS code is 541511 and its SIC code is 7372.