Qualify Health
Qualify Health is a Florida-based private software company that operates an AI-powered, pay-for-performance platform automating the matching of hospital patients to financial assistance programs, recovering bad debt for U.S. hospitals, cancer centers, and infusion centers.
- Company typePrivate
- Founded2019
- HeadquartersPalm Beach Gardens, United States
- Headcount1–10
- GTM typeB2B
- OfferingSoftware
What Qualify Health does
Qualify Health, Inc. is a Palm Beach Gardens, Florida-based private software company founded in 2019 by Monique Lappas that operates an AI-powered financial assistance matching platform for U.S. hospitals, cancer care centers, and infusion centers. The platform cross-references patient diagnosis, treatment plan, and financial profile against a curated corpus of over $30 billion in monitored funding programs — including foundation grants, co-pay assistance cards, free drug programs, and federal/state programs — and supports both real-time matching and retroactive matching against up to 12 months of historical patient records. Integration is delivered through a no-code architecture that syncs via secure file transfer with major EMR systems (Epic, Cerner/Oracle Health, Meditech), avoiding custom API builds and minimizing IT involvement.
The product manages the full lifecycle from fund identification and eligibility verification through application submission, approval tracking, and payment collection, and is positioned to deliver deposited cash rather than eligibility reports. The company operates on a pure pay-for-performance model — charging a percentage of revenue successfully recovered and deposited into hospital accounts, with no upfront, subscription, or implementation fees — sold through direct enterprise field sales targeting hospital CFOs, revenue cycle directors, and patient advocacy leadership. The platform is SOC 2 Type 2 compliant (verified via Secureframe) and adheres to HIPAA requirements.
The company reports 10+ hospital partners (including Baptist Health Jacksonville, Greater Baltimore Medical Center, Forrest Health/Mississippi Regional, HaysMed, Grady Health, Monument Health, and others), cumulative customer outcomes of $34M+ in financial assistance recovered, $75M+ in reduced write-offs, and 15,000+ patients helped, with individual sites reporting up to 70% bad debt reduction. With 1-10 employees and no disclosed funding rounds, the company appears to have scaled customer impact on a lean, bootstrapped basis while investing in dedicated sales and technology leadership (VP GTM, CTO) to support the next phase of growth.
Qualify Health firmographics
Firmographics- Name
- Qualify Health
- Legal name
- Qualify Health, Inc.
- Website
- https://qualify.health
- Company type
- Private
- Founded year
- 2019
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Qualify Health is a Florida-based private software company that operates an AI-powered, pay-for-performance platform automating the matching of hospital patients to financial assistance programs, recovering bad debt for U.S. hospitals, cancer centers, and infusion centers.
- Ownership category
- akta.pro rank
Qualify Health industry classification
Industry- Product category
- Healthcare Revenue Cycle Management Software
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Services-Prepackaged Software (7372), Services-Computer Programming, Data Processing, Etc. (7370)
- akta.pro primary industry
- Patient Financial Engagement (Estimates, Billing Presentment, Payments) (HLACAEAI)
- akta.pro secondary industries
- Eligibility & Benefits Verification (HLACACAD), 340B Program Administration & Support (HLAEAKAJ)
Keywords
Where Qualify Health is headquartered
LocationHeadquarters
- HQ city
- Palm Beach Gardens
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Qualify Health business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Marketing or Sales, Operations, Infrastructure
Revenue model
- Pay-for-Performance Commission: Qualify Health charges a percentage of revenue successfully recovered for hospital clients, invoiced only on documented assistance secured and deposited into hospital accounts — never on applications submitted or pending amounts. This aligns company success directly with client outcomes.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Multi-year contract | Pay-for-Performance — percentage of revenue recovered |
Go-to-market motion2 records
Distribution channels1 record
Marketing channels7 records
Qualify Health product offering
Product offeringCore offering
Qualify Health provides a no-code software platform that automates the matching of hospital patients to financial assistance programs such as foundation grants, co-pay assistance cards, free drug programs, and federal/state programs. The platform handles the full lifecycle from eligibility identification and application submission through payment collection, including retroactive matching of up to 12 months of historical records, and operates on a pay-for-performance pricing model.
Product overview
Qualify Health offers a single, unified software platform that automates the matching of hospital patients to financial assistance programs across the full lifecycle — from fund identification and eligibility matching through application submission and payment collection. The platform consists of two primary operational modes: real-time automated matching (which continuously monitors patient accounts and funding openings) and retroactive matching (which scans up to 12 months of historical records for missed eligibility). Both capabilities are delivered through a no-code integration architecture with no upfront fees, using a pay-for-performance pricing model. The platform covers over $30 billion in available funding across foundation grants, co-pay assistance cards, free drug programs, and federal/state programs.
Differentiator
Problem solved
Functional benefit
Products and services
- Qualify Health Financial Assistance Matching Platform A no-code software platform that automates the matching of hospital patients to financial assistance programs from fund identification through payment collection, operating on a pay-for-performance model with no upfront fees, designed for U.S. hospitals, cancer care centers, and infusion centers.
- Hospital Savings Calculator Interactive calculator tool available to prospective hospital clients to estimate potential revenue recovery and financial assistance matching impact for their institution.
Quantifiable outcome
- Over $34 million in charitable advocacy recovered across the client base
- +6 more outcomes
Companies that use Qualify Health
Customer profileNamed customers13 records
Segments4 records
Ideal customer profiles3 records
Qualify Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration6 records
AI capability3 records
Feature6 records
Qualify Health partnerships and signals
Strategic signalScale indicators7 records
Recent moves6 records
Expansion highlights5 records
Qualify Health competitors and assessment
Company assessmentMarket position
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
Qualify Health social profiles
Digital presenceQualify Health compliance and trust
Trust signalCompliance2 records
Qualify Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Qualify Health leadership team
Management profileNumber of profiles
Profiles5 records
Qualify Health funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Qualify Health M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Qualify Health
What does Qualify Health do?
Qualify Health provides a no-code software platform that automates the matching of hospital patients to financial assistance programs such as foundation grants, co-pay assistance cards, free drug programs, and federal/state programs. The platform handles the full lifecycle from eligibility identification and application submission through payment collection, including retroactive matching of up to 12 months of historical records, and operates on a pay-for-performance pricing model.
Is Qualify Health a public or private company?
Qualify Health is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Qualify Health founded?
Qualify Health was founded in 2019. It employs 1 to 10 people.
Where is Qualify Health based?
Qualify Health is headquartered in Palm Beach Gardens, United States, in the North America region.
How does Qualify Health make money?
One revenue line is on record: pay-for-Performance Commission.
Does Qualify Health have an API?
No public API is recorded for Qualify Health.
What industry is Qualify Health in?
Qualify Health's product category is Healthcare Revenue Cycle Management Software. Its primary akta.pro industry code is HLACAEAI, Patient Financial Engagement (Estimates, Billing Presentment, Payments), with a secondary code of HLACACAD, Eligibility & Benefits Verification. Its NAICS code is 524292 and its SIC code is 7372.