Jopari Solutions
Jopari Solutions is a healthcare IT company providing electronic medical billing, clinical attachments, and payment processing platforms for Property and Casualty insurers, workers compensation payers, and healthcare providers across all 50 states.
- Company typePrivate
- Founded2004
- HeadquartersConcord, United States
- Headcount101–250
- GTM typeB2B
- OfferingSoftware
What Jopari Solutions does
Jopari Solutions is a US-based healthcare information technology company founded in 2004 by Steve Stevens, headquartered in Concord, California, and operating as a business unit under Office Ally following its April 2026 acquisition from WestView Capital. The company provides an end-to-end electronic claims processing platform connecting over 13,000 payers and 2.5 million+ network participants for the Property & Casualty, Workers' Compensation, Auto Medical, Commercial, and Government Health markets, processing more than three million claims per month and facilitating over $1 billion in annual payments.
The product portfolio is organized around three pillars. The billing and attachments pillar includes Jopari eBill (electronic medical billing ingestion, validation, normalization, and delivery to payers), Jopari Attach (clinical documentation and attachment management for Group Health Plans), Jopari Digital Mailroom (outsourced correspondence handling), and Jopari Remittance Gateway (compliance and remittance delivery). The payments pillar is anchored by Jopari ProPay (multi-modal electronic disbursement including ACH, virtual cards, and digital checks), Jopari ProPay 2.0 (real-time FedNow/RTP-ready infrastructure with OFAC/AML/KYC screening), Jopari ProPay Trust (a federally regulated payee trust processing $9 billion+ annually for 50,000+ ERISA and fully insured groups), Jopari Banking Hub (cloud payment orchestration), and the ProPay Accelerator for Guidewire ClaimCenter. The AI pillar comprises Jopari AttachInsights (clinical data extraction and normalization) and Jopari RiskReview (predictive claim severity scoring), both launched in January 2026.
The business model is predominantly transaction-based, monetizing per-claim clearing and attachment fees, payment disbursement take rates, and subscription/platform fees for technology integrations. Go-to-market combines enterprise field sales to payers, inside sales and self-serve enrollment for providers, and an extensive channel and integration partner network including Waystar, Raintree, Guidewire, Zelis, Banjo Health, J.P. Morgan Payments/InstaMed, and Verisk. Following the April 2026 acquisition, Jopari operates as a business unit within Office Ally's all-payer clearinghouse, with John Gilmartin leading as EVP and General Manager.
Jopari Solutions firmographics
Firmographics- Name
- Jopari Solutions
- Legal name
- Jopari Solutions, Inc.
- Website
- https://jopari.com
- Company type
- Private
- Founded year
- 2004
- Operating status
- Acquired
- Headcount range
- 101–250 employees
- Short description
- Jopari Solutions is a healthcare IT company providing electronic medical billing, clinical attachments, and payment processing platforms for Property and Casualty insurers, workers compensation payers, and healthcare providers across all 50 states.
- Ownership category
- akta.pro rank
Jopari Solutions industry classification
Industry- Product category
- Healthcare Claims Processing Software
- 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)
- akta.pro primary industry
- Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)
Keywords
Where Jopari Solutions is headquartered
LocationHeadquarters
- HQ city
- Concord
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Jopari Solutions business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure, Others
Revenue model
- Claims Processing Transaction Fees: Transaction-based fees for electronic claims processing services including eBill submission, clinical attachments, and payment processing through the clearinghouse network. The company processes over 3 million claims per month.
- Electronic Payment Processing: Fees for electronic payment disbursement services including ACH, virtual cards, and digital payment options through Jopari ProPay and Jopari ProPay Trust. The company facilitates over $1 billion in annual payments.
- Clinical Attachment Services: Fees for automated clinical data extraction and attachment management services including Jopari Attach, Jopari AttachInsights, and integration with payer systems.
- Platform and Integration Services: Fees for platform access, API integrations (Guidewire ClaimCenter Accelerator), and white-label capabilities for payers and technology partners.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Pay-as-you-go | Direct Deposit for Workers' Comp Indemnity Payments |
| Transaction based/ take rate | Pay-as-you-go | Multiple Payment Modalities |
Go-to-market motion3 records
Distribution channels5 records
Marketing channels6 records
Jopari Solutions product offering
Product offeringCore offering
Jopari Solutions is a healthcare information technology company that provides an end-to-end electronic claims processing platform for Property & Casualty, Workers' Compensation, Auto Medical, Commercial, and Government Health markets. The platform handles electronic medical billing (Jopari eBill), clinical attachments (Jopari Attach, AttachInsights, RiskReview), electronic payments (Jopari ProPay, ProPay 2.0, ProPay Trust, Banking Hub), and supporting solutions (Digital Mailroom, Remittance Gateway, Adjustor Portal), connecting over 13,000 payers and 2.5 million network participants.
Product overview
Jopari Solutions is a healthcare information technology company providing a unified, end-to-end electronic claims processing platform for Property & Casualty, Workers' Compensation, Auto Medical, Commercial, and Government Health markets. The product portfolio consists of three core pillars: (1) Billing & Attachments — Jopari eBill handles electronic medical billing and submission; Jopari Attach addresses clinical documentation challenges; Jopari Digital Mailroom manages claims correspondence; Jopari Remittance Gateway ensures compliance and remittance delivery; (2) Payments — Jopari ProPay is the flagship electronic payment platform enabling multiple payment methods; Jopari ProPay 2.0 adds real-time FedNow/RTP infrastructure and fraud prevention; Jopari ProPay Trust holds funds as a federally-regulated Payee Trust; Jopari Banking Hub provides cloud-based payment orchestration for payers; Jopari ProPay Accelerator enables Guidewire ClaimCenter integration; (3) AI-Powered Intelligence — Jopari AttachInsights automates clinical data extraction; Jopari RiskReview provides predictive claim severity scoring. The platform connects over 2.5 million healthcare participants and processes over three million claims per month.
Differentiator
Problem solved
Functional benefit
Brands
- Jopari ProPay®: Electronic payment platform bringing healthcare Payers flexible payment methods including ACH, virtual cards, and digital disbursement capabilities.
- Jopari eBill®
- Jopari Attach®
- Jopari Digital Mailroom®
- Jopari Remittance Gateway®
- Jopari Adjustor Portal®
- Jopari Banking Hub®
- Jopari AttachInsights
- Jopari RiskReview
- Jopari ProPay Trust®
Products and services
- Jopari eBill Electronic medical billing platform that receives bills and attachments from providers, billing services, clearinghouses, and other sources. Undergoes indexing, validation, normalization, and delivery to payers in their required specified formats ready for medical bill processing.
- Jopari Attach Claims administrative and clinical data documentation solution that addresses challenges confronting Group Health Plans, establishing innovative integrations with payer systems and delivering competitive advantage to providers.
- Jopari ProPay Electronic payment platform bringing healthcare payers an industry-flexible, full spectrum set of payment methods that work in concert with existing bill review, claim, and financial systems. Allows providers to choose their preferred payment method including ACH, virtual cards, and digital checks.
- Jopari ProPay Trust Payee Trust that processes over $9 billion in healthcare benefit payments annually, serving more than 50,000 ERISA health plans and fully insured groups. Holds funds on behalf of payees until they accept electronic transactions or cash paper checks, with assets protected from loss, fraudulent use, and bankruptcy.
- Jopari ProPay 2.0 Next-generation electronic payment platform for claims automation with expanded ACH networks, integrated lockbox capabilities, real-time payment infrastructure including FedNow and RTP readiness, and enhanced fraud prevention with OFAC/AML/KYC screening.
- Jopari Banking Hub Cloud-based solution that streamlines and optimizes payment processing for Insurance Payers, covering all transaction types. Seamlessly integrated with Jopari ProPay, offering a unified platform that manages the entire payment lifecycle.
- Jopari AttachInsights AI-powered solution that automates clinical data extraction and normalization from medical documents. Extends Jopari's end-to-end claims processing platform to help claims organizations reduce manual clinical review effort.
- Jopari RiskReview AI-powered predictive claim severity scoring solution that identifies high-risk claims earlier in the lifecycle, helping claims organizations prioritize work and improve decision-making from intake through adjudication.
- Jopari Digital Mailroom Integrated solution for medical claims, records, and other correspondence with flexible options for an outsourced solution that significantly improves operational efficiency.
- Jopari Remittance Gateway Solution enabling full compliance with evolving requirements and improving billing and payment processes for Group/Commercial Healthcare markets as well as Property & Casualty markets.
- Jopari Adjustor Portal Advanced productivity tools for claims staff designed to assist payers considering or already transitioning to paperless claims operations.
Quantifiable outcome
- 3 million+ claims processed per month
- +4 more outcomes
Companies that use Jopari Solutions
Customer profileNamed customers5 records
Segments4 records
Ideal customer profiles4 records
Jopari Solutions technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration4 records
AI capability4 records
Feature10 records
Jopari Solutions partnerships and signals
Strategic signalPartnerships
Eight partnerships are on record, tiered core and minor.
- ZeliscorePartnership integrates Zelis' ZAPP Edge provider payments solution into Jopari's electronic billing and payment platform. Together, the companies help property and casualty insurers accelerate ACH payments to medical providers, reduce reliance on paper and manual processes, and improve visibility across reimbursement workflows.
- J.P. MorgancoreCollaboration combines J.P. Morgan Payments' financial infrastructure and InstaMed's healthcare payments expertise with Jopari's platform to simplify how payers issue and providers receive electronic claim payments. Leverages J.P. Morgan's Commercial Banking relationship, account and entity validations services to enhance payment accuracy and security.
- VeriskcoreCollaboration brings Verisk's data analytics and generative artificial intelligence capabilities to Jopari's suite of solutions for medical providers and payers. Partnership aims to modernize medical claims processing and advance claims management through advanced data analytics.
- Raintree SystemscoreExpansion of partnership to expand access to electronic commercial attachment solutions. Raintree is a leading provider of AI-powered EHR, patient engagement, and RCM software for the rehab therapy industry. Integration enables seamless attachment transactions between Jopari's submitter clients and shared payer clients.
- WaystarcoreStrategic partnership to deliver seamless eBilling solution for providers nationwide. Waystar is a leading provider of revenue cycle management solutions and the partnership enables Jopari's services to reach Waystar's extensive provider customer base.
- GuidewirecoreAvailability of Jopari ProPay Accelerator integration for Guidewire ClaimCenter. Collaboration empowers insurance payers with streamlined, secure, and efficient claims payment processing directly within Guidewire ClaimCenter through the Guidewire Marketplace.
- Banjo HealthcoreStrategic partnership enables seamless transactions between Jopari's submitter clients and shared payer clients using the Banjo Platform, creating a frictionless and interoperable prior authorization process. Banjo Health offers cutting-edge AI-driven prior authorization management solution.
- CompBRminorPartnership with boutique workers' compensation firm to offer their clients eBill services and electronic payment processing. CompBR specializes in customizable and flexible solutions in the workers' comp sector.
Scale indicators11 records
Recent moves6 records
Expansion highlights6 records
Jopari Solutions competitors and assessment
Company assessmentBroad incumbents
- Trizetto (Cognizant): Healthcare claims management and payer administration platform within Cognizant's healthcare business. Overlaps with Jopari's claims processing and payer-side workflow capabilities as a broader-suite incumbent.
- Change Healthcare (Optum): Vertically integrated healthcare technology platform owned by UnitedHealth/Optum offering clearinghouse, payments, analytics, and clinical networks. Operates as a broad incumbent across the same payer-provider transaction categories Jopari serves.
- Experian Health: Healthcare division of Experian offering patient access, claims management, and payment optimization tools. Competes broadly with Jopari in payer-provider electronic transactions and identity/verification workflows.
Direct peers
- Waystar: Leading healthcare revenue cycle management platform offering claims management, electronic billing, and payment solutions. Direct competitor to Jopari's eBill and ProPay offerings and also a strategic partner; competes head-to-head in payer-provider electronic transactions.
- Office Ally: All-payer clearinghouse network serving 80,000+ healthcare organizations and processing over 1B transactions annually. Now the parent company of Jopari; together they form an end-to-end RCM clearinghouse competitor.
- Availity: National health information network connecting payers, providers, and technology partners for clinical, administrative, and financial transactions. Directly competes with Jopari in the payer-provider clearinghouse and attachment exchange space.
- Zelis: Healthcare payments technology company offering ZAPP Edge provider payments optimization alongside claims cost management. Directly competes with Jopari ProPay in P&C and group health payment disbursement while also being a partner.
Emerging players
- Raintree Systems: AI-powered EHR, patient engagement, and RCM software provider for the rehab therapy industry. Partners with Jopari for electronic attachments but is an emerging player in specialty-specific claims and clinical documentation.
- InstaMed (J.P. Morgan Payments): Healthcare-focused payments platform acquired by J.P. Morgan, combining financial infrastructure with claims payment workflows. Direct overlap with Jopari ProPay and ProPay Trust as a partner; competitive threat especially in integrated banking + payments.
- Banjo Health: AI-driven prior authorization management platform for payers and providers. Partners with Jopari for attachment and connectivity but represents an emerging player in adjacent clinical/administrative workflows.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights7 records
Customer concentration
Jopari Solutions social profiles
Digital presenceJopari Solutions compliance and trust
Trust signalCompliance2 records
Jopari Solutions financial estimates
Financial estimateRevenue estimate
Valuation estimate
Jopari Solutions leadership team
Management profileNumber of profiles
Profiles7 records
Jopari Solutions funding detail
Funding detailFunding overview
Funding rounds1 record
Investors1 record
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Jopari Solutions 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 Jopari Solutions
What does Jopari Solutions do?
Jopari Solutions is a healthcare information technology company that provides an end-to-end electronic claims processing platform for Property & Casualty, Workers' Compensation, Auto Medical, Commercial, and Government Health markets. The platform handles electronic medical billing (Jopari eBill), clinical attachments (Jopari Attach, AttachInsights, RiskReview), electronic payments (Jopari ProPay, ProPay 2.0, ProPay Trust, Banking Hub), and supporting solutions (Digital Mailroom, Remittance Gateway, Adjustor Portal), connecting over 13,000 payers and 2.5 million network participants.
Is Jopari Solutions a public or private company?
Jopari Solutions is a private company. It is classified as corporate owned and is currently acquired.
When was Jopari Solutions founded?
Jopari Solutions was founded in 2004. It employs 101 to 250 people.
Where is Jopari Solutions based?
Jopari Solutions is headquartered in Concord, United States, in the North America region.
How does Jopari Solutions make money?
Four revenue lines are on record. Claims Processing Transaction Fees are the primary driver. The others are electronic Payment Processing, clinical Attachment Services and platform and Integration Services.
Who are Jopari Solutions's main competitors?
Broad incumbents on record are Trizetto (Cognizant), Change Healthcare (Optum) and Experian Health. Direct peers are Waystar, Office Ally, Availity and Zelis. Emerging players are Raintree Systems, InstaMed (J.P. Morgan Payments) and Banjo Health.
Does Jopari Solutions have an API?
No public API is recorded for Jopari Solutions.
What industry is Jopari Solutions in?
Jopari Solutions's product category is Healthcare Claims Processing Software. Its primary akta.pro industry code is HLACABAK, Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment). Its NAICS code is 524292 and its SIC code is 6324.