Eligible

paymentsinsurtechsoftware/whitelabel/apis-insurtechsoftware/whitelabel/apis-payments

FOUNDING YEAR: 2011
LOCATION: United States
Last Update: 17/07/2020

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MEDICI Analysis

Eligible is an integrations partner which offers connectivity and processing to every health insurance company in the country. Eligible's simple API network enables disparate systems to instantly send and receive transactions required for the processing of healthcare payments and reimbursements.

Focus

PRODUCTS & SERVICES

The company charges a scaling fee for accessing the API, at five cents per transaction for the first 250,000 hits with the price dropping the more a company uses it.

REVENUE MODEL

Transaction based revenue model

MAIN CLIENTS

Kareo.com

Remedy Partners,Simplee,

EXISTING PARTNERSHIPS

SagaPay,Telefonica,O2,PayPal,HP,Visa,CallCredit

ACI,Verifone

COMMENT

It is developing a REST API with the goal of standardizing and simplifying health eligibility requests to insurers. Their APIs allow apps to communicate with more than 1,000 health insurance companies, and support transactions including eligibility, policy, coverage, demographics, authorizations, coordination of benefits, claims, payments and more.

Traction

VALUATION / MARKET CAP:

$17 M in 2015

People

FOUNDERS

James Schuler

James Schuler

Patrice Krakow

Katelyn Gleason

BOARD MEMBERS AND ADVISORS

Garry Tan

Harjeet Taggar

Katelyb Gleason

Max Skibinsky

NUMBER OF EMPLOYEES

11-50

INVESTORS:

Bora Uygun

Brad Flora

Deerfield

Elad Gil

Esther Dyson

Fresco Capital

Level39

LLC

MetaLab

Michael Liou

Novatron Ltd.

QueensBridge Venture Partners

Raj Sandhu

RTA Capital

Soma Capital

Tytus Michalski

Y Combinator

Momentum

FUNDED

NO

TOTAL FUNDING

$25.2 M

DATE OF LAST FUNDING

Apr 2016

SEED CLOSED ON

Jan 2015

LISTED

NO

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