Brellium, a healthcare clinical compliance and revenue integrity technology company, has raised $23 million in venture financing and introduced CortexLM, a machine-learning platform designed to automate clinical documentation audits and reduce financial exposure to payer clawbacks. The funding will support the company's expansion into additional medical specialties and further integration with healthcare billing systems.
CortexLM enables healthcare organisations to audit 100% of patient notes before claims submission, replacing traditional retrospective reviews and sample-based auditing. The platform evaluates clinical documentation against specialty-specific guidelines, commercial payer policies, CMS billing regulations and quality reporting requirements.
The system identifies missing documentation, diagnostic inconsistencies, coding errors and potential compliance issues, recommending corrections before claims reach payers. It also identifies documented clinical complexity and billable services that may have been omitted from claims, supporting more accurate reimbursement.
Brellium reports that its platform currently serves more than 215,000 clinicians across 200 provider groups in all 50 US states. The company has audited over 22 million patient visits and estimates that its technology has protected nearly $2 billion in provider revenue.
Customers include Gentiva, Maxim Healthcare, Headspace and Rula. At Headspace, Brellium reportedly increased clinical documentation audit coverage from 2% to 100%, with provider compliance reaching 99.2%.
A central component of the company's offering is its financial audit guarantee. Under this arrangement, Brellium assumes financial responsibility when a previously reviewed and cleared clinical encounter subsequently results in a qualifying payer clawback or audit penalty.
“Providers and payers have been stuck fighting the same fraud, waste and abuse problem from opposite sides of the table for years,” said Zach Rosen, Co-Founder and CEO of Brellium. “CortexLM is how we get everyone working from the same standard, so providers can prove the care was right the first time, instead of spending months untangling it after the fact.”
Brellium plans to expand beyond behavioural health and home care into cardiology, interventional pain management and value-based primary care. Additional priorities include deeper electronic health record integrations, automated coding validation and collaboration with health insurers to support pre-payment claims verification.
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