Sound Ventures leads round, joined by Alumni Ventures.
New funding expands Anomaly’s AI-powered platform from revenue cycle operations into managed care, arming providers with payer intelligence across every contract negotiation and claims interaction.
NEW YORK–(BUSINESS WIRE)–Anomaly Insights, the first AI-powered payer intelligence company built to close the knowledge gap that fundamentally disadvantages healthcare providers, today announced $17 million in new funding led by Sound Ventures. Alumni Ventures also joined the round, alongside existing investors Link Ventures, Redesign Health, and RRE Ventures. The funding brings Anomaly’s total raised to $34 million.
Healthcare provider organizations lose billions in revenue because of payer denials, underpayments, downgrades, retractions and delays that deviate from written contract terms and policy documents. They lack the visibility and insight to discern patterns from these revenue defects, and struggle at great expense to contest at scale. It’s common for an insurance plan today to deploy seven or more payment integrity vendors with the explicit mandate to find new justifications to reduce what providers are paid. The result is a structural knowledge asymmetry that plays out in every claim submission, every contract negotiation, and every conversation between a provider and the payer. Anomaly directly targets that asymmetry, using proven AI and Machine Learning technology provider organizations the intelligence to understand exactly how their payers behave and the tools to act on it.
“Providers have known intuitively for years that the system is rigged against them,” said Mike Desjadon, CEO of Anomaly Insights. “What they’ve never had is the intelligence to prove it, and a partner to “bring the receipts” and help them act on it, and finally change payer behavior. This funding accelerates our ability to give healthcare organizations something they have never had before: a platform that demonstrates how their payers actually behave, and the leverage to engage them as equals when it comes to contesting payment issues or contract negotiations.”
Anomaly’s platform analyzes billions of healthcare transactions in real time, surfacing the payer behavior patterns, policy shifts, and adjudication deviations that determine what providers actually get paid. The platform serves both revenue cycle and managed care functions, connecting day-to-day claims management with contract negotiation strategy and giving leadership a unified view of the full payer relationship. To date, Anomaly has recovered tens of millions in provider revenue and produced measurable changes in payer behavior across health systems, large provider organizations, diagnostic laboratories, and outsourced RCM companies.
“Anomaly Insights has genuinely been an enjoyable partner to work with—something that is rarely true of vendors. Their curiosity and drive to explore new possibilities make them highly effective at consistently finding ways to add value,” said Isaac Horner, MBA, System Director of Revenue Cycle Operations at Bronson Healthcare. “They bring strong creativity and a willingness to pivot when a better approach emerges. We took a thoughtful approach to integrating with Epic, and Anomaly proved to be the right partner to invest alongside us to get it right.”
“Providers lose billions every year to an information asymmetry that has defined payer-provider dynamics for decades,” said Juliette Bolea, Anomaly Insights board member and investor at Sound Ventures. “Anomaly flips that dynamic, arming providers with the data and AI to negotiate from a position of strength. We invested because this is not an abstract market problem: every one of us is a patient eventually. When we change how payers and providers interact at scale, providers can focus on care, and patients are the ones who benefit.”
To date, Anomaly is deployed across 20+ health systems. Anomaly’s health system customers represent organizations that averaged over $4 billion in annual net patient revenue in 2024.
About Anomaly Insights
Anomaly Insights is the first AI-powered payer intelligence company built to close the knowledge gap that fundamentally disadvantages healthcare provider organizations. The healthcare transaction system is governed by incentives, not rules, and payers have long held the data advantage that shapes how those incentives play out. By analyzing billions of healthcare transactions in real time, Anomaly’s platform decodes payer behavior at a machine speed and precision – surfacing the patterns, policy shifts, and behavioral deviations that determine what providers actually get paid. The result is not just fewer denials and recovered revenue. It is a fundamentally different posture for providers in every contract negotiation and interaction they have with payers. Anomaly has recovered tens of millions in provider revenue and produced measurable changes in payer behavior. The company works with health systems, large provider organizations, diagnostic laboratories, and outsourced RCM companies across the country. Founded in 2020 and headquartered in New York, Anomaly is backed by Sound Ventures, RRE Ventures, Madrona, and Redesign Health.
Contacts
Media Contact: Rachel Magnin
Email: [email protected]
