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Independent Dispute Resolution for Fair Provider Reimbursement

HealthcareAISaaSAutomation
Company overview

About Pivotal Health

Pivotal Health (formerly Radix Health) helps healthcare providers and health systems achieve fair reimbursement through Independent Dispute Resolution under the No Surprises Act. Our platform combines software, proprietary data, expertise, and AI to manage this complex process end to end, delivering proven results while reducing administrative burden. We integrate with all major hospital-based RCMs, and support a range of providers organizations, from independent physician groups to established health systems. Built on transparency, alignment, and results — no fluff, no contract lock-ins, and no commission until after our clients are paid.

Purpose

Mission and direction

Pivotal Health is a healthcare technology company that helps providers and health systems achieve fair reimbursement by simplifying Independent Dispute Resolution and related reimbursement workflows. Through an AI-driven platform combining software, proprietary data, and expert service, it reduces administrative burden, improves operational efficiency, and helps providers recover the payments they are entitled to in a complex insurance landscape.

How they work

Company values

  • Transparency
  • Alignment
  • Results
  • Fairness
  • Efficiency
  • No fluff
  • Low ego
  • Accountability