REVELOHEALTH

What REVELOHEALTH does

REVELOHEALTH is a privately held healthcare information technology company headquartered in Frisco, Texas, with an additional office in Addison, Texas. The company operates a payer claims repricing technology platform — the same platform used by over 700 health plans to price claims for their members — and packages it as a suite of products for both payers and providers. Core offerings include REPRICITY® for independent medical claims repricing (claimed 98% first-pass accuracy, 100% automation, and 24-hour turnaround), the iCALIBRATE™ family (aCALIBRATE™ for contract assessment, mCALIBRATE™ for negotiation modeling, and iCALIBRATE™ Integrity for real-time contract monitoring), and an end-to-end revenue cycle management (RCM) service bundle that includes iSTACK™ analytics, ONECARECOST™ (Advanced Explanation of Price at point of care), HAZL™ workflow tools, and eRCM™ exception-based operations. The platform integrates with TriZetto QicLink, ClaimsExchange, and NetworX Pricer via a Cognizant collaboration, and is deployed against CPT- and DRG-level contract terms to deliver payer-provider pricing parity without estimates or averages.

The company serves three primary customer segments: payers and third-party administrators (TPAs), provider groups and physician organizations, and hospitals and integrated delivery systems. Its go-to-market is enterprise field sales targeting large health systems for platform-wide deployment (Bon Secours Mercy Health is the flagship IDN customer as of May 2026), supplemented by technology integration partnerships with Cognizant, TriZetto, and EXL Service. Pricing is quote-based under multi-year enterprise contracts; revenue is generated through platform/SaaS licensing and professional services covering RCM, contract advisory, and implementation.

REVELOHEALTH was founded by healthcare operators with over 200 combined years of payer and provider experience and is venture-backed. The board includes senior partners from Santé Ventures (the lead investor, with Doug French as Chairman and Dr. Joe Cunningham as director), Gauge Capital, Healthcare Highways, and Merritt Hawkins, plus Jason Szczuka from Accrete Health Partners following the May 2026 strategic investment. The company employs 51-100 people, achieved SOC 2 Type II compliance in 2026, and operates exclusively in the United States.

Name

REVELOHEALTH

Legal name

REVELOHEALTH, Inc.

Website

https://revelohealth.net

Company type

Private

Founded year

2020

Operating status

Operating

Headcount range

51–100 employees

Short description

REVELOHEALTH is a healthcare information technology company that provides payer claims repricing, managed care contract integrity, and end-to-end revenue cycle management solutions to health plans, third-party administrators, physician organizations, and integrated delivery systems in the United States.

Ownership category

akta.pro rank

Product category

Healthcare Claims Repricing and Revenue Cycle Technology

NAICS

Collection Agencies (561440), Business Support Services (5614)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Accounts Receivable (A/R) & Collections Management (HLACACAJ)

akta.pro secondary industries

Patient Financial Engagement (Estimates, Billing Presentment, Payments) (HLACAEAI), Cost of Care, Spend Analytics & Financial Performance Management (HLACAHAJ), Pricing Operations & Analytics (Price Governance, Systems, Reporting) (HLAIAKAK)

Keywords

• Claims repricing solutions
• Revenue cycle management
• Managed care contract integrity
• Healthcare payment platform
• Price transparency software

Headquarters

HQ city

Frisco

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Platform/SaaS Licensing: REVELOHEALTH delivers its healthcare claim pricing, information transparency, and revenue cycle management solutions within a payer repricing technology platform to both payers and providers. Revenue appears to be generated through platform deployment fees and ongoing licensing for access to REPRICITY®, iCALIBRATE™, and related analytics tools.
2. Professional Services: RCM Services including customized and comprehensive revenue cycle management solutions. The company provides managed care contract advisory services and implementation support.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

REVELOHEALTH delivers healthcare claim pricing, information transparency, and revenue cycle management solutions within a payer repricing technology platform to both payers and providers. Its core products — REPRICITY® for automated claims repricing and the iCALIBRATE™ family for managed care contract integrity — are complemented by end-to-end RCM Services, iSTACK™ analytics, and ONECARECOST™ point-of-care price transparency, all designed to reduce cost of collection and enable payer-provider parity.

Product overview

REVELOHEALTH operates as a healthcare information technology company offering a platform-plus-modules architecture centered on claims repricing and contract integrity. The core platform consists of REPRICITY® for payer claims repricing and iCALIBRATE™ for managed care contract analytics, with the CALIBRATE family further comprising aCALIBRATE™ (contract assessment), mCALIBRATE™ (contract modeling for negotiations), and iCALIBRATE™ (real-time integrity monitoring). Supporting the core platform are RCM Services providing end-to-end revenue cycle management, powered by iSTACK™ analytics, ONECARECOST™ price transparency tools, and eRCM™ workflow optimization modules.

Differentiator

Problem solved

Functional benefit

Brands

• REPRICITY®: Independent, innovative medical claims repricing solution for networks, health plans, and employers. Provides 100% automated claims re-pricing process and 98% first pass accuracy rate with complete claim reconciliation with 24-hour business turnaround.
• iCALIBRATE™
• eRCM™
• iSTACK™
• ONECARECOST™
• aCALIBRATE™
• mCALIBRATE™
• HAZL™

Products and services

• REPRICITY® Independent, innovative medical claims repricing solution for networks, health plans, and employers. REPRICITY® provides 100% automated claims re-pricing with a 98% first-pass accuracy rate and complete claim reconciliation, returning repriced 837 standard claim files within 24 hours of receipt, including iSTACK™ analytics for daily audit control and claim routing.
• iCALIBRATE™ Family Managed care contract integrity platform consisting of aCALIBRATE™ (contract assessment and inventory), mCALIBRATE™ (contract modeling for payer negotiations with CPT-code specific allowables), and iCALIBRATE™ (real-time contract integrity monitoring that compares payer 835 payment files against contracted allowables and identifies variances by CPT code).
• RCM Services Customized and comprehensive end-to-end revenue cycle management services that use the CALIBRATE™ family of solutions, iSTACK™ analytics, and ONECARECOST™ to reduce cost of collection, transform RCM into an exception-based operation, and enable point-of-care patient collections for payers, provider groups, and hospital and health systems.

Named customers2 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature5 records

Partnerships

Three partnerships are on record, tiered major and supporting.

• CognizantmajorTechnology or IntegrationREVELOHEALTH collaborated with Cognizant to create a unique repricing solution based on TriZetto QicLink, ClaimsExchange and NetworX Pricer. Cognizant provides technology infrastructure for claims processing integration.
• TriZettomajorTechnology or IntegrationTriZetto QicLink is used as the foundation for REVELOHEALTH's automated real-time repricing solution. This enables integration with payer claims processing systems.
• EXL ServicesupportingTechnology or IntegrationListed as an industry leading technology partner for building proprietary applications to elevate repricing solutions.

Scale indicators6 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Waystar: Leading cloud-based healthcare payments and revenue cycle management platform serving hospitals and health systems. Directly comparable to ReveloHealth's RCM and patient-payments offerings, with overlapping customers in the provider back-office.
• Experian Health: Provides patient access, claims management, and revenue cycle solutions to providers and payers. Competes with ReveloHealth across patient financial clearance, claims processing, and contract management workflows.
• Availity: Operates the largest real-time payer-provider data exchange network in U.S. healthcare, with strong overlaps in claims editing, pricing transparency, and payer-provider collaboration that mirror ReveloHealth's repricing and contract integrity capabilities.
• FinThrive: End-to-end revenue cycle management platform covering patient access, claims, contract management, and analytics. Closely comparable to ReveloHealth's eRCM, contract modeling, and price transparency offerings.
• Edifecs: Specializes in payer-provider data exchange, claims editing, and value-based care analytics. Direct overlap with ReveloHealth's claims processing, repricing accuracy, and contract integrity capabilities.

Emerging players

• Infinx Healthcare: Provides RCM, prior authorization, and patient access solutions with AI-enabled workflows for hospitals and physician groups. Comparable as a next-generation RCM/automation peer focused on provider-side collections.
• Health Catalyst: Healthcare analytics and decision-support platform serving health systems and payers. Overlaps with ReveloHealth's iSTACK analytics and contract performance monitoring capabilities.
• AKASA: AI-native revenue cycle automation platform for hospitals and health systems. Comparable to ReveloHealth's exception-based RCM vision, though focused on autonomous workflows rather than contract-level repricing.

Broad incumbents

• Optum (UnitedHealth Group): Largest healthcare services and innovation company offering extensive RCM, claims processing, and analytics capabilities. Competes broadly with ReveloHealth across the entire payer-provider value chain at massive scale.

Others

• Cognizant TriZetto: Claims processing platform (QicLink, ClaimsExchange, NetworX Pricer) that underpins much of ReveloHealth's REPRICITY offering. Both technology partner and adjacent competitor in payer-side claims management.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/REVELOHEALTH
• Facebookfacebook.com/profile.php
• LinkedInlinkedin.com/company/revelohealth

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles17 records

Funding overview

Funding rounds2 records

Investors2 records

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 REVELOHEALTH