Intellivo
Intellivo is a PE-backed health plan subrogation and recovery intelligence company that uses external liability data and proprietary matching models to surface and collect reimbursement opportunities for U.S. health plans, self-funded employers, TPAs, Medicare Advantage, Medicaid, and Taft-Hartley plans on a contingency basis with no member contact.
- Company typePrivate
- Founded1996
- HeadquartersMemphis, United States
- Headcount101–250
- GTM typeB2B
- OfferingSoftware
What Intellivo does
Intellivo is a private, PE-backed health plan subrogation and recovery intelligence company operating from Memphis, Tennessee, with a secondary office in Creve Coeur (St. Louis area), Missouri. The company operates a contingency-based Recovery Intelligence Platform that ingests external liability data — including auto insurance claims, workers' compensation records, litigation filings, accident data, and third-party payer references — and matches it against health plan claims through proprietary scoring, entity resolution, and probability models. This architecture is designed to surface reimbursement opportunities that traditional subrogation approaches miss because they do not surface within claims-system signals, and the platform pursues recoveries end-to-end via automated lien compilation, negotiation workflows, and real-time reporting without placing questionnaires or other administrative burden on plan members (the "No Member Abrasion Pledge"). Infrastructure is HIPAA-compliant, SOC 2 Type II, ISO 27001, and HITRUST certified.
The platform serves fully insured health plans, self-funded employer health plans, third-party administrators, Medicare Advantage plans, Medicaid plans, and Taft-Hartley plans. Customer scale signals include 23 Fortune 100 companies relying on Intellivo, more than 200 of the country's largest health plans served, and named adoption by 4 of 5 major U.S. airlines. Total addressable scale spans in excess of 400 self-insured employer health plans and TPA client health plans combined, with case-study outcomes including $100M+ in total recoveries for one major healthcare system across a two-decade relationship and an 87% recovery rate on $9.2M of previously missed opportunities for a large third-party administrator.
Revenue is generated through pure contingency-based pricing — no setup, activation, or ongoing fees — with Intellivo's fee earned only when funds are recovered and deposited to the client account, aligning vendor incentives to recoveries delivered. Go-to-market is primarily direct enterprise field sales to Fortune 500 health plans and large TPAs, supplemented by a TPA channel partnership program (most recently extended through a June 2025 technology integration with WLT Software) and content-driven demand generation aimed at benefits advisors and payer decision makers. The company is controlled by Thompson Street Capital Partners, which in December 2025 spun out a separate insurance claims management platform, Complex Claims Recovery, from Intellivo to pursue distinct strategies, and in March 2026 Intellivo appointed its first Chief AI and Technology Officer (Dhiraj Sankala) to scale machine-learning-driven detection and cloud-native infrastructure.
Intellivo firmographics
Firmographics- Name
- Intellivo
- Legal name
- Intellivo
- Website
- https://intellivo.com
- Company type
- Private
- Founded year
- 1996
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Intellivo is a PE-backed health plan subrogation and recovery intelligence company that uses external liability data and proprietary matching models to surface and collect reimbursement opportunities for U.S. health plans, self-funded employers, TPAs, Medicare Advantage, Medicaid, and Taft-Hartley plans on a contingency basis with no member contact.
- Ownership category
- akta.pro rank
Intellivo industry classification
Industry- Product category
- Healthcare Subrogation
- NAICS
- Collection Agencies (56144), Claims Adjusting (524291)
- SIC
- Services-Computer Programming, Data Processing, Etc. (7370), Services-Computer Processing & Data Preparation (7374), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Accounts Receivable (A/R) & Collections Management (HLACACAJ)
Keywords
Where Intellivo is headquartered
LocationHeadquarters
- HQ city
- Memphis
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Intellivo business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Revenue model
- Contingency-Based Subrogation Recovery Services: Intellivo operates on a pure contingency-based model where fees are paid exclusively from recovered dollars. There are no setup fees, no activation charges, and no ongoing costs. The company only earns its contingency fee after the client has been paid recovered funds. This aligns incentives fully with clients - Intellivo's success depends on maximizing recoveries.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Outcome Based/ Performance | Pay-as-you-go | Contingency-based pricing - no recovery, no fee |
Go-to-market motion1 record
Distribution channels2 records
Marketing channels7 records
Intellivo product offering
Product offeringCore offering
Intellivo operates the Recovery Intelligence Platform, a proprietary data ecosystem and intelligence layer that ingests external liability data (auto insurance claims, workers' compensation claims, litigation records, accident data, third-party payer references) and connects it to health plan claims via proprietary matching logic, probability scoring, and ML models. The company delivers end-to-end health plan subrogation recovery — from opportunity identification through lien filing, negotiation, and settlement — entirely without contacting plan members, on a pure contingency-based fee structure.
Product overview
Intellivo offers the Recovery Intelligence Platform as its core product, a proprietary data ecosystem that identifies and converts undetected subrogation reimbursement opportunities into recovered dollars for health plans. The platform is supplemented by the No Member Abrasion Pledge feature that eliminates member contact, a zero-risk contingency pricing model, and self-service tools including a Case Referral Portal, Client Portal for real-time reporting, and a Subrogation Assessment tool. The product portfolio works as an integrated end-to-end solution covering identification, investigation, lien management, negotiation, and recovery.
Differentiator
Problem solved
Functional benefit
Products and services
- Recovery Intelligence Platform A proprietary data ecosystem and intelligence layer for health plans, TPAs, and payers that ingests external liability data (auto claims, workers' comp, litigation records, accident data, third-party payer references) and fuses it with health plan claims using proprietary matching logic, probability scoring, and ML models to identify and recover subrogation reimbursements without contacting members.
- Client Portal Real-time, case-level reporting and visibility portal providing health plan and TPA clients with detailed case status, lien values, recovery rates, and automated notifications and alerts for critical subrogation deadlines.
- Case Referral Portal A self-service portal allowing health plans, attorneys, and other parties to refer new cases or request cases be opened for subrogation processing by Intellivo.
- Subrogation Assessment A free assessment that analyzes a health plan's current subrogation performance and estimates the annual recovery gap, identifying missed opportunities and demonstrating Intellivo's Recovery Intelligence capabilities.
Quantifiable outcome
- 60% average annual recovery improvement after switching to Intellivo
- +6 more outcomes
Companies that use Intellivo
Customer profileNamed customers3 records
Segments6 records
Ideal customer profiles6 records
Intellivo technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability5 records
Feature5 records
Intellivo partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- WLT SoftwarecoreWLT Software integrated Intellivo's subrogation services into its benefits administration platform, enabling self-funded employer health plans and TPAs to identify responsible third parties and recover accident claim reimbursements more efficiently. The partnership combines WLT's claims processing technology with Intellivo's automated subrogation platform.
Scale indicators9 records
Recent moves5 records
Expansion highlights5 records
Intellivo competitors and assessment
Company assessmentBroad incumbents
- Conduent:
- Cotiviti: Healthcare payment-integrity and analytics firm specializing in overpayment recovery, subrogation, and claim accuracy for payers and retailers. Directly overlapping with Intellivo's recovery intelligence thesis at a much larger scale.
- MultiPlan: Provider of cost-containment services to U.S. payers, including subrogation, claim negotiation, and data analytics. A long-standing competitor in payer-side recovery with broader product breadth.
- Equian (acquired by CIOX): Pre-acquisition leader in healthcare subrogation and overpayment recovery for payers. Represents the consolidator archetype in this market that Intellivo could be acquired by or compete with.
- Change Healthcare (acquired by Optum): Healthcare technology and payment-integrity platform with subrogation, COB, and analytics. Now part of Optum but historically a direct competitor in payer recovery solutions.
- HMS Holdings (now Gainwell Technologies): Payment-integrity and population-health management vendor serving Medicaid and commercial payers, including subrogation and coordination of benefits. Comparable recovery offerings at much larger scale.
- Optum (UnitedHealth Group): Largest U.S. healthcare cost-containment and payment-integrity operator, offering subrogation, coordination of benefits, fraud detection, and analytics. Operates a much broader portfolio than Intellivo and is the dominant incumbent in payer recovery.
Direct peers
- Zelis: Healthcare payments optimization and cost-containment platform serving payers, providers, and consumers with payment integrity, claims management, and subrogation-adjacent services. Highly comparable to Intellivo's payer-focused recovery work; Intellivo's new CAITO previously led AI at Zelis.
- Discovery Health Partners: Healthcare subrogation, COB, and payment-integrity specialist serving health plans and TPAs. Closest head-to-head peer to Intellivo in subrogation-only services.
Emerging players
- SCIO Health (now emids): Healthcare analytics and payment-integrity services firm offering subrogation and recovery solutions. Mid-sized peer with overlapping payer client base.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
Intellivo social profiles
Digital presenceIntellivo compliance and trust
Trust signalCompliance4 records
Intellivo financial estimates
Financial estimateRevenue estimate
Valuation estimate
Intellivo leadership team
Management profileNumber of profiles
Profiles8 records
Intellivo subsidiaries and ownership
Company hierarchySubsidiaries1 record
Intellivo funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Intellivo 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 Intellivo
What does Intellivo do?
Intellivo operates the Recovery Intelligence Platform, a proprietary data ecosystem and intelligence layer that ingests external liability data (auto insurance claims, workers' compensation claims, litigation records, accident data, third-party payer references) and connects it to health plan claims via proprietary matching logic, probability scoring, and ML models. The company delivers end-to-end health plan subrogation recovery — from opportunity identification through lien filing, negotiation, and settlement — entirely without contacting plan members, on a pure contingency-based fee structure.
Is Intellivo a public or private company?
Intellivo is a private company. It is classified as private equity controlled and is currently operating.
When was Intellivo founded?
Intellivo was founded in 1996. It employs 101 to 250 people.
Where is Intellivo based?
Intellivo is headquartered in Memphis, United States, in the North America region.
How does Intellivo make money?
One revenue line is on record: contingency-Based Subrogation Recovery Services.
Who are Intellivo's main competitors?
Broad incumbents on record are Conduent, Cotiviti, MultiPlan, Equian (acquired by CIOX), Change Healthcare (acquired by Optum), HMS Holdings (now Gainwell Technologies) and Optum (UnitedHealth Group). Direct peers are Zelis and Discovery Health Partners. SCIO Health (now emids) is listed as an emerging player.
Does Intellivo have an API?
No public API is recorded for Intellivo.
What industry is Intellivo in?
Intellivo's product category is Healthcare Subrogation. Its primary akta.pro industry code is HLACACAJ, Accounts Receivable (A/R) & Collections Management. Its NAICS code is 56144 and its SIC code is 7370.