Zealie

What Zealie does

Zealie is a U.S.-based behavioral health revenue cycle management (RCM) company that sells technology-enabled billing, collections, and reimbursement services to mental health and substance abuse treatment centers. Founded in 2017 by Ali Beheshti, a former behavioral health treatment center CEO, the company operates as a privately held California LLC (Zealie LLC) and is headquartered in Laguna Beach, with additional offices in Irvine and Costa Mesa. Its customer base is concentrated in a single vertical — U.S. behavioral health treatment facilities — and it sells through an enterprise direct-sales motion with consultation and demo requests.

The company's core platform is Zealie Zion, a cloud-based RCM application built on Google Cloud Platform that combines predictive analytics, real-time forensic claim automation, reconciliation, and AI-driven analytics over a proprietary corpus of billions of dollars of historical payment data cross-referenced with hundreds of thousands of verifications of benefits. The product suite includes Smart Admission Tools (Smart VOB, Alpha Prefix Tracker, Payer Tracker) that forecast insurer reimbursement before patient admission, the Zealie Mobile App (positioned as the industry's only mobile billing app), Zealie Check for 24/7 electronic VOB across 700+ insurance companies, an Analytics Dashboard with real-time KPIs, and ancillary modules for claims reprocessing, collections automation, utilization review, clinical documentation training, and business strategy consulting. In 2023 Zealie acquired The Revenue Solution (TRS), extending its receivables management capabilities.

Zealie generates revenue primarily through subscription-style full-service billing engagements that bundle software access with managed services (VOB, UR, billing, collections, reimbursement negotiations, documentation training), supplemented by an outcome-based, pay-on-recovery fee on its Zealie Boost out-of-network repricing service. Pricing is quote-based and not publicly disclosed, with Zealie Check and Zealie Boost offered free to full-service clients. The company is founder-led and bootstrapped, with no disclosed venture capital or private equity funding rounds; leadership includes CEO Ali Beheshti, COO Chris Goff (formerly of Optum and Therapy Brands), CRO TJ Ferris (founder of the acquired TRS business), and a technical team with Google and enterprise-software pedigree.

Name

Zealie

Legal name

Zealie LLC

Website

https://zealie.com

Company type

Private

Founded year

2017

Operating status

Operating

Headcount range

251–500 employees

Short description

Zealie is a cloud-based behavioral health revenue cycle management company serving U.S. mental health and substance abuse treatment centers with predictive analytics, automated claims processing, and proprietary billing tools that forecast insurance reimbursements before patient admission.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

NAICS

Activities Related to Credit Intermediation (5223)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Patient Billing, Statements & Payment Processing (HLACACAG)

akta.pro secondary industry

Billing, Payments & Account Administration Centers (BPAAAAAF)

Keywords

• Behavioral health billing
• Revenue cycle management
• Insurance verification services
• Claims reprocessing
• Utilization review services

Headquarters

HQ city

Irvine

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Full-Service Behavioral Health Billing Services: Comprehensive billing services including verification of benefits, utilization review, billing and collections, reimbursement negotiations, clinical documentation training, claims reprocessing, business strategy consulting. Revenue is generated through a service fee model where they manage the entire revenue cycle for treatment centers.
2. Revenue Boost (Out-of-Network Repricing): Standalone out-of-network repricing service where Zealie works with billing staff to maximize out-of-network payments. No upfront fees; customers only pay when funds are recovered.
3. Software Platform Access: Access to proprietary software platform including Smart VOB, Alpha Prefix Tracker, Payer Tracker, Analytics Dashboard, and Zealie Mobile App as part of full-service engagement.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels6 records

Core offering

Zealie provides a cloud-based behavioral health revenue cycle management (RCM) platform, Zealie Zion, combined with full-service billing operations for mental health and substance abuse treatment centers. Offerings span verification of benefits, utilization review, claims submission, collections, reimbursement negotiations, claims reprocessing, clinical documentation training, and business strategy consulting, supported by predictive analytics modules such as Smart VOB, Alpha Prefix Tracker, and Payer Tracker.

Product overview

Zealie offers a cloud-based behavioral health billing and revenue cycle management (RCM) platform with multiple integrated modules and services. The core product is Zealie Zion, an RCM application that provides real-time analytics, automated claims processing, and customizable billing workflows. The platform includes Smart Admission Tools (Smart VOB, Alpha Prefix Tracker, Payer Tracker) for predicting reimbursement rates before client admission, the Zealie Mobile App for real-time financial data access, and Zealie Check for 24/7 electronic VOB. Additional services include Claims Reprocessing, Collections, Utilization Review, Billing, Verification of Benefits, Reimbursement Negotiations, Clinical Documentation Training, and Business Strategy Consulting. The platform automates multiple touchpoints in revenue cycle management using predictive analytics based on billions of dollars of historical claims data, with features available through the Analytics Dashboard and mobile access.

Differentiator

Problem solved

Functional benefit

Brands

• Zion: Revolutionizing Revenue Cycle Management for Behavioral Health - A groundbreaking RCM application designed specifically for the Behavioral Health industry that streamlines financial operations, maximizes revenue potential, and provides real-time analytics.
• Zealie Mobile App
• Smart VOB
• Zealie Check
• Revenue Boost
• Smart Admission Tools

Products and services

• Zealie Zion Groundbreaking cloud-based revenue cycle management (RCM) application designed specifically for the behavioral health industry that streamlines financial operations, maximizes revenue potential, and highlights negative trends in real time. Built for mental health and substance abuse treatment centers.
• Verification of Benefits Insurance verification service that processes high volumes of patient benefit checks with the fastest turnaround times in the industry, staffed by over 15 dedicated Zealie employees for treatment centers.
• Utilization Review Utilization review service staffed by masters and Ph.D. level clinical staff that ensures proper documentation for error-free authorization and medical necessity compliance for behavioral health providers.
• Behavioral Health Billing Full-service behavioral health billing that tracks insurance rules, audits billing against electronic health records, and optimizes reimbursements while reducing denials for treatment centers.
• Collections Automated collections service for treatment centers that uses proprietary software to ping insurance company databases daily and resolve issues such as medical records requests and coordination of benefits early in the adjudication cycle.
• Reimbursement Negotiations Negotiation service that renegotiates higher reimbursement rates both before and after payments are received, isolating renegotiable claims for reprocessing on behalf of behavioral health treatment centers.
• Claims Reprocessing Service using proprietary software to isolate claims that have potential for increased reimbursement, including claims that have not been paid, were paid incorrectly, or are renegotiable.
• Zealie Boost (Revenue Boost) AI-driven out-of-network repricing service that identifies and renegotiates underpaid claims to help behavioral health providers collect an additional 128% on average, with no upfront fees and payment only when funds are recovered.
• Clinical Documentation Training Training service that educates behavioral health providers on proper clinical documentation to meet medical necessity requirements, support audit preparation, and optimize authorization outcomes.
• Business Strategy Consulting Consulting services led by CEO Ali Beheshti providing behavioral health industry expertise to help treatment centers maximize revenue and profits through billing and operational strategy.

Quantifiable outcome

• 75% increase in customer revenues
• +4 more outcomes

Named customers3 records

Segments2 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability3 records

Feature10 records

Scale indicators6 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Credible Behavioral Health: Credible is an EHR and practice management platform purpose-built for behavioral health with integrated billing and revenue cycle workflows. It is the most direct vertical peer to Zealie given its behavioral health focus and end-to-end revenue cycle functionality.
• Sunwave Health: Sunwave Health offers a behavioral health-specific billing and revenue cycle management platform for substance abuse and mental health providers. It targets the same treatment-center buyer as Zealie with comparable claims and collections services.
• Aspirion: Aspirion is a healthcare revenue cycle management firm specializing in complex claims resolution, underpaid claims recovery, and denied-claim appeals - directly analogous to Zealie Boost and Claims Reprocessing. Both monetize on contingency by recovering additional provider reimbursement.
• Kipu Health: Kipu Health provides an EHR and RCM platform tailored to behavioral health and addiction treatment providers. Its bundled billing and collections capabilities directly overlap Zealie's full-service RCM offering for treatment centers.
• Infinx Healthcare: Infinx provides end-to-end revenue cycle management, prior authorization, and patient access services for healthcare providers. Its RCM and claims-resolution offerings compete with Zealie's billing, VOB, and collections stack for specialty provider budgets.
• Sigmund Software (AURA Healthcare): Sigmund Software provides an EHR and billing platform specialized for behavioral health and addiction treatment organizations, overlapping with Zealie's clinical-plus-RCM workflow targeting treatment centers.

Emerging players

• AKASA: AKASA builds AI-driven revenue cycle automation for hospitals and health systems. It represents an emerging AI-native RCM player whose predictive and automation capabilities could eventually overlap with Zealie's analytics-driven approach to behavioral health billing.

Broad incumbents

• Waystar: Waystar is a large, established healthcare revenue cycle management platform serving hospitals and specialty providers. While not behavioral-health-specific, its claims management, analytics, and patient billing capabilities compete for RCM budget at larger treatment-center systems.
• Availity: Availity is an established healthcare payer-provider connectivity and revenue cycle platform with broad eligibility, claims, and prior authorization capabilities. It competes with Zealie's Zealie Check and VOB workflows as a larger, more general-purpose alternative.
• Experian Health: Experian Health offers revenue cycle management, eligibility, and claims management solutions to healthcare providers at scale. As a horizontal incumbent, it competes with Zealie on VOB, claims automation, and analytics in mid-to-large provider accounts.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/ZealieRCM
• YouTubeyoutube.com/channel/UCMUD0Qe_bsE3r9zpecRpVWQ
• Facebookfacebook.com/ZealieRCM
• LinkedInlinkedin.com/company/zealie
• Instagraminstagram.com/zealiercm

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

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 Zealie