Reimbursify
Reimbursify is a HIPAA-compliant mobile and web platform that enables individual patients and out-of-network healthcare practitioners to file, verify, and track out-of-network insurance reimbursement claims, monetizing via per-claim fees, practitioner subscriptions, and integrated payment processing.
- Company typePrivate
- Founded2013
- HeadquartersNew York, United States
- Headcount1–10
- GTM typeB2B and B2C
- OfferingSoftware
What Reimbursify does
Reimbursify is a mobile-enabled software platform, founded in 2013 and operated as Reimbursify LLC (Delaware), that simplifies out-of-network (OON) medical and mental health insurance claim filing for both individual patients and healthcare practitioners. The platform serves a two-sided market: patients with PPO insurance who seek care from non-network providers (especially mental health therapists, physical therapists, psychiatrists, speech-language pathologists, and nutritionists), and small-to-mid-market practices that want to grow their OON caseloads without taking on the administrative burden of superbills and manual insurer follow-up. The company reports that more than $100 million in claims have been filed through the platform, with hundreds of thousands of claims processed and a network of 1,000+ partnered providers serving tens of thousands of patients.
The technology stack centers on the proprietary Reimbursify Claim Engine, hosted on Amazon Web Services under HIPAA-compliant architecture, which consumes and optimizes structured claim data from the iOS/Android mobile app, the FileFAST web widget, and the R-API integration capability. The product suite includes the consumer Reimbursify App (self-filing in under a minute with real-time status tracking), the Practice Portal (VOB verification, courtesy claim filing, EHR/Practice Management integration), the VeriFAST benefit-verification widget, the FileFAST in-browser claim widget, Reimbursify Payments (PCI DSS Level 1 processing), and the R-API for digital health partner integrations. Certifications include HIPAA and PCI DSS Level 1.
The business model combines four revenue streams: per-claim patient fees ($3.99 per claim or $29.99 for a 10-claim pack, with the first claim free), tiered practitioner subscriptions (Basic free, Plus at $59/mo, Pro at $99/mo per practitioner), payment processing take rate (2.9% + $0.30 per transaction), and API/integration licensing for EHR/EMR and digital health partners. Go-to-market is product-led and self-serve for the consumer app and Basic tier, with an enterprise field-sales overlay (demos, group pricing, 10% multi-practitioner discount, 40% part-time discount) targeting larger practices. Geographic scope is United States domestic, with explicit exclusions for Medicaid, Traditional Medicare, workers' compensation, EPO plans, some HMO plans, and secondary insurance.
Reimbursify firmographics
Firmographics- Name
- Reimbursify
- Legal name
- Reimbursify LLC
- Website
- https://reimbursify.com
- Company type
- Private
- Founded year
- 2013
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Reimbursify is a HIPAA-compliant mobile and web platform that enables individual patients and out-of-network healthcare practitioners to file, verify, and track out-of-network insurance reimbursement claims, monetizing via per-claim fees, practitioner subscriptions, and integrated payment processing.
- Ownership category
- akta.pro rank
Reimbursify industry classification
Industry- Product category
- Healthcare Claims Management Software
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)
- SIC
- Services-Computer Programming, Data Processing, Etc. (7370), Services-Prepackaged Software (7372)
- akta.pro primary industry
- Patient Financial Engagement (Estimates, Billing Presentment, Payments) (HLACAEAI)
- akta.pro secondary industries
- Claims Management, Scrubbing & Clearinghouse (HLACACAB), Medical Billing & Coding Automation (HLACACAA), Healthcare Billing & Patient Payments Presentment (FSAMAJAH)
Keywords
Where Reimbursify is headquartered
LocationHeadquarters
- HQ city
- New York
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Reimbursify business model
Business model- GTM type
- B2B and B2C
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Revenue model
- Per-Claim Filing Fees (Patient): Patients pay $3.99 per claim filing (one visit with one practitioner) or $29.99 for a 10-claim pack valid for one year. First claim is always free for new users. Claims are free for patients when practitioner has Plus or Pro subscription.
- Practitioner Subscription Plans: Tiered monthly/annual subscription plans for healthcare practitioners: Basic (free with per-claim fees), Plus ($59/month or $53/month annual per practitioner), and Pro ($99/month or $89/month annual per practitioner). Includes unlimited claims filing for Plus/Pro subscribers.
- Payment Processing (Reimbursify Payments): Transaction-based payment processing at 2.9% + 30 cents per transaction. Funds deposited within 2 business days. Includes free chargeback assistance.
- API/Integration Licensing: API integration capability for digital healthcare partners (EHR/EMR platforms and digital health companies) to file out-of-network reimbursement claims through their platforms.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Freemium | Pay-as-you-go | Free plan for practitioners with per-claim fees for patients |
| Subscription | Monthly | $59/month per practitioner for growing practices |
| Subscription | Monthly | $99/month per practitioner for advanced features |
| Transaction based/ take rate | Pay-as-you-go | 2.9% + 30 cents per transaction for integrated payments |
Go-to-market motion2 records
Distribution channels6 records
Marketing channels8 records
Reimbursify product offering
Product offeringCore offering
Reimbursify provides a healthcare claims platform that enables patients and healthcare practitioners to file out-of-network medical insurance reimbursement claims through mobile apps, a web-based Practice Portal, and embeddable widgets. The platform combines claims submission, benefits verification, integrated payment processing, and API integrations with EHR and practice management systems, with the proprietary Claim Engine powering automated form preparation and code structuring.
Product overview
Reimbursify is a mobile-enabled software platform offering a unified ecosystem for out-of-network insurance reimbursement. The core offering includes the Reimbursify App for patients to self-file claims and the Reimbursify Practice Portal for practitioners to manage claims. These are complemented by VeriFAST (benefit verification), FileFAST (web filing widget), and Reimbursify Payments (integrated billing). The proprietary Reimbursify Claim Engine powers all claim processing, while the R-API enables third-party integrations. Pricing tiers range from a free Basic plan to a Pro plan ($89-99/month) for practitioners, with patient claim filing available at $3.99 per claim or via unlimited free claims when practitioners have subscribed plans.
Differentiator
Problem solved
Functional benefit
Quantifiable outcome
- Practitioners save an average of 10 hours per month on administrative tasks
- +5 more outcomes
Companies that use Reimbursify
Customer profileNamed customers5 records
Segments3 records
Ideal customer profiles3 records
Reimbursify technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
AI capability2 records
Feature7 records
Reimbursify partnerships and signals
Strategic signalScale indicators4 records
Recent moves5 records
Expansion highlights5 records
Reimbursify competitors and assessment
Company assessmentBroad incumbents
- VisitPay: VisitPay is a patient financial engagement platform used by health systems to consolidate billing and payment experiences, competing with Reimbursify on patient billing presentment and payment workflows.
- Better: Better (and its Merchant One division) provides patient financing and healthcare payment solutions that overlap with Reimbursify's payment-processing and patient-billing experience, though at a broader consumer-finance scale.
- SimplePractice: SimplePractice is a practice management and billing platform for private health and wellness practitioners that could add OON claim filing features, competing with Reimbursify's Practice Portal at a much larger scale.
- Cedar: Cedar is an enterprise patient financial engagement and billing platform used by large health systems, operating a much broader product suite but competing for the same patient-payment and engagement wallet share as Reimbursify.
- Waystar: Waystar is a large-scale revenue cycle management and claims processing platform; if it extends into OON patient-facing workflows, it would represent a formidable incumbent competitor to Reimbursify.
Emerging players
- Lyra Health: Lyra Health is an employer-sponsored mental health benefits provider that handles therapy billing and OON reimbursement for its network, an emerging player in the same behavioral-health insurance workflow Reimbursify addresses.
- Grow Therapy: Grow Therapy is a behavioral health practice platform handling insurance credentialing, billing, and OON workflows for therapists, an emerging competitor in the same mental health reimbursement category Reimbursify targets.
Direct peers
- Collectly: Collectly provides patient billing, statements, and A/R workflows for healthcare practices, directly competing with Reimbursify's per-claim and subscription monetization on patient payments and post-visit collections.
- Alma: Alma is a therapist-led mental health platform that streamlines insurance billing and out-of-network reimbursement for its network, overlapping directly with Reimbursify's core practitioner offering in mental health.
- Headway: Headway is a mental health platform that helps out-of-network therapists get paid and patients use their insurance, addressing the same OON reimbursement problem Reimbursify solves in the behavioral health segment.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
Reimbursify social profiles
Digital presenceReimbursify compliance and trust
Trust signalCompliance2 records
Reimbursify financial estimates
Financial estimateRevenue estimate
Valuation estimate
Reimbursify leadership team
Management profileNumber of profiles
Profiles1 record
Reimbursify funding detail
Funding detailFunding overview
Funding rounds1 record
Investors2 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Reimbursify 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 Reimbursify
What does Reimbursify do?
Reimbursify provides a healthcare claims platform that enables patients and healthcare practitioners to file out-of-network medical insurance reimbursement claims through mobile apps, a web-based Practice Portal, and embeddable widgets. The platform combines claims submission, benefits verification, integrated payment processing, and API integrations with EHR and practice management systems, with the proprietary Claim Engine powering automated form preparation and code structuring.
Is Reimbursify a public or private company?
Reimbursify is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Reimbursify founded?
Reimbursify was founded in 2013. It employs 1 to 10 people.
Where is Reimbursify based?
Reimbursify is headquartered in New York, United States, in the North America region.
How does Reimbursify make money?
Four revenue lines are on record. Per-Claim Filing Fees (Patient) is the primary driver. The others are practitioner Subscription Plans, payment Processing (Reimbursify Payments) and API/Integration Licensing.
Who are Reimbursify's main competitors?
Broad incumbents on record are VisitPay, Better, SimplePractice, Cedar and Waystar. Emerging players are Lyra Health and Grow Therapy. Direct peers are Collectly, Alma and Headway.
Does Reimbursify have an API?
Yes. Reimbursify offers an API (R-API) that enables third parties to file out-of-network reimbursement claims with any private health insurance company. The API is designed for digital healthcare partners to integrate automated reimbursement flow into their solutions, increasing their value proposition and enhancing access to care while optimizing health insurance benefits for telehealth and online services. Developer documentation is at reimbursify.com/partners.
What industry is Reimbursify in?
Reimbursify's product category is Healthcare Claims Management Software. Its primary akta.pro industry code is HLACAEAI, Patient Financial Engagement (Estimates, Billing Presentment, Payments), with a secondary code of HLACACAB, Claims Management, Scrubbing & Clearinghouse. Its NAICS code is 524292 and its SIC code is 7370.