Upic Health

What Upic Health does

UPIC Health is a privately held US-based healthcare administrative services firm founded in 2014 and headquartered in Chantilly, Virginia. The company operates a 100% US-shore, patient-centric call center and delivers end-to-end revenue cycle management, patient communications, claims processing, denial management, EHR optimization, and pre-surgical preparation services to healthcare providers and practices. Its go-to-market is consultative and direct: an assessment-based sales motion under which practices buy a diagnostic engagement (Med Ops Lab) that maps patient journeys, audits revenue cycle effectiveness, and identifies EHR simplification opportunities, then graduate into multi-year ongoing managed services (Med Ops) priced on a 15% service-fee basis with shared operational savings.

The core technology stack is a healthcare administrative technology platform centered on patient journey mapping, real-time EHR integration and interoperability analytics, claim rejection/resolution analytics, and secure video-based TelePrep for pre-surgical paperwork and pre-authorizations. UPIC also runs Recovery Blueprint™, a community initiative building a coalition of healthcare, behavioral health, housing, public safety, judicial, faith-based, and community organizations in the Kensington neighborhood of Philadelphia to coordinate long-term recovery services for individuals experiencing homelessness and substance use disorder, supported by dedicated Peer Recovery Partners and secure messaging, video, and phone technology.

Revenue mechanics blend professional services (assessment-driven Med Ops Lab fees unique to each practice) with managed services (a 15% ongoing fee covering call center, RCM, A/R management, pre-auth, claims submissions, denial management, and quality assurance). Pricing is quote-based, custom to each practice's cost projection, and structured as multi-year contracts with shared savings from operational efficiencies. The firm employs 101–250 people, has reported 100% client satisfaction, and scaled call volume by 40% during COVID-19 with no service disruption over a decade of operations. Certification, awards, and recognition include the Brava Award, TINYpulse Raising the Bar Award, Top 10 Patient Engagement Solution Providers from Healthcare Tech Outlook, SWaM certification, and the Shesource Award.

Name

Upic Health

Legal name

UPIC Health LLC

Website

https://upichealth.com

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

51–100 employees

Short description

UPIC Health is a US-based, women-led healthcare administrative services firm delivering revenue cycle management, patient communications, EHR optimization, and recovery services coordination to healthcare providers through Med Ops Lab, Med Ops, and the Recovery Blueprint community initiative.

Ownership category

akta.pro rank

Product category

Healthcare Administrative Services

NAICS

Social Assistance (624), Other Individual and Family Services (624190)

SIC

Services-Health Services (8000), Services-Prepackaged Software (7372), Services-Misc Health & Allied Services, Nec (8090)

akta.pro industry

PRIMARYHLALABAJ

Patient Engagement, Education & Messaging Platforms (portal/CRM integrated)

Healthcare & Life Sciences/Telehealth Platforms/Provider-Integrated Virtual Care Platforms (Health Systems/Clinics)

Keywords

• Healthcare administrative services
• Revenue cycle management
• Patient engagement solutions
• Medical BPO services
• Healthcare consulting services

Headquarters

HQ city

Chantilly

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Med Ops Lab Services: Initial assessment and transformation engagement that provides patient journey mapping, EHR optimization, and revenue cycle analysis. Pricing is cost-projection based and unique to each practice, with a 15% ongoing service fee.
2. Med Ops Ongoing Services: Continuous administrative support including patient communications, A/R management, pre-auth and claims submissions, denial management, and quality assurance. Provides centralized patient support enabling clinical staff to focus on patient care.
3. Recovery Blueprint Community Coordination: Coalition-building initiative connecting healthcare, behavioral health, housing, public safety, judicial, faith-based, and community organizations for coordinated recovery services.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

UPIC Health is a US-based healthcare administrative services firm that centralizes patient-facing back-office work for medical practices. Its core offerings consist of Med Ops Lab, a diagnostic and consulting engagement that maps patient journeys, optimizes EHRs, and analyzes the revenue cycle, followed by Med Ops, an ongoing managed services engagement that runs patient communications, TelePrep pre-surgical preparation, A/R management, pre-authorizations, claims submissions, and denial management. A separate Recovery Blueprint community initiative coordinates healthcare, behavioral health, housing, public safety, judicial, faith-based, and community partners in Kensington, Philadelphia using Peer Recovery Partners and secure technology.

Product overview

UPIC Health is a healthcare administrative services provider offering two primary service tiers: Med Ops Lab is a diagnostic and consulting engagement that assesses healthcare operations, maps patient journeys, optimizes EHR systems, and analyzes revenue cycles to prepare practices for centralization; Med Ops is the execution-stage centralized administrative BPO service covering patient communications, revenue cycle management, A/R management, claims submissions, denial management, and TelePrep pre-surgical services. Additionally, Recovery Blueprint is a community initiative program that coordinates recovery services across healthcare, behavioral health, housing, and community organizations using Peer Recovery Partners and secure technology for long-term patient engagement.

Differentiator

Problem solved

Functional benefit

Brands

• Med Ops Lab: A high-value solution for healthcare providers offering patient journey mapping, EHR optimization, revenue cycle effectiveness analysis, and cost-effective management for urgent operational transformation.
• Med Ops
• Recovery Blueprint

Products and services

• Med Ops Lab Real-time, hands-on diagnostic and consulting engagement that maps patient journeys, optimizes EHR systems, and analyzes revenue cycle effectiveness for healthcare practices needing urgent administrative transformation prior to centralization.
• Med Ops Ongoing centralized administrative and revenue cycle BPO service for healthcare providers, covering patient communications, call center operations, A/R management, pre-authorizations, claims submissions, denial management, and continuous improvement.
• Recovery Blueprint Coalition-building community initiative that coordinates healthcare, behavioral health, housing, public safety, judicial, faith-based, and community organizations into a single recovery ecosystem, supported by dedicated Peer Recovery Partners and secure video, phone, and messaging technology for long-term engagement.

Quantifiable outcome

• 40% increase in volume met during COVID with zero disruption in service
• +2 more outcomes

Segments2 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

One partnership is on record.

• Kensington Recovery Blueprint Founding CoalitioncoreStrategic or Co-development PartnerUPIC Health is building a coalition of healthcare, behavioral health, housing, public safety, judicial, faith-based, and community organizations to improve long-term recovery outcomes for individuals experiencing homelessness and substance use disorder in Kensington, Philadelphia. Founding Partners will help shape the future of Recovery Blueprint while preserving the strengths of their own organizations.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• R1 RCM: Large healthcare revenue cycle management and administrative BPO serving hospitals and physician practices. Directly comparable to UPIC's Med Ops claims, denial management, and patient communications offering, though at far greater scale and public-company scope.
• Ensemble Health Partners: End-to-end revenue cycle management and patient access services for hospitals and health systems. Closely comparable business model to UPIC Med Ops — outsourced admin services with patient engagement and RCM specialization.
• AGS Health: Healthcare revenue cycle management and medical billing BPO with a focus on AI-augmented delivery. Comparable to UPIC Med Ops in core RCM and patient-facing administrative services, though AGS leverages technology more heavily.

Broad incumbents

• Optum (UnitedHealth Group): Massive healthcare services arm of UnitedHealth Group spanning RCM, patient engagement, care navigation, and population health. Overlaps broadly with UPIC's admin services but at vastly greater scale and as part of a payer-provider portfolio.
• Conifer Health Solutions: Tenet Healthcare subsidiary delivering revenue cycle, patient access, and value-based care services to hospitals and physician networks. Comparable in business model to UPIC's Med Ops but operates at health-system scale.
• Waystar: Healthcare revenue cycle technology platform covering claims management, denial prevention, and patient payments. Overlaps with UPIC's revenue cycle effectiveness work but as a software-led rather than services-led model.

Emerging players

• Cedar: Patient financial engagement platform for medical bills, payments, and pre-visit workflows. Comparable to UPIC's patient communications and pre-surgical TelePrep capability but with a software-first approach rather than BPO services.
• Phreesia: Patient intake, engagement, and payment platform used by health systems and physician practices. Overlaps with UPIC's patient communications and journey mapping focus at the front end of the patient experience.
• Collectly: Patient billing and engagement platform focused on A/R recovery and patient payment experience. Comparable to UPIC's revenue cycle and patient communications work, targeting similar physician practice customers.
• Lyra Health: Mental health and substance use disorder care platform for employers and health plans. Relevant comparable for UPIC's Recovery Blueprint recovery-support initiative, though Lyra operates as a clinical care provider rather than community coordinator.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights8 records

Customer concentration

• YouTubeyoutube.com/@upichealthllc9709
• LinkedInlinkedin.com/company/upic-health-llc
• Xx.com/UPICHealth

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

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 Upic Health