# Flume Health

> Healthcare data, simplified

## At a glance

| Field | Value |
| --- | --- |
| Category | Data & Analytics |
| Type | Solutions Provider |
| Region | NA |
| Headquarters | New York, NY |
| Founded | 2017 |
| Stage | Growth |
| Employees | 11-50 |
| Funding | Series A |

## Overview

Flume Health is a healthcare data intelligence platform serving payers, TPAs, and health plan vendors. The platform enables organizations to manage fragmented healthcare datasets by providing a universal translation layer that connects health plan systems, vendor solutions, and data pipelines. Primary customers are health payers, third-party administrators, and self-funded employers building or operating health plans.

The platform is delivered as an on-premises-portable infrastructure and includes natural language querying, data governance, AI agents, and analytics capabilities. Its core product, Flume Relay, automates data exchange across healthcare ecosystems, reducing manual integration work and accelerating vendor implementations. A suite of 15 domain-specific AI agents covers actuarial analysis, claims processing, clinical coding, network analysis, and compliance monitoring.

Flume raised USD 40.2M in total funding, including a USD 30M Series A in March 2022 led by Optum Ventures and Cigna Ventures. Notable customers include Optum, Point32Health, Benecon, Coupe Health, and Renalogic, reflecting adoption across large and mid-market health plan operators.

## Products & services

### Flume Relay

A universal data integration and translation layer for health payers. Relay connects health plan systems, solution vendors, and data providers, automating data exchange and eliminating manual operational work required to establish and manage data pipelines between plans and solutions.

**Key features:**

- Automated data trade establishment between plans and vendor solutions
- Universal translation across heterogeneous healthcare data formats
- Operational bottleneck elimination for payer IT teams
- Accelerated vendor implementation timelines

*Target users:* Health payers, TPAs, solution vendors

### Healthcare Data Intelligence Platform

The core analytics and AI platform for healthcare data operations, featuring natural language querying and a living knowledge graph of the customer's data estate.

**Key features:**

- \*\*Ask\*\*: Natural language query interface across multiple data sources without requiring SQL
- \*\*Estate\*\*: Data mapping and governance module that builds a knowledge graph of tables, views, dependencies, and pipelines
- \*\*Agents\*\*: 15 specialized AI agents covering actuarial analysis, claims analytics, clinical coding, network analysis, data engineering, pattern detection, compliance monitoring, and reporting
- \*\*Value Lab\*\*: Opportunity identification and cost optimization tracking across the data estate

*Target users:* Health plan actuaries, data engineers, compliance teams, clinical coders

### Specialized Healthcare Analytics

Pre-built analytics capabilities for common health plan operational use cases.

**Key features:**

- PMPM/PEPM calculations and actuarial analysis
- ICD\-10 validation and DRG analysis
- MLR calculations and regulatory compliance monitoring
- Claims fraud detection and utilization analysis
- Member cohort identification by diagnosis and demographics
- Data quality validation and pipeline integrity checks

*Target users:* Health plan actuaries, compliance officers, clinical analytics teams

## Category & focus

- Subcategories: Healthcare data integration, actuarial analytics, AI agents for health data, data governance
- Insurance verticals: Health, Group Benefits
- Target customers: Carriers, TPAs, Employers

## Notable customers

- Optum
- Point32Health
- Benecon
- Coupe Health
- Renalogic
- SimplePay
- Cobalt

## Links

- Website: <https://flumehealth.com>
- Directory profile: <https://insurtechlist.com/companies/flume-health/>
- About: <https://flumehealth.com/about>
- Careers: <https://www.linkedin.com/company/flume-health/jobs>
- Linkedin: <https://www.linkedin.com/company/flume-health>

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*Last updated: 2026\-05\-12*
