Eligible

Eligible

Eligible - APIs for payments, eligibility and claims in healthcare..

HQ location
New York City, United States
Launch date
Enterprise value
$101—151m
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Eligible Inc. operates in the healthcare technology sector, providing API-driven solutions for verifying patient eligibility and benefits in real-time. The company's core product, Oscar Hosted Eligibility Solution, integrates with healthcare providers' systems to offer transparent cost estimates at the time of service. This service is particularly beneficial for large healthcare providers like Radnet, which has integrated the solution across its 341 imaging centers. Eligible Inc. serves healthcare providers, insurance companies, and patients, aiming to reduce the incidence of surprise medical bills and enhance cost transparency. The business model is based on a subscription fee for access to its API services, as well as potential transaction-based fees. Revenue is generated through these subscriptions and fees, making it a scalable and recurring revenue model.

Keywords: healthcare technology, API, patient eligibility, cost transparency, real-time verification, insurance, subscription model, Radnet, Oscar solution, medical billing.

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