Innovative Healthware Services

ClaimsBridge is a healthcare technology company that provides the Celerity Platform, an intelligent engine for claims management. It serves TPAs, health plans, networks, PPOs, employers, and advisors by connecting every network and vendor in one configurable system. The company is located in Arnold, Maryland, and has been operating since 2001 as part of Innovative Healthware Services, Inc.

The Celerity Platform is the core product that automates the entire pre-adjudication claim journey, from capture and verification to routing, repricing, and secure delivery. It replaces multiple isolated vendors by functioning as a clearinghouse, eligibility tool, network repricer, and out-of-network specialist in a single engine. Users can pick specific features to configure the platform for their unique client or group needs.

The platform supports over 120 health plan and TPA connections and optimizes more than $1.5 billion in claims monthly. It is SOC 2 certified and powers proprietary pricing rules for complex provider contracts, CPT/HCPCS, DRG, and revenue-code methodologies. The system is designed to handle virtually any pricing structure or contract requirement that PPOs can contract.

The company was ranked No. 3102 on the 2026 Inc. 5000 list for fastest-growing private companies. It received a strategic investment from Eir Partners Capital and acquired DialysisPPO in 2026. These events accelerated innovation for payer clients and were part of the company's 98% three-year revenue growth.

The platform integrates with over 120 health plans and TPAs to manage the entire claims ecosystem. It connects clearinghouses, eligibility vendors, network repricers, and out-of-network specialists into one infrastructure. This allows organizations to avoid building or buying complexity themselves by using an existing, scalable solution.

The company has been in business since 2001, starting as a clearinghouse gateway for healthcare EDI. It evolved through infrastructure for Medicare provider networks in 2009 and building custom provider networks in 2012. Reference-based pricing and wrap-around member support services were added to the platform in 2021.

The executive team includes Kevin Gibson as CEO, Jason Werner as CIO, Mike Tosti as EVP of Sales, and Ryan McDonald, Ryan Chapman, and Jeffrey Penn as VPs of Sales. Marie McDaniel serves as VP of Operations, while Jessica Schmidt Picarde is VP of Finance. The leadership combines claims operations, healthcare, compliance, and technology expertise.

The platform is built to automate each step of the claim lifecycle using AI and automation to reduce cost and error at scale. It offers flexible configuration at the network, administrator, group, or employee level to run the way the client wants. The system is designed to be configurable differently for every client and every group inside a client.

The company serves TPAs and health plans, advisors and consultants, networks and PPOs, and employers. It is headquartered in Arnold, Maryland, with a physical address at 1511 Ritchie Highway, Suite 205. The business operates in the United States and focuses on the insurance and healthcare technology industries.

The platform supports over 25 years of healthcare pricing expertise through its proprietary pricing rules library. It can handle complex provider contracts and various coding methodologies like DRG and revenue codes. The system is described as the infrastructure that makes healthcare claims easier to manage for organizations paying for care.

The company claims to have 2 million+ covered lives and 25+ years of connections across networks and vendors. It optimizes $1.5 billion+ in claims monthly and serves over 120 clients. The platform is designed to simplify administration and increase savings for its users.

The platform is described as a single intelligent engine that connects, orchestrates, and powers the entire pre-adjudication claim journey. It manages the work of multiple vendors inside one configurable engine, making it easy to simplify claims workflows. The system is built to configure more than 25 years of healthcare pricing expertise.

The company offers a flexible configuration that allows different setups for every client and every group inside a client. It is not an all-or-nothing solution but rather provides 'all or whatever you need.' The platform is easily configured to perform specific functions like clearinghouse, eligibility, or network repricing as required.

The official website of Innovative Healthware Services is claimsbridge.com.

On Trustburn, Innovative Healthware Services has a rating of 4.1 out of 5 based on 11 reviews.