Case Health AI

Founded in 2025, Case Health AI, Inc. operates out of San Francisco, US, providing AI technology to improve healthcare processes. The company was established by a group of entrepreneurs dedicated to innovation in healthcare.Case Health AI primarily offers advanced AI-driven solutions designed to automate the prior authorization process within healthcare utilization management. Their flagship product utilizes proprietary AI models to handle critical tasks such as intake, document verification, and determination of approval or denial for prior authorization requests. Key components include the Clinical Abstraction Language Model (CALLM™) and the Evaluation Language Model (EVALLM™), which work in tandem to efficiently extract essential patient and provider information from prior auth documents and validate them against guidelines and payer rules. The end users of these solutions are primarily healthcare payers and providers looking to streamline operations and enhance compliance with regulations.S.Case Health AI generates revenue through partnerships and direct sales of its AI automation solutions to healthcare organizations, particularly health plans. The transaction structure typically involves licensing agreements and possibly subscription models, allowing clients to integrate the AI systems into their existing utilization management workflows. The company emphasizes its ability to facilitate seamless processing with a significant reduction in administrative burdens and processing times. While specific pricing details for their products and services are not disclosed, the value proposition centers on substantial operational savings and improved accuracy in prior authorization decisions, which are critical for healthcare payers managing large volumes of requests. The company is targeting expansion into additional markets, specifically focusing on the broader North American healthcare sector by the end of 2026.

1. Seed

   Jan 15, 2026

   Amount

   Undisclosed

   Investors

   Locked