Codes Health

What Codes Health does

Codes Health is an AI-powered medical record retrieval platform purpose-built for plaintiff law firms in the United States. Founded in 2024 and headquartered in Brooklyn, NY (with corporate domicile in Delaware), the company combines an agentic retrieval system with AI error checking, missing record detection, automated daily provider follow-ups, and AI-generated medical chronologies to compress record retrieval timelines from months to one to two weeks. The platform integrates with electronic claims networks, custodian integrations, and a proprietary provider network to enable 50-state coverage, and supports custom CRM and case management integrations for high-volume firms.

The underlying technology is a domain-specific AI stack designed for medical-legal analysis, layered with human-in-the-loop review for precision. Core capabilities include natural language processing for authorization validation, anomaly detection for identifying documentation gaps, knowledge retrieval for cross-referencing patient histories, and process automation for orchestrating follow-ups and status tracking. The platform is delivered as a web application (app.getcodeshealth.com) and is positioned as a HIPAA-compliant, SOC 2 Type 2, and ISO 27001-aligned service.

Codes Health operates a sales-led go-to-market targeting plaintiff personal injury firms (with adjacent expansion into mass tort and litigation practices). Revenue is generated on a flat-fee per case subscription basis with no hidden markups, supplemented by multi-year enterprise contracts and custom CRM integration pricing for firms with 350+ active cases. Public customers include Daly & Black, P.C. (enterprise) and Louis Law Firm (mid-market). The company is privately held, with disclosed funding limited to a $500,000 seed round led by Y Combinator in September 2024.

Name

Codes Health

Legal name

Codes Health, Inc.

Website

https://getcodeshealth.com

Company type

Private

Founded year

2024

Operating status

Operating

Headcount range

11–50 employees

Short description

Codes Health is an AI-powered medical record retrieval platform that automates record requests, provider follow-ups, error checking, and chronology generation for plaintiff personal injury law firms across all 50 U.S. states.

Ownership category

akta.pro rank

Product category

Legal Technology Software

NAICS

Software Publishers (5132), Information (51)

SIC

Services-Computer Programming, Data Processing, Etc. (7370), Services-Computer Processing & Data Preparation (7374)

akta.pro primary industry

Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD)

Keywords

• Medical record retrieval
• Legal tech software
• Plaintiff law automation
• AI document processing
• Case chronology software

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Technology or R&D, Personnel, Operations, Marketing or Sales, Infrastructure

Revenue model

1. Medical Record Retrieval Service: Flat-fee per case pricing for complete medical record retrieval service. Includes authorization review, provider follow-up, chronological organization, missing-record checks, and AI-powered case chronologies. No hidden fees for follow-ups, re-requests, or status updates.
2. Enterprise CRM Integration: Custom integrations with CRM platforms and case management software for high-volume PI firms. High-volume firms can integrate directly with their existing systems.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

Codes Health operates an AI-powered medical record retrieval platform built for U.S. plaintiff law firms (personal injury, medical malpractice, mass tort). It combines an agentic retrieval system (AI plus human review) with authorization error checking, daily automated provider follow-ups, missing record detection, and AI-generated medical chronologies to deliver records in 1–2 weeks across all 50 states. Revenue is generated through flat per-case retrieval fees and enterprise CRM-integration subscriptions.

Product overview

Codes Health is a unified AI-powered medical record retrieval platform for plaintiff law firms, combining the core AI Medical Record Retrieval Platform with an Agentic Retrieval System that automates the retrieval workflow. The platform integrates Claims Integrations for direct clearinghouse connections, AI Error Checking for pre-submission validation, Missing Record Detection for gap identification, and Medical Chronologies for AI-generated case summaries. All features are delivered through a single dashboard with real-time status tracking across all 50 states, using a combination of AI automation and human oversight.

Differentiator

Problem solved

Functional benefit

Products and services

• AI Medical Record Retrieval Platform Core AI-powered SaaS platform that helps plaintiff law firms retrieve complete medical, billing, imaging, and affidavit records from healthcare providers nationwide. Combines an agentic AI retrieval system with human review, authorization error checking, daily automated follow-ups, missing record detection, AI-generated medical chronologies, and real-time status tracking. Sold on a flat-fee per case basis to U.S. plaintiff personal injury, medical malpractice, and mass tort firms.
• Enterprise CRM Integration for High-Volume Plaintiff Firms Custom integration of the Codes Health platform with a law firm's existing CRM and case management software. When a case reaches a defined status in the CRM, the integration automatically triggers a records request to Codes Health with no manual handoff, and notifies case managers when records arrive or more information is needed. Sold as a custom subscription to enterprise firms.

Quantifiable outcome

• 1-2 week average turnaround vs. months with traditional vendors
• +5 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

AI capability6 records

Feature8 records

Scale indicators8 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• ChartRequest: Online medical record retrieval platform purpose-built for law firms and similar to Codes Health. Competes head-to-head on turnaround time, authorization handling, and nationwide provider coverage for plaintiff practices.
• ChartSwap: Web-based medical record exchange that connects requesters (including law firms) with healthcare providers. Competes with Codes Health in the online medical record retrieval and exchange category for legal users.
• Med-Scribe: Medical record retrieval and review service serving law firms, insurers, and government agencies. A traditional services peer in the same medical record retrieval category that Codes Health is digitizing with AI.

Broad incumbents

• Ciox Health: Large, established health information management and medical record retrieval company serving health systems, insurers, and law firms. A broad incumbent whose traditional retrieval services Codes Health competes against on speed and AI-driven workflow.
• MRO: Healthcare-focused release-of-information and medical record retrieval vendor serving hospitals, providers, and legal requesters. Competes as a scaled incumbent whose enterprise footprint Codes Health targets to displace.
• HealthMark Group: Release-of-information and medical record request management provider serving healthcare organizations and requesters including attorneys. A direct competitive incumbent in the same retrieval category Codes Health serves.
• Verisma: Health information management and release-of-information vendor with technology-enabled medical record retrieval. Comparable to Codes Health on provider-side workflows and request automation for legal use cases.

Emerging players

• Filevine: Legal case management platform used by plaintiff personal injury firms. Comparable as an adjacent technology layer where Codes Health's CRM/case-management integrations plug in, and as a potential partner or competitor for workflow ownership.
• Clio: Leading cloud legal practice management platform adopted broadly by plaintiff firms. Adjacent to Codes Health as the system of record where records retrieval could be embedded as a feature or integration.
• EvenUp: AI-powered demand letter and case valuation platform for plaintiff PI firms. Comparable as an AI legal-tech product serving the same plaintiff PI buyer, with adjacent workflows around medical records and case outcomes.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/codes-health

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds2 records

Investors2 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Codes Health