Health Square

Name

Health Square

Legal name

HealthSquare Inc.

Website

https://healthsquareinc.com

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

51–100 employees

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

SIC

Services-Health Services (8000), Services-Prepackaged Software (7372)

akta.pro primary industry

RCM Outsourcing & Managed Billing Services (HLACACAN)

Keywords

• Revenue cycle management
• Medical billing services
• Healthcare virtual assistants
• Laboratory informatics
• Remote patient monitoring

Headquarters

HQ city

Plainsboro

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Revenue Cycle Management (RCM) Services: End-to-end RCM services including provider credentialing, eligibility verification, prior authorization, medical coding, claims submission, denial management, AR follow-up, and payment posting. Core service line that serves as the primary revenue driver.
2. Virtual Assistant Staffing (FTE Model): Dedicated full-time equivalent resources at $1,500/FTE/month providing virtual medical assistants, scribes, front desk support, insurance verification, and coding/billing assistants. Minimum 1-month commitment with flexible scaling.
3. Flexible RCM Pricing: Alternative pricing models including percentage of collections (typically 4-7%), flat fee per claim, or hourly rates depending on services needed. No long-term contracts required.
4. Laboratory Informatics & LIS Management: Complete laboratory information system management for diagnostic, pathology, and reference laboratories including instrument interfacing, auto-verification, result routing, and CLIA/CAP compliance.
5. Remote Patient Monitoring (RPM) & Chronic Care Management: Comprehensive RPM solutions including device supply, monitoring, clinical escalations, and CPT 99457/99458 billing workflows. Revenue generated through monthly management fees and device-related billing.
6. Healthcare Technology Integration & API Development: Custom healthcare technology solutions including API development, clearinghouse integrations, and interoperability solutions. Professional services engagement for implementation.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels6 records

Core offering

Health Square provides end-to-end healthcare Revenue Cycle Management (RCM) services including eligibility verification, prior authorization, medical coding, claims submission, denial management, and AR follow-up. The company also delivers virtual medical assistant staffing, laboratory informatics and LIS management, remote patient monitoring with FDA-approved devices, and healthcare IT/API integration services, all augmented by AI/ML models that drive a 98.7% first-pass claim acceptance rate.

Product overview

Health Square offers a platform of five integrated service lines: Revenue Cycle Management (RCM), Assist (Virtual Medical Assistants), Labs (Laboratory Informatics), Care (Remote Patient Monitoring and Care Coordination), and Support (Technical and Operational Support). These five core offerings are supplemented by add-on modules including Healthcare Technology Integration and API Development, AI-Powered Analytics and Automation, Denial Management, Eligibility and Prior Authorization Automation, Healthcare Information Management (HIM), and Clinical Workforce services. The RCM core handles end-to-end revenue optimization from patient registration through final payment; the Assist program provides HIPAA-trained virtual assistants embedded into client EHR workflows; Labs manages LIS operations and CLIA/CAP compliance; Care delivers RPM with FDA-approved Bluetooth devices and CPT 99457/99458 billing; and Support provides help desk and system maintenance. AI capabilities are embedded across all service lines as automation and intelligence augmentation rather than a standalone product.

Differentiator

Problem solved

Functional benefit

Products and services

• Revenue Cycle Management (RCM) End-to-end revenue cycle management encompassing eligibility verification, prior authorization, medical coding (ICD-10, CPT, HCPCS), charge entry, claims submission, payment posting, denial management, and accounts receivable follow-up. Specialized by medical specialty with dedicated teams for primary care, surgical, behavioral health, imaging, and laboratory services. Targeted at U.S. healthcare providers, practices, and hospitals.
• Assist (Healthcare Virtual Assistants) Healthcare virtual assistant services providing skilled remote professionals including certified medical scribes for real-time documentation, billing specialists, prior authorization coordinators, appointment schedulers, insurance verification specialists, and virtual front-desk personnel. All assistants are HIPAA-trained and embedded into client workflows across major EHR platforms.
• Laboratory Informatics & LIS Management (Labs) Complete laboratory information system management for diagnostic, pathology, and reference laboratories, including instrument interfacing, auto-verification protocols, result routing, LIS/Beaker system mapping, downtime preparation, and quality control workflows. Ensures CLIA/CAP compliance for laboratory clients.
• Remote Patient Monitoring & Chronic Care Management (Care) Comprehensive RPM solutions featuring FDA-approved Bluetooth-enabled devices for blood pressure, glucose, weight, pulse oximetry, and cardiac monitoring. Integrates with major EHR systems and handles complete CPT 99457/99458 billing workflows, patient onboarding, clinical monitoring, and monthly reporting with 24/7 certified clinician oversight.
• Healthcare Technology Integration & API Development Custom healthcare technology solutions including API development, clearinghouse integrations, real-time data exchange protocols, prior authorization automation, rules-based claims engines, and FHIR/HL7 interoperability solutions for all major EHR systems and practice management platforms.
• Provider Credentialing Complete CAQH profile setup, application submission, and primary source verification to ensure providers meet all payer requirements. Credentialing process typically takes 60-120 days.

Quantifiable outcome

• 98.7% first-pass claim acceptance rate (vs. 75-80% industry average)
• +14 more outcomes

Named customers8 records

Segments6 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration17 records

AI capability10 records

Feature11 records

Scale indicators17 records

Recent moves6 records

Expansion highlights4 records

Emerging players

• AKASA: AKASA is an AI-native RCM automation company building machine learning models for medical billing, coding, and denials for U.S. health systems. It competes with Health Square on the same payer-facing automation use cases but from a pure-software, capital-backed stance.
• Cedar: Cedar provides a patient-facing billing and financial experience platform used by U.S. healthcare providers. It overlaps with Health Square's patient billing, statements, and payment processing workflows but competes from the patient-experience layer rather than end-to-end RCM.

Direct peers

• Waystar: Waystar is a healthcare payments and RCM software platform serving hospitals and physician practices with claims management, eligibility, and patient estimation tools. It is a directly comparable technology-led RCM competitor, though more software-weighted than Health Square's services-led model.
• IKS Health: IKS Health combines offshore delivery operations with proprietary technology platforms to support providers on coding, RCM, and virtual care enablement. Its hybrid tech-plus-services model and U.S.-focused provider base align closely with Health Square's positioning.
• Omega Healthcare Management Services: Omega Healthcare is a global RCM and medical billing BPO with significant offshore delivery operations serving U.S. providers. Its hybrid delivery model, specialty coverage, and reliance on offshore FTEs make it one of the closest structural analogues to Health Square.
• CorroHealth: CorroHealth is a technology-enabled RCM and risk-adjustment services firm serving hospitals, physician groups, and payers. Its end-to-end RCM delivery and clinical documentation focus overlap heavily with Health Square's provider-facing RCM and HIM services.
• R1 RCM: R1 RCM is a leading end-to-end revenue cycle management services company serving hospitals, health systems, and physician groups across the U.S. Like Health Square, it delivers modular RCM capabilities (eligibility, coding, claims, AR) at scale, making it the most directly comparable peer on service breadth and customer profile.
• GeBBS Healthcare Solutions: GeBBS is a global RCM and health information management BPO serving U.S. hospitals, physician groups, and labs with coding, billing, and AR services. Its offshore-led delivery and specialty coverage make it a strong operational analogue to Health Square.

Broad incumbents

• Cognizant (Healthcare): Cognizant's healthcare practice delivers large-scale RCM, coding, and digital health services to providers and payers globally. It is a broad incumbent whose provider-side RCM and analytics offerings compete with Health Square across multiple service lines.
• Optum (UnitedHealth Group): Optum operates one of the largest healthcare technology and services platforms, including extensive RCM, claims processing, and analytics capabilities. It is a broad incumbent that overlaps with Health Square in RCM services and health IT integration but at vastly greater scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/health-square-inc

Compliance12 records

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries1 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 Health Square