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AI & ML · AI Healthtech

Taiga × YC

The medical billing partner you want to work with.

AI-native medical billing for modern practices | @ycombinator P26
San Francisco, CA53 followers
TLVC Rating

Boring. Can be much better.

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About

Taiga is a full-stack medical billing service for doctor's offices that takes over the revenue cycle so clinicians can spend their time on patients instead of paperwork. The system runs benefits checks and clears prior authorizations before a visit, then plugs into the practice's EMR to pull visit data the moment an appointment ends, reads the clinical notes, and generates the diagnosis and procedure codes needed to back a clean claim. When a payer denies or downcodes, Taiga drafts and files appeals automatically rather than letting the claim sit in a worklist. The launch is timed to a shift on the other side of the desk. As the founders describe it, insurance companies are now using AI to review every claim and are downcoding or denying at a pace that manual billing teams struggle to match, which quietly drains revenue from independent practices. Taiga is pitching itself as a like-for-like response, an AI-native biller built to contest those decisions claim by claim instead of writing them off. The company is run by Nanda Guntupalli and Adam Wax , who, per their YC profile, are friends since 3rd grade whose parents are doctors running their own practices, where billing was a source of stress and lost revenue . That background shapes the positioning toward small and modern independent practices that want coding, claims, denials, and patient statements handled end to end rather than stitched together across a clearinghouse and an outside biller.
Tags
<500KProduct launchB2BGlobalPre-launchDemoUSVertical AIFounder-led
Comments (14)
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Priya Kothari4/30/2026

The thumbnail with the stethoscope and the tiny robot is doing a lot of heavy lifting. Whoever edited the launch video understood pacing, no 30 second founder monologue before the demo.

Yusuf Adeleke4/30/2026

Every clinic I've ever called about a bill has put me on hold for 40 minutes. If the AI gets stuck in its own hold music loop that's just karma.

Deepak R.4/30/2026

Reminds me of how Ramp ate expense reports. Billing ops is the same shape of pain, just with worse vendors and angrier humans on the phone.

Linnea Vesterlund4/30/2026

BAA? HIPAA boundaries with the model provider? Where does PHI live and for how long? Asking because procurement at any real practice will ask first.

Benoît Mercier4/30/2026

SSO via Okta on day one or am I waiting for the enterprise tier? Any larger group practice will ask before the second call.

Taro Shibata4/30/2026

Bold to launch a billing company without the word 'agentic' in the tagline in 2025. Respect the restraint.

Mira Osei4/30/2026

Tweet copy is clean but burying the founders at the bottom is criminal. Put the faces up top, people back people.

Khwezi Dlamini4/30/2026

Naive question from someone who's never run a clinic: what happens when the insurer denies a claim three times and the AI just keeps refiling? Is there a human in the loop or does it eventually call a lawyer.

Finn O'Reilly4/30/2026

Curious how big the team is. If two people are filing claims for entire practices with software, that's the real story buried in this launch.

Oluwaseyi Tunde4/30/2026

Do you expose a webhook when a claim status changes? Practices have EHRs and a dozen other tools that would love that event stream.

Sascha Brandt4/30/2026

A claim follows up on itself, but a clinic remembers who answered the phone.

Ananya Bhargav4/30/2026

Already mentally drafting the term sheet. Vertical AI into a workflow with a literal payer on the other end is the cleanest wedge I've seen this month.

Valeria Castro4/30/2026

Roadmap suggestion you didn't ask for: patient-side payment plans with friendly SMS. The follow-up problem doesn't end at the insurer.

Hao-Yu Lin4/30/2026

Site copy says 'partner you want to work with' which is a low bar in this category and somehow still differentiated. Brutal industry.