Fathom
Also known as: Fathom Health
Autonomous medical coding platform with KLAS validated 90%+ automation rates, HITRUST i1 certification, and a CVS Health Ventures strategic investment, spanning facility, professional fee, coding review, and risk adjustment workflows.
Fathom is an autonomous medical coding platform founded in 2017 that fuses deep learning and NLP to code patient encounters touchlessly across facility and professional fee workflows, claiming the highest automation rates and broadest specialty coverage in the category. Its product suite spans autonomous coding, E/M capture and provider assignment, coding review that audits human coder output and flags problematic coding, and retrospective risk adjustment coding capturing HCCs at scale. A March 2026 deployment at Your Health achieved a 95.5 percent encounter level automation rate with accuracy improving from 96.3 to 98.3 percent across roughly 1 million annual visits. Fathom holds HITRUST i1 certification, scored 95.5 of 100 in KLAS Research's first autonomous coding report (Aug 2025), was ranked the number 1 solution for Reducing the Cost of Care in the 2025 KLAS Emerging Solutions Top 20, and took a strategic investment from CVS Health Ventures in May 2026 to expand with providers and health plans.
Vendor details
Canonical URL
https://fathomhealth.com
Category
Healthcare agent
Funding status
$61M+ total; $46M Series B Nov 2022 (8VC, Alkeon, Founders Fund, GV, Lightspeed, Cedars-Sinai, Tarsadia) plus CVS Health Ventures strategic investment May 2026
Company status
independent
Use cases & customers
Primary use cases
Target customers
Deployment options
Integrations
Available on Google Cloud Marketplace; serves facility and professional coding across health system service lines; EHR integration catalog not publicly documented.
Sources & related URLs
Research sources
Capability coverage
6.0 / 14 capabilities · 43%
| Integrations & Tool CallingGoogle Cloud Marketplace availability and deployments across diverse care settings, but no EHR integration catalog publicly documented, Fathom materials 2026-07-22 | Partial |
|---|---|
| Workflow OrchestrationTouchless autonomous coding across all service lines and places of service spanning facility and professional fee workflows, validated at 95.5 percent encounter level automation, Fathom deployment release 2026-07-22 | Full |
| Knowledge Grounding & RAGDeep learning and NLP fusion grounded in clinical documentation; no distinctive documented knowledge architecture comparable to ontology based rivals, Fathom materials 2026-07-22 | Partial |
| Human Oversight & GuardrailsNon automated encounters route to human coders and the review product flags problematic coding for human review, but no published confidence threshold policy governs the boundary, Fathom materials 2026-07-22 | Partial |
| Security, Identity & GovernanceHITRUST i1 certification announced first party for data protection and privacy in autonomous medical coding, Fathom Dec 2024 release 2026-07-22 | Full |
| Observability & AuditabilityCoding review product surfaces errors and flags problematic coding, with KLAS validated automation rates, but no per code audit trail documented, Fathom site 2026-07-22 | Partial |
| Memory & State PersistenceNo documented persistent agent memory capability, Fathom materials 2026-07-22 | Unable to verify |
| Deployment & Data ResidencySaaS with Google Cloud Marketplace distribution; no self host or residency options documented, Fathom materials 2026-07-22 | Partial |
| Prebuilt Agents, Templates & PacksProduct suite across autonomous coding, E/M capture, coding review, and risk adjustment with broad specialty coverage; product modules rather than an agent library, Fathom site 2026-07-22 | Partial |
| Triggers & Channel CoverageEncounter driven autonomous processing; trigger surface not documented as first class, Fathom materials 2026-07-22 | Partial |
| Model Flexibility & RoutingProprietary deep learning and NLP stack; no customer facing model choice or routing, Fathom materials 2026-07-22 | Unable to verify |
| APIs, SDKs & MCP ExtensibilityNo public developer API, SDK, or MCP surface documented, Fathom materials 2026-07-22 | Unable to verify |
| Testing, Debugging & OptimizationCustomer facing coding review product audits coder output and flags errors, and automation rates carry third party KLAS validation, though no published threshold regime, Fathom materials 2026-07-22 | Partial |
| Browser & Computer UseOperates on clinical documentation, not browser or computer interface control, Fathom materials 2026-07-22 | Unable to verify |
Pricing
Contact sales
What is public
No public pricing. Fathom publishes deployment outcomes (95.5% automation at 98.3% accuracy at Your Health) and KLAS validation rather than commercial terms.
Variable cost rationale
Enterprise pricing scoped to encounter volume and specialty mix; no public rates.
Sales call required
Yes — required for paid access
Free / trial
None public
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