EverCom

What EverCom does

EverCom (株式会社エバーコム, Kabushiki Kaisha EverCom) is a Japanese healthcare-IT systems integrator founded in July 2007 and headquartered in Matsue, Shimane Prefecture. The company develops and operates software that automates medical receipt review, DPC (Diagnosis Procedure Combination) claim verification, and insurer-side claim inspection for Japanese healthcare institutions, reimbursement agencies, and health insurers. Its product portfolio centers on five systems: the Receipt Computerized Data Check System (レセプト電算データチェックシステム), the DPC Verification Support System (DPC検証支援システム), the DPC Analysis System (DPC分析システム), the Insurer Inspection System (保険者点検システム), and the Medical Expense Analysis System (医療費分析システム). All systems are built around reading and validating structured form data (e.g., Forms 1, D/E/F) and receipt computerization data, with downstream analysis exportable to Excel for secondary use.

The underlying technology stack is built around deterministic, rule-based automation of Japanese medical billing workflows rather than AI/ML; no APIs, SDKs, or AI capabilities are disclosed. The company emphasizes that every employee is an engineer proficient in medical systems, and its support center operations are staffed by medical affairs personnel and medical information management specialists, giving EverCom a high domain-knowledge density per head. EverCom's business model is commissioned (contracted) software development combined with long-running operational support, sold via direct B2B enterprise relationships in Japan. Pricing is project-negotiated and not publicly disclosed. The company previously held ISO 27001 certification (December 2013 to November 2023), which was voluntarily returned after the security practices were judged to have been internalized.

At ~10 employees, stated capital of 12,000,000 JPY, and a single-country footprint focused on Japanese healthcare institutions and insurers, EverCom is a small specialist vendor with deep but narrow domain expertise. The company completed a founder-era leadership succession in 2024-2025 (Shikata Takashi to Iwata Haruto as President in January 2024, with Nagashima Ryuji joining as Director in January 2025 as Shikata retired as Chairman), and its careers page indicates it is not currently hiring. No funding rounds, acquisitions, or geographic expansion are recorded; recent strategic activity is limited to leadership transitions, the voluntary ISO 27001 surrender, and the longer-arc product extensions into analytics and NHI-payer inspection.

Name

EverCom

Legal name

株式会社エバーコミック

Website

https://ever-com.co.jp

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

11–50 employees

Short description

EverCom (株式会社エバーコム) is a Matsue, Japan-based healthcare-IT firm that develops and operates automated medical receipt review, DPC claim verification, and insurer inspection systems for Japanese hospitals, reimbursement agencies, and health insurers via contracted development and ongoing support services.

Ownership category

akta.pro rank

Product category

Healthcare Billing Software

NAICS

Computer Systems Design and Related Services (54151)

SIC

Services-Computer Programming, Data Processing, Etc. (7370), Services-Computer Integrated Systems Design (7373)

akta.pro primary industry

EHR/EMR Integration & Interoperability Middleware (HL7/FHIR) (HLALAKAD)

Keywords

• Medical billing software
• DPC verification systems
• Healthcare claims processing
• Receipt data checking
• Medical administration software

Headquarters

HQ city

Matsue

HQ country

Japan

HQ region

Asia

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Operations

Revenue model

1. Contracted Software Development: The company develops custom medical administration systems on a contracted basis for healthcare institutions, insurers, and related organizations. Services include system planning, development, and operational support.
2. Operational Support Services: Call center operations providing ongoing support for deployed systems, staffed by personnel with medical affairs knowledge and medical information management specialists.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels1 record

Core offering

EverCom develops, deploys, and operates specialized medical administration software for Japanese healthcare institutions and insurers. Its core products include automated receipt data check systems, DPC (Diagnosis Procedure Combination) verification and analysis systems, and insurer inspection systems for medical claims auditing. The company also runs a call center staffed by medical affairs specialists to provide ongoing operational support for these deployed systems.

Product overview

EverCom offers a suite of medical IT systems centered on medical insurance claims processing and verification. The core portfolio includes the Receipt Computerized Data Check System, which automates in-house receipt review for medical institutions; the DPC Verification Support System and DPC Analysis System, which handle validation and analytics of DPC (Diagnosis Procedure Combination) claim data; the Insurer Inspection System, which enables automated auditing by health insurers; and the Medical Expense Analysis System. These products work together to streamline the full cycle of medical claims processing — from institutional submission checks through reimbursement agency review and into analytical reporting — with call center support services staffed by medical affairs specialists.

Differentiator

Problem solved

Functional benefit

Products and services

• Receipt Computerized Data Check System (レセプト電算データチェックシステム) A system that reads Receipt Computerized Data submitted by medical institutions to reimbursement agencies and automates in-house receipt review operations. Features multi-faceted inspection functions, flexible customization, processing time reduction, and paperless operations. Designed for healthcare institutions submitting claims to payment review organizations.
• DPC Verification Support System (DPC検証支援システム) A system that reads form data (Forms 1, D/E/F) submitted for DPC Introduction Impact Assessment Surveys from medical institutions and automates verification of whether scheduled DPC claims are appropriate. Provides a unique verification perspective focused on whether appropriate diagnostic group classifications are selected, with post-verification confirmation and recalculation of claim points after corrections. Designed for DPC hospitals and clinics.
• DPC Analysis System (DPC分析システム) A system that performs various analyses and aggregations based on DPC form data (Forms 1, D/E/F). Unlike the DPC Verification Support System, it specializes in analysis of claim content, with analysis results output to Excel files for easy secondary use of data. Designed for healthcare institutions needing deeper analysis of DPC claim data.
• Insurer Inspection System (保険者点検システム) A system that reads Receipt Computerized Data and image receipts sent to insurers through reimbursement agencies and automates audit operations. Built on the know-how of the medical institution-oriented Receipt Computerized Data Check System, supporting both automated and screen-based inspection workflows. Designed for health insurers and insurance administrators.
• Medical Expense Analysis System (医療費分析システム) A system for analyzing medical expenses, entrusted as commissioned development and ongoing operation in January 2014. Designed for healthcare institutions and reimbursement-related organizations needing analysis of medical expense patterns.
• Support Center Services (サポートセンター業務) Call center operations providing ongoing operational support for deployed EverCom systems. Staffed by personnel with medical affairs knowledge and medical information managers who deliver support services to healthcare institutions and insurers.

Quantifiable outcome

• Automated receipt review reduces manual inspection workload
• +1 more outcomes

Segments2 records

Ideal customer profiles1 record

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Scale indicators3 records

Recent moves7 records

Expansion highlights3 records

Broad incumbents

• Oracle Health (Cerner): Global healthcare IT incumbent providing EHR, revenue cycle management, and hospital information systems. Overlaps with EverCom at the medical billing/claims verification layer, but embedded within a much larger integrated platform rather than a standalone specialist tool.
• M3, Inc. Large Japanese medical platform operator providing physician-targeted services, marketing, clinical trial platforms, and healthcare data solutions. Comparable as a Japan-focused healthcare information services company, though at much broader scale and scope than EverCom.
• MTI Ltd. Listed Japanese medical information services company operating medical portals, content, and digital health services aimed at healthcare professionals and consumers. Comparable in serving the Japanese healthcare information market, though at broader scope and scale than EverCom's billing-focus.

Direct peers

• JMDC Inc. Japanese health and medical data analytics company that aggregates insurance claims, DPC, and health-check data to serve payers, providers, and pharma. Overlaps with EverCom's DPC and receipt-data focus and serves a similar mix of insurers and healthcare institutions.
• Integrity Healthcare: Japanese hospital information system and healthcare IT vendor offering disease management and clinical decision support tools to hospitals. Comparable to EverCom as a healthcare-IT specialist serving Japanese medical institutions with workflow and data software.
• Medical Data Vision: Japanese healthcare data company focused on DPC (Diagnosis Procedure Combination) data analytics, receipt data analysis, and medical claim data platforms for hospitals, insurers, and pharmaceutical companies. Directly comparable to EverCom's DPC verification and analysis systems, though operating at much larger scale.

Others

• Health Catalyst: US-based healthcare data and analytics platform serving hospitals, health systems, and payers with clinical and financial analytics. Comparable as an analytics layer over healthcare claims and operational data, but operating at much larger scale and in a different geography.

Emerging players

• Medley, Inc. Japanese digital health company offering medical job placement, telehealth, and healthcare SaaS. Partial overlap with EverCom in healthcare IT for Japanese institutions, but focused on different use cases (telemedicine, recruiting) than billing verification.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights5 records

Customer concentration

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 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 EverCom