Company profile: ClaimShark
1.1 - Company Overview
Company description
- Provider of healthcare payment integrity solutions for health plans, including the AuditShark Quality Audit Platform to manage internal audits, prioritize claims audits, and track findings with AI and automation; a COB platform for Medicaid to detect overlapping coverage and automate recovery; data aggregation services; a payment integrity appeals module; and a provider portal API.
Products and services
- AuditShark Coordination of Benefits (COB) Platform: An AI-enabled platform that integrates multiple data sources to detect overlapping insurance coverage and automate recovery operations for Medicaid plans
- AuditShark Quality Audit Platform: A cloud-based system for health plans to manage internal audits, prioritize claims audits, and track audit findings using AI and automation to enhance payment integrity
- Data Aggregation Service: An API-driven service that automates collection of external healthcare data from multiple sources using APIs and robotic process automation to support payment integrity
Key contacts
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Financial details
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1.2 - Competitors and similar companies to ClaimShark
Buyatab
HQ: Canada
Website
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- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
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- Total funding raised: $●●●m
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eConduit
HQ: United States
Website
- Description: Provider of SaaS payment services connecting POS systems and organizations globally, offering a cloud-based Payment API for integrated EMV payments across devices and processors, a cloud terminal management system for plug-and-play device setup, Ingenico Tetra integration, a Payroc app, a global distribution network, and integrated surcharging (RewardPay).
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
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PatientPay
HQ: United States
Website
- Description: Provider of flexible, secure patient revenue cycle management solutions addressing outdated billing and payment processes to increase payments, speed collections, and reduce costs. Offers HIPAA and TCPA-compliant billing and payment options, advanced dunning, dynamic patient communications, multi-method payments (cards, eChecks, digital wallets, plans), and reporting & analytics.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
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Precision Payments
HQ: United States
Website
- Description: Provider of payment processing solutions, including credit card processing with low rates and next-day funding, POS systems for retail and restaurants, mobile terminals supporting multiple payment types, a cash discount program, an ISO/agent program with equipment and support, and software integration resources for seamless payment integration.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
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Noventis
HQ: United States
Website
- Description: Provider of bill payment solutions, offering electronic payment delivery across jurisdictions and state licensing compliance for money transmission and payment services, leveraging collaboration and technology to address longstanding challenges in delivering bill payments.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
View full Noventis company profile →
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2.M&A buyers
2.1 Potential strategic acquirers in the sector
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2.2 - Strategic buyer groups for ClaimShark
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Buyer group 3: ████████ ████████
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3. Investors and private equity firms
3.1 - Buyout funds investing in similar companies to ClaimShark
2.2 - Growth funds investing in similar companies to ClaimShark
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4 - Top valuation comps for ClaimShark
4.2 - Public trading comparable groups for ClaimShark
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