Apprio Health
Apprio Health provides AI-powered automation, analytics, and managed services for healthcare operations, serving federal agencies (HHS, VA, DHA, CMS, CDC) and health systems with credentialing, claims administration, analytics, and preparedness solutions.
- Company typePrivate
- Founded1998
- HeadquartersWashington, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What Apprio Health does
Apprio Inc. (operating as Apprio Health) is a privately-held US healthcare technology solutions provider founded in 1998 and headquartered in Washington, DC. The company delivers four integrated service products: Medical Provider Credentialing & Enrollment, Healthcare Analytics, Specialized Medical Claims Administration (with compliance support for MACRA and MIPS), and Healthcare Preparedness & Response. Its underlying technology is an AI-powered automation platform that combines smart automation, structured and unstructured data analytics, and managed support services to streamline administrative and operational workflows for hospitals, health systems, and federal healthcare agencies.
The company's go-to-market is anchored on direct enterprise sales to large federal healthcare buyers through five pre-qualified contract vehicles: CIO-SP3 Small Business, HHS PSC IDIQ, CMS SPARC, GSA MAS, and HCaTS. Named customers include HHS, VA, DHA, CMS, CDC, and Advent Health. Revenue is generated through managed services, professional services, and subscription-style automation engagements, with contract-based pricing negotiated per engagement. A strategic partnership with UiPath extends the company's reach into mid-market healthcare organizations through a channel-led motion.
Apprio operates with a headcount of 11-50 employees and reports over 20 years of federal disaster response experience and 100+ successful automation deployments. It received Modern Healthcare's 2024 Best in Business Award in the Revenue Cycle Management category. The company appears founder- or management-owned, with no disclosed institutional funding, M&A activity, or management team details in the available data.
Apprio Health firmographics
Firmographics- Name
- Apprio Health
- Legal name
- Apprio Inc.
- Website
- https://appriohealth.com
- Company type
- Private
- Founded year
- 1998
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Apprio Health provides AI-powered automation, analytics, and managed services for healthcare operations, serving federal agencies (HHS, VA, DHA, CMS, CDC) and health systems with credentialing, claims administration, analytics, and preparedness solutions.
- Ownership category
- akta.pro rank
Apprio Health industry classification
Industry- Product category
- Healthcare Technology Services
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Services-Health Services (8000)
- akta.pro primary industry
- EHR Extensions, APIs, App Marketplaces & SMART-on-FHIR Apps (HLACAAAN)
Keywords
Where Apprio Health is headquartered
LocationHeadquarters
- HQ city
- Washington
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Apprio Health business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales
Revenue model
- Healthcare Technology Solutions & Services: Apprio generates revenue through providing comprehensive healthcare technology solutions and services to hospitals, health systems, and government healthcare agencies. The company delivers automation, analytics, and support services under various contract vehicles including GSA MAS, CIO-SP3, HHS PSC IDIQ, CMS SPARC, and HCaTS. Revenue is generated through a combination of project-based professional services and ongoing managed services engagements.
- Professional Services: Implementation and consulting services for healthcare automation deployments, claims administration, and credentialing solutions. Services are delivered by expert consultants who help healthcare organizations optimize their operations and achieve sustainable cash flow.
- Subscription-based Automation Solutions: Ongoing automation solutions and platform access provided under contract vehicles, with services focused on increasing revenue, reducing operational costs, and optimizing care delivery for healthcare clients.
Go-to-market motion2 records
Distribution channels3 records
Marketing channels4 records
Apprio Health product offering
Product offeringCore offering
Apprio Health delivers smart automation, robust analytics, and support services for healthcare organizations across four core offerings: specialized medical claims administration, provider credentialing and enrollment, healthcare analytics, and healthcare preparedness and response. The company serves hospitals, health systems, and federal government healthcare agencies, helping them reduce administrative burden, improve financial performance, and maximize human capital utilization through automation and domain expertise.
Product overview
Apprio is a healthcare technology solutions provider offering a portfolio of four integrated service products: Medical Provider Credentialing, Healthcare Analytics, Specialized Medical Claims Administration, and Healthcare Preparedness & Response. The company delivers smart automation, robust analytics, and efficient support services that work together to streamline healthcare workflows, reduce administrative burden, improve financial performance, and maximize human capital utilization across hospitals, health systems, and government healthcare agencies.
Differentiator
Problem solved
Functional benefit
Products and services
- Medical Provider Credentialing & Enrollment Expert execution of all activities associated with provider enrollment and medical credentialing, allowing healthcare organizations to focus on mission-critical business functions.
- Healthcare Analytics Mining of structured and unstructured data to improve hospital operations and resource management, supporting risk management, cost reduction, data-driven clinical decisions, and improved care access and delivery.
- Specialized Medical Claims Administration Claims submission services achieving sustainable cash flow through quick, accurate submissions that maximize payment in line with payer and federal guidelines including MACRA and MIPS.
- Healthcare Preparedness & Response Risk mitigation and resource optimization for continuous operation during patient surges and other emergencies, including planning, response, and recovery during critical situations, with over 20 years of trusted federal disaster response experience.
Quantifiable outcome
- 100+ successful automations deployed across healthcare operations
- +2 more outcomes
Companies that use Apprio Health
Customer profileNamed customers6 records
Segments3 records
Ideal customer profiles3 records
Apprio Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
Apprio Health partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- UiPathcoreUiPath partnered with Apprio to deliver AI-powered automation solutions specifically targeting mid-market healthcare organizations. This partnership combines Apprio's healthcare domain expertise and automation capabilities with UiPath's robotic process automation platform to address healthcare operational challenges. The collaboration enables mid-market healthcare providers to leverage enterprise-grade automation technology.
Scale indicators3 records
Recent moves4 records
Expansion highlights4 records
Apprio Health competitors and assessment
Company assessmentDirect peers
- Edifecs: Edifecs provides healthcare data interoperability and automation for value-based care, claims, and compliance — directly comparable to Apprio's healthcare analytics and claims compliance automation capabilities for payers and providers.
- Availity: Availity operates a healthcare clearinghouse and administrative data exchange platform that automates claims, eligibility, and provider data workflows — closely overlapping with Apprio's claims administration and credentialing offerings for provider organizations and payers.
- Health Catalyst: Health Catalyst is a healthcare data and analytics platform serving health systems and federal agencies — directly comparable to Apprio's Healthcare Analytics product on both enterprise and government customer footprints.
- Infinx: Infinx combines AI-driven prior authorization, patient access, and RCM automation services for healthcare providers — a close peer to Apprio's automation-led approach to claims, credentialing, and provider enrollment workflows.
- Experian Health: Experian Health provides revenue cycle management, identity management, and claims automation solutions to hospitals and payers — comparable to Apprio's claims administration and analytics offerings with similar large-hospital customer focus.
- Waystar: Waystar is a leading revenue cycle management (RCM) cloud platform serving hospitals and health systems — directly comparable to Apprio's Specialized Medical Claims Administration product line, with similar buyer personas and regulatory drivers (MACRA/MIPS).
Broad incumbents
- Optum (UnitedHealth Group): Optum (including Change Healthcare) is the largest incumbent in healthcare technology, RCM, and federal healthcare analytics — competing with Apprio across claims administration, analytics, and provider data services at much greater scale.
- Booz Allen Hamilton: Booz Allen Hamilton is a major federal healthcare IT and analytics contractor serving HHS, VA, and DoD health agencies — directly comparable to Apprio's federal agency book of business at significantly greater scale.
- Accenture Federal Services: Accenture Federal Services delivers large-scale IT modernization and healthcare consulting to HHS, VA, CMS, and DHA — a broad incumbent peer to Apprio's federal healthcare automation and preparedness work.
Emerging players
- Notable: Notable applies AI to automate healthcare administrative workflows (intake, scheduling, billing) — an emerging peer to Apprio's automation positioning for mid-market and enterprise healthcare providers.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks5 records
Key highlights6 records
Customer concentration
Apprio Health social profiles
Digital presenceApprio Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Apprio Health leadership team
Management profileNumber of profiles
Apprio Health funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Apprio Health 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 Apprio Health
What does Apprio Health do?
Apprio Health delivers smart automation, robust analytics, and support services for healthcare organizations across four core offerings: specialized medical claims administration, provider credentialing and enrollment, healthcare analytics, and healthcare preparedness and response. The company serves hospitals, health systems, and federal government healthcare agencies, helping them reduce administrative burden, improve financial performance, and maximize human capital utilization through automation and domain expertise.
Is Apprio Health a public or private company?
Apprio Health is a private company. It is classified as unknown and is currently operating.
When was Apprio Health founded?
Apprio Health was founded in 1998. It employs 11 to 50 people.
Where is Apprio Health based?
Apprio Health is headquartered in Washington, United States, in the North America region.
How does Apprio Health make money?
Three revenue lines are on record. Healthcare Technology Solutions & Services are the primary driver. The others are professional Services and subscription-based Automation Solutions.
Who are Apprio Health's main competitors?
Direct peers on record are Edifecs, Availity, Health Catalyst, Infinx, Experian Health and Waystar. Broad incumbents are Optum (UnitedHealth Group), Booz Allen Hamilton and Accenture Federal Services. Notable is listed as an emerging player.
Does Apprio Health have an API?
No public API is recorded for Apprio Health.
What industry is Apprio Health in?
Apprio Health's product category is Healthcare Technology Services. Its primary akta.pro industry code is HLACAAAN, EHR Extensions, APIs, App Marketplaces & SMART-on-FHIR Apps. Its NAICS code is 524292 and its SIC code is 8000.