Innovation intelligence brief
Innovation intelligence brief
Eligible API makes it simple to do cost estimate, check eligibility and process claims with over 1900 health insurance companies. 100% compatible with HIPAA, the US legislation regulating the portability of healthcare insurance.
What became of it
Reviewed · Medium confidence · Last verified 2026-10-17
As catalogued
Developer API (Y Combinator S12) giving healthcare businesses HIPAA-compliant real-time eligibility checks, cost estimates, and claims submission across 1,900+ US health insurers through one integration.
2026 reality
eligible.com is online, titled 'Insurance Billing APIs for healthcare businesses', covering eligibility verification, coverage discovery, claims submission and tracking, payment estimation, enrollment and remittance processing. Y Combinator lists the company as active in New York with founder Katelyn Gleason. A healthcare directory reports a 2023 company statement of more than 110,000 providers running eligibility or billing through Eligible each month; no acquisition or closure was found.
The original model remains substantially intact; the API scope broadened from eligibility and claims to coverage discovery, enrollment and remittance. By 2017 the company processed over 15 million transactions a month and had raised more than USD 25 million; no later funding was found.
an early API-first health insurance connectivity provider in a segment now crowded by clearinghouses and newer API players.
Third taxonomy
REVIEW · Confirmed Y Combinator lists Eligible as active and the site responds; no acquisition or closure found. Post-2017 evidence still rests on the website and a third-party directory, so left REVIEWED.
Documented evidence
Features
Claim Management
Data Science
Integration in healthcare systems
Claims.js
Research interpretation
Classification paths, as catalogued, connect this example to the original insurance digitalization research models.