ECHO
ECHO Health is a privately held U.S. payment infrastructure company that processes $220B+ annually across a network of 1.6M+ provider connections, serving health plans, dental plans, TPAs, and P&C insurers with digital claim payment, reconciliation, 1099 compliance, and fraud-prevention solutions.
- Company typePrivate
- Founded1998
- HeadquartersWestlake, United States
- Headcount101–250
- GTM typeB2B
- OfferingSoftware
What ECHO does
ECHO Health, Inc. is a privately held payment infrastructure company founded in 1997/1998 and headquartered in Westlake, Ohio, that digitizes claim, provider, and vendor payments primarily for U.S. healthcare payers, dental plans, third-party administrators, and property and casualty insurers. The company's platform processes $220B+ in annual payment volume across a network of 1.6M+ unique provider and vendor connections, enabling payers to displace paper checks with electronic payments (ACH, virtual card, instant) while delivering remittance data (EOBs/EORs/835s). Its product portfolio is organized around the ECHO Core Platform and modular extensions: ECHO for Healthcare, ECHO for Property and Casualty, ECHO for Accounts Payable, plus sub-brands Simplicity (consumer enrollment), SimplicityRx (Medicare Part D M3P compliance), and Premium Payment Manager (ICHRA automation). Supporting modules include ECHO Guard (fraud prevention), ECHO Payment Network, ECHO PayLogic (reconciliation), and ECHO PayPilot Connect (Guidewire ClaimCenter integration).
Revenue is generated through a mix of transaction-based fees on processed payments, recurring platform/subscription fees for the Core Platform and security modules, and professional services for full-service 1099 processing with IRS penalty liability assumption. ECHO employs an enterprise field sales motion targeting large national and regional insurers, complemented by strategic distribution partnerships with PNC Bank, Rectangle Health, Clover, SKYGEN, Netsmart, Run Payments, and ecosystem listings on Guidewire Marketplace and MEDITECH Expanse. The company holds SOC 1/SOC 2 Type II, HITRUST, PCI DSS, HIPAA, CAQH CORE, NACHA, and OFAC/AML certifications, and serves a customer base that includes a nationally recognized Medicaid managed care plan with 2M+ members, Magnolia Regional Health Center, PNC Bank, and Rectangle Health. ECHO is led by founder Bill Davis alongside President Tom Dean, Chief Strategy Officer Tom Davis, Chief Financial Officer Kristopher Kern, and Chief Information Officer Chadwick Davis.
ECHO firmographics
Firmographics- Name
- ECHO
- Legal name
- ECHO Health, Inc.
- Website
- https://echohealthinc.com
- Company type
- Private
- Founded year
- 1998
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- ECHO Health is a privately held U.S. payment infrastructure company that processes $220B+ annually across a network of 1.6M+ provider connections, serving health plans, dental plans, TPAs, and P&C insurers with digital claim payment, reconciliation, 1099 compliance, and fraud-prevention solutions.
- Ownership category
- akta.pro rank
ECHO industry classification
Industry- Product category
- Healthcare Payment Solutions
- NAICS
- Financial Transactions Processing, Reserve, and Clearinghouse Activities (522320)
- SIC
- Services-Computer Programming, Data Processing, Etc. (7370)
- akta.pro primary industry
- Healthcare Payouts (Payers-to-Providers, Patient Refunds) (FSAMAKAK)
- akta.pro secondary industry
- Merchant Payment Gateways (API/Hosted Checkout) (FSAMACAA)
Keywords
Where ECHO is headquartered
LocationHeadquarters
- HQ city
- Westlake
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
ECHO business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Infrastructure, Operations, Marketing or Sales
Revenue model
- Payment Processing Fees: Transaction-based fees for processing healthcare, property and casualty, and accounts payable payments through the ECHO payment network
- Subscription/Platform Fees: Recurring fees for access to the ECHO Core Platform, ECHO Guard security, and integrated payment solutions
- 1099 Processing Services: Full-service 1099 management including TIN matching, filing, and liability assumption for mismatch penalties
- ACH Payment Processing: Electronic payment processing through the ACH network for claim reimbursements, provider payments, and premium collections
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Pay-as-you-go | Custom enterprise pricing based on payment volume and specific use case |
Go-to-market motion3 records
Distribution channels5 records
Marketing channels10 records
ECHO product offering
Product offeringCore offering
ECHO Health Inc. operates the ECHO Core Platform, a digital payment infrastructure that processes healthcare claim payments, property and casualty insurance disbursements, and business-to-business accounts payable transactions. The platform connects payers to 1.6M+ providers and vendors, supporting electronic funds transfer, virtual cards, 1099 processing with TIN matching and IRS liability assumption, fraud prevention via ECHO Guard, and reconciliation through ECHO PayLogic.
Product overview
ECHO offers a unified payment platform with a modular architecture centered on the ECHO® Core Platform™. The core product family includes ECHO® for Healthcare (for health/dental plans and TPAs), ECHO® for Property and Casualty (for P&C, auto, home, and workers' comp insurers), and ECHO® for Accounts Payable (for B2B payments). Supporting sub-brands include Simplicity® (consumer-focused enrollment), SimplicityRx® (Medicare Part D M3P compliance), and Premium Payment Manager™ (ICHRA automation). The platform is enhanced by four proprietary modules: ECHO® Guard™ (fraud prevention), ECHO® Payment Network™ (1.6M+ provider connections), ECHO® PayLogic™ (reconciliation workflows), and ECHO® PayPilot Connect™ (Guidewire integration). The solution targets healthcare payers, property & casualty insurers, TPAs, employers offering ICHRAs, Medicare Part D sponsors, and healthcare providers.
Differentiator
Problem solved
Functional benefit
Products and services
- ECHO Core Platform The foundational payment infrastructure powering all ECHO solutions, enabling digital payment processing, multi-network connectivity, and integration with existing enterprise systems for healthcare payers, P&C insurers, and accounts payable users.
- ECHO for Healthcare A single payment platform for health plans, dental plans, and third-party administrators (TPAs) that drives digital payment adoption and delivers healthcare providers a better financial experience, with prebuilt connections to major claims platforms and 1099 compliance.
- ECHO for Property and Casualty An industry-leading digital payment solution for B2B, B2C, and multi-party payments for home, auto, and workers' compensation insurers, offering direct connectivity to bill review platforms and 120+ medical clearinghouses.
- ECHO for Accounts Payable Accounts payable automation designed to enhance reconciliation and seamlessly process business payments regardless of the payer/payee relationship, supporting digital payment adoption across B2B networks.
- Simplicity A turnkey solution delivering a modern payment experience through consumer-focused enrollment, payment, communication, and support options for healthcare providers and members.
- SimplicityRx A fully compliant, end-to-end solution helping Medicare Part D sponsors meet CMS requirements for the Medicare Prescription Payment Plan (M3P), including ledger accounting, participant support, and opt-in/out enrollment.
- Premium Payment Manager A payment automation platform for ICHRA administration that simplifies employer funding and solves the reimbursement burden, integrating with existing ICHRA administrative platforms for monthly premium payments and tax compliance.
Quantifiable outcome
- 80%+ digital payment adoption achievable on day one
- +5 more outcomes
Companies that use ECHO
Customer profileNamed customers4 records
Segments6 records
Ideal customer profiles5 records
ECHO technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
AI capability4 records
Feature8 records
ECHO partnerships and signals
Strategic signalPartnerships
Eight partnerships are on record, tiered core and minor.
- PNC BankcoreCollaboration to expand PNC Bank's Treasury Management insurance payments offering to include property and casualty claims payments. ECHO enables insurers to deliver multi-party payments through various electronic methods including instant payments, supporting medical and non-medical claims through a single platform.
- Rectangle HealthcoreStrategic partnership to automate claims payment processing and streamline reimbursements for healthcare providers. ECHO integrates with Rectangle Health's PayerSync platform to digitize payer-to-provider payment processes.
- CloverminorPartnership to integrate payment processing capabilities into Clover's healthcare technology ecosystem
- SKYGENminorPartnership to automate claims payment processing and integrate with SKYGEN's dental and vision benefits platforms
- NetsmartminorPartnership to integrate payment solutions with Netsmart's behavioral health and home care technology platforms
- Run PaymentsminorPartnership to expand payment automation capabilities across healthcare payment workflows
- GuidewirecoreECHO PayPilot Accelerator for ClaimCenter integration enables workers' compensation carriers to streamline payment processing within Guidewire ClaimCenter. Direct connectivity to 120+ medical clearinghouses through the partnership.
- MEDITECHcoreIntegration with MEDITECH Expanse electronic health record system to enable seamless payment processing for healthcare providers
Scale indicators10 records
Recent moves6 records
Expansion highlights5 records
ECHO competitors and assessment
Company assessmentDirect peers
- Zelis: Zelis is a healthcare payments platform offering provider payments, claims integrity, and network services — directly competing with ECHO's healthcare payment and remittance solutions across payers, providers, and TPAs.
- Change Healthcare (Optum): Change Healthcare, now part of Optum/UnitedHealth Group, operates one of the largest healthcare payment networks and remittance processing platforms — directly overlapping with ECHO's healthcare claims payment business.
- InstaMed (J.P. Morgan): InstaMed, owned by J.P. Morgan, is a healthcare payments network connecting payers, providers, and consumers — a direct competitor to ECHO's healthcare payment platform and provider enrollment capabilities.
- Rectangle Health: Rectangle Health offers healthcare payment processing and PayerSync — directly competing with ECHO in payer-to-provider claims payment automation, particularly in dental and ambulatory provider segments.
- SKYGEN: SKYGEN provides dental and vision benefits administration technology with embedded payment workflows — a direct peer in dental benefits payment processing and a partner through ECHO's channel ecosystem.
- Bill.com: Bill.com is a leading B2B accounts payable and receivable automation platform — directly comparable to ECHO for Accounts Payable product targeting SMB and mid-market B2B payment digitization.
- Netsmart Technologies: Netsmart provides behavioral health and home care technology with payment workflow capabilities — overlapping with ECHO's healthcare provider payment solutions and a current integration partner.
Broad incumbents
- Bottomline Technologies: Bottomline is an established payments technology incumbent offering healthcare payment, B2B, and AP automation solutions — competing with ECHO across healthcare payouts and accounts payable automation.
Emerging players
- One Inc: One Inc is a digital payments platform focused on insurance claims disbursement, directly competing with ECHO for Property & Casualty in P&C, auto, and workers' compensation claims payment processing.
Others
- PNC Bank: PNC Bank is a strategic distribution partner but also a broad financial services incumbent that competes in treasury management and insurance payment services — adjacent rather than directly competitive with ECHO's core payment platform.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks5 records
Key highlights6 records
Customer concentration
ECHO social profiles
Digital presenceECHO compliance and trust
Trust signalCompliance9 records
ECHO financial estimates
Financial estimateRevenue estimate
Valuation estimate
ECHO leadership team
Management profileNumber of profiles
Profiles8 records
ECHO funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
ECHO M&A and investment
M&A and investmentM&A1 record
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about ECHO
What does ECHO do?
ECHO Health Inc. operates the ECHO Core Platform, a digital payment infrastructure that processes healthcare claim payments, property and casualty insurance disbursements, and business-to-business accounts payable transactions. The platform connects payers to 1.6M+ providers and vendors, supporting electronic funds transfer, virtual cards, 1099 processing with TIN matching and IRS liability assumption, fraud prevention via ECHO Guard, and reconciliation through ECHO PayLogic.
Is ECHO a public or private company?
ECHO is a private company. It is classified as family owned and is currently operating.
When was ECHO founded?
ECHO was founded in 1998. It employs 101 to 250 people.
Where is ECHO based?
ECHO is headquartered in Westlake, United States, in the North America region.
How does ECHO make money?
Four revenue lines are on record. Payment Processing Fees are the primary driver. The others are subscription/Platform Fees, 1099 Processing Services and ACH Payment Processing.
Who are ECHO's main competitors?
Direct peers on record are Zelis, Change Healthcare (Optum), InstaMed (J.P. Morgan), Rectangle Health, SKYGEN, Bill.com and Netsmart Technologies. Bottomline Technologies is listed as a broad incumbent. One Inc is listed as an emerging player. PNC Bank is listed as an others.
Does ECHO have an API?
No public API is recorded for ECHO.
What industry is ECHO in?
ECHO's product category is Healthcare Payment Solutions. Its primary akta.pro industry code is FSAMAKAK, Healthcare Payouts (Payers-to-Providers, Patient Refunds), with a secondary code of FSAMACAA, Merchant Payment Gateways (API/Hosted Checkout). Its NAICS code is 522320 and its SIC code is 7370.