ATLANTA: Rialtic, a cloud-based enterprise platform for healthcare payment accuracy, and Exponential AI, a leader in real-time healthcare AI decision intelligence, today announced a definitive agreement to merge the two organizations, bringing together two of the industry’s most consequential innovators in agentic learning and claims intelligence. This strategic move creates a unified platform designed to meet the evolving needs of healthcare payers and providers by combining deep payment accuracy expertise with advanced agentic technology. Moreover, it arrives at a pivotal moment, in which payers and providers are working to make healthcare meaningfully more affordable for American families and employers.

This merger is the deliberate execution of a shared strategic vision, between two companies whose roadmaps have long pointed toward the same horizon. The newly combined organization is aimed at addressing a market that increasingly demands intelligent agentic solutions that are faster to implement, ROI-positive and easy to blend into existing workflows. The combined entity will offer a comprehensive product suite that covers critical moments in the claim lifecycle: prepay editing before a claim is paid and real-time decision intelligence during and around claims processing, including clinical and quality processes for payer and provider markets.

In the newly combined organization, Paul Roma will serve as Chief Executive Officer, effective upon close of the merger. Roma will be responsible for leading the company's unified strategy and day-to-day operations as Rialtic moves forward as a single, integrated entity. Doug Williams, who previously served as CEO will assume the role of Executive Chairman of the Board, providing strategic oversight and guidance to the organization.

"As we evaluated our go-forward strategy, Exponential AI emerged as the ideal partner to complement our world-class editing system," said Doug Williams, Executive Chairman of Rialtic. "While Rialtic provides the rules-based precision to prevent improper spend, Exponential’s AI technology allows our customers to go live quickly with specific workflows, significantly accelerating their time-to-value."

Together, Rialtic and Exponential AI will offer one of the industry's most comprehensive suites of products for the claim lifecycle:

• Comprehensive Payment Lifecycle Coverage: One solution spanning claims, clinical, and quality workflows.
• Context Aware Intelligence: Integrating Rialtic’s prepay accuracy platform paired with Exponential’s AI agents to deliver the rules, nuances, and subject-matter expertise needed to make accurate decisions for prior authorization, pend resolution, and audits.
• Enhanced Scale: Built on a decision intelligence platform active with multiple high-value clients to accelerate profitability and growth, designed to stack, scale and continuously drive operational and financial performance.
• Expanded Market Reach: Increased ability to pursue both payer and provider segments with a more fulsome solution.

By uniting these capabilities under one platform, the combined entity removes the friction, waste, and administrative drag that have long inflated the cost of care.

"Doug and I believe that, together, our two organizations will create the technology our clients need to meet their goals," said Paul Roma, CEO of Rialtic "By embedding our AI decision agents directly into live workflows to resolve exceptions and guide human review in real-time, we are providing the speed and efficiency the market now requires."

Following the close, the combined company will prioritize delivering immediate value to its clients by accelerating innovation, enhancing product capabilities, and ensuring seamless continuity of service.

About Rialtic

Founded in 2020, based out of Atlanta, Rialtic is building a next-generation healthcare platform, starting with Payment Accuracy, helping payers to contain healthcare costs and regain control of their claims accuracy process. Rialtic is a team of industry experts working alongside seasoned product and technology professionals. For more information, please visit Rialtic.com.

About Exponential AI

Exponential AI is a leading Healthcare Decision Intelligence platform company that enables healthcare organizations to make transparent, predictable, and explainable machine decisions in real-time-driving zero-latency operations at scale.

Its real-time, scalable platform, Enso, includes a reusable ecosystem of prebuilt Decision Agents and healthcare products. These can be rapidly integrated into existing workflows-including legacy systems-to deliver immediate business value and improve operational outcomes.

Deployed across leading U.S. health plans and systems, Exponential AI’s solutions generate measurable impact across core healthcare functions, including claims processing, utilization management, contract management, revenue cycle management, payment integrity, and audit.

Founded in 2019 and headquartered in Atlanta, Georgia, Exponential AI also operates a dedicated R&D center in Hyderabad, India.

Fonte: Business Wire