Medefy
Medefy is a Tulsa-based mobile healthcare benefits navigation platform that helps employers, brokers, TPAs, PEOs, health plans, and public-sector organizations reduce per-employee healthcare spend through 24/7 human Care Guides, AI-assisted recommendations, and multi-channel engagement, serving 1,300+ US employers via PEPM subscription licensing.
- Company typePrivate
- Founded2018
- HeadquartersTulsa, United States
- Headcount51–100
- GTM typeB2B
- OfferingSoftware
What Medefy does
Medefy Health Inc. is a Tulsa, Oklahoma-based healthcare benefits navigation platform founded in 2018 that sells subscription-based software to employers, benefits advisors, brokers, third-party administrators (TPAs), professional employer organizations (PEOs), health plans, and public-sector organizations. The core product is a mobile-first application (4.8/5 app store rating) that centralizes members' benefits information, digital ID cards, deductible tracking, and provider search, and is paired with a 24/7 human Care Guide workforce that responds within 60 seconds. The platform layers AI-assisted recommendations and process-automation chatbots over the human team, delivering multi-channel behavioral engagement campaigns (email, SMS, push, in-app) and a customizable rewards program. Quantified outcomes cited by the company include a 71% average reduction in per-employee healthcare spend, $86M+ in redirected care savings across the customer base, 53% average app adoption, 94% high-value care steerage, 92% customer satisfaction, and 99% customer retention.
The company monetizes via per-employee-per-month (PEPM) subscription licensing with implementation and customer success services bundled, claiming six-week implementations. Go-to-market combines direct enterprise sales (small business through 10,000+ employee employers) with a layered channel program — white-labeled deployments through benefits advisors, brokers, TPAs, PEOs, and health plans, plus cooperative purchasing agreements (Sourcewell, NASPO ValuePoint, 1GPA) that simplify public-sector procurement. Product extensions include On-Demand Virtual Urgent Care and Virtual Behavioral Health modules, a digital member ID card, bill review, and a rewards/incentives engine. Medefy reports 1,300+ employers onboarded and has appeared on the Inc. 5000 list of fastest-growing private companies for three consecutive years (2022–2024). It raised $15.27M in a December 2023 securities offering led by Mercury with participation from Advantage Capital (reflected in a July 2024 SEC Form D filing), bringing cumulative disclosed funding to roughly $17.8M including a $2.5M round in May 2021.
Operationally, Medefy is privately held, Delaware-incorporated, HIPAA-compliant, and led by CEO and co-founder Matt Scovil alongside co-founder Nathan Gilchrist (Chief Experience Officer / COO), CTO Bryan Haardt, CFO Greg Wookey, COO Gray Hancock, and a Principal Data Scientist. Headcount is stated at 51–100 employees, with named VPs of Sales & Customer Success, Operations, and Engineering, plus Directors of Platform and Product Engineering. Customer references span financial services (Gateway First Bank), municipal government (City of Claremore), and nonprofits (Life Church), with operations confined to the United States.
Medefy firmographics
Firmographics- Name
- Medefy
- Legal name
- Medefy Health Inc.
- Website
- https://medefy.com
- Company type
- Private
- Founded year
- 2018
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- Medefy is a Tulsa-based mobile healthcare benefits navigation platform that helps employers, brokers, TPAs, PEOs, health plans, and public-sector organizations reduce per-employee healthcare spend through 24/7 human Care Guides, AI-assisted recommendations, and multi-channel engagement, serving 1,300+ US employers via PEPM subscription licensing.
- Ownership category
- akta.pro rank
Medefy industry classification
Industry- Product category
- Healthcare Benefits Navigation Software
- NAICS
- Social Assistance (624), Offices of Physicians, Mental Health Specialists (621112), Services for the Elderly and Persons with Disabilities (624120), Offices of Physicians (6211)
- SIC
- Services-Health Services (8000), Services-Prepackaged Software (7372), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Care Navigation, Second Opinion & Expert Medical Review (Payer-Sponsored) (HLALACAH)
- akta.pro secondary industry
- Payer-Integrated Tele-Urgent Care Platforms (HLALAJAG)
Keywords
Where Medefy is headquartered
LocationHeadquarters
- HQ city
- Tulsa
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Medefy business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure
Revenue model
- Subscription-Based Platform Licensing: Medefy generates revenue through subscription licensing of its healthcare navigation platform to employers, brokers, TPAs, PEOs, and health plans. Pricing appears to be per-employee-per-month (PEPM) based on mentions of $15,230/mo as a sample cost and ROI calculator references.
- Enterprise Implementation and Support Services: The company provides implementation services including a dedicated Customer Success Manager and claims industry-leading six-week implementation timelines.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Subscription pricing based on number of employees |
Go-to-market motion3 records
Distribution channels5 records
Marketing channels7 records
Medefy product offering
Product offeringCore offering
Medefy operates a mobile-first healthcare benefits navigation platform that helps employers, benefits advisors, TPAs, PEOs, health plans, and public sector organizations improve benefits utilization by their health plan members. The platform combines an AI-supported mobile application (rated 4.8 stars) with 24/7 live human Care Guides who respond within 60 seconds to steer members toward in-network, high-quality, low-cost providers at the moment a care decision is made. Medefy also offers two add-on modules — On-Demand Virtual Urgent Care and Virtual Behavioral Health — and a customizable rewards/incentives program that pays members cash for selecting cost-effective care, with reported outcomes of a 71% reduction in per-employee healthcare spend and 3x average ROI for plan sponsors.
Product overview
Medefy is a mobile-first healthcare benefits navigation platform comprising a core mobile app paired with 24/7 human Care Guides, supplemented by two enhancement modules (On-Demand Virtual Care and Virtual Behavioral Health). The platform also includes integrated features such as a Rewards Program, Digital Member ID Cards, Provider Search, and Bill Review. Medefy serves employers, health plans, TPAs, PEOs, brokers, and public sector organizations, helping plan members optimize their health benefits utilization while reducing healthcare costs. The platform emphasizes real-time guidance through chat interfaces, AI-powered recommendations, and continuous multi-channel engagement to drive better healthcare decisions.
Differentiator
Problem solved
Functional benefit
Products and services
- Medefy Benefits Navigation Platform (Medefy App) Mobile-first healthcare benefits navigation platform sold primarily on a per-employee-per-month subscription basis to employers, benefits advisors/brokers, TPAs, PEOs, health plans, and public-sector organizations. The platform gives plan members a 4.8-star-rated app for accessing benefits information, finding in-network providers, receiving real-time guidance from 24/7 human Care Guides, and earning rewards for cost-effective care decisions. Includes customizable white-labeling for channel partners.
- On-Demand Virtual Urgent Care Add-on module to the Medefy platform that lets members book virtual urgent care appointments from the app and connect with board-certified physicians in under 10 minutes for treatment of common conditions, with seamless follow-up support. Sold to employers and channel partners as an enhancement on top of the core navigation platform.
- Virtual Behavioral Health Add-on module to the Medefy platform providing mental health support, including confidential sessions with licensed counselors bookable within 48 hours, Certified Mental Health Support Coaches, phone support, coaching for acute concerns, treatment plans, and consolidated medical records. Sold to employers and channel partners as an enhancement on top of the core navigation platform.
Quantifiable outcome
- 71% reduction in per-employee healthcare spend
- +10 more outcomes
Companies that use Medefy
Customer profileNamed customers4 records
Segments5 records
Ideal customer profiles4 records
Medefy technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability4 records
Feature7 records
Medefy partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core.
- SourcewellcoreMedefy holds an awarded national cooperative purchasing agreement with Sourcewell, allowing public sector organizations to procure through this cooperative without lengthy RFP processes.
- NASPO ValuePointcoreMedefy is available through NASPO ValuePoint cooperative purchasing agreement, providing public sector clients with confidence that competitive and compliant solicitation processes have been achieved.
- 1GPAcoreMedefy is available through 1GPA (International Government Procurement Association) cooperative purchasing agreement, enabling public sector procurement with pooled purchasing power.
Scale indicators19 records
Recent moves6 records
Expansion highlights6 records
Medefy competitors and assessment
Company assessmentDirect peers
- Accolade: Accolade is a healthcare navigation and advocacy platform serving employers and health plans with personalized nurse-led guidance plus virtual care. It directly overlaps Medefy's employer-sponsored benefits-navigation and care-guide model and competes for the same HR, broker, and health-plan buyers.
- Quantum Health: Quantum Health provides healthcare navigation and care coordination for self-funded employer health plans, using real-time claims data and personal healthcare guides. Its model closely mirrors Medefy's Care Guide + engagement approach for employer plan members.
- HealthJoy: HealthJoy is a mobile-first benefits navigation platform combining virtual care, provider search, and chat-based guidance for employees. It competes head-to-head with Medefy on mobile UX, 24/7 support, and PEPM employer pricing.
- Included Health: Included Health integrates navigation, virtual primary care, and behavioral health for employer and payer populations. Its bundled navigation + care-delivery offering is the closest integrated alternative to Medefy's core navigation plus add-on modules.
- Transcarent: Transcarent offers a navigation, virtual care, and surgery-care experience for self-funded employers. It targets the same self-funded employer buyer as Medefy and competes on integrated navigation plus care delivery.
- Wellframe: Wellframe delivers a mobile member-engagement platform for health plans and TPAs, combining digital care journeys with human advocate support. It competes with Medefy for TPA and health-plan distribution and on mobile-first care guidance for members.
Emerging players
- Nayya: Nayya is a benefits-decision-support platform that uses personalization and predictive analytics to help employees choose and use benefits. It overlaps Medefy on employer-sponsored benefits engagement and education, but lacks 24/7 live Care Guides and integrated virtual care.
- Wondr Health: Wondr Health is a digital behavior-change platform focused on metabolic and weight management for employer populations. It sits adjacent to Medefy on employer benefits engagement and digital coaching, sharing the same HR/benefits buyer.
Broad incumbents
- Personify Health: Personify Health (formed by the merger of Virgin Pulse and HealthComp) is a large employer well-being, navigation, and benefits-administration platform. It competes with Medefy for HR-leader budgets but at much broader scale and with deeper health-plan administration capabilities.
- Castlight Health: Castlight Health pioneered employer-facing healthcare navigation and transparency tools and is now part of the Apree Health/Veradigm ecosystem. It competes with Medefy on employee benefits navigation and provider-search/price-transparency, though typically in larger employer deals.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
Medefy social profiles
Digital presenceMedefy compliance and trust
Trust signalCompliance1 record
Medefy financial estimates
Financial estimateRevenue estimate
Valuation estimate
Medefy leadership team
Management profileNumber of profiles
Profiles9 records
Medefy funding detail
Funding detailFunding overview
Funding rounds3 records
Investors4 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Medefy 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 Medefy
What does Medefy do?
Medefy operates a mobile-first healthcare benefits navigation platform that helps employers, benefits advisors, TPAs, PEOs, health plans, and public sector organizations improve benefits utilization by their health plan members. The platform combines an AI-supported mobile application (rated 4.8 stars) with 24/7 live human Care Guides who respond within 60 seconds to steer members toward in-network, high-quality, low-cost providers at the moment a care decision is made. Medefy also offers two add-on modules — On-Demand Virtual Urgent Care and Virtual Behavioral Health — and a customizable rewards/incentives program that pays members cash for selecting cost-effective care, with reported outcomes of a 71% reduction in per-employee healthcare spend and 3x average ROI for plan sponsors.
Is Medefy a public or private company?
Medefy is a private company. It is classified as venture growth investor backed and is currently operating.
When was Medefy founded?
Medefy was founded in 2018. It employs 51 to 100 people.
Where is Medefy based?
Medefy is headquartered in Tulsa, United States, in the North America region.
How does Medefy make money?
Two revenue lines are on record. Subscription-Based Platform Licensing is the primary driver. The others are enterprise Implementation and Support Services.
Who are Medefy's main competitors?
Direct peers on record are Accolade, Quantum Health, HealthJoy, Included Health, Transcarent and Wellframe. Emerging players are Nayya and Wondr Health. Broad incumbents are Personify Health and Castlight Health.
Does Medefy have an API?
No public API is recorded for Medefy.
What industry is Medefy in?
Medefy's product category is Healthcare Benefits Navigation Software. Its primary akta.pro industry code is HLALACAH, Care Navigation, Second Opinion & Expert Medical Review (Payer-Sponsored), with a secondary code of HLALAJAG, Payer-Integrated Tele-Urgent Care Platforms. Its NAICS code is 624 and its SIC code is 8000.