Latitude Health
Latitude Health develops an AI-native utilization management platform that automates prior authorization, clinical review, and appeals for U.S. health plans, TPAs, IROs, and risk-bearing entities, integrating via API with systems such as HealthEdge GuidingCare.
- Company typePrivate
- Founded2024
- HeadquartersSan Francisco, United States
- Headcount1–10
- GTM typeB2B
- OfferingSoftware
What Latitude Health does
Latitude Health is a venture-backed healthcare technology company developing an AI-native utilization management (UM) platform that automates prior authorization, clinical review, and appeals workflows for U.S. health plans and adjacent risk-bearing organizations. Founded in 2024 by healthcare operators Chuck Feerick (CEO) and Guru Nadiger (Chief Product & Technology Officer), with prior operating experience at Elevance, Clarify Health, Amerigroup, and McKesson, the company positions its software at the center of UM reviewer workflows, claiming automation of approximately 75% of manual UM tasks, a doubling of reviewer throughput, and greater than 10:1 ROI on administrative savings. The product was co-designed with over 50 UM professionals and is targeted at clinician burnout, tightening CMS 2026 prior-authorization turnaround-time mandates (7 calendar days standard, 72 hours expedited), and the FHIR/API-based electronic prior authorization requirements now pressuring health plans.
The platform is organized into three integrated modules: Intake & Triage (one-click case creation, configurable triage rules, and AI-powered prioritization across fax, email, portal, and API submissions); Clinical Review (structured medical records, plan-aligned policy logic, and transparent AI-generated recommendations covering Medical, Medical Pharmacy, and Pharmacy Benefit reviews); and Performance Insights (productivity, turnaround, escalation, and compliance dashboards). Latitude's AI stack combines NLP for unstructured clinical documentation, knowledge retrieval across plan policies and clinical guidelines, generative AI for evidence-backed decision rationales, and multimodal processing of structured eligibility and unstructured record data. The architecture is API-first, with FHIR support for EHR integrations and a pre-built integration with HealthEdge GuidingCare that allows case data to flow bidirectionally with low operational lift.
Latitude generates revenue through SaaS platform subscriptions on multi-year contracts, supplemented by implementation and integration services, with quote-based pricing and a consultative Book-a-Demo sales motion. Distribution combines direct enterprise field sales with a strategic channel partnership through HealthEdge GuidingCare announced in December 2025, which exposes Latitude's capabilities to GuidingCare's health-plan customer base without requiring workflow changes. The company is headquartered at 85 5th Avenue, New York, NY 10003, operates as a remote-first organization with 1-10 employees, and serves primary customers in U.S. health plans alongside secondary segments including TPAs, IROs, risk-bearing MSOs, workers' compensation carriers, and full-stack UM-as-a-Service deployments.
Latitude Health firmographics
Firmographics- Name
- Latitude Health
- Legal name
- Latitude Health, Inc.
- Website
- https://latitudehealth.com
- Company type
- Private
- Founded year
- 2024
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Latitude Health develops an AI-native utilization management platform that automates prior authorization, clinical review, and appeals for U.S. health plans, TPAs, IROs, and risk-bearing entities, integrating via API with systems such as HealthEdge GuidingCare.
- Ownership category
- akta.pro rank
Latitude Health industry classification
Industry- Product category
- Healthcare Utilization Management Software
- NAICS
- Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)
- SIC
- Services-Prepackaged Software (7372), Services-Health Services (8000)
- akta.pro primary industry
- AI Triage & Clinical Decision Support (CDS) Platforms (HLALAJAD)
- akta.pro secondary industries
- Referral Intake & Scheduling Coordination (HLACADAF), Patient Intake, Digital Registration & eForms (HLACAEAF)
Keywords
Where Latitude Health is headquartered
LocationHeadquarters
- HQ city
- San Francisco
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Latitude Health business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations
Revenue model
- SaaS Platform Subscription: AI-native utilization management platform delivered as a subscription service, automates 75% of manual UM tasks, includes intake automation, clinical review, and performance analytics modules
- Implementation and Integration Services: Integration services for deploying the platform with GuidingCare and other legacy systems through secure APIs with low operational lift
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Multi-year contract | No public pricing tiers disclosed |
Go-to-market motion2 records
Distribution channels2 records
Marketing channels5 records
Latitude Health product offering
Product offeringCore offering
Latitude Health sells an AI-native SaaS platform that automates utilization management workflows for health plans and related organizations. The platform combines three modules — Intake & Triage, Clinical Review, and Performance Insights — to automate roughly 75% of manual UM tasks such as case creation, prior authorization review, and appeals processing, and is sold via subscription with quote-based enterprise pricing.
Product overview
Latitude Health offers an AI-native utilization management (UM) platform consisting of three integrated modules: Intake & Triage for automated case creation and prioritization, Clinical Review for AI-supported decision-making across Medical, Medical Pharmacy, and Pharmacy Benefit reviews, and Performance Insights for analytics and compliance monitoring. The platform is designed to automate 75% of manual UM tasks and deliver >10x ROI. Through a partnership with HealthEdge GuidingCare, Latitude's capabilities are also accessible via an API-first integration directly within GuidingCare workflows, enabling rapid deployment for existing GuidingCare customers without workflow disruption.
Differentiator
Problem solved
Functional benefit
Products and services
- Latitude Health AI-Native UM Platform Comprehensive AI-native SaaS platform for Prior Authorization and Utilization Management that automates 75% of manual UM tasks, doubles review volume, and delivers >10x ROI. Operates at the center of the UM workflow supporting reviewers across case intake, clinical review, and performance analytics. Sold to enterprise health plans, TPAs, IROs, risk-bearing entities, workers' comp carriers, and UM-as-a-Service providers.
- GuidingCare Integration Pre-built, API-first integration enabling Latitude Health's AI-native UM capabilities to operate directly within HealthEdge GuidingCare workflows. Gives GuidingCare customers access to automated intake, AI-supported clinical review, and performance insights without changing existing workflows or undertaking lengthy implementation.
Quantifiable outcome
- 75% automation of manual UM tasks
- +4 more outcomes
Companies that use Latitude Health
Customer profileNamed customers1 record
Segments6 records
Ideal customer profiles4 records
Latitude Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
AI capability8 records
Feature6 records
Latitude Health partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- HealthEdge GuidingCarecoreStrategic AI partnership bringing Latitude Health's AI-native utilization management technology directly into GuidingCare workflows. GuidingCare customers can deploy Latitude's platform for end-to-end intake automation, AI-enhanced clinical review, and performance analytics without changing existing workflows. The integration is already built, API-first, and designed to be turned on quickly through secure APIs with low operational lift.
Scale indicators7 records
Recent moves4 records
Expansion highlights6 records
Latitude Health competitors and assessment
Company assessmentDirect peers
- Cohere Health: AI-native prior authorization and utilization management platform serving health plans. Direct competitor in the same UM clinical decision support category, with overlapping payer customer base and a comparable AI-first approach to automating medical review.
- Anterior: AI-native clinical decision support platform focused on prior authorization and medical necessity reviews for health plans. Closely comparable in product category, technology approach, and target buyer segment.
- Alaffia Health: AI platform that automates prior authorization, clinical documentation review, and claims decisioning for health plans. Comparable in automating payer-side UM workflows using AI-driven clinical review.
Broad incumbents
- InterQual (Change Healthcare / Optum): Long-standing incumbent for clinical decision support criteria and utilization management workflows used by most U.S. health plans. Overlaps with Latitudes clinical review module but operates as part of a much broader payer-services portfolio at Optum.
- MCG Health: Evidence-based clinical decision support and care guidelines used by health plans and providers for utilization management and prior authorization. Comparable on the policy/criteria layer that Latitude automates via AI.
- Change Healthcare (Optum): Large incumbent offering utilization management, claims, and payment integrity solutions integrated across the payer ecosystem. Adjacent competitor with much broader scope and deeper payer relationships than Latitude.
Others
- HealthEdge (GuidingCare): Care management platform vendor whose GuidingCare product is both Latitude's strategic integration partner and an adjacent workflow competitor. Comparable on the care management workflow layer that Latitude's UM platform plugs into.
Emerging players
- LeanTaaS: AI-based healthcare operations platform focused on capacity, scheduling, and resource optimization for hospitals and health systems. Partial overlap on the 'healthcare AI for operations' theme, though oriented to provider-side rather than payer UM.
- Sift Healthcare: AI platform for healthcare payments, claims, and prior authorization analytics. Comparable on payer-facing AI applied to clinical/administrative decisioning, though more focused on payment integrity than UM review.
- Hippocratic AI: Healthcare-focused generative AI company building clinical-domain LLMs for non-diagnostic patient-facing and operational use cases. Comparable as a healthcare-specialized AI entrant, though targeting adjacent clinical and operational workflows.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks4 records
Key highlights6 records
Customer concentration
Latitude Health social profiles
Digital presenceLatitude Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Latitude Health leadership team
Management profileNumber of profiles
Profiles2 records
Latitude Health funding detail
Funding detailFunding overview
Funding rounds1 record
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Latitude 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 Latitude Health
What does Latitude Health do?
Latitude Health sells an AI-native SaaS platform that automates utilization management workflows for health plans and related organizations. The platform combines three modules — Intake & Triage, Clinical Review, and Performance Insights — to automate roughly 75% of manual UM tasks such as case creation, prior authorization review, and appeals processing, and is sold via subscription with quote-based enterprise pricing.
Is Latitude Health a public or private company?
Latitude Health is a private company. It is classified as venture growth investor backed and is currently operating.
When was Latitude Health founded?
Latitude Health was founded in 2024. It employs 1 to 10 people.
Where is Latitude Health based?
Latitude Health is headquartered in San Francisco, United States, in the North America region.
How does Latitude Health make money?
Two revenue lines are on record. SaaS Platform Subscription is the primary driver. The others are implementation and Integration Services.
Who are Latitude Health's main competitors?
Direct peers on record are Cohere Health, Anterior and Alaffia Health. Broad incumbents are InterQual (Change Healthcare / Optum), MCG Health and Change Healthcare (Optum). HealthEdge (GuidingCare) is listed as an others. Emerging players are LeanTaaS, Sift Healthcare and Hippocratic AI.
Does Latitude Health have an API?
Yes. Latitude Health offers API-based integration with third-party systems. Through their partnership with HealthEdge GuidingCare, they provide a secure, API-first integration that enables case data to flow from GuidingCare into Latitude for processing, with outputs returning back to GuidingCare. The platform also supports FHIR-based APIs for electronic prior authorization and integrates with EHR systems via FHIR and API-based connections. The integration is described as built, API-first, and designed to be activated quickly with low operational lift.
What industry is Latitude Health in?
Latitude Health's product category is Healthcare Utilization Management Software. Its primary akta.pro industry code is HLALAJAD, AI Triage & Clinical Decision Support (CDS) Platforms, with a secondary code of HLACADAF, Referral Intake & Scheduling Coordination. Its NAICS code is 518 and its SIC code is 7372.