Company profile: NexgenRx
1.1 - Company Overview
Company description
- Provider of ASO drug, dental, and extended health benefit plans supported by technology, offering platforms for claim adjudication (NexSys), benefit plan administration (NexAdmin), pension administration (NexPension), Patient Support Program enrollment and claims adjudication (NexPSPAssist), and a mobile app (NexMobile) for plan details, claims submission, and benefits cards.
Products and services
- NexAdmin: Platform-based administrative system delivering member enrollment, benefit selection, and billing functionalities for comprehensive benefit plan administration across Drug, Dental, and Extended Health programs
- NexMobile: Mobile app-based member interface offering plan detail review, claim submission, and electronic access to benefits cards for convenient on-the-go benefit utilization
- NexSys: Platform-based claims system that simplifies adjudication of dental, prescription drug, and extended health claims, reducing processing steps and costs for benefit plans
Key contacts
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Financial details
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1.2 - Competitors and similar companies to NexgenRx
HealthHelp
HQ: United States
Website
- Description: Provider of specialty benefits management programs and consultative clinical decision support for payors and providers across Commercial, Medicaid, and Medicare. Offerings include a web-based authorization Consult platform; Scope to reduce unnecessary radiation and missed diagnoses; Direct for facility search and referral; and cardiology and radiology/diagnostic imaging programs to ensure evidence-based, appropriate, cost-efficient care.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
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White Hat AI
HQ: United States
Website
- Description: Provider of AI healthcare payment integrity applications focused on preventing fraud, waste and abuse. Offers a proprietary AI-driven platform that empowers providers to extract unstructured clinical data from medical charts to uncover meaningful insights not available in structured records.
- 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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MedVantage
HQ: United States
Website
- Description: Provider of software solutions for healthcare payers, their members and their providers, featuring an analytics engine that delivers clinical quality metrics and efficiency/utilization metrics on providers for use in consumer transparency, new payment models, and patient stratification.
- 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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Payspan
HQ: United States
Website
- Description: Provider of healthcare reimbursement and payment automation, offering payment solutions for health plans and providers to increase provider adoption of electronic payments. Serves industry-leading payers, providers, and solution partners across the healthcare reimbursement spectrum.
- 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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Agadia
HQ: United States
Website
- Description: Provider of healthcare management technology.
- 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 Agadia 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 NexgenRx
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Buyer group 2: ████████ ████████
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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 NexgenRx
2.2 - Growth funds investing in similar companies to NexgenRx
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4 - Top valuation comps for NexgenRx
4.2 - Public trading comparable groups for NexgenRx
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