What Overdrive Health does

Overdrive Health is an AI-native medical billing company that automates the full revenue cycle management (RCM) lifecycle for healthcare providers, starting with the ambulance billing industry. It acquires traditional billing companies and applies AI to their workflows so providers can pursue more of the revenue they are owed. The company is part of Y Combinator's Winter 2026 batch.

Key capabilities

Overdrive automates steps across the billing lifecycle, including insurance phone calls, documentation checks, benefit verification, claim submission, and denial management. By combining acquired billing operations with AI agents, it aims to deliver higher-quality outsourced billing with more visibility than typical third-party services. The company reports serving 20+ ambulance providers, processing over $50M in claims per year, and nearly doubling revenue per employee since deploying its agents.

Who it's for

The AI healthcare service targets providers who otherwise spend a significant share of revenue getting paid, beginning with ambulance agencies in a market it describes as roughly $2 billion.