Company Overview
About Decoda Health
Decoda Health is a San Francisco-based AI healthcare administration platform — backed by Y Combinator (S23) with $4.5 million raised from YC, Amino Capital, Bossa Nova Ventures, Cadenza Ventures, Graphene Ventures, and Orange Collective — providing medical clinics and healthcare providers with autonomous AI agents that handle medical coding, billing, claims submission, denial management, scheduling coordination, and patient payment collection, automating 80%+ of the repetitive administrative tasks that currently consume 30-40% of healthcare provider revenue in overhead costs. Founded in 2023 by Daniyal Afzal, James Oswald, and Kevin Cheng, Decoda's AI agents deliver 30% reduction in coding costs, 20% reduction in claim denials, and claims processing in seconds versus the days that manual coding and submission require.
Business Model & Competitive Advantage
Decoda's autonomous agent architecture operates across the healthcare revenue cycle workflow: the AI coding agent reads clinical notes and procedure documentation to assign CPT and ICD-10 codes (the medical billing language that translates clinical care into insurance claims), the claims submission agent formats and transmits claims to payers, the denial management agent interprets payer rejection messages and generates corrected claims with supporting documentation, and the patient communication agent handles scheduling calls, payment reminders, and authorization status updates — the 80% of tasks that currently require medical billers and front-office staff to execute manually across multiple portal logins and phone calls. The 20% reduction in claim denials directly improves provider cash collections by reducing the rework cycle that characterizes current revenue cycle management.
Competitive Landscape 2025–2026
In 2025, Decoda Health competes in the healthcare revenue cycle management (RCM) and AI medical administration market with Waystar (NASDAQ: WAY, enterprise RCM platform, $700M+ revenue), Netsmart (behavioral health RCM), and Innovaccer (health AI platform, $150M raised) for clinical practice RCM automation. The healthcare administrative burden is one of the largest inefficiencies in US healthcare — administrative costs represent approximately $950 billion annually (30% of US healthcare spending) with medical coding, billing, and prior authorization among the highest-cost processes. Y Combinator S23 backing positions Decoda for the growing AI healthcare administration category where multiple startups are competing to automate the revenue cycle. The 2025 strategy focuses on growing the ambulatory clinic vertical (primary care, specialty, behavioral health), building the prior authorization automation module (the most time-consuming administrative burden for physician practices), and expanding the revenue cycle analytics for practice managers tracking collections performance.
Recent Activity
View all →Key Differentiators
Emerging Innovator
Decoda Health is an emerging player bringing innovative solutions to the Healthcare market.
Frequently Asked Questions
Estimated Visibility Trend (Beta)
Simulated 8-week rolling score
Based on estimated brand signals. Historical tracking coming soon.
Similar Brands
Doximity
Doximity is a professional network and digital health platform purpose-built for licensed physicians and other healthcare professionals in the United States. With more than two million verified clinic
Epic Systems
Epic Systems Corporation was founded in 1979 by Judith Faulkner and is headquartered in Verona, Wisconsin, remaining privately held with Faulkner as majority owner. The company develops large-scale el
athenahealth
athenahealth is a cloud-based electronic health records (EHR), medical billing, and practice management company founded in 1997 and headquartered in Watertown, Massachusetts. The company was built on
Oracle Health
Oracle Health is the healthcare technology business unit of Oracle Corporation (NYSE: ORCL) — providing electronic health records (EHR), clinical workflow management, health information exchange, reve
Pfizer
Pfizer is one of the world's largest biopharmaceutical companies, founded in 1849 by cousins Charles Pfizer and Charles Erhart in Brooklyn, New York, and now headquartered in New York City. The compan
Moderna
Moderna is a clinical-stage biotechnology company that pioneered the development of messenger RNA (mRNA) therapeutics and vaccines, founded in 2010 by Noubar Afeyan, Robert Langer, Kenneth Chien, Stép
Compare Decoda Health with Competitors
Side-by-side AI visibility scores, platform breakdown, and market position.
Claim This Profile
Are you from Decoda Health? Claim your profile to see full AI mention excerpts, get weekly visibility change alerts, and optimize how AI systems describe your brand.
Claim Decoda Health Profile →Track AI Visibility in Real Time
Monitor how ChatGPT, Gemini, Perplexity, and Claude mention Decoda Health vs competitors. Get alerts when AI recommendations shift.
Start Free Tracking →