Startups > Arrow

Arrow

Arrow automates healthcare revenue cycle management for providers and payers.

Series A $113.6M total Founded 2020 New York, New York 18 employees

Arrow is an AI-powered operating system for healthcare revenue cycle management that automates billing, claims processing, denial management, and collections. It unifies fragmented workflows across EHRs, clearinghouses, and payer portals without requiring system replacement. The platform uses autonomous AI agents to handle denials end-to-end, detect errors before submission, and maintain real-time visibility into claim status and payment flow.

Problem solved

Healthcare providers lose significant revenue to billing errors, claim denials, and slow payment cycles due to fragmented manual processes across multiple disconnected systems.

Target customer

Healthcare providers (hospitals, clinics, medical groups) and healthcare payers managing claims processing and revenue cycles

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Founders

Roshan Patel

Founder & CEO

Venture Partner at H/L Ventures with MS in Finance from Vanderbilt University; prior experience at On Deck, Space Capital, and Trillium Management.

Yash Joshi

Co-Founder & CTO

Senior Software Engineer at Charles Schwab and 4+ years at Motif Investing; BS in Electrical and Computer Engineering from Ohio State University.

Funding history

Seed $3.6M April 2021 Led by Unknown · Unknown

Series A $110M May 2022 Led by Gradient Ventures · Company Ventures, Banana Capital, Muse Capital, Newark Ventures, Afore Capital, CityRock Ventures, AngelList, Weekend Fund, Goodwater Capital, 2048 Ventures

Total raised: $113.6M

Industries

Financial Services FinTech Health Care InsurTech

Notable customers

MyWellbeing

Integrations

EHR systems, clearinghouses, payer portals, NVIDIA Inception program (GPU resources and AI SDKs)

Tech stack

React (JavaScript frameworks) Lenis (JavaScript libraries) Open Graph HTTP/3 HSTS (Security) Google Font API (Font scripts) Framer Sites (Page builders) Amazon Web Services (PaaS) Priority Hints (Performance)

Website

arrowhq.com/

Competitors

Cedar

Broader healthcare financial platform with different focus; Arrow emphasizes autonomous AI agents and real-time payer interaction.

Greenphire

Payment and revenue management platform; Arrow's differentiation is in AI-driven denial management and predictive error detection.

PayZen

Patient payment solutions focused; Arrow targets provider-side revenue cycle automation with payer integration.

Why this matters: Arrow represents a new wave of AI-native healthcare infrastructure addressing a $15B+ revenue leakage problem in U.S. healthcare through autonomous agents rather than manual workflows. With $110M Series A backing from top-tier investors and recent NVIDIA Inception partnership, Arrow is positioned to reshape how healthcare organizations manage claims and payer relationships.

Best for: Healthcare providers seeking to accelerate claims processing, reduce denials, and improve cash flow without overhauling existing billing infrastructure.

Use cases

Denial Prevention and Recovery

Arrow's AI agents identify claim errors before submission, automatically contact payers for denials, fix issues, and resubmit—reducing denial rates and accelerating reimbursement cycles.

Real-Time Claims Visibility

Providers gain unified, real-time visibility into claim status across all payers through a single dashboard, enabling rapid issue identification and faster resolution without manual follow-ups.

Legacy System Integration

Healthcare organizations integrate Arrow into existing EHR and clearinghouse workflows without rip-and-replace, preserving current infrastructure while gaining AI-powered automation.

Alternatives

Cedar Broader healthcare financial platform; choose if you need integrated patient billing alongside provider revenue cycle.

Greenphire Strong in payment infrastructure; choose if payment processing and compliance are primary concerns over denial automation.

PayZen Focused on patient-side payments; choose if patient collections and engagement are higher priority than payer-side claims.

FAQ

What does Arrow do? +

Arrow is an AI-powered revenue cycle operating system for healthcare providers and payers. It automates billing, claims processing, denial management, and collections while integrating with existing EHRs, clearinghouses, and payer systems. The platform uses autonomous AI agents to prevent errors, manage denials end-to-end, and provide real-time visibility into claims and payments.

How much does Arrow cost? +

Pricing is not publicly available. Contact Arrow directly for custom pricing based on organization size and claims volume.

What are alternatives to Arrow? +

Cedar (comprehensive healthcare financial platform), Greenphire (payment and revenue management), and PayZen (patient payment solutions) are key alternatives. Choose based on whether you prioritize payer automation (Arrow), integrated patient billing (Cedar), payment infrastructure (Greenphire), or patient collections (PayZen).

Who uses Arrow? +

Healthcare providers including hospitals, medical groups, and clinics managing revenue cycles. MyWellbeing is a notable public customer citing decreased denials and faster revenue cycle speed. Healthcare payers also benefit from streamlined claims processing.

How does Arrow compare to Cedar? +

Arrow is specialized in denial management and provider revenue cycle automation with emphasis on autonomous AI agents contacting payers, while Cedar is a broader healthcare financial platform covering both provider and patient billing. Arrow integrates into existing systems without replacement; Cedar often requires deeper platform integration.