aiHealth
aiHealth is a Charlotte, NC-based healthcare AI company that sells aiH.Automate™, an autonomous medical coding platform using specialty-trained AI/ML models to automate CPT and E/M coding for outpatient ambulatory specialty practices, MSOs, and RCM companies.
- Company typePrivate
- Founded2021
- HeadquartersCharlotte, United States
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
What aiHealth does
aiHealth is a U.S.-based healthcare AI company founded in 2021 (operating since 2022) and headquartered in Charlotte, NC. The company builds and sells aiH.Automate™, an autonomous medical coding platform that uses specialty-trained AI/ML models to convert structured and unstructured clinical notes into CPT and ICD-10 codes for outpatient ambulatory specialty practices (ENT, Gastroenterology, Orthopedics, Urology, and others). The system achieves claimed 95%+ accuracy on routine cases, supports direct-to-bill workflows, and routes complex coding exceptions to human reviewers, with transparent audit trails and configurable QA thresholds. In November 2024, the company added an E/M Autonomous Coding Module that extends automation to Evaluation & Management office-visit encounters, enabling a unified surgical and E/M coding workflow inside a single account.
The platform is delivered via enterprise SaaS with annual subscription pricing (quote-based, not publicly disclosed), targeting large specialty practices, Management Service Organizations (MSOs), and Revenue Cycle Management (RCM) companies. Go-to-market combines direct enterprise field sales focused on C-suite buyers with channel partnerships through EHR vendors (Epic, athena, NextGen, ModMed, gGastro, Aprima, Veradigm) and technology/RCM partners (Koha Health, DocBuddy, AvodahMed, Aptarro). Documented customer outcomes include 50–60% coder productivity gains, $500,000 in annual coding cost savings for Twin Cities Orthopedics, and an 80% reduction in charge lag at Revo Health. The company has earned HITRUST e1 Certification (January 2026) and was named a Top 40 Healthcare AI Company by Modern Leaders in 2024.
The company is privately held and founder-led: Dave Wesley is Founder & CEO/CTO; Jean Balgrosky (PH.D., MPH, RHIA) is Co-Founder and Board Member; Kyle Swarts serves as President. The senior team includes Curtis A. Mayse (VP of Business Development and Strategy; CPC and FACMPE credentials, 30+ years in orthopedic group leadership) and Angela Opalak (Director of Client Success, prior RCM leadership). Headcount is reported in the 11–50 range, and the company has stated 30%+ year-over-year growth in 2023. No funding rounds, M&A activity, or external institutional ownership are disclosed in available sources.
aiHealth firmographics
Firmographics- Name
- aiHealth
- Legal name
- aiHealth
- Website
- https://ai-health.io
- Company type
- Private
- Founded year
- 2021
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- aiHealth is a Charlotte, NC-based healthcare AI company that sells aiH.Automate™, an autonomous medical coding platform using specialty-trained AI/ML models to automate CPT and E/M coding for outpatient ambulatory specialty practices, MSOs, and RCM companies.
- Ownership category
- akta.pro rank
aiHealth industry classification
Industry- Product category
- Healthcare AI - Autonomous Medical Coding Software
- NAICS
- Software Publishers (5132), Computer Systems Design Services (541512)
- SIC
- Services-Prepackaged Software (7372), Services-Computer Integrated Systems Design (7373)
- akta.pro primary industry
- Medical Billing & Coding Automation (HLACACAA)
- akta.pro secondary industries
- End-to-End Enterprise AI Platforms (MLOps & Model Lifecycle Management) (HDAEANAA), Agents & Autonomous Workflows (Tool Use, Planning, Multi-Agent) (HDAAACAF), Responsible AI, Security & Privacy Platforms (Safety, Guardrails, PII) (HDAEANAG)
Keywords
Where aiHealth is headquartered
LocationHeadquarters
- HQ city
- Charlotte
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
aiHealth business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Marketing or Sales, Operations
Revenue model
- SaaS Subscription - Autonomous Coding Platform: aiHealth generates revenue primarily through subscription licensing of its aiH.Automate platform. Healthcare organizations pay for access to AI-powered autonomous coding capabilities, typically with pricing based on volume of coding transactions or provider count.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise subscription pricing based on coding volume and specialty complexity |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels7 records
aiHealth product offering
Product offeringCore offering
aiHealth sells aiH.Automate™, a SaaS-based AI platform that autonomously performs medical coding (CPT and diagnosis codes) for multi-specialty ambulatory and outpatient practices. The platform uses specialty-trained AI/ML models to convert clinical notes into compliant codes, integrates with major EHR systems, routes complex exceptions to human reviewers, and supports direct-to-bill workflows. The portfolio is extended by an E/M Autonomous Coding Module for office-visit coding.
Product overview
aiHealth offers a unified AI-powered autonomous medical coding platform, aiH.Automate™, with a modular architecture. The core platform provides specialty-trained AI/ML models that automate procedural and diagnosis coding for multi-specialty ambulatory and outpatient specialty practices (ENT, Gastroenterology, Orthopedics, Urology, and more). The platform delivers up to 95%+ coding accuracy, reduces turnaround times from minutes to seconds, and enables direct-to-bill workflows. The product portfolio is extended by the E/M Autonomous Coding Module — a purpose-built add-on that expands the platform to cover E/M (Evaluation & Management) office visit coding alongside existing surgical/pro-fee coding capabilities, creating a single unified coding workflow for both office-based and surgical encounters. Together, the core aiH.Automate platform and its E/M module form a comprehensive autonomous coding solution covering the full range of outpatient specialty coding needs.
Differentiator
Problem solved
Functional benefit
Brands
- aiH.Automate™: AI-powered autonomous medical coding platform that automates procedural and diagnosis coding for multi-specialty practices.
Products and services
- aiH.Automate™ Platform AI-powered autonomous medical coding platform that automates procedural and diagnosis coding for multi-specialty ambulatory practices. Uses specialty-trained AI/ML models to transform structured and unstructured clinical notes into accurate CPT codes with direct-to-bill capabilities, routing complex exceptions to human reviewers. Designed for healthcare specialty practices, MSOs, RCM companies, and ambulatory surgery centers.
- E/M Autonomous Coding Module Module within the aiH.Automate platform that automates Evaluation & Management (E/M) office visit coding using specialty-specific AI-ML models, enabling direct-to-bill capabilities and a unified surgical and E/M coding workflow in a single platform for outpatient ambulatory specialty practices.
Quantifiable outcome
- Up to 95%+ coding accuracy with specialty-specific AI/ML models
- +7 more outcomes
Companies that use aiHealth
Customer profileNamed customers5 records
Segments7 records
Ideal customer profiles3 records
aiHealth technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration10 records
AI capability4 records
Feature7 records
aiHealth partnerships and signals
Strategic signalPartnerships
Seven partnerships are on record, tiered core, major and strategic.
- AptarrocoreStrategic partnership delivers streamlined revenue, reducing errors, denials, and accelerating payment from clinical notes to clean claims. Combines Aptarro's revenue optimization capabilities with aiHealth's AI-powered coding for enhanced claim automation.
- AvodahMedcorePartnership to help transform the way healthcare providers document and code patient encounters. AvodahMed's clinical documentation capabilities combined with aiHealth's autonomous coding platform provide enhanced clinical documentation integrity and streamlined coding workflows.
- Twin Cities Orthopedics / Revo HealthcoreCo-presentation partnership at the American Alliance of Orthopaedic Executives (AAOE) Virtual AI Summit. Twin Cities Orthopedics and Revo Health served as reference customers presenting alongside aiHealth on AI adoption in medical coding and revenue cycle operations. This partnership demonstrates ROI and serves as a key marketing and sales reference.
- DocBuddycorePartnership to digitally transform operative report, coding, and reimbursement speed for U.S. specialty providers and ASCs. DocBuddy's Op Note solution enables instant generation and approval of operative reports with procedure images, delivered directly into aiHealth's autonomous coding platform. The partnership combines ambient clinical documentation with AI-driven autonomous coding to reduce administrative burdens for providers and revenue cycle personnel.
- Koha HealthcoreInnovative partnership designed to leverage expertise in AI and medical coding to eliminate workflow inefficiencies and accelerate performance. Koha Health, a provider of RCM services specializing in orthopedic and MSK-aligned practices and ASCs, integrates aiHealth's autonomous coding platform to empower practices with AI-driven coding automation. aiHealth's platform enables Koha's expert coders to focus on complex cases while automating routine coding tasks.
- VeradigmmajorJoint webinar collaboration where aiHealth President Kyle Swarts and Veradigm Principal Solutions Specialist Mark Herzog explored how healthcare organizations can use AI-powered coding to improve claim accuracy, reduce denials, and accelerate revenue cycle performance. Veradigm is an EHR integration partner and coding services provider.
- PELTO Health PartnersstrategicPELTO Health Partners is exploring AI-powered coding solutions in partnership with aiHealth to tackle healthcare's labor crisis. PELTO is evaluating autonomous coding to address workforce challenges in revenue cycle operations.
Scale indicators7 records
Recent moves6 records
Expansion highlights6 records
aiHealth competitors and assessment
Company assessmentEmerging players
- AKASA: AI-native revenue cycle automation platform serving provider finance/RCM functions, with overlapping use cases in coding automation. Comparable vertical SaaS GTM targeting CFO/VP of Revenue Cycle in healthcare.
- Abridge: AI clinical documentation and ambient scribe company increasingly extending into coding and downstream revenue cycle workflows. Same underlying clinical-text AI problem space and similar healthcare buyer, with substantial venture funding creating competitive pressure.
Broad incumbents
- Waystar: Cloud RCM platform serving hospitals and specialty practices with claims, coding, and denial management capabilities. Comparable enterprise healthcare SaaS business with broader suite; potential complementary technology partner or competitor depending on go-to-market.
- 3M Health Information Systems (Solventum): Long-standing market leader in computer-assisted coding (CAC), CDI, and coder workflow. As the de facto incumbent in hospital coding, 3M/Solventum is the primary competitive benchmark aiHealth must displace in larger enterprise deals.
- Nuance (Microsoft) – DAX / clinical AI: Nuance's Dragon Ambient eXperience (DAX) and Precision Coding Network extend Microsoft-backed ambient clinical documentation into coding and CDI workflows. Adjacent overlap with aiHealth's specialty-trained, autonomous-coding approach, anchored by Microsoft's distribution and capital.
Direct peers
- Olive AI: Healthcare AI automation company whose revenue cycle product line historically included autonomous coding and prior authorization. Operates in the same enterprise healthcare AI category and targets similar provider and RCM buyers.
- Infinx: AI-driven patient access and RCM technology including computer-assisted coding and autonomous workflows for specialty practices and hospitals. Directly comparable customer profile (specialty practices, MSOs, RCM organizations) and product overlap.
- CodaMetrix: Direct competitor in AI-powered autonomous medical coding for healthcare. CodaMetrix applies specialty-trained ML to automate CPT and ICD coding across similar ambulatory and specialty settings, mirroring aiHealth's product positioning and target buyer (CFO/VP of Revenue Cycle at provider organizations).
- Iodine Software: AI platform focused on hospital revenue cycle, including autonomous coding and clinical documentation integrity (CDI) for inpatient and ambulatory settings. Highly comparable business model — AI SaaS sold into RCM leadership at provider organizations.
Others
- Optum (UnitedHealth Group) – CAC/RCM: Optum's CAC and RCM suites (formerly Optum360/Change Healthcare) are deeply embedded across U.S. health systems and payers. Operates as a broad incumbent in computer-assisted coding with much larger scale and deeper payer integrations than aiHealth.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
aiHealth social profiles
Digital presenceaiHealth compliance and trust
Trust signalCompliance1 record
aiHealth financial estimates
Financial estimateRevenue estimate
Valuation estimate
aiHealth leadership team
Management profileNumber of profiles
Profiles6 records
aiHealth funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
aiHealth 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 aiHealth
What does aiHealth do?
aiHealth sells aiH.Automate™, a SaaS-based AI platform that autonomously performs medical coding (CPT and diagnosis codes) for multi-specialty ambulatory and outpatient practices. The platform uses specialty-trained AI/ML models to convert clinical notes into compliant codes, integrates with major EHR systems, routes complex exceptions to human reviewers, and supports direct-to-bill workflows. The portfolio is extended by an E/M Autonomous Coding Module for office-visit coding.
Is aiHealth a public or private company?
aiHealth is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was aiHealth founded?
aiHealth was founded in 2021. It employs 11 to 50 people.
Where is aiHealth based?
aiHealth is headquartered in Charlotte, United States, in the North America region.
How does aiHealth make money?
One revenue line is on record: saaS Subscription - Autonomous Coding Platform.
Who are aiHealth's main competitors?
Emerging players on record are AKASA and Abridge. Broad incumbents are Waystar, 3M Health Information Systems (Solventum) and Nuance (Microsoft) – DAX / clinical AI. Direct peers are Olive AI, Infinx, CodaMetrix and Iodine Software. Optum (UnitedHealth Group) – CAC/RCM is listed as an others.
Does aiHealth have an API?
No public API is recorded for aiHealth.
What industry is aiHealth in?
aiHealth's product category is Healthcare AI - Autonomous Medical Coding Software. Its primary akta.pro industry code is HLACACAA, Medical Billing & Coding Automation, with a secondary code of HDAEANAA, End-to-End Enterprise AI Platforms (MLOps & Model Lifecycle Management). Its NAICS code is 5132 and its SIC code is 7372.