DaisyBill

What DaisyBill does

DaisyBill is a B2B software and services company that automates workers' compensation billing and revenue cycle management for US healthcare providers. Founded in 2011 by Catherine Montgomery, Sarah Moray, and CTO Ben Liscio, the company built its platform around the X12 837/277/835 EDI standards to submit electronic workers' comp bills, receive acknowledgments, and reconcile Explanation of Benefits responses. Over 15 years it has accumulated operational scale: 18.1 million original bills processed, $5.3 billion in payments tracked, 2.7 million RFAs sent, and $233 million recovered through appeals on behalf of providers.

The company operates an integrated product suite: daisyBill (core e-billing software), daisyAuth (California RFA submission and Utilization Review tracking for 200+ claims administrators), daisyWizard (fee schedule calculators for California OMFS, New York, and Department of Labor), daisyCollect (managed billing service), daisyIntegration (ANSI 837 import, REST API, CSV, SFTP), and daisyData (a public-facing claims administrator directory with EDI performance grading across 936 administrators, 9,591 providers, and 4.1 million bills). The underlying architecture is purpose-built for workers' comp regulatory complexity rather than adapted from general-purpose medical billing.

DaisyBill monetizes through a hybrid model: monthly software subscriptions starting at $300 with no contract, usage-based pricing for daisyAuth ($1 per RFA plus per-page surcharges), a $49/month or $480/year fee-schedule tier, and a 3%+ contingency fee on collections for managed billing. It sells direct to SMB providers and third-party billers, with enterprise integration sales for organizations with existing revenue cycle management systems. The company is a privately held Delaware corporation headquartered in Claymont, DE, operates as a fully remote distributed team, and is bootstrapped with no outside equity.

Name

DaisyBill

Legal name

daisyBill, Inc.

Website

https://daisybill.com

Company type

Private

Founded year

2011

Operating status

Operating

Headcount range

11–50 employees

Short description

DaisyBill is a bootstrapped B2B software company that automates workers' compensation e-billing, authorization (RFA), fee schedule calculation, and managed collections for US healthcare providers, third-party billers, and workers' comp attorneys across all 50 states.

Ownership category

akta.pro rank

Product category

Workers' Compensation Billing Software

NAICS

Custom Computer Programming Services (541511)

SIC

Services-Prepackaged Software (7372), Services-Computer Programming Services (7371)

akta.pro industry

PRIMARYHLACACAF

Charge Capture & Clinical Documentation Improvement (CDI) for Billing

Healthcare & Life Sciences/Digital Health & Health IT/Revenue Cycle Management (RCM) & Billing Software

Keywords

• Workers compensation billing
• Revenue cycle management
• Electronic billing software
• Medical billing automation
• Claims administration software

Headquarters

HQ city

Claymont

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Software Subscription - daisyBill: SaaS billing software for workers' comp e-billing. Starting at $300/month based on bill volume. No contract, cancel anytime.
2. Software Subscription - daisyWizard: State fee schedule calculator software. $49/month or $480/year (20% savings). Free trial available.
3. Per-Transaction - daisyAuth: Authorization software billed per RFA sent. $1 per RFA, additional 10¢/page for RFAs over 10 pages. No contract, cancel anytime.
4. Managed Billing - daisyCollect: Full-service billing management where daisyBill experts manage billing for clients. Pricing starts at 3% contingency fee based on collections. Fee reduces when claims administrators process bills compliantly.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

DaisyBill sells workers' compensation billing and revenue cycle management software that enables healthcare providers to submit electronic bills via X12 837 EDI, receive payments faster (averaging 8.9 days), appeal incorrect reimbursements in 30 seconds, and track bill status across multiple state fee schedules. The platform is offered as a self-serve SaaS subscription starting at $300/month, with specialized modules for California authorization (daisyAuth), fee schedule calculation (daisyWizard), integration (daisyIntegration), and a fully-managed billing service (daisyCollect).

Product overview

DaisyBill is a B2B technology company offering a suite of integrated software products for workers' compensation billing and revenue cycle management. The core product, daisyBill, handles electronic billing, payment tracking, and appeals for workers' comp claims. This integrates with specialized modules including daisyAuth (California RFA/authorization management), daisyWizard (fee schedule calculators for CA, NY, and federal DOL), daisyCollect (full-service managed billing), and daisyIntegration (data import via ANSI 837, API, and CSV). The daisyData module provides a claims administrator directory with national benchmarking data. All products are built for healthcare providers, third-party billers, and claims administrators operating in the US workers' compensation system, with primary focus on California.

Differentiator

Problem solved

Functional benefit

Brands

• daisyBill: Workers' Comp Billing & Revenue Cycle Management Software - e-billing platform that helps providers receive payment for workers' comp bills
• daisyAuth
• daisyWizard
• daisyCollect
• daisyIntegration
• daisyData
• daisyNews
• daisyWebinars

Products and services

• daisyBill Workers' Comp Billing & Revenue Cycle Management Software that enables providers to submit electronic bills, receive payments faster (averaging 8.9 days), appeal incorrect payments or denials, and track bill status. Includes Easy Authorizations, Fast Payment, and Instant Appeals features. Starting at $300/month based on bill volume. No contract, cancel anytime.
• daisyAuth California Workers' Comp Authorization Software for submitting Requests for Authorization (RFAs) and tracking Utilization Review (UR) decisions. Sends RFAs in 30 seconds, tracks fax numbers for 200+ claims administrators in California, and monitors UR decisions with alerts for authorization holdups. Priced at $1 per RFA plus $0.10/page for RFAs over 10 pages.
• daisyWizard Workers' Comp State Fee Schedule Software providing instant fee schedule reimbursements for California (seven fee schedules), New York, and Federal Department of Labor workers' comp. Includes fee schedule calculator, claims administrator directory, MPN list, drug formulary, and IBR decision search. Priced at $49/month or $480/year (20% savings). Free trial available.
• daisyCollect Full Service Work Comp Billing & Collections where daisyCollect agents manage the entire billing process using advanced software and expertise to ensure timely payment, fight denials, and protect practice revenue. Pricing starts at 3% contingency fee based on collections. Fee reduces when claims administrators process bills compliantly. Annual contract.
• daisyIntegration Integration suite allowing companies to reduce billing data entry by importing bills via ANSI 837 files, REST API connection, or CSV file import. Includes automated bill matching for supporting documents via SFTP.
• daisyData Claims Administrator and Network Directory providing national data on 9,591 providers, 779,895 injuries, 4.1 million bills, with 91% e-bill rate and 9.5 average days to pay. Includes EDI grades for 936+ claims administrators and networks.

Quantifiable outcome

• Average payment time reduced to 8.9 days (from 60-180+ days industry average)
• +6 more outcomes

Named customers7 records

Segments4 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature8 records

Partnerships

Ten partnerships are on record, tiered core and major.

• Sedgwick Claims Management Services Inc.coreTechnology or IntegrationTop claims administrator by volume with 666,726 bills processed through daisyBill. EDI Grade D (65%). 5,079 providers submitting bills. Average 9 days to pay. daisyBill transmits e-bills via X12 837 EDI standard to Sedgwick.
• Gallagher Bassett Services Inc.coreTechnology or IntegrationSecond largest claims administrator with 240,686 bills. EDI Grade B (85%). 3,773 providers. Average 6 days to pay (best among top 10). daisyBill processes bills for Gallagher Bassett clients.
• State Compensation Insurance Fund (CA)coreTechnology or IntegrationCalifornia state insurance fund with 213,559 bills. EDI Grade A (96%). 2,479 providers. Average 7 days to pay. 100% e-bill acceptance rate. Zero duplicate bills.
• CorVelcoreTechnology or IntegrationTPA with 193,185 bills. EDI Grade A- (92%). 3,563 providers. Average 7 days to pay. daisyBill transmits bills and tracks EDI compliance for CorVel.
• Intercare Holdings Insurance Services Inc.majorTechnology or IntegrationTPA with 146,354 bills. EDI Grade C- (71%). 1,832 providers. Average 10 days to pay. Lower EDI compliance than top performers.
• Liberty Mutual InsurancemajorTechnology or IntegrationInsurance company with 140,564 bills. EDI Grade A- (92%). 2,998 providers. Average 7 days to pay.
• AmTrust North America Inc.majorTechnology or IntegrationTPA with 122,950 bills. EDI Grade B- (79%). 2,700 providers. Average 10 days to pay.
• Zurich Insurance North AmericamajorTechnology or IntegrationInsurance company with 113,752 bills. EDI Grade B (81%). 2,537 providers. Average 9 days to pay.
• TravelersmajorTechnology or IntegrationInsurance company with 111,391 bills. EDI Grade B (84%). 3,187 providers. Average 9 days to pay.
• Athens AdministratorsmajorTechnology or IntegrationTPA with 108,691 bills. EDI Grade B+ (85%). 2,069 providers. Average 10 days to pay.

Scale indicators15 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• Tebra (Kareo): Tebra (formed from the merger of Kareo and PatientPop) offers practice management, EHR, and medical billing software for small and mid-sized practices. Overlaps with daisyBill on billing and claim submission for ambulatory providers, though not workers' comp-focused.
• Availity: Availity operates a large healthcare information network connecting providers and payers for eligibility, claims, and remittance. Comparable to daisyBill in electronic claims and payer data exchange, though broader in scope and not workers' comp-specialized.
• Change Healthcare (Optum): Now part of Optum, Change Healthcare provides end-to-end RCM, claims processing, and payment solutions to healthcare providers. Overlaps with daisyBill's e-billing and ERA functions at massive scale across all payer types.
• NextGen Healthcare: NextGen provides ambulatory EHR and RCM/billing solutions for specialty practices, including workers' comp. Comparable to daisyBill as a wider RCM platform, though positioned for larger enterprises and integrated EHR-billing workflows.
• Waystar: Waystar is a large healthcare revenue cycle management platform offering claims management, electronic billing, and remittance for hospitals and large practices. While not workers' comp-specific, it competes for the broader RCM and e-billing wallet, and could expand into specialized verticals.

Direct peers

• Aspen Medical Net (AM.net): Aspen Medical Net is a workers' compensation medical billing and practice management software provider. Directly competes with daisyBill in workers' comp e-billing, authorization, and fee schedule management for providers.
• Apricot Software (by Net Health): Apricot (now part of Net Health) provides workers' compensation case management and outcomes-tracking software. While focused on clinical case management rather than billing, it overlaps with daisyBill in serving workers' comp providers with workflow software.
• myMatrixx (by Enlyte): myMatrixx is a pharmacy and medical bill management solution purpose-built for workers' compensation. Directly comparable to daisyBill in specialized workers' comp billing and clinical management, serving TPAs and payers.

Emerging players

• DrChrono: DrChrono provides cloud-based EHR, practice management, and medical billing for small practices. Comparable as a SaaS billing platform for ambulatory providers, but does not specialize in workers' comp or its unique regulatory requirements.
• CureMD: CureMD offers EHR, practice management, and RCM/billing services for specialty practices. Comparable to daisyBill as a specialty-practice billing platform, though broader in clinical scope and not focused on workers' comp.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/DaisyBillers
• Facebookfacebook.com/DaisyBillApp
• LinkedInlinkedin.com/company/daisybill

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 DaisyBill