Authorized for federal operation FedRAMP High VA National ATO $250B in claims under analysis

For investors · the moat, plainly

Go ahead.
Copy the software.

Any good team can rebuild an app in eighteen months. Then they hit the four walls — the memory, the clearance, the position, and the loop — and eighteen months becomes never.

$250B claims / yr in footprint 3 sides in production simultaneously FedRAMP High + national ATO

01 The four walls

What a competitor
actually needs.

Not features. Features are eighteen months. These are the things you cannot sprint your way into — listed in the order they will stop you.

wall 01 · the memory

Payer behavior you can't buy

How BCBS actually pays CO-16 — 51%, median 34 days — isn't in any database you can license. It's learned from 80M+ claimsCMS CRUSH RFI response · 2025 of live 835 traffic, versioned by jurisdiction and date of service. You only get this data by operating where the money moves.

to replicate · operate at scale for years — and your customers must let you keep the lessons

wall 02 · the clearance

Authorization you can't rush

FedRAMP High and a national VA Authority to Operate — 421 NIST controlspublic authorization record, running against VistA, Cerner, and Epic in production. We did it in under 18 monthsVA authorization record; that is close to the speed limit.

to replicate · 18–36 months, if you are flawless — and most never finish

wall 03 · the position

Trust you can't fake

We run payer-side, provider-side, and federal — simultaneously, in production. That's what makes the number objective: both sides accept it because neither side owns us. Every incumbent is structurally one-sided; their economics collapse if they switch.

to replicate · fire half your revenue base — the one-sided business model is the cage

wall 04 · the loop

Ground truth that compounds

Every filed packet comes back paid or denied — a labeled outcome that retrains the genome. 72% appeals won vs. 38% industryCMS CRUSH RFI response · 2025 isn't a feature; it's the compounding read-out. The gap widens every cycle we operate and they don't.

to replicate · impossible from behind — outcome data only accrues to whoever does the work

the software took two years — the walls took the walls

legacy RAC / ZPIC

Post-payment sampling. Compliance lens only. Recoupment letters, years late.

data-fusion platforms

Aggregate data into dashboards. Analyst-dependent. Visibility, not action.

curaclaims

Prepayment. Every claim. Same engine, both sides. Signed package <5 min.

02 Built to be inevitable

Speed compounds
into infrastructure.

Contracted anchors de-risk the curve — federal and commercial deployments already live, expansion compounding as governance clears. State and federal programs follow a land-once, scale-everywhere model, built to the standard we proposed to CMS.

The business model matches the moat: results as a service — contingency on recovery, per-claim on prevention. Revenue tied to finished work, not seats. Competitors can't follow without abandoning their own economics.

$250B
Annual claims, customer + pipeline footprint
3
Sides in production — payer, provider, federal
9
Payer desks compounding daily
<18mo
First deployment to national ATO

03 The bench

Defense. Intelligence.
Biotech. Public health.

People who have run the largest payer in America, the largest state health agency, military health operations, and genomic science — aimed, together, at healthcare's plumbing. Full bios →

Long Nguyen

Long Nguyen

Co-founder · CEO

C. Rockefeller

C. Rockefeller

Co-founder · capital

Dr. S. Mukherjee

Dr. S. Mukherjee

Co-founder · physician-scientist

Dr. Ed Ellison

Dr. Ed Ellison

Advisor · ex-co-CEO, Permanente

Dr. Mark Ghaly

Dr. Mark Ghaly

Advisor · ex-Sec., CA HHS

Wallace Smith

Wallace Smith

Colonel (ret.), U.S. Army

Qualified investors

The numbers behind the walls.

Detailed financials, unit economics, and pipeline are shared under NDA. Combined customer + pipeline footprint exceeds $250B in annual medical claims.