MedAI Verdict
Billing & coding

AI Medical Billing

Cair Health logo

Cair Health

by Cair Health Inc.  ·  founded 2023  ·  US

Last verified

AI agents for claims, eligibility, denials and coding review for medical billing organizations.

At a glance

Pricing
No public price. Pricing is based on usage and volume, with a monthly minimum.
HIPAA
Attested
SOC 2
Type II
EHRs
—
Founded
2023
HQ
US
On this page

Independent score  ·  By our public rubric

25/100Niche fit

Not rated: too little independent evidence yet.

How it’s computed →
  • Regulatory & Compliance
    10/10

    HIPAA + (SOC2 or BAA) attested

  • Clinical Integration
    0/31.4

    No EHR integrations listed

  • Evidence Strength
    0/10

    No peer-reviewed coverage

  • Vendor & Market
    6/18

    Seed-stage or unfunded

  • Sentiment & Transparency
    3.3/6.5

    Pricing on request, no public amounts

▸ Show all 11 dimensions

Regulatory & Compliance

  • HIPAA / SOC2 / BAA10/10

    HIPAA + (SOC2 or BAA) attested

Clinical Integration

  • EHR integrations (count)0/18

    No EHR integrations listed

  • Top-3 EHR coverage (Epic / Oracle / Athena)0/8

    None of the top-3 EHRs covered

  • Bidirectional write-back0/5

    No bidirectional write-back documented

Evidence Strength

  • Peer-reviewed papers0/7

    No peer-reviewed coverage

  • RCT / meta-analysis / systematic review0/3

    No RCT, meta-analysis, or systematic review

Vendor & Market

  • Funding & adoption signal3/12

    Seed-stage or unfunded

  • Years in market3/6

    Founded 2023 (3 years)

Sentiment & Transparency

  • Pricing transparency3/7

    Pricing on request, no public amounts

Scored November 2, 2026 · Public scoring method v1.2.0

AI agents for claims, eligibility, denials and coding review for medical billing organizations.

No public price. Pricing is based on usage and volume, with a monthly minimum. HIPAA + SOC 2 Type II attested.

Evidence record

Verification
  • Score computed November 2, 2026, method 1.2.0
  • Review written November 2, 2026
Cite this record

MedAI Verdict, Cair Health record, https://medaiverdict.com/tools/cair-health, version November 2, 2026

Bottom line

Cair Health says its platform runs six AI agents covering eligibility, coding, claim submission, denials, payer phone calls and payment posting for medical billing organizations. The company was founded in 2023 with Y Combinator among its backers, and data providers disagree on its funding and on whether it sits in San Francisco or Palo Alto. The pricing page shows three tiers with no dollar amounts. A billing organization that wants one vendor across the claim lifecycle is the audience. Those who need named EHRs and clearinghouses before a trial have only a claim of "80+ Integrations" to read.

What does each agent do, according to the vendor?

CLARK codes CMS-1500, UB-04, ADA Dental and case-rate claims with current ICD, CPT and HCPCS sets. CHLOE reviews clinical notes, payer policies, real-time eligibility and coding rules, then submits first-pass claims. DENNIS parses ERAs and resubmits claims as a revised 837. PAIGE phones payers for benefits verification and denial follow-up, EVE converts EOBs to ERAs and posts payments, and ELLA handles eligibility.

The vendor's metrics are a one-day charge lag, 90% automation and a gross collection rate of 99% or more, which measures collections. The vendor's pages publish no accuracy figure for the coder.

Founders, backers and the headquarters question

A Y Combinator listing gives the founders as Shehbaz Virk and Ishan Balakrishnan. Y Combinator and Extruct place the company in San Francisco, while CB Insights and PitchBook say Palo Alto. The vendor's pages state neither.

The homepage names Y Combinator, Soma Capital, Translink Capital, Foundation Capital and Rebel Fund without amounts. Extruct lists a $2.8M seed from Evolution Ventures and NVO Capital, CB Insights totals $3.3M and PitchBook shows $500K. A YC job posting says "100+ practices", and the homepage logos include Imagnum Healthcare, Fila Health, Moona and Picnic Health.

How is it priced?

As of November 2026 the pricing page names Core for small clinics or single-site teams, Growth for mid-size organizations and Enterprise for large or complex ones. The page says a monthly minimum covers full platform access, and that pricing is "based on usage and volume". Integration and onboarding fees are generally waived, per the vendor. A free sandbox account is open, with a production trial only after partnering.

What does it say about integrations and security?

The vendor claims "80+ Integrations", pre-built or on demand, accepting raw notes, X12 EDI, FHIR and EHR APIs. The pricing page lists "EMR Integration" and "Clearinghouse Connection" as features, and Enterprise adds multi-EHR and multi-clearinghouse support.

The homepage says the platform is "HIPAA & SOC 2 compliant" and that no data is stored, shared or trained on by LLMs. The pricing page says "operating under SOC 2 controls". The homepage and pricing text give no report type.

The verdict

Cair suits a medical billing organization that wants eligibility, coding, claims, denials and posting handled by one vendor's agents. The unnamed integrations and the funding and headquarters disagreements are the open points for a buyer of that size.

Editorial review last generated November 2, 2026. Synthesized from clinician sentiment, peer-reviewed coverage, and our editorial silo picks. Refined by hand where vendor facts change.

What it costs

All tiers are custom-quoted. The vendor does not publish per-provider list pricing.

TierMonthlyAnnualNotes
EnterpriseNot statedNot statedNo public price. Pricing is based on usage and volume, with a monthly minimum.

Source: vendor pricing page. Last checked November 2, 2026.

What deploys cleanly

Carries HIPAA, SOC 2 per vendor documentation. Independent attestation review is the buyer's responsibility before clinical deployment.

Who builds it

Cair Health (Cair Health Inc.) was founded in 2023 in US, putting it 3 years into market.