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医疗保险索赔筛查系统研发商Codoxo获得3500万美元C轮融资,旨在彻底改变美国最大健康计划的支付完整性

Codoxo’s Oversubscribed Series C Led by CVS Health Ventures to Revolutionize Payment Integrity for America’s Largest Health Plans

vcaonline 等信源发布 2025-12-17 23:16

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Codoxo’s Oversubscribed Series C Led by CVS Health Ventures to Revolutionize Payment Integrity for America’s Largest Health Plans

Codoxo超额认购的C轮融资由CVS Health Ventures领投,旨在彻底改变美国最大健康计划的支付完整性。

$35M Investment Accelerates Gen AI Deployment at Point Zero — Empowering Payers to Act Earlier and Smarter Than Ever Before While Reducing Friction With Providers

3500万美元投资加速了Gen AI在Point Zero的部署——使支付方能够比以往更早、更明智地采取行动,同时减少与供应商的摩擦。

DULUTH, Ga., December 17, 2025-- Codoxo, the leading provider of AI and generative AI-powered healthcare payment integrity solutions, raised $35M in Series C funding, led by CVS Health Ventures. Echo Health Ventures joins the round as a new investor, with continued investment from existing investors including Sands Capital, 111 West Capital, Brewer Lane Ventures, Wipro Ventures, 450 Ventures (venture arm of Blue Cross and Blue Shield of Alabama) and QED Investors.

乔治亚州杜鲁斯,2025年12月17日——Codoxo是领先的人工智能和生成式人工智能驱动的医疗支付完整性解决方案提供商,完成了由CVS Health Ventures领投的3500万美元C轮融资。Echo Health Ventures作为新投资者加入本轮,现有投资者继续注资,包括Sands Capital、111 West Capital、Brewer Lane Ventures、Wipro Ventures、450 Ventures(阿拉巴马蓝十字蓝盾的风险投资部门)以及QED Investors。

This milestone brings Codoxo’s total funding raised to over $75 million..

这一里程碑使 Codoxo 筹集的资金总额超过 7500 万美元。

Codoxo’s platform is rapidly being adopted by national health plans, and the latest investment will accelerate the company’s growth and its speed of innovation in its GenAI-powered payment integrity solutions. By targeting payment accuracy at Point Zero, Codoxo is transforming how payers and providers collaborate—delivering improvements that were previously unachievable with traditional methods..

Codoxo的平台正迅速被国家健康计划采用,最新的投资将加速该公司在其GenAI驱动的支付完整性解决方案中的增长和创新速度。通过在零点关注支付准确性,Codoxo正在改变支付方和供应商之间的协作方式——带来传统方法无法实现的改进。

The funding comes at a pivotal time as healthcare payers face mounting pressure to reduce costs while improving provider relationships. Codoxo's Point Zero approach represents a fundamental shift in payment integrity, identifying and preventing payment errors at the earliest possible moment —before they occur —rather than detecting them after the fact..

这笔资金的注入正值医疗支付方面临越来越大的降低成本同时改善与供应商关系的压力之际。Codoxo的“零点”方法代表了支付完整性方面的根本性转变,它能够在最早的时间点——即在错误发生之前——识别并防止支付错误,而不是事后才发现问题。

“This funding highlights the support for Codoxo’s differentiated approach and the importance of closing gaps in payment integrity programs across national health plans,” said Musheer Ahmed, Ph.D., CEO and Founder of Codoxo. “Payers are increasingly seeking innovative solutions that deliver greater payment accuracy while improving provider experience and reducing the administrative burden created by traditional payment integrity processes.”.

“这笔资金突显了对Codoxo差异化方法的支持,以及在国家健康计划中关闭支付完整性项目缺口的重要性,”Codoxo首席执行官兼创始人穆希尔·艾哈迈德博士表示,“支付方越来越寻求能够提高支付准确性、改善供应商体验并减少传统支付完整性流程带来的管理负担的创新解决方案。”

“With this investment, we’re accelerating the scaled deployment of our Point Zero Payment Integrity solutions, powered by generative AI,” said Ahmed. “We’re proud to be the first intelligent, end-to-end payment integrity platform that thoughtfully determines which providers require intervention—whether at Point Zero, prepay, or postpay—ensuring smarter, more efficient outcomes across the entire claims process.”.

“通过这项投资,我们正在加速部署由生成式人工智能驱动的‘零点支付完整性’解决方案,”艾哈迈德说。“我们很自豪能成为首个智能的、端到端的支付完整性平台,能够深思熟虑地确定哪些供应商需要干预——无论是在零点、预付还是后付阶段——确保在整个理赔过程中实现更明智、更高效的成果。”

This funding follows a transformative year for Codoxo, marked by rapid expansion of its customer base—now covering more than 80 million lives—and significant revenue growth. The company was once again recognized on the Inc. 5000 list of the Fastest-Growing Private Companies in the U.S., reflecting its sustained momentum and market impact.

这笔资金的注入紧随Codoxo经历的一个变革性年度,这一年中,公司的客户群迅速扩展——现已覆盖超过8000万用户,并实现了显著的收入增长。该公司再次荣登《Inc. 5000》美国增长最快的私营企业榜单,反映出其持续的发展势头和市场影响力。

Codoxo continues to deliver unprecedented results for national payers by closing costly payment gaps through its Point Zero Payment Integrity platform, which was named a 2025 AI Awards finalist in two categories: Most Innovative AI Technology and Best Use of AI in Healthcare..

Codoxo通过其Point Zero支付完整性平台,持续为国家支付方带来前所未有的成果,该平台通过填补昂贵的支付漏洞,被评为2025年人工智能奖两个类别的决赛入围者:最具创新性的人工智能技术和医疗保健领域人工智能的最佳应用。

'Codoxo's Point Zero approach and proven track record at national health plans position them uniquely to improve how payers ensure payment accuracy at scale,” said Justin Brock, Partner at CVS Health Ventures. “We're excited to support their mission to enhance payment integrity programs across the entire industry.'.

“Codoxo的零点方法和在国家健康计划中的成功记录使他们在大规模确保支付准确性方面具有独特的地位,”CVS Health Ventures合伙人贾斯汀·布罗克表示。“我们很兴奋能够支持他们提升整个行业支付完整性计划的使命。”

About Codoxo

关于Codoxo

Codoxo empowers healthcare payers with its Generative AI-driven Unified Cost Containment Platform, delivering intelligent, end-to-end payment integrity and fraud, waste, and abuse (FWA) solutions—from pre-claim to prepay and postpay. At the earliest intervention point, Codoxo’s Point Zero Payment Integrity solutions identify and prevent payment errors before claims are even submitted, stopping issues at their source.

Codoxo通过其生成式人工智能驱动的统一成本控制平台,为医疗支付方提供支持,提供从索赔前到预付和后付的智能端到端支付完整性和欺诈、浪费及滥用(FWA)解决方案。在最早的干预点,Codoxo的“零点支付完整性”解决方案能够在索赔提交之前识别并防止支付错误,从源头上阻止问题。

The platform’s comprehensive AI capabilities span across provider education, data mining, clinical chart and medical record reviews, no-code concept ideation, fraud detection, audit workflow and case management and provider contract and medical policy compliance. These help payers achieve unmatched accuracy across the entire claim lifecycle.

该平台全面的AI能力涵盖供应商教育、数据挖掘、临床图表和医疗记录审查、无代码概念构思、欺诈检测、审计工作流程和案例管理以及供应商合同和医疗政策合规。这些帮助支付方在整个理赔生命周期中实现无与伦比的准确性。

Codoxo’s platform transforms payment integrity by shifting payers from reactive detection to proactive prevention—reducing costs and improving provider relationships. Codoxo has been recognized with a Fierce Healthcare Innovation Award and named to the Inc. 5000 list for its rapid growth. All Codoxo solutions operate in a HITRUST-certified environment.

Codoxo的平台通过将支付方从被动检测转变为积极预防,从而改变了支付的完整性——降低成本并改善与供应商的关系。Codoxo因其快速增长荣获了Fierce Healthcare创新奖,并被列入Inc. 5000榜单。所有Codoxo解决方案均在HITRUST认证的环境中运行。

For more information, visit www.codoxo.com..

欲了解更多信息,请访问 www.codoxo.com。

Contact:

联系人:

Media contact:

媒体联系人:

Michelle Mead

米歇尔·米德

VSC for Codoxo

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codoxo@vsc.co

codoxo@vsc.co