TrueClaim is an AI-native health plan administration platform that helps health plans, brokers, and employers save time, money, and administrative effort by automating claims processing, billing review, and care management. TrueClaim leverages artificial intelligence to detect billing errors, adjudication mistakes, and care gaps automatically, operating 24/7 to streamline modern health plan management.
The core offering combines advanced technology and services to simplify plan administration. Key features include:
- Flexible plan design: TrueClaim's AI tools enable rapid, customizable health plan design to fit a wide range of employer and plan sponsor needs.
- Real-time administration: Users can track every member, claim, and dollar through a real-time, user-friendly admin dashboard.
- Concierge-level support: TrueClaim provides multi-channel support for members or allows clients to leverage support tools directly, aiming to improve member satisfaction and engagement.
The platform is designed to reduce administrative overhead and catch costly errors before they impact the bottom line. Health plans using TrueClaim have reported significant savings, with some seeing up to 7% reduction in claims costs.
Who Uses TrueClaim?
TrueClaim is built for health plans, brokers, employers, and members seeking a modern, efficient approach to health plan administration. Early adopters include real health plans, brokers, employers, and members looking for greater transparency and automation in plan management.
How Was TrueClaim Started?
TrueClaim was founded by a team with deep expertise in healthcare operations, technology, and insurance. CEO and co-founder Barbora Howell, MBA, previously held leadership roles at Hinge Health and Pine Park Health, specializing in operations, benefits, and billing. CTO and co-founder Bobby Bayer brings experience from pMD, where he developed billing software and revenue cycle management tools. The founding team is complemented by experienced engineers and operations managers, as well as advisors with extensive backgrounds in self-insured health plans and benefits innovation.
What Makes TrueClaim Different?
TrueClaim's differentiation lies in its AI-native approach to health plan administration. By automating error detection and offering real-time insights, the platform helps clients design flexible plans, monitor costs, and deliver superior support. This combination of technology and service is tailored to the needs of modern, self-funded health plans and their partners.
Who Are TrueClaim's Competitors?
TrueClaim operates in the health plan administration and third-party administrator (TPA) space, where competitors include traditional TPAs and newer tech-enabled administrative platforms. Its focus on AI-driven automation and real-time dashboards distinguishes it from legacy providers.
Leadership Team
TrueClaim's leadership includes:
- Barbora Howell, MBA (CEO, Co-founder): Former Senior Director at Hinge Health and Pine Park Health, with expertise in operations and benefits.
- Bobby Bayer (CTO, Co-founder): Former product and engineering leader at pMD, specializing in healthcare billing and RCM technology.
- Vijay Vignesh Venkataramani (Engineer): Healthcare AI researcher and former founding ML engineer at Decorte Future Industries.
- Elizabeth Gill (Operations Manager): 20+ years in healthcare, focusing on client satisfaction for brokers and HR teams. Advisors include John McCluskey (health plan operations) and Michael Perlmutter (benefits innovation).
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