Daffodil Health is an AI-first healthcare technology company modernizing the claims and pricing infrastructure used by U.S. health plans. Its configurable, transparent platform enables payors and third-party administrators (TPAs) to bring out-of-network (OON) repricing and payment integrity in-house—without added operational complexity or labor costs.
Medical cost growth is outpacing wages, and employers are demanding real control over unit cost—not opaque vendor promises. Yet out-of-network repricing and payment integrity are still dominated by legacy, percentage-of-savings vendors that operate as black boxes, limiting transparency and capturing much of the upside. As regulatory pressure mounts, this model is increasingly unsustainable—especially for TPAs and regional plans.rnrnDaffodil Health replaces these legacy systems with an AI-native, SaaS platform that brings pricing and pre-pay integrity in-house. By enabling real-time, configurable, and fully auditable claims decisions, Daffodil helps payers reduce improper payments, improve margins, and reclaim control of their pricing infrastructure.
