Rialtic, a cloud-based enterprise platform for healthcare payment accuracy, and Exponential AI, a leader in real-time healthcare AI decision intelligence, have announced a definitive agreement to merge, creating a unified platform designed to meet the evolving needs of healthcare payers and providers. The combined entity will offer a comprehensive product suite covering critical moments in the claim lifecycle, from prepay editing before a claim is paid to real-time decision intelligence during and around claims processing.
Paul Roma will serve as Chief Executive Officer of the newly combined organization upon close of the merger, while Doug Williams, who previously served as Rialtic’s CEO, will assume the role of Executive Chairman of the Board. The merger combines Rialtic’s rules-based payment accuracy platform with Exponential AI’s Enso platform, a reusable ecosystem of prebuilt Decision Agents that can be rapidly integrated into existing workflows — including legacy systems — to deliver immediate business value. Together, the companies said the combined platform addresses a market increasingly demanding intelligent agentic solutions that are faster to implement, ROI-positive, and easy to blend into existing workflows.
Founded in 2020, Rialtic is headquartered in Atlanta and focuses on helping payers contain healthcare costs and regain control of claims accuracy. Exponential AI, also Atlanta-based and founded in 2019, operates a dedicated R&D center in Hyderabad, India, and has deployed its solutions across leading U.S. health plans and systems. The merger arrives at what both companies described as a pivotal moment, as payers and providers work to make healthcare meaningfully more affordable for American families and employers.
The combined company will prioritize accelerating innovation, enhancing product capabilities, and ensuring seamless service continuity for existing clients.
KEY QUOTES:
“As we evaluated our go-forward strategy, Exponential AI emerged as the ideal partner to complement our world-class editing system. While Rialtic provides the rules-based precision to prevent improper spend, Exponential’s AI technology allows our customers to go live quickly with specific workflows, significantly accelerating their time-to-value.”
Doug Williams, Executive Chairman, Rialtic
“By embedding our AI decision agents directly into live workflows to resolve exceptions and guide human review in real-time, we are providing the speed and efficiency the market now requires. Together, our two organizations will create the technology our clients need to meet their goals.”
Paul Roma, CEO, Rialtic
