HaloMD
HaloMD is a privately held U.S. healthcare technology company that operates a proprietary Independent Dispute Resolution platform under the No Surprises Act, serving over 20,000 out-of-network healthcare providers across all 50 states with transaction-fee arbitration services.
- Company typePrivate
- Founded2021
- HeadquartersAddison, United States
- Headcount501–1,000
- GTM typeB2B
- OfferingSoftware
What HaloMD does
HaloMD is a privately held U.S. healthcare technology company founded in 2021 around the effective date of the federal No Surprises Act (NSA), specializing exclusively in Independent Dispute Resolution (IDR) services for out-of-network healthcare providers. The company operates a proprietary end-to-end platform that manages the full IDR lifecycle — from initial claim submission and eligibility assessment, through offer analysis, data-driven strategy development, documentation preparation, IDRE submission, expert negotiation, and ongoing reporting and analytics. Target customers are out-of-network providers delivering emergency medicine, radiology, anesthesiology, pathology, air ambulance, critical care, intraoperative neuromonitoring, and similar in-demand-but-often-out-of-network specialties, including independent practices, radiology groups, and rural hospitals facing chronic insurer underpayment.
The platform's technology stack includes a claims assessment system, an offer analysis engine, ML-driven strategy tooling, an AI-driven negotiation support layer, and a documentation preparation system, all built exclusively for IDR workflows under federal and state balance-billing laws. HaloMD monetizes primarily through transaction-based fees tied to successful reimbursement outcomes for provider clients, with quote-based enterprise pricing and multi-year contracts; it does not publicly disclose pricing or unit economics. The company sells through an enterprise field-sales motion supported by content marketing, PR, podcast/webinar presence, and an advocacy action center, targeting over 20,000 providers across all 50 states and Washington, D.C.
HaloMD is founder-led by President & Founder Alla LaRoque and CEO Scott LaRoque, organized as HaloMD LLC (US), headquartered in Addison, Texas (Dallas metro), with a remote-first team of 800+ across 40+ states and additional offices in Irvine, California. The company has raised no disclosed external funding rounds, has been repeatedly sued by major insurers (BCBS Texas, Anthem Blue Cross of California, BCBS Georgia) and has prevailed in federal court dismissals that reinforce the legitimacy of the NSA IDR framework. Recent executive hires — including a Chief Data Officer, Chief Information Security Officer, General Counsel, Chief External Affairs Officer, and a Chief Officer for Strategic Partnerships & Acquisitions — indicate ongoing investment in data infrastructure, compliance certifications, regulatory advocacy, and inorganic growth.
HaloMD firmographics
Firmographics- Name
- HaloMD
- Legal name
- HaloMD LLC
- Website
- https://halomd.com
- Company type
- Private
- Founded year
- 2021
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- HaloMD is a privately held U.S. healthcare technology company that operates a proprietary Independent Dispute Resolution platform under the No Surprises Act, serving over 20,000 out-of-network healthcare providers across all 50 states with transaction-fee arbitration services.
- Ownership category
- akta.pro rank
Where HaloMD is headquartered
LocationHeadquarters
- HQ city
- Addison
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
HaloMD business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure
Revenue model
- IDR Services Fees: HaloMD generates revenue by helping healthcare providers navigate the Independent Dispute Resolution process under the No Surprises Act. The company files arbitration cases on behalf of providers and earns fees based on successful reimbursement outcomes. The company claims to generate over $1 billion annually.
- IDR Third-Party Middleman Services: As a third-party IDR middleman, HaloMD helps providers submit disputes and navigate the arbitration process, earning fees for volume-based services rendered to physician groups and hospitals
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Multi-year contract | Enterprise provider services |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels9 records
HaloMD product offering
Product offeringCore offering
HaloMD provides Independent Dispute Resolution (IDR) services for out-of-network healthcare providers under the No Surprises Act and state balance-billing laws. Through a proprietary technology platform, the company manages the full IDR workflow — claim submission, eligibility assessment, offer analysis, data-driven strategy, documentation preparation, submission to the IDRE, expert negotiation with AI-driven insights, and ongoing reporting — on a transaction-based fee model for healthcare providers across all 50 states and Washington, D.C.
Product overview
HaloMD offers a single unified proprietary platform for Independent Dispute Resolution (IDR) services under the No Surprises Act and state balance-billing laws. The platform handles the complete IDR lifecycle—from initial claim submission and eligibility assessment through offer analysis, data-driven strategy, documentation preparation, IDRE submission, expert negotiation, resolution, and ongoing reporting. The company supports healthcare providers across all 50 states and Washington, D.C., serving multiple specialties including emergency medicine, radiology, anesthesiology, surgery, air ambulance, pathology, critical care, and intraoperative neuromonitoring.
Differentiator
Problem solved
Functional benefit
Products and services
- HaloMD IDR Management Platform Proprietary technology platform that manages the complete Independent Dispute Resolution (IDR) workflow for out-of-network healthcare providers under the No Surprises Act and state balance-billing laws. The platform handles claim submission, eligibility assessment, offer analysis, data-driven strategy, documentation preparation, IDRE submission, expert negotiation supported by AI-driven insights, resolution, and ongoing reporting and analytics.
- Provider Portal User-friendly client portal where healthcare providers submit claims, receive instant eligibility assessment under the No Surprises Act and relevant state regulations, and access detailed reporting and analytics for claim outcomes and trends.
Quantifiable outcome
- Industry-leading win rate in IDR disputes
- +2 more outcomes
Companies that use HaloMD
Customer profileNamed customers7 records
Segments6 records
Ideal customer profiles3 records
HaloMD technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature7 records
HaloMD partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- Dr. Lorna Breen Heroes' FoundationminorHaloMD partnered with the Dr. Lorna Breen Heroes' Foundation to support the ALL IN for Mental Health initiative, which addresses stigma and improves access to mental health care for healthcare workers. The partnership aims to reach 40,000 healthcare workers with resources and advocacy. This aligns with HaloMD's commitment to sustaining independent physician practices and supporting healthcare professionals' wellbeing.
Scale indicators7 records
Recent moves6 records
Expansion highlights6 records
HaloMD competitors and assessment
Company assessmentDirect peers
- Zelis: Healthcare cost management and payment integrity platform that handles out-of-network negotiations and claims pricing on behalf of payers and providers. Operates adjacent to HaloMD's IDR workflow and shares the transaction-fee economics on disputed claims. HaloMD's CFO previously served as CFO of Price Optimization at Zelis.
- MultiPlan: Public cost-management company that operates PPO networks and helps payers and providers resolve out-of-network billing disputes, including those flowing through the NSA IDR process. Directly overlaps with HaloMD in the OON dispute-resolution value chain, though MultiPlan primarily sits on the payer side.
Broad incumbents
- Waystar: Large healthcare revenue cycle management platform serving hospitals and health systems with claims management, denials, and patient billing workflows. While broader than HaloMD's IDR-specific focus, Waystar competes for the same provider wallet share and embeds dispute-resolution capabilities relevant to OON reimbursement.
- R1 RCM: Major healthcare revenue cycle management company providing end-to-end billing, coding, and payment integrity services to large hospital systems. Competes with HaloMD for provider-side reimbursement recovery spend, though R1's offerings extend well beyond IDR-specific arbitration support.
- Experian Health: Healthcare data, identity management, and revenue cycle solutions business unit of Experian. Offers claims management, denials workflow, and payer connectivity tools to providers — overlapping with HaloMD's broader reimbursement-recovery mission and competing for the same hospital and health system customers.
- Optum (Change Healthcare): Diversified healthcare services giant encompassing revenue cycle management, claims editing, and payment integrity through the Change Healthcare acquisition. Serves providers and payers across the reimbursement value chain and competes with HaloMD for dispute-related and out-of-network recovery workflow spend.
Emerging players
- Cedar: Patient financial experience platform that helps providers with billing, payments, and dispute resolution at the patient-billing level. While focused on patient-facing rather than payer-provider disputes, Cedar addresses overlapping provider revenue-cycle pain points and competes for provider technology budgets.
- AKASA: AI-powered automation platform for healthcare revenue cycle operations, including claims status, denials, and prior authorization workflows. Competes with HaloMD for AI/automation share within provider back-office operations, though focused upstream on pre-dispute claim processing.
- Cohere Health: Technology company specializing in prior authorization and clinical intelligence for payers and providers. While addressing a different stage of the reimbursement cycle than HaloMD, Cohere targets overlapping provider customers and competes for value-based-care workflow spend.
- Olive AI: Healthcare AI company deploying automation across revenue cycle, supply chain, and clinical workflows for hospitals and health systems. Competes with HaloMD's AI-enabled vision for healthcare back-office automation, though broader in scope than IDR-specific dispute resolution.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights7 records
Customer concentration
HaloMD social profiles
Digital presenceHaloMD financial estimates
Financial estimateRevenue estimate
Valuation estimate
HaloMD leadership team
Management profileNumber of profiles
Profiles14 records
HaloMD funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
HaloMD 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 HaloMD
What does HaloMD do?
HaloMD provides Independent Dispute Resolution (IDR) services for out-of-network healthcare providers under the No Surprises Act and state balance-billing laws. Through a proprietary technology platform, the company manages the full IDR workflow — claim submission, eligibility assessment, offer analysis, data-driven strategy, documentation preparation, submission to the IDRE, expert negotiation with AI-driven insights, and ongoing reporting — on a transaction-based fee model for healthcare providers across all 50 states and Washington, D.C.
Is HaloMD a public or private company?
HaloMD is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was HaloMD founded?
HaloMD was founded in 2021. It employs 501 to 1,000 people.
Where is HaloMD based?
HaloMD is headquartered in Addison, United States, in the North America region.
How does HaloMD make money?
Two revenue lines are on record. IDR Services Fees are the primary driver. The others are IDR Third-Party Middleman Services.
Who are HaloMD's main competitors?
Direct peers on record are Zelis and MultiPlan. Broad incumbents are Waystar, R1 RCM, Experian Health and Optum (Change Healthcare). Emerging players are Cedar, AKASA, Cohere Health and Olive AI.
Does HaloMD have an API?
No public API is recorded for HaloMD.