Kubera Health
Kubera Health builds a contract-to-payment system of record for American healthcare, turning payor-provider agreements into computable rules that audit claims and payments continuously.
Kubera Health builds what it calls the contract-to-payment system of record for American healthcare. The company's platform ingests a health system's portfolio of payor-provider agreements and translates them into structured, computable rules, which are then run continuously against claims and payment data. The aim is to identify and reconcile payment discrepancies before they accumulate into disputes.
The product line includes contract intelligence, which surfaces payment discrepancies with the underlying contract logic attached so issues can be audited and reconciled; continuous payment auditing, described as achieving live monitoring for customers within 90 days; and payor policy tracking for both providers and payors. The company reports that more than $3 billion in payments has been processed on the platform. It positions the work against a problem of scale: American healthcare organisations lose billions of dollars each year to payment inaccuracies.
Kubera Health operates on HIPAA- and SOC2-compliant cloud infrastructure and works across healthcare IT interoperability, contract intelligence and rules computation, and revenue cycle analytics. The company was founded by a physician who encountered healthcare's administrative burdens directly, and serves enterprise customers among health systems, hospitals, providers and payors across the United States.