SunFire

What SunFire does

SunFireMatrix, Inc. (operating as SunFire) is a privately-held US healthcare technology company that provides a cloud-based Medicare technology platform for insurance brokers, carriers, and healthcare providers. Founded in 2016 and operating as a fully remote organization with 280+ employees across more than 30 US states, the company is headquartered nominally in Boston and is backed by Stone Point Capital. Its customer base spans nine of the largest US Medicare carriers — Aetna, Anthem BCBS, Devoted Health, HCSC, HealthSpring, Humana, Kaiser Permanente, UnitedHealthcare, and Wellcare — alongside Medicare brokerages, agencies, and provider groups.\n\nThe platform is anchored by an end-to-end Quoting and Enrollment system supporting MAPD/PDP, Medicare Supplement, Special Needs Plans, and ancillary products, with plan data integrated from 110+ carriers. Layered products extend the platform across the beneficiary lifecycle: Health Risk Assessments with multiple deployment modes (platform, standalone, drop-in widget), Provider Solutions for patient visibility and retention, Benefit Activation for post-enrollment engagement, and a SunRise business intelligence layer. In 2025 SunFire launched two AI-intensive products — IntelligenceX, an AI compliance and sales intelligence platform that scores calls against custom scorecards and validates provider networks, drug formularies, plan benefits, and SEP eligibility — and MedicareVoiceX (MVX), an agentic voice AI certified under HITRUST i1, ISO, GDPR, and HIPAA for Medicare-specific outreach including HRA completion, gap closure, and Stars performance improvement. The platform is served through full-featured APIs, with reported uptime of 99.99% over a 90-day window.\n\nSunFire monetizes via enterprise SaaS subscription licensing on annual contracts with quote-based pricing, distributed through a direct enterprise sales motion that targets brokerage and carrier buyers. Independent modules (IntelligenceX, API services, HRA drop-in widget) extend distribution to organizations that do not license the core quoting and enrollment platform. The platform maintains an unusually extensive certification footprint — SOC 2 Type II, SOC 3, PCI DSS v4.0, HITRUST r2 (v9.3), HIPAA, CMS, and SP ROC — reflecting the regulated nature of Medicare distribution and acting as a barrier to entry for prospective competitors.

Name

SunFire

Legal name

SunFireMatrix, Inc.

Website

https://sunfireinc.com

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

101–250 employees

Short description

SunFire is a US cloud-based Medicare technology platform serving insurance brokers, carriers, and healthcare providers with multi-carrier quoting, enrollment, AI-driven call intelligence, and post-enrollment benefit activation solutions.

Ownership category

akta.pro rank

Product category

Medicare Insurance Technology

NAICS

Computer Systems Design and Related Services (54151)

SIC

Services-Computer Programming, Data Processing, Etc. (7370), Services-Prepackaged Software (7372)

akta.pro primary industry

Care Navigation, Advocacy & Benefits Guidance Platforms (HLALADAJ)

Keywords

• Medicare enrollment software
• Health insurance technology
• Medicare compliance analytics
• Medicare quoting platform
• Agentic voice AI

Headquarters

HQ city

Boston

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, Marketing or Sales, Infrastructure, Operations

Revenue model

1. Enterprise SaaS Platform Licensing: B2B enterprise software licensing model targeting Medicare brokers, carriers, and providers. SunFire is described as an enterprise solution with per-agent enrollment capabilities mentioned in customer testimonials. Pricing is quote-based, suggesting annual or multi-year contract structures typical of enterprise SaaS.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

SunFire provides a cloud-based SaaS platform for Medicare quoting, enrollment, and benefit management that connects insurance brokers, carriers, and healthcare providers. Its products span an end-to-end quoting and enrollment platform covering MAPD/PDP, Medicare Supplement, Special Needs Plans, and ancillary products across 110+ carriers, plus AI-driven compliance and sales intelligence (IntelligenceX), agentic voice AI for outreach (MedicareVoiceX), configurable HRAs, provider network solutions, and post-enrollment benefit activation.

Product overview

SunFire is a Medicare technology platform providing a unified ecosystem of integrated products. The core Quoting & Enrollment Platform serves as the foundation, enabling multi-carrier Medicare quoting and enrollment (MAPD/PDP, Medicare Supplement, Special Needs Plans, ancillary products) with AI-enabled workflows. IntelligenceX overlays AI-driven call intelligence for compliance and sales coaching. Health Risk Assessments provide configurable post-enrollment data collection. Provider Solutions help healthcare providers connect with patients. Benefit Activation drives post-enrollment engagement. MedicareVoiceX adds agentic voice AI capabilities. The platform is designed for brokers, carriers, and providers serving Medicare beneficiaries.

Differentiator

Problem solved

Functional benefit

Products and services

• Quoting & Enrollment Platform End-to-end multi-carrier Medicare quoting and enrollment platform that lets agents scope, quote, and enroll beneficiaries in MAPD/PDP, Medicare Supplement, Special Needs Plans, and ancillary products from 110+ carriers on a single platform, with AI-enabled plan comparison, integrated needs assessment, real-time CMS lookup, and compliance tracking for Medicare insurance brokers, carriers, and provider organizations.
• IntelligenceX AI-driven compliance and sales intelligence platform that analyzes Medicare call recordings against custom scorecards, verifies provider networks, checks drug formulary accuracy, validates plan benefits against carrier data, verifies SEP eligibility, and produces coaching recommendations for Medicare agencies, brokers, and carriers.
• Health Risk Assessments (HRAs) Configurable Health Risk Assessment solution with branching logic, required questions, consent language, and multiple integration options (SunFire Platform, Standalone Portal with SSO, or Drop-in Widget for white-label embedding) for Medicare plans, brokers, and carriers collecting beneficiary HRA data.
• Provider Solutions Suite of tools that helps healthcare provider groups and physician organizations increase Medicare patient visibility, retain patients across plan changes with integrated consent capture and real-time plan change notifications, and strengthen network accuracy with real-time panel updates.
• Benefit Activation Post-enrollment journey platform that drives point-of-sale engagement with customizable Medicare beneficiary onboarding experiences, targeted actions for beneficiary and plan value, and integration with SunFire's carrier partnerships to help beneficiaries activate plan benefits immediately after enrollment.
• MedicareVoiceX (MVX) Agentic Voice AI platform for Medicare-specific customer engagement that enables personalized outreach at scale for retention and satisfaction, drives Stars performance through HRA completion and gap closure, and automates sales funnel functions such as lead screening for Medicare plans, brokers, and carriers.

Quantifiable outcome

• Per-agent enrollment averages increased and production increased, doubling year-over-year
• +3 more outcomes

Named customers12 records

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

AI capability10 records

Feature8 records

Partnerships

Three partnerships are on record, tiered minor.

• Meals on Wheels AmericaminorOthersSunFire Cares charitable partner focused on combatting hunger among seniors. SunFire has donated tens of thousands of dollars to enhance and improve the lives of seniors through this partnership. Employees selected this organization as a key charitable focus.
• Pets for the ElderlyminorOthersSunFire Cares charitable partner focused on reducing isolation among seniors through pet companionship. Part of the 2025-2026 partner organizations selected by SunFire employees.
• National Council on Aging (NCOA)minorOthersSunFire Cares charitable partner focused on improving the lives of seniors. Part of the 2025-2026 partner organizations with NCOA logo displayed on SunFire Cares page.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Insurance Technologies Corporation (ITC): ITC builds insurance sales, marketing, and distribution technology including carrier and agent-facing platforms. It serves insurance carriers, FMOs and agents with workflow and compliance tools analogous to SunFire's quoting/enrollment stack.
• Inova (Insurance): Inova delivers digital sales and service platforms for health insurance and Medicare brokers/carriers with quoting, agent workflow and lead management. It targets the same broker/agency channel as SunFire with adjacent AI-driven productivity tooling.
• GoHealth: GoHealth is a Medicare-focused insurance marketplace and technology platform with its own quoting and enrollment tooling serving carriers and agents. It is a comparable enterprise buyer of Medicare enrollment technology and a competitor in senior distribution technology.
• MedicareCRM: Medicare-focused CRM and lead management platform built specifically for agents selling Medicare Advantage, PDP, and ancillary products. It competes directly with SunFire for Medicare broker/agency software dollars and addresses similar compliance and enrollment workflows.
• SelectQuote: SelectQuote is a senior-focused insurance distributor with proprietary Medicare quoting, enrollment and CRM technology. It competes for the same senior market outcomes and overlaps the carrier and broker tooling landscape that SunFire serves.
• iPipeline: iPipeline provides quoting, illustration, e-application and underwriting platforms for life and health insurance, including Medicare-related workflows. It is a direct peer for the carrier and IMOs/FMOs that buy distribution-side insurance technology.
• HealthPlanOne: HealthPlanOne operates a Medicare plan-shopping, quoting and enrollment platform with carrier integrations similar to SunFire, plus telesales and brokerage operations. It targets overlapping carrier and broker customers and competes for senior market distribution technology spend.
• Convey Health Solutions: Convey provides member engagement, compliance and provider enablement solutions to Medicare Advantage plans. It addresses overlap in compliance call analytics (analogous to IntelligenceX) and HRA/Stars workflows adjacent to SunFire's post-enrollment stack.
• Connecture (now part of Cotiviti): Connecture historically provided multi-carrier Medicare and individual insurance shopping, quoting and enrollment platforms to carriers and brokers. It is the closest functional competitor to SunFire's quoting and enrollment stack and overlaps the same broker and carrier buyer base.

Broad incumbents

• eHealth: eHealth is a long-established Medicare and individual health insurance marketplace with significant carrier integrations and enrollment technology. It is a larger incumbent competing across overlapping broker/carrier and direct-to-consumer Medicare workflows.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks1 record

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/sunfirematrixinc

Compliance8 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Funding overview

Funding rounds1 record

Investors1 record

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 SunFire