SeedBacked by Amplo Ventures

Crosby Health

Building AI for insurance Appeals

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Crosby Health

Description: Building AI for insurance Appeals

Investors: Amplo Ventures

Reference Link to Deck: https://www.businessinsider.com/pitch-deck-ai-healthtech-startup-crosby-health-seed-funding-round-2024-5

Stage: Seed

Crosby Health Pitch Deck


Part 1: Slide Transcriptions


Slide 1

  • Logo: Crosby Health
  • Text:
  • “Denials are spiraling out of control, and payors are using AI to deny medically necessary care.”

  • News screenshots:
  • “Lawsuit Alleges Humana Used AI to Deny Medically Necessary Claims”
  • “UnitedHealthcare Tried to Deny Coverage to a Chronically Ill Patient. He Fought Back, Exposing the Insurer’s Inner Workings.”
  • “UnitedHealth uses faulty AI to deny elderly patients medically necessary coverage, lawsuit claims”

  • Slide 2

  • Heading: “And Providers spend billions to overturn denials.”
  • Graphic:
  • Cost to Appeal: $20 Billion
  • Actual Denials Overturned: $10 Billion
  • (Source: Premier, Inc.)


    Slide 3

  • Left text:
  • “Introducing Apollo by Crosby Health, the most advanced clinical LLM to date.”

  • Benchmark graphic: MedQA Medical Exam Benchmark
  • ApolloLLM: 91.8%
  • Google Med-PaLM 2: 86.5%
  • Avg. Medical Student: 60%

  • Slide 4

  • Heading: “An entire suite of tools to automate denial appeals.”
  • Visual: Dashboard showing analytics and revenue recovered ($130,256).
  • Supporting text:
  • “End-to-end appeals on every denial, drastically reducing the cost to collect.”

  • Callouts:
  • “High volume, low dollar claims can be handled completely with AI.”
  • “Experts can spend 100% of their time identifying the best strategies for high dollar, low volume claims.”

  • Slide 5

  • Heading: “When customers use Crosby…”
  • Bullets:
  • Questions answered 75% faster
  • Thousands of questions asked and answered
  • Time waiting for answers goes down from 2 weeks to same day

  • Slide 6

  • Heading: “Customer ROI Proof”
  • Testimonial:
  • > “Without the right data, retailers of CPG products are missing out on billions of dollars of GMV that they are capable of shipping. Seek allows our CPG customers to query these complex datasets in a fraction of the time it would take with traditional data tools, which finally lets them unlock this GMV. We are thrilled to be an early design partner of Seek because of these gains that it will produce for our customers.”

    >

    >

    > – CPO, Mid-Stage SaaS Company

    >


    Slide 7

  • Heading: “And it doesn’t stop there…”
  • Graphic: Medical Coding → Chart Audits → Appeals/Denials
  • Subtext:
  • “We’ve trained Apollo to automate the billions spent on revenue cycle, text-based tasks.”


    Slide 8

  • Heading: “Founding Team”
  • Profiles:
  • Rishi Gowda (CEO): 4+ years running RCM, Former O-I at Primer, NYU Econ/CS.
  • Louis Ciano (CTO): Ex Bioinformatics at Labcorp, Ex TPM at Meta, NYU Computer Eng.
  • Suhas Nandiraju (VP, AI/ML): ML Research at Kyron Learning, 3+ Years Quant Finance, NYU Applied Math.

  • Part 2: Design & Framing Walkthrough


    Slide 1

    Opening with urgency and credibility. Headlines about lawsuits make the pain point visceral. Design choice: lean on recognizable media clippings rather than stats alone. Framing: insurers weaponize AI → moral and financial outrage.

    Slide 2

    Simple cost graphic (20B vs. 10B overturned). Strong use of big numbers to set the financial stakes. Source citation (Premier) boosts credibility. Minimalist slide makes the figure the focus.

    Slide 3

    Solution reveal: Apollo. Framed as “the most advanced clinical LLM.” Benchmark chart against Med-PaLM 2 and med students adds weight. Clever framing: not just “better than competitors,” but “better than doctors.”

    Slide 4

    Product capabilities: dashboard visuals bring tangibility. The revenue recovered ($130k) grounds the pitch in numbers. Dual callouts (high-volume vs. high-value claims) frame Apollo as adaptable.

    Slide 5

    Customer outcomes: three concise, high-impact metrics (faster, more, shorter waits). Easy for investors to remember. Design strips away visuals to keep the focus on speed and efficiency.

    Slide 6

    Customer testimonial slide. A block quote dominates the page, lending authenticity. Smart choice: let customer voice speak to ROI, aligning with billions in GMV at stake.

    Slide 7

    Vision expansion: Apollo isn’t just for appeals, but the broader revenue cycle (coding, audits). Slide reframes Crosby as a platform company, not point-solution. Clean process graphic (left-to-right flow).

    Slide 8

    Team slide: three founders with credible, relevant experience. Design emphasizes logos and recognizable institutions (Meta, Labcorp, Primer). Classic ending slide structure, anchoring story in team strength.

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