Four Points Health

What Four Points Health does

Four Points Health is a St. Louis-based private healthcare technology company founded in 2023 that delivers intelligent automation (IA) solutions combining artificial intelligence, machine learning, business process management, and robotic process automation to U.S. healthcare providers and payers. The company's core platform is organized around its proprietary IA Cycle methodology, a continuous loop that ingests structured clinical, operational, and claims data into predictive models, automates the resulting actions, assesses outcomes, and updates algorithms to refine performance over time. Solution offerings are divided into Continuum of Care Automation (patient intake through post-acute discharge) and Revenue Cycle Management Automation (referral management, eligibility verification, pre-authorization, coding, credentialing, denial management), with ACIS (Automated Claim Integrity Solution) launched in January 2025 as a patent-pending sub-product focused on proactive claim denial prediction and correction.

The company sells through a sales-led, enterprise-focused motion that begins with a complimentary 90-minute consultation and proceeds through discovery, self-funding 12-18 month roadmap development, design and deployment, and ongoing Sustainment and Support Services. Revenue is generated through a mix of professional services (Advisory, Discovery, Implementation) and recurring subscription support, with pricing quote-based rather than published. Distribution is augmented by Core-tier partnerships with NTT Data and Optum, alongside Supporting-tier alliances with Botdev, Life365, Proinception, Union Healthcare Insights, and Unite. Customer concentration sits in large enterprise health systems, with named engagements including a Mid West Healthcare System ($45M annual client impact), an East Coast University Healthcare System ($20M+ annual cost reduction), and Northern Blue Cross Blue Shield (31% reduction in nurse administrative time, 48% capacity increase).

The leadership team of Jeff Hatfield (Co-CEO/Founder) and Joe McCann (Co-Founder/CFO & CRO) is credited with 130-160+ years of combined healthcare experience and a track record of 60+ deployments; the firm operates with a lean 1-10 employee headcount, has not disclosed external funding, and reports $3.4B in cumulative client ROI delivered across the leadership team's deployments.

Name

Four Points Health

Legal name

Four Points Health

Website

https://fourpoints-health.org

Company type

Private

Founded year

2023

Operating status

Operating

Headcount range

1–10 employees

Short description

Four Points Health is a St. Louis-based private company that delivers intelligent automation solutions combining AI, ML, BPM, and RPA to U.S. healthcare providers and payers, with a focus on revenue cycle management and continuum-of-care workflows via its proprietary IA Cycle and patent-pending ACIS product.

Ownership category

akta.pro rank

Product category

Healthcare Intelligent Automation

NAICS

Software Publishers (5132), Custom Computer Programming Services (541511)

SIC

Services-Prepackaged Software (7372), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Medical Billing & Coding Automation (HLACACAA)

akta.pro secondary industries

Accounts Receivable (A/R) & Collections Management (HLACACAJ), Eligibility & Benefits Verification (HLACACAD), Patient Intake, Digital Registration & eForms (HLACAEAF), Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)

Keywords

• Healthcare automation
• Intelligent automation solutions
• Revenue cycle management
• Clinical workflow automation
• Healthcare AI consulting

Headquarters

HQ city

St Louis

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. IA Advisory Services: Strategic planning and consulting for healthcare automation programs. Collaborates with executive sponsors and stakeholders to assess current and future state requirements for automation. Provides foundational support for initiating, expanding, or recalibrating automation programs.
2. IA Solutions Implementation: Design and deployment of intelligent automation solutions based on approved designs, using standardized implementation and agile development methodologies. Includes testing and compliance checks for seamless integration with existing healthcare systems.
3. Sustainment and Support Services: Ongoing maintenance and support of deployed solutions through active digital monitoring and support services. Includes break-fix, minor change requests, software procurement, infrastructure management, and operations management. Can be provided on-demand or as fully outsourced services.
4. Discovery and Roadmap Development: Comprehensive assessment to prioritize automation use cases and form basis for a self-funding roadmap. 12-18 month plans with calculated effort and cost of use case implementations ensuring immediate returns that fuel sustainable ROIs.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels7 records

Core offering

Four Points Health sells intelligent automation solutions and services to healthcare organizations, combining AI, ML, BPM, and RPA through its proprietary IA Cycle to automate continuum-of-care workflows from patient intake through post-acute care, as well as revenue cycle management processes such as eligibility, authorization, coding, credentialing, claim status, denial management, and remittance posting. The company also offers the patent-pending ACIS (Automated Claim Integrity Solution) sub-product for proactive claim denial prediction and correction within electronic health record systems.

Product overview

Four Points Health offers a unified intelligent automation platform for healthcare organizations, centered on its IA Solutions (Intelligent Automation Solutions) core product and IA Services professional offerings. The platform implements the proprietary IA Cycle methodology, combining AI cognitive capabilities with ML data processing for end-to-end healthcare automation. Key offerings include Continuum of Care automation (patient intake through discharge) and Revenue Cycle Management automation. ACIS (Automated Claim Integrity Solution) is a patent-pending sub-product focused specifically on claims integrity and denial prevention within the RCM domain. The company also provides professional services including IA Advisory, Discovery, Roadmap Development, Design/Deploy, and Sustainment support.

Differentiator

Problem solved

Functional benefit

Brands

• ACIS (Automated Claim Integrity Solution): A patent-pending revolutionary RCM automation solution for faster, more accurate claims processing. ACIS integrates data analytics, machine learning, and process automation to continuously monitor EHR systems, identifying and addressing errors or gaps in both active and denied claims.

Products and services

• IA Solutions (Intelligent Automation Solutions) End-to-end healthcare intelligent automation platform that combines AI's cognitive capabilities with ML's data processing power through the IA Cycle to provide reactive and proactive automation across the continuum of care (patient intake through discharge and post-acute care) and revenue cycle management, targeting hospitals, health systems, and physician practices seeking to improve patient outcomes, reduce costs, and optimize revenue.
• IA Services Professional services covering the full automation lifecycle for healthcare organizations, including IA Advisory Support for strategic planning, Discovery and Self-Funding IA Roadmap development, IA Design and Deploy using standardized implementation and agile methodologies, and Sustainment with active digital monitoring and on-demand or fully outsourced support.
• ACIS (Automated Claim Integrity Solution) Patent-pending revenue cycle management automation product that integrates data analytics, machine learning, and process automation to continuously monitor EHR systems, identifying and addressing errors or gaps in both active and denied claims and proactively predicting and correcting claim denials while improving claim quality upstream; designed for healthcare providers seeking to protect revenue and reduce administrative overhead.

Quantifiable outcome

• $3.4B total ROI value delivered to clients
• +8 more outcomes

Named customers13 records

Segments3 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability10 records

Feature4 records

Partnerships

Seven partnerships are on record, tiered core and supporting.

• NTT DatacoreTechnology or IntegrationNTT Data has worked alongside hospitals, health systems, public health agencies and payer organizations for over 50 years, sharing its vision of a healthier future. They help healthcare leaders modernize and unlock technology's full potential to streamline workflows, enhance clinical decision-making, and personalize care experiences while lowering costs and improving collaboration across the ecosystem.
• OptumcoreTechnology or IntegrationOptum makes health care easier by connecting services like doctor visits, mental health and specialty care in clinics, at home and online. They focus on making everyday tasks like scheduling, billing, medication management and getting test results easier so care works better for everyone.
• BotdevsupportingImplementation/ SI/ Consulting PartnerBotdev offers a wide range of Intelligent Automation consulting services and expertise, empowering the best automation teams, fulfilling individual roles or with a full team complement with cross-functional capabilities, solving talent shortage affordably, quickly, and efficiently in your time zone.
• Life365supportingTechnology or IntegrationLife365 Health makes it easy to get Remote Patient Monitoring (RPM) programs started and get results quickly. With growing demand and new reimbursement opportunities, their RPM solutions enable healthcare practices to see more patients and generate revenue between real-time visits.
• ProinceptionsupportingImplementation/ SI/ Consulting PartnerProinception is a Pune, India-based IT services and consulting firm with over 15 years of experience specializing in digital process automation, RPA, low-code solutions, AI (including Agentic AI), and data analytics. They help government agencies, healthcare networks, and enterprises streamline operations worldwide.
• Union Healthcare InsightssupportingStrategic or Co-development PartnerUnion is composed of experienced best practice and strategy researchers with nearly two decades of professional experience. They have developed deep expertise in analyzing healthcare market dynamics through executive engagement, advanced modeling, and interpretation of complex regulatory environments, helping healthcare leaders understand the market landscape and translate it into actionable strategies.
• UnitesupportingTechnology or IntegrationUnite is a next-generation digital workforce services company built to help organizations achieve meaningful transformation through automation, AI, and service delivery innovation. They provide access to a highly capable digital workforce that can execute, manage, and improve business processes across functions and industries, delivered entirely as a service.

Scale indicators12 records

Recent moves5 records

Expansion highlights5 records

Market position

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/fourpointshealth/about

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

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 Four Points Health