GenHealth.ai Raises $16.5 Million for AI Agents in Medical Back Office

GenHealth.ai, a healthcare artificial intelligence company, has secured $16.5 million in Series A funding from Flare Capital Partners. The round, along with contributions from existing investors Craft Ventures and Obvious Ventures, as well as new investors Eniac Ventures, InHealth Ventures, Epsilon Health Investors, and ARTIS, brings GenHealth's total funding to $30 million. This investment will help the company expand its AI agents, improve its foundational Large Medical Model, and grow its engineering and go-to-market teams.

Founded in 2023 by Ricky Sahu and Ethan Siegel, GenHealth.ai has developed AI agents that streamline the medical back office. These agents complete tasks such as intake, eligibility verification, prior authorization, billing, and denials within the existing systems used by healthcare providers. By integrating seamlessly with electronic health records (EHRs), payer portals, fax lines, and phone systems, GenHealth's AI agents reduce administrative bottlenecks and help providers get paid up to 30% more.

"The problem with automating healthcare administration was never just the AI. It's that the AI is not connected to the systems providers already use," explained Sahu. "At GenHealth, we built those connections ourselves and created workflows that run on context from our own model trained on 140 million patients. The result is patients getting care faster and providers getting paid over 30% more, which is unheard of in revenue cycle management."

According to Vic Lanio of Flare Capital Partners, "Provider organizations do not need another system of record. They need the work done. GenHealth is not just agentified SaaS. They have agents working alongside humans, in the providers' current systems, completing the work. That's why we led this round."

GenHealth's solutions have already shown significant benefits to customers. Jack Bachman, CEO and owner of Piedmont Medical Solutions, said, "We transitioned to GenHealth for full-service intake and billing and couldn't be happier. By leveraging AI to make the process faster and easier, they've automated more work with better results than our previous outsourced team, which was five times their size. As a true partner that does not use offshore billing workers, they catch problems sooner and offer a level of transparency we never had before."

The company plans to use the funding to extend its agents into additional workflows for provider groups and health plans, further improving the Large Medical Model, and hiring more staff across engineering, operations, and go-to-market. With a current team of over 20 employees, GenHealth.ai continues to grow and expand its reach in the healthcare industry.