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M&A: Knowtion Health Acquires revly to Expand Intelligent Reimbursement and Claims Routing Solutions

by Fred Pennic 03/18/2026 Leave a Comment

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Knowtion Health Acquires revly to Expand Intelligent Reimbursement and Claims Routing Solutions

What You Should Know

  • The Acquisition: Knowtion Health, a major player in healthcare revenue cycle management (RCM), has officially acquired revly, a startup specializing in intelligent reimbursement solutions and claims routing.
  • The Buyer’s Scale: Founded in 2008 and backed by Arsenal Capital Partners and Sunstone Partners, Knowtion Health already serves over 550 hospitals nationwide and manages more than $4.5B annually in outstanding balance accounts.
  • The Technology Acquired: Founded in 2021, revly brings an advanced, EHR-agnostic “directional billing solution.” Its proprietary logic identifies and routes claims to the highest payer, capturing revenue opportunities both before and after a claim is submitted.
  • The Strategic Goal: The integration of revly’s technology allows Knowtion to perform deeper analytics on revenue leakage, ultimately reducing accounts receivable (AR) days and friction in the provider’s revenue cycle.

The Power of “Directional Billing”

To understand the value of this acquisition, you have to look at revly’s core technology. Founded just three years ago in 2021, revly built its reputation on “directional billing”—a proprietary pricing and routing logic that operates entirely independent of a hospital’s Electronic Health Record (EHR) system.

Instead of treating all claims equally, revly’s software actively analyzes the data to identify and route claims to the highest payer. By intervening both before a claim is submitted (to catch errors that cause denials) and after submission (to track and optimize recovery), the technology acts as an intelligent safety net.

“revly’s outcome-driven approach and deep expertise align closely with our mission to defend providers in an increasingly complex claims environment,” said Erica Tingley, President & CFO of Knowtion Health. “Together, the revly and Knowtion Health teams are focused on helping hospitals get paid fully, fairly, and faster at scale.”

Scaling the Solution

For revly, the acquisition offers immediate, massive distribution. Knowtion Health is a heavyweight in the RCM sector, already serving more than 550 hospitals nationwide and managing $4.5B in outstanding balance accounts annually. The combined entity can perform in-depth analytics on revenue leakage at a massive scale by layering revly’s advanced routing logic over Knowtion’s existing infrastructure and human expertise.

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Tagged With: Healthcare Mergers & Acquisitions, Revenue Cycle Management

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