ECHO

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.

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

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

• Healthcare payment solutions
• Claims payment processing
• Electronic payment network
• 1099 compliance processing
• Insurance disbursement platform

Headquarters

HQ city

Westlake

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, Infrastructure, Operations, Marketing or Sales

Revenue model

1. Payment Processing Fees: Transaction-based fees for processing healthcare, property and casualty, and accounts payable payments through the ECHO payment network
2. Subscription/Platform Fees: Recurring fees for access to the ECHO Core Platform, ECHO Guard security, and integrated payment solutions
3. 1099 Processing Services: Full-service 1099 management including TIN matching, filing, and liability assumption for mismatch penalties
4. ACH Payment Processing: Electronic payment processing through the ACH network for claim reimbursements, provider payments, and premium collections

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels10 records

Core 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

Named customers4 records

Segments6 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

AI capability4 records

Feature8 records

Partnerships

Eight partnerships are on record, tiered core and minor.

• PNC BankcoreStrategic or Co-development Partner · 29 April 2026Collaboration 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 or Co-development Partner · 1 April 2025Strategic 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.
• CloverminorStrategic or Co-development PartnerPartnership to integrate payment processing capabilities into Clover's healthcare technology ecosystem
• SKYGENminorStrategic or Co-development PartnerPartnership to automate claims payment processing and integrate with SKYGEN's dental and vision benefits platforms
• NetsmartminorStrategic or Co-development PartnerPartnership to integrate payment solutions with Netsmart's behavioral health and home care technology platforms
• Run PaymentsminorStrategic or Co-development PartnerPartnership to expand payment automation capabilities across healthcare payment workflows
• GuidewirecoreTechnology or IntegrationECHO 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.
• MEDITECHcoreTechnology or IntegrationIntegration with MEDITECH Expanse electronic health record system to enable seamless payment processing for healthcare providers

Scale indicators10 records

Recent moves6 records

Expansion highlights5 records

Direct 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

• Xx.com/paywithecho
• YouTubeyoutube.com/channel/UCTGq9YlsM97_plNoKqGEnDg
• LinkedInlinkedin.com/company/echo-health-inc.

Compliance9 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about ECHO