GenHealth.ai builds out teams, extends agents with additional funding

BOSTON – GenHealth.ai has announced a $16.5 million Series A led by Flare Capital Partners, bringing its total funding to $30 million. Existing investors Craft Ventures and Obvious Ventures participated, along with new investors Eniac Ventures, InHealth Ventures, Epsilon Health Investors and ARTIS.

The company, which has grown to more than 20 employees, will use the funding to grow its engineering and go-to-market teams, extend its agents into additional workflows for provider groups and health plans, and continue improving the model underneath them.

"The problem with automating health care administration was never just the AI,” said Ricky Sahu, CEO and co-founder of GenHealth.ai. “It's that the AI is not connected to the systems providers already use, like the EHRs, plan portals, fax and bank accounts. At GenHealth we built those connections ourselves and created rails for workflows to run on, with 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 RCM."

GenHealth was founded in 2023 by Sahu and Ethan Siegel after Sahu's decade building interoperability APIs for the largest U.S. health plans at 1upHealth and CareJourney. The company’s agents are built on its Large Medical Model, a foundation model trained on the coded claims and clinical histories of more than 140 million patients.

The company says those agents run intake, eligibility verification, prior authorization, billing, denials and custom workflows end to end, inside the EHR, payer portals, fax and phone systems a customer already uses. It says its U.S.-based billing team handles exceptions, and staff stay in the loop for decisions that need judgment.

"We transitioned to GenHealth for full-service intake and billing and couldn't be happier," said Jack Bachman, CEO and Owner of Piedmont Medical Solutions. "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."

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