
Apixio
Founded Year
2009Stage
Acq - Fin | AcquiredTotal Raised
$50.36MAbout Apixio
Apixio focuses on healthcare AI solutions within the health plans and providers sector. The company offers services that include risk adjustment, payment integrity, health data management, and AI-as-a-service. Apixio serves health plans, providers, and Accountable Care Organizations (ACOs). It was founded in 2009 and is based in San Mateo, California. It was acquired by Datavant on 13 Jun 2023 and operates as a subsidiary.
Loading...
Apixio's Product Videos


ESPs containing Apixio
The ESP matrix leverages data and analyst insight to identify and rank leading companies in a given technology landscape.
The payment integrity and verification platforms market offers solutions to ensure the accuracy and legitimacy of financial transactions in healthcare. These platforms leverage AI technologies to validate claims, reduce errors, and verify individual transactions. Key features include real-time claim auditing, automated code review, and pattern recognition to identify unusual billing practices. By …
Apixio named as Outperformer among 13 other companies, including MultiPlan, Optum, and Conduent.
Apixio's Products & Differentiators
Risk Adjustment
Apixio’s Retrospective and Prospective & Concurrent Risk Adjustment Solutions are industry leading AI-powered technologies receiving Best in KLAS 2021 for Risk Adjustment & Analytics. The program captures a complete picture disease burden by identifying HCCs (Hierarchical Categorical Categories) across a population, improving value-based clinical, operational, and financial results. The solution increases accuracy by reviewing uncoded HCCs, displaying complete project visibility for chart reviews. It streamlines code review processes to help audit reviewers focus efforts on unsupported codes. This minimizes audit workloads while improving speed and accuracy in audit results. It also offers the ability to look both ways to identify adds and potential deletes of HCCs through Apixio’s industry-leading risk adjustment offering.
Loading...
Research containing Apixio
Get data-driven expert analysis from the CB Insights Intelligence Unit.
CB Insights Intelligence Analysts have mentioned Apixio in 1 CB Insights research brief, most recently on Feb 29, 2024.
Expert Collections containing Apixio
Expert Collections are analyst-curated lists that highlight the companies you need to know in the most important technology spaces.
Apixio is included in 4 Expert Collections, including Value-Based Care & Population Health.
Value-Based Care & Population Health
1,085 items
The VBC & Population Health collection includes companies that enable and deliver care models that address the health needs for defining populations along the continuum of care, including in the community setting, through participation, engagement, and targeted interventions.
Conference Exhibitors
5,302 items
Digital Health
11,246 items
The digital health collection includes vendors developing software, platforms, sensor & robotic hardware, health data infrastructure, and tech-enabled services in healthcare. The list excludes pureplay pharma/biopharma, sequencing instruments, gene editing, and assistive tech.
Artificial Intelligence
7,146 items
Apixio Patents
Apixio has filed 43 patents.
The 3 most popular patent topics include:
- health informatics
- electronic health records
- medical terminology

Application Date | Grant Date | Title | Related Topics | Status |
---|---|---|---|---|
5/7/2020 | 6/25/2024 | Electronic health records, Health informatics, Telehealth, Medical terminology, Health websites | Grant |
Application Date | 5/7/2020 |
---|---|
Grant Date | 6/25/2024 |
Title | |
Related Topics | Electronic health records, Health informatics, Telehealth, Medical terminology, Health websites |
Status | Grant |
Latest Apixio News
Jan 13, 2025
January 10, 2025 NEW YORK & DALLAS & PALO ALTO, Calif.–( BUSINESS WIRE )–New Mountain Capital, LLC, a leading growth-oriented investment firm with more than $55 billion in assets under management, today announced a definitive agreement to acquire Machinify , Inc., a leading provider of artificial intelligence (AI)-powered software transforming healthcare payments. Machinify will become a core part of the company recently formed through the merger of The Rawlings Group Apixio’s Payment Integrity business, and VARIS. The combined organization, to be named Machinify at close, will bring together revolutionary technology, clinical expertise, and a wealth of data to transform healthcare payments and build a frictionless foundation for healthcare administration for all stakeholders. Founded in 2016, Machinify has developed an innovative cloud-based data intelligence platform that enables the secure, safe, and transparent deployment of purpose-built AI-powered applications to optimize the healthcare claims lifecycle. Machinify’s foundational operating system, which powers the company’s Audit and Pay workflows, has advanced the level of automation, efficiency, and accuracy within healthcare payments infrastructure. With the addition of Machinify’s cloud AI platform and highly accomplished team of developers, data scientists and AI experts, the combined entity will be well-positioned to accelerate the shift to a more automated, accurate healthcare payment reconciliation paradigm. The combined company will have more than 2,000 employees serving more than 60 health plans, including 13 of the top 20 payers. Upon closing, David Pierre will lead the combined company as CEO, with Machinify’s Founder and CEO Prasanna Ganesan assuming the role of EVP and Chief Product Officer and joining the Board of Directors. Rawlings, Apixio PI and VARIS will maintain their respective legacy sub-brand names. “The planned combination with Machinify reflects our strategy of utilizing data and AI, coupled with deep domain expertise, to simplify and reduce costs across the healthcare payment process,” said Mr. Pierre. “Together with Machinify, we will provide a suite of products and services that mitigates the complexities throughout the industry that impact performance and affordability, and enhances efficiencies for payers, providers and patients.” Dr. Ganesan added, “We are proud to build on the transformative AI platform that we have developed at Machinify as we take this next important step forward. With the proven track record of Rawlings, Apixio PI, and VARIS in delivering exceptional outcomes for blue-chip health plans, we are well-positioned to accelerate our mission of creating a next-generation infrastructure for healthcare administration — one that streamlines operations and fosters greater transparency across the healthcare system.” “New Mountain has had a longstanding sector thesis around the transformative potential for technology to drive greater efficiency in healthcare payments and we believe that the combined company is the platform to enable this,” said Matt Holt, Managing Director and President, Private Equity, at New Mountain Capital. “We are confident that this business will disrupt the status quo and improve outcomes for all stakeholders.” The transaction is supported by an existing investor group of private equity and venture capital led by New Mountain Capital, Eir Partners, Battery Ventures, Ardan Equity Partners, Matrix Partners, and GV. The merger is subject to regulatory approvals and is expected to close in the first quarter of this year. Deutsche Bank served as financial advisor and Cooley LLP served as legal advisor to Machinify. J.P. Morgan Securities LLC served as financial advisor and Ropes & Gray LLP served as legal advisor to New Mountain. About the merged Rawlings, Apixio PI and VARIS platform The newly combined company from the merger of The Rawlings Group (“Rawlings”), Apixio’s Payment Integrity (PI) business, and VARIS is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value and efficiency to health plan clients across the country. Deployed by over 60 health plans, including many of the top 20, and representing more than 160 million lives, the company brings together a fully configurable and content-rich platform along with deep domain expertise. The company is focused on creating disruptive solutions to maximize financial outcomes today to drive down healthcare costs tomorrow. About Machinify Machinify is dedicated to developing AI-first processes for administrative decisioning across the healthcare claim payment cycle. Today, the company’s AI engine powers applications that have delivered hundreds of millions of dollars of annual cost savings for blue-chip health plans representing over 65 million lives. Machinify is headquartered in Palo Alto. For more information, visit: www.machinify.com . About New Mountain Capital New Mountain Capital is a New York-based investment firm that emphasizes business building and growth, rather than excessive risk, as it pursues long-term capital appreciation. The firm currently manages private equity, strategic equity, credit, and net lease real estate funds with over $55 billion in assets under management. New Mountain seeks out what it believes to be the highest quality growth leaders in carefully selected industry sectors and then works intensively with management to build the value of these companies. For more information, visit: www.newmountaincapital.com .
Apixio Frequently Asked Questions (FAQ)
When was Apixio founded?
Apixio was founded in 2009.
Where is Apixio's headquarters?
Apixio's headquarters is located at 1850 Gateway Drive, San Mateo.
What is Apixio's latest funding round?
Apixio's latest funding round is Acq - Fin.
How much did Apixio raise?
Apixio raised a total of $50.36M.
Who are the investors of Apixio?
Investors of Apixio include New Mountain Capital, Centene, Bain Capital Ventures, SSM Partners, Candou Ventures and 3 more.
Who are Apixio's competitors?
Competitors of Apixio include Innovaccer, Reveleer, Credo, Kaid Health, Carta Healthcare and 7 more.
What products does Apixio offer?
Apixio's products include Risk Adjustment and 3 more.
Who are Apixio's customers?
Customers of Apixio include Providence St. Joseph Health , HCSC , Aledade , Blue Cross Blue Shield North Carolina and Blue Cross Blue Shield Tennessee.
Loading...
Compare Apixio to Competitors

Innovaccer is a healthcare technology company that provides a platform for data activation and analytics in value-based care. The platform integrates and analyzes healthcare data for clinical, financial, operational, and experiential outcomes. Innovaccer's solutions serve providers, payers, the public sector, and life sciences. It was founded in 2014 and is based in San Francisco, California.

Inovalon provides healthcare software and analytics solutions. It offers a cloud-based platform that connects users with national-scale connectivity, primary source data access, and analytics for clinical outcomes and healthcare economics. The company serves payers, providers, pharmacies, and life sciences organizations within the healthcare sector. Inovalon was formerly known as MedAssurant. It was founded in 1998 and is based in Bowie, Maryland.

Epic is a health IT company focused on developing healthcare software. The company specializes in creating software solutions that facilitate patient care and support healthcare providers in improving treatment outcomes. Epic's software is used by healthcare professionals and patients to enhance the quality of care and support health and wellness. Epic was formerly known as Human Services Computing, Inc.. It was founded in 1979 and is based in Verona, Wisconsin.
VisiQuate specializes in revenue cycle management and analytics within the healthcare sector. It offers a suite of services that enable healthcare organizations to analyze complex data, optimize revenue cycle outcomes, and improve operational performance through AI and machine learning, advanced analytics, and intelligent process automation. VisiQuate's solutions cater primarily to healthcare providers looking to enhance their financial and operational efficiency. It was founded in 2009 and is based in Santa Rosa, California.

Nudge specializes in providing customizable mobile applications for coaching and training professionals across various sectors. The company offers a platform that allows users to create their own branded coaching apps with features such as habit tracking, personalized messaging, and group engagement tools. Nudge primarily serves professionals in the coaching, training, and educational industries who seek to enhance client engagement and program delivery. It was founded in 2012 and is based in Richmond, Virginia.
3m Health Information Systems (3M HIS) provides software solutions and consultancy services for the health care industry. It offers services such as virtual assistant solutions, transcription solutions, imaging solutions, adoption services, and more. It was founded in 1983 and is based in Salt Lake City, Utah.
Loading...