Payment integrity platform Codoxo raises $35 million
Codoxo has raised $35 million in Series C funding to accelerate the deployment of its generative AI powered payment integrity platform, with the round led by CVS Health Ventures. Echo Health Ventures joined as a new investor, alongside existing backers including Sands Capital, 111 West Capital, Brewer Lane Ventures, Wipro Ventures, 450 Ventures, and QED Investors. The raise brings Codoxo’s total funding to ~$75 million.
The company’s platform is being adopted by national health plans and focuses on improving payment accuracy at what Codoxo calls “Point Zero,” identifying and preventing payment errors before claims are paid rather than relying on post-payment recovery. The approach is positioned as a way to reduce costs while improving collaboration and reducing friction between payers and providers.
The funding follows a year of growth for Codoxo, with its platform now covering more than 80 million lives and continued revenue expansion. The company was again named to the Inc. 5000 list of the fastest-growing private companies and was recognized as a 2025 AI Awards finalist for Most Innovative AI Technology and Best Use of AI in Healthcare.
“This funding highlights the support for Codoxo’s differentiated approach and the importance of closing gaps in payment integrity programs across national health plans. Payers are increasingly seeking innovative solutions that deliver greater payment accuracy while improving provider experience and reducing the administrative burden created by traditional payment integrity processes. With this investment, we’re accelerating the scaled deployment of our Point Zero Payment Integrity solutions, powered by generative AI. We’re proud to be the first intelligent, end-to-end payment integrity platform that thoughtfully determines which providers require intervention—whether at Point Zero, prepay, or postpay—ensuring smarter, more efficient outcomes across the entire claims process.” – Musheer Ahmed, Ph.D., CEO and Founder of Codoxo.
“Codoxo’s Point Zero approach and proven track record at national health plans position them uniquely to improve how payers ensure payment accuracy at scale. We’re excited to support their mission to enhance payment integrity programs across the entire industry.” – Justin Brock, Partner at CVS Health Ventures.