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
At a Glance
- Founded
- 2017
- Headquarters
- New York, NY
- Employees
- 11-50
- Funding
- Series A
Category & Focus
- Category
- Data & Analytics
- Subcategories
- Healthcare data integration actuarial analytics AI agents for health data data governance
- Insurance Verticals
- Health Group Benefits
- Target Customers
- Carriers, TPAs, Employers
Customers
- Optum
- Point32Health
- Benecon
- Coupe Health
- Renalogic
- SimplePay
- Cobalt
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Last updated: 2026-05-12