What eReceivables does

eReceivables is a privately-held healthcare claims recovery company founded in 2003 and headquartered in Coral Springs, Florida, with a regional office in Clifton, New Jersey. The company recovers denied, underpaid, and aged healthcare claims on behalf of hospitals, health systems, physician groups, laboratories, radiology practices, DME providers, and hospice providers across the United States. Its core product, the patented Claim Axis platform, automates the full lifecycle of denied and aged claims — from intake and standardization through payer-specific appeals generation, 60-day escalation cycles routed directly to payer compliance departments, and real-time outcome analytics. The system processes 10,000+ claims concurrently without throttling and pursues every eligible claim regardless of balance size.

The company operates on a contingency-based revenue model: clients pay only when eReceivables successfully recovers revenue, with no setup costs or software fees. This performance-based pricing aligns the vendor with client outcomes and lowers adoption friction. Go-to-market is enterprise field sales, with a National Sales Director and regional sales representatives conducting discovery calls and demos; marketing is direct and content-led via ereceivables.co. eReceivables is fully U.S.-based with no offshore outsourcing, emphasizing compliance-driven domestic handling of appeals and payer follow-up. The firm was founded by healthcare and insurance professionals and appears to be founder-owned and operated with no outside equity events beyond a single 2014 capital raise of approximately $2.85M. The leadership team of 20+ professionals includes a President and co-founder, COO, CFO, VPs of HR/Client Billing/Compliance, IT, and Operations.

Name

eReceivables

Legal name

eReceivables Inc.

Website

https://ereceivables.co

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

51–100 employees

Short description

eReceivables is a privately-held healthcare claims recovery company that uses its patented Claim Axis platform to automate appeals and recover denied, underpaid, and aged claims for U.S. hospitals, health systems, physician groups, labs, radiology, DME, and hospice providers under a contingency-fee model.

Ownership category

akta.pro rank

Product category

Healthcare Claims Recovery and Denial Management

NAICS

Claims Adjusting (524291), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Collection Agencies (561440)

SIC

Hospital & Medical Service Plans (6324), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Healthcare Provider ERP (Hospital Operations, Supply Chain, Finance) (HDAEAEAH)

Keywords

• Healthcare claims recovery
• Denial management
• Revenue cycle management
• Underpayment audits
• Appeals automation

Headquarters

HQ city

Coral Springs

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Performance-Based Claims Recovery: Contingency-based revenue model where eReceivables earns fees only from successful claim recoveries. No setup costs, no software fees. Client pays only when revenue is actually recovered.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels2 records

Core offering

eReceivables provides healthcare claims recovery and denial management services powered by its patented Claim Axis platform. The platform accepts placement files, generates payer-specific appeals, escalates unresolved claims to payer compliance departments every 60 days, and delivers real-time analytics and weekly performance reporting. Clients pay only on successfully recovered claims with no setup or software fees.

Product overview

eReceivables offers a single unified product called Claim Axis — an automated appeals platform focused exclusively on healthcare claims recovery and denial management. Claim Axis serves as a fully managed, rules-based recovery engine that handles the full lifecycle of denied and aged claims, from intake and standardization through appeals creation, automated tracking, 60-day escalation cycles to payer compliance departments, and final resolution. The platform processes all claim types regardless of balance or complexity without cherry-picking, targeting hospitals, physician groups, labs, radiology, DME, and hospice providers.

Differentiator

Problem solved

Functional benefit

Brands

• Claim Axis: Automated appeals platform designed to pursue and resolve denied and aged claims by engaging directly with payer appeals and compliance departments. Powers high-volume, compliance-driven recovery with payer-specific logic, repeat-cycle escalation, and detailed tracking.

Products and services

• Claim Axis Claim Axis is an automated appeals platform that pursues and resolves denied, aged, and small-balance healthcare claims by routing payer-specific appeals directly to payer appeals and compliance departments. It accepts placement files, generates appeals using payer-specific templates and logic, escalates unresolved claims every 60 days to payer compliance teams, and provides real-time dashboards, audit trails, payer-level segmentation, and weekly performance reporting. It is sold as a fully managed, rules-based recovery engagement for hospitals, health systems, physician groups, labs, radiology practices, DME providers, and hospice providers.

Quantifiable outcome

• Processes 10,000+ claims simultaneously without performance degradation
• +3 more outcomes

Named customers5 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

Feature5 records

Scale indicators4 records

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• Experian Health: Experian Health is a large incumbent healthcare RCM vendor offering claims management, denial management, and patient access solutions to hospitals and health systems. It competes with eReceivables in the denial/appeals recovery space but as part of a much broader RCM portfolio rather than as a specialized recovery-only vendor.
• Optum (UnitedHealth Group): Optum's RCM and payment integrity services include claims recovery, denial management, and underpayment identification for large health systems. It is a much larger incumbent operating across the full revenue cycle, competing with eReceivables on denial/aged AR recovery as one of many service lines.
• Cotiviti: Cotiviti provides payment accuracy and recovery services for healthcare payers and providers, including claim appeals and underpayment detection. It is comparable to eReceivables' focus on denied and underpaid claims but operates at much greater scale across both payer and provider sides.
• Waystar: Waystar is a healthcare revenue cycle cloud platform offering claims management, denials, and patient payment solutions. It serves similar hospital and health system customers and overlaps with eReceivables in denial management, though as part of a full-suite RCM offering.
• Parallon (HCA Healthcare): Parallon provides outsourced revenue cycle services including denial management, A/R follow-up, and underpayment recovery for hospitals and health systems. It competes with eReceivables on aged and denied claim recovery, particularly for large hospital systems, as part of a broader outsourced RCM business.

Emerging players

• AKASA: AKASA builds AI-native automation for healthcare revenue cycle operations, including claims processing and denial appeals. It targets the same hospital and health system customers as eReceivables with an AI-led approach that could represent a long-term competitive alternative to specialized contingency recovery vendors.
• Olive AI: Olive AI (and its spin-off/related entities) provided AI-powered RCM automation including claims status and denial workflows to hospitals. Although the company has restructured, its prior positioning as an AI-first RCM automation vendor is directly competitive with the recovery and appeals work eReceivables performs.
• Health Catalyst: Health Catalyst offers data and analytics platforms for health systems, including revenue cycle analytics and payer contract performance tools that can drive underpayment identification. While not a direct contingency recovery competitor, it overlaps with eReceivables' analytics-driven denial and contract insight capabilities.

Regional players

• Availity: Availity operates a healthcare clearinghouse and revenue cycle platform connecting providers and payers, with capabilities around denial management and claims status. It addresses similar provider use cases to eReceivables but with a clearinghouse-centric model rather than contingency recovery.

Direct peers

• Infinx Healthcare: Infinx provides healthcare revenue cycle solutions including denial management, prior authorization, and medical billing services to hospitals, imaging centers, and specialty groups. It is a more direct competitor to eReceivables in denial and underpayment recovery, with overlapping target customers in radiology, labs, and specialty physician practices.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds1 record

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 eReceivables