A few years before co-founding Brellium, I had a medical misdiagnosis that snowballed into two years of frustration—shuffling from specialist to specialist, trying treatment after treatment, just to end up with a stack of bills and an endless game of phone tag with insurance. Later, I found out that all of it could’ve been avoided if a couple of boxes had been checked in my chart. I was shocked; something as simple as a documentation oversight had a profound domino effect on the quality of care I received.
That experience made one thing painfully clear: the system wasn’t just failing me, it was also failing providers, who lacked the necessary tools to deliver quality care. That’s why we started Brellium: to improve the standard of care in the US healthcare system by empowering providers to treat their patients with measurement-based, clinically accurate, and compliant care that helps people get healthier, faster.
Chart Reviews are Crucial, but Costly
When you receive medical care, your provider documents your visit according to clinical and payor requirements. This documentation ensures that insurance covers the services provided and that you receive the correct care.
Failing to meet these requirements has serious consequences for provider groups. If payor requirements aren’t met, clinics risk prepayment reviews, insurance clawbacks, and financial instability. (Imagine having to pay back funds that have already been spent on salaries, operations, and keeping your business afloat.) On the clinical side, documentation gaps can lead to misdiagnoses, inadequate treatment, and poor patient outcomes.
Manual Chart Reviews: a Lose-Lose Scenario
Despite the high stakes, most clinics don’t have the bandwidth to audit every patient visit. Instead, they manually spot-check a small percentage, hoping to catch critical errors before they become costly problems. But manual reviews are labor-intensive, prone to errors, and fail to scale with growing patient volumes. This forces clinics to choose between compliance and efficiency—a lose-lose scenario.
To make matters worse, payor requirements are notoriously unclear. A recent audit of Medicaid-funded ABA therapy in Indiana, for example, found that every sampled month contained improper or potentially improper payments, primarily due to inadequate documentation. The frustrating reality for many provider groups is that documentation requirements are opaque, leaving clinics to navigate compliance without enough guidance or support.
Clinics need a way to ensure compliance without drowning in administrative work, and the healthcare system needs a smarter, more scalable approach to quality assurance.
Brellium is the AI-Powered Clinical Compliance Platform
Clinical teams use Brellium to ensure every patient visit meets payor & clinical quality standards – without the manual workload. Instead of reactive spot-checks, Brellium proactively audits every patient visit, identifying compliance risks before they become problems. Providers then receive instant notifications when charts need corrections, complete with clear instructions on how to fix them.
In the unlikely event a payor claws back reimbursement on a Brellium-approved chart, we’ll foot the bill.
With Brellium, providers can instantly detect and correct critical issues, such as:
Copy-pasted provider notes from previous sessions
Contraindicated prescription medications
Session length discrepancies with what was billed to insurance
Flagging decreases in patient condition over time
And hundreds more.
Leading healthcare organizations like Grow Therapy, Rula, Headspace, Hopebridge, Lightfully Behavioral Health, Talkiatry, and more trust Brellium to streamline compliance across millions of patient visits. We’ve audited millions of charts, equipping organizations with deep insight into payor expectations and documentation standards.
The results already speak for themselves. Rula is leveraging clinical note data to improve quality of care; Lightfully Behavioral Health reduced time spent on chart auditing by 87%; DoubleCare ABA cut QA costs by over 80%. By eliminating inefficiencies and reducing administrative burden, Brellium helps clinics prioritize patient care while ensuring compliance with confidence.
Improving the Standard of Care in the U.S. Healthcare System
Over the past few years, Brellium has grown from an ambitious idea to a bona fide solution, thanks to an incredible team of engineers, investors, and customers who believe in our mission.
We’ve raised $16.7 million in Series A funding from First Round Capital, Left Lane Capital, Menlo Ventures, Digital Health Venture Partners, Kearny Jackson, and Necessary Ventures alongside a group of world-class angel investors, including Andrew Adams (CEO of Headway), Steve Gutentag and Demitri Karagas (co-founders of Thirty Madison), Cory Levy (Z Fellows), and Fiat Ventures. Their support has allowed us to grow our team, accelerate our product roadmap, and take meaningful steps toward revolutionizing clinical compliance.
Our mission is simple, but bold: to improve the standard of care in the U.S. healthcare system. Healthcare compliance shouldn’t be a black box. We’re building a network where providers can learn from each other, avoid common mistakes, and ultimately improve patient care. By aligning payors and providers under a single, transparent framework, we can create a healthcare ecosystem that’s more efficient, compliant, and ultimately better for patients.
We’re hiring across numerous roles. If improving the quality of care in the US healthcare system is what you’d like to spend the next few years of your career building towards, we’d love to hear from you.