AI-native revenue cycle management

We buy, own, and operate revenue cycle management.

Comvex acquires established RCM businesses and runs them as one platform. We bring modern AI to billing, coding, and denials, and we build on what you started. When you sell to us, your business doesn't get flipped. It gets stronger.

Hands-on
We take ownership and run the business ourselves, working closely with your team to keep things steady
AI-native
We implement AI-powered revenue cycle automation that handles the grunt work across the revenue cycle
48 hrs
We reply within 48 hours of your first message, every time
~45 days
From first conversation to a closed deal, start to finish
Your clients stay looked after. Your business keeps growing. The upward trajectory never changes.
We grow what you built
Fair value, clean exit
AI across billing, coding & denials
We invest in your people
Your clients stay
Run by operators
Built for the long term
We grow what you built
Fair value, clean exit
AI across billing, coding & denials
We invest in your people
Your clients stay
Run by operators
Built for the long term

We buy RCM businesses,
and we actually run them.

Comvex acquires established revenue cycle management companies and operates them for the long term. We're not a fund parking your business until the next sale. We run billing, coding, denials, appeals, payment flow all ourselves, so when we buy your business, it lands with people who know how to keep it healthy.

For you, that means what you spent years building gets respected. Your people get better tools and a modern AI backed platform to work from. Your clients keep getting served, better than before. And your business keeps running, instead of getting strippedfor parts the day after close.

Most owners we talk to want one of three things: a clean exit, capital to grow, or a stronger team behind them. We do any or all of the three, on your terms, and you walk away knowing your business is in good hands.

"You spent years earning your clients' trust and building a team that shows up every day. We don't take that lightly. Our job is to protect what you built and give it more horsepower, not to take it apart."

We treat you like a founder, not a target. We want your input and expertise, and if you want it, your continued involvement. How big a role you keep after close is genuinely up to you.

We've acquired and integrated companies before, and we know how to do it without breaking what made the business great in the first place.

Technology that does
the heavy lifting.

Here's how we think about the AI: it does the grunt work, not the judgment. The software takes on the repetitive, high-volume tasks that slow a billing operation down, so the people doing the work can spend their time on escalations, exceptions, and the claims that actually need a human.

It's the infrastructure your business plugs into the day you join. Your clients see cleaner claims and faster cash, and the busywork that used to eat the day starts handling itself.

01

Claims intelligence

The system surfaces which claims need attention and why, before anything goes out the door, so nothing slips through on volume alone.

02

Smarter coding & charge capture

The software flags undercoding and missed charges, so your coders stop hunting line by line and focus on the cases that need real expertise.

03

Denial prediction & prevention

We help surface the claims most likely to be denied before they go out, so your AR team works the accounts most likely to pay instead of drowning in a queue.

04

Payer-behavior modeling

We track how each payer actually behaves, not how the manual says they should, so every appeal and follow-up lands where the money really is.

A clear path from
conversation to close.

Selling your business shouldn't be a miserable, drawn-out process. We've designed every step to be transparent, respectful of your time, and focused on what actually matters.

01

We get to know your business, fairly and flexibly

You can sell outright or stay on as a partner. We dig into how your operation actually runs and where the platform can add leverage. No smoke, no surprises, no lowball games.

Offer in 14 days
02

You realize the value you've built

We help you turn the value you've created into real liquidity, with meaningful cash upfront and a structure that's clear and fair, not a maze of conditions designed to claw value back.

Real cash upfront
03

Your business joins the platform and scales

Once we close, our team gets to work. We bring the business onto our systems and put AI to work across billing, coding, and denials. Clients get better outcomes, and the operation runs sharper than before.

Built for the long term

Fast and clean, because we're operators, not a committee.

01
Day 1–2
First reply
You hear back from us within 48 hours. Always.
02
Week 1–2
Offer in hand
A real number on paper within roughly two weeks.
03
Weeks 3–5
Focused diligence
On what matters, not designed to grind you down.
04
~Day 45
Close
Funds wired. Your next chapter begins.

You've built something real.
Let's take it further.

Whether you're ready to hand over the wheel entirely or want to partner up for the next leg, here's what makes selling to an operator different.

We operate, we don't flip

We're here for the long game. We keep investing in what you built and growing it, not stripping it down to resell in a couple of years.

Full or partial cash out

Take the money and move on, or keep a stake in what you've built. Either way you get meaningful liquidity on a timeline that works for you.

No golden handcuffs

We keep it flexible. The deal structure and how long you stay involved are things we work out together, not a rigid lockup you have to accept to get a fair deal.

AI that actually works in healthcare

Our technology is built specifically for revenue cycle work, tuned to how payers, specialties, and providers actually behave. It's tooling most RCM shops have never had access to.

We invest in your people

The people who built your business know it best. We give them better tools, real training, and a bigger platform to grow into.

Operators who speak RCM

We're not a PE shop that learned what a denial was last quarter. We live in billing, coding, and denials, and we know what your clients need.

The businesses
we're built to operate.

We're selective, but not in a painful way. If your business fits, we want to talk, and we'll move quickly.

📈

Growing and profitable

Consistent revenue and a track record of retaining clients. Annual revenue between $1M and $15M is our sweet spot.

🏥

RCM-focused operations

You work in medical billing, coding, denial management, or broader revenue cycle services. Healthcare is your world, and ours.

🚀

Ready for the next level

Product-market fit, a real client base, an established team. You don't need us to start something. You need us to accelerate what already works.

Make the introduction.
We'll take care of the rest.

If you know an RCM owner thinking about their next chapter, connect us. We pay finder's fees on closed deals. No complicated agreements, no strings. Just a good introduction.

Send us an intro →
Finder's fees, paid at close
$1M–$5M revenue
$25,000+
$5M–$10M revenue
$75,000+
$10M–$15M revenue
$200,000+
Finder's fees are discretionary and paid only on a completed acquisition, subject to a separate written agreement. Amounts shown are illustrative starting points. See terms.

If you're reading this, you've spent years turning an idea into payroll, clients who count on you, and people who show up because of what you built. I've built companies too, so I know selling is never about the number. It's about what happens to all of it after you let go.

So let me be straight. We buy RCM businesses and we run them for the long term. We invest in the people and the client relationships that make them work, and we'll always tell you honestly what changes after close and what doesn't.

I'll be in the conversation myself. Straight answers, a fair number, and if we're not the right home for your business, I'll tell you that too.

When you're ready, email me directly. Not a form, not an assistant. Me.

AF
Allan Fisch
CEO & Co-Founder · Allan Fisch

We've sat on
your side of the table.

We've built and sold companies ourselves. We know what this process feels like from the seller's seat, and we've designed ours accordingly.

AF

Allan Fisch

CEO & Co-Founder

5x founder with 4 exits including Moonshot Brands (YC W21). Built and scaled AI-native platforms across healthcare, fintech, and e-commerce. Wharton MBA, JD.

PL

Peter Lever

CTO & Co-Founder

Fortune 500 engineering leader who's worked at numerous industry leading RCM companies. 20+ years building software at Apple, Intuit, and Honeywell. Deep expertise in healthcare AI and RCM automation.

RA

Roey Arrowwood

VP, RCM Operations

Healthcare operations executive with deep RCM expertise. Career spanning Big Four consulting, healthcare advisory, and provider-side leadership.

Let's talk about
what comes next.

Whether you're ready to sell or just exploring, start a conversation. It's confidential, there's no obligation, and you'll hear back from us within 48 hours.

Talk to us →

Or email us directly at info@comvex.ai.
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