Crosby Health launched in 2022 in Buffalo, New York, founded by Louis Ciano and Rishi Gowda after building the underlying appeals workflow for a five-physician private practice buried in denied claims. The company has since raised $3.03 million across seed funding and works with more than 4,500 healthcare providers.
At the center of the platform sits Apollo, a clinical large language model trained to read denial letters, cross-reference payer policy and medical records, then draft, submit, and track formal appeals on a provider's behalf. Hospitals can choose a managed service where Crosby's team handles appeals on contingency, or license the software directly for in-house appeal writers and other revenue-cycle tasks like medical coding.
Built for hospital revenue-cycle and utilization-review teams, from small practices through multi-facility health systems, rather than individual clinicians. Pricing runs on a contingency percentage for the managed appeals service or a per-provider SaaS license for teams that want to run appeals themselves, with no published flat rate, prospective customers need to request a quote directly from Crosby Health.








