Rialtic and Exponential AI have entered into a definitive merger agreement aimed at creating a unified healthcare claims intelligence platform that combines payment accuracy expertise with real-time AI decision intelligence. The combined organization will deliver agentic AI-driven solutions designed to support healthcare payers and providers across critical stages of the claims lifecycle, including prepay editing, prior authorization, pend resolution, audits, and clinical decision workflows. Under the new structure, Paul Roma will lead the merged company as CEO, while Doug Williams will provide strategic oversight as Executive Chairman.
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The merged platform aims to reduce inefficiencies, administrative burden, and healthcare costs by integrating Rialtic’s rules-based payment accuracy technology with Exponential AI’s agentic AI systems that support real-time workflow guidance and exception handling. “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,” said Williams. The companies also expect the merger to expand their reach across both payer and provider markets while accelerating innovation and operational scalability.
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