Tally, Liminal partner to build RCM for specialty health care providers

BOSTON – A new partnership pairs Tally's agentic AI platform with Liminal's build capabilities to tackle one of health care's most persistent problems, the companies say: the slow, costly, and error-prone process of getting providers paid for care they have already delivered. Tally, founded by Peter van Riper, a 25-year health care executive and former multi-site CFO who scaled and exited a dental company valued at $90 million, is joined by co-founder Satish Cheema, a technology leader who helped architect the platform behind the growth of a kidney care company from $25 million to $3.3 billion in enterprise value. Together, they are building an RCM system designed specifically for the specialty verticals that larger, hospital-focused AI vendors have largely overlooked, they say. "Providers are getting squeezed from every direction. Margins are compressing, denial rates are climbing, and the billing talent to fight back is disappearing," said van Riper, founder and CEO of Tally. "The old playbook of throwing more offshore labor at the problem has run its course. Tally runs the actual billing workflow end-to-end with agentic AI and embedded specialists, so every claim we work teaches the system how each payer really behaves. That accumulated knowledge is something a pure software tool simply can't replicate." Tally says, unlike point solutions that surface insights but leave the work to the provider's own billing team, it executes the full cycle from insurance verification and prior authorization through denials, underpayments and payment posting. It says every claim, exception and outcome feeds Tally's proprietary Payer Behavior Graph, an ever-growing dataset of how payers adjudicate claims across procedure codes, documentation types and reimbursement rules. It says because Tally operates the billing rather than merely advising on it, the platform builds a data advantage that deepens with every client and every claim.