Taiga is a full-stack medical billing service for doctor's offices that takes over the revenue cycle so clinicians can spend their time on patients instead of paperwork. The system runs benefits checks and clears prior authorizations before a visit, then plugs into the practice's EMR to pull visit data the moment an appointment ends, reads the clinical notes, and generates the diagnosis and procedure codes needed to back a clean claim. When a payer denies or downcodes, Taiga drafts and files appeals automatically rather than letting the claim sit in a worklist.
The launch is timed to a shift on the other side of the desk. As the founders describe it, insurance companies are now using AI to review every claim and are downcoding or denying at a pace that manual billing teams struggle to match, which quietly drains revenue from independent practices. Taiga is pitching itself as a like-for-like response, an AI-native biller built to contest those decisions claim by claim instead of writing them off.
The company is run by Nanda Guntupalli and Adam Wax , who, per their YC profile, are friends since 3rd grade whose parents are doctors running their own practices, where billing was a source of stress and lost revenue . That background shapes the positioning toward small and modern independent practices that want coding, claims, denials, and patient statements handled end to end rather than stitched together across a clearinghouse and an outside biller.
Comments (14)
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P
Priya KothariApr 30, 2026
The thumbnail with the stethoscope and the tiny robot is doing a lot of heavy lifting. Whoever edited the launch video understood pacing, no 30 second founder monologue before the demo.
Y
Yusuf AdelekeApr 30, 2026
Every clinic I've ever called about a bill has put me on hold for 40 minutes. If the AI gets stuck in its own hold music loop that's just karma.
D
Deepak R.Apr 30, 2026
Reminds me of how Ramp ate expense reports. Billing ops is the same shape of pain, just with worse vendors and angrier humans on the phone.
L
Linnea VesterlundApr 30, 2026
BAA? HIPAA boundaries with the model provider? Where does PHI live and for how long? Asking because procurement at any real practice will ask first.
B
Benoît MercierApr 30, 2026
SSO via Okta on day one or am I waiting for the enterprise tier? Any larger group practice will ask before the second call.
T
Taro ShibataApr 30, 2026
Bold to launch a billing company without the word 'agentic' in the tagline in 2025. Respect the restraint.
M
Mira OseiApr 30, 2026
Tweet copy is clean but burying the founders at the bottom is criminal. Put the faces up top, people back people.
K
Khwezi DlaminiApr 30, 2026
Naive question from someone who's never run a clinic: what happens when the insurer denies a claim three times and the AI just keeps refiling? Is there a human in the loop or does it eventually call a lawyer.
F
Finn O'ReillyApr 30, 2026
Curious how big the team is. If two people are filing claims for entire practices with software, that's the real story buried in this launch.
O
Oluwaseyi TundeApr 30, 2026
Do you expose a webhook when a claim status changes? Practices have EHRs and a dozen other tools that would love that event stream.
S
Sascha BrandtApr 30, 2026
A claim follows up on itself, but a clinic remembers who answered the phone.
A
Ananya BhargavApr 30, 2026
Already mentally drafting the term sheet. Vertical AI into a workflow with a literal payer on the other end is the cleanest wedge I've seen this month.
V
Valeria CastroApr 30, 2026
Roadmap suggestion you didn't ask for: patient-side payment plans with friendly SMS. The follow-up problem doesn't end at the insurer.
H
Hao-Yu LinApr 30, 2026
Site copy says 'partner you want to work with' which is a low bar in this category and somehow still differentiated. Brutal industry.
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Taiga is a full-stack medical billing service for doctor's offices that takes over the revenue cycle so clinicians can spend their time on patients instead of paperwork. The system runs benefits checks and clears prior authorizations before a visit, then plugs into the practice's EMR to pull visit data the moment an appointment ends, reads the clinical notes, and generates the diagnosis and procedure codes needed to back a clean claim. When a payer denies or downcodes, Taiga drafts and files appeals automatically rather than letting the claim sit in a worklist. The launch is timed to a shift on the other side of the desk. As the founders describe it, insurance companies are now using AI to review every claim and are downcoding or denying at a pace that manual billing teams struggle to match, which quietly drains revenue from independent practices. Taiga is pitching itself as a like-for-like response, an AI-native biller built to contest those decisions claim by claim instead of writing them off. The company is run by Nanda Guntupalli and Adam Wax , who, per their YC profile, are friends since 3rd grade whose parents are doctors running their own practices, where billing was a source of stress and lost revenue . That background shapes the positioning toward small and modern independent practices that want coding, claims, denials, and patient statements handled end to end rather than stitched together across a clearinghouse and an outside biller.
Comments (14)
The thumbnail with the stethoscope and the tiny robot is doing a lot of heavy lifting. Whoever edited the launch video understood pacing, no 30 second founder monologue before the demo.
Every clinic I've ever called about a bill has put me on hold for 40 minutes. If the AI gets stuck in its own hold music loop that's just karma.
Reminds me of how Ramp ate expense reports. Billing ops is the same shape of pain, just with worse vendors and angrier humans on the phone.
BAA? HIPAA boundaries with the model provider? Where does PHI live and for how long? Asking because procurement at any real practice will ask first.
SSO via Okta on day one or am I waiting for the enterprise tier? Any larger group practice will ask before the second call.
Bold to launch a billing company without the word 'agentic' in the tagline in 2025. Respect the restraint.
Tweet copy is clean but burying the founders at the bottom is criminal. Put the faces up top, people back people.
Naive question from someone who's never run a clinic: what happens when the insurer denies a claim three times and the AI just keeps refiling? Is there a human in the loop or does it eventually call a lawyer.
Curious how big the team is. If two people are filing claims for entire practices with software, that's the real story buried in this launch.
Do you expose a webhook when a claim status changes? Practices have EHRs and a dozen other tools that would love that event stream.
A claim follows up on itself, but a clinic remembers who answered the phone.
Already mentally drafting the term sheet. Vertical AI into a workflow with a literal payer on the other end is the cleanest wedge I've seen this month.
Roadmap suggestion you didn't ask for: patient-side payment plans with friendly SMS. The follow-up problem doesn't end at the insurer.
Site copy says 'partner you want to work with' which is a low bar in this category and somehow still differentiated. Brutal industry.