#United States #Boston #Liminal #Tally #Healthcare Billing

Tally and Liminal Join Forces to Transform Healthcare Billing

In a groundbreaking initiative set to reshape the landscape of healthcare billing, Tally has announced its partnership with Liminal, a Founders' Studio renowned for collaborating with top-tier founders. The collaboration aims to tackle one of the most pressing issues in healthcare: the overwhelming complexities, delays, and errors associated with billing for services already rendered by healthcare providers.

Tally's platform, powered by artificial intelligence, is optimized for multi-site specialty healthcare providers. This innovative technology enables seamless revenue cycle management (RCM), addressing inefficiencies that have long plagued this sector. By integrating Liminal’s robust build capabilities, the alliance is positioned to significantly elevate the way billing processes are managed in healthcare environments.

A Multi-Billion-Dollar Market Opportunity

The U.S. RCM market is experiencing rapid growth, having surpassed $125 billion in 2024, with projections suggesting an annual increase of 6 to 8% through 2030. This escalation is largely attributed to healthcare providers transitioning from traditional, labor-intensive billing methods to more automated solutions. Tally is strategically positioned to capitalize on this trend, especially as providers face collapsing margins, increasing payer denials, and significant staffing shortages.

Data indicates troubling trends: median hospital operating margins hover below 3%, and the percentage of providers reporting denial rates over 10% surged from 30% in 2022 to 41% in 2025. Additionally, 63% of healthcare providers disclose RCM staffing shortages, underscoring a critical need for effective automation in the billing process.

Tally co-founder Peter van Riper, with extensive experience as a healthcare executive and former CFO, emphasizes that traditional solutions have failed to keep pace with the sector's demands. He asserts that the old strategy of relying on increased offshore labor is no longer sustainable. Instead, Tally’s approach features a complete billing workflow managed by agentic AI alongside specialist teams, capturing and learning from every claim processed.

The Power of Agentic AI

Tally differentiates itself from competitors by not only providing insights but by executing the entire billing cycle. This process includes insurance verification, prior authorization, and handling denials and underpayments. Each claim processed feeds into Tally's proprietary Payer Behavior Graph, creating a comprehensive dataset that informs how payers adjudicate various claims across different procedures and payment rules.

By managing the billing lifecycle end-to-end, Tally builds a significant data advantage that increases with each transaction, enabling a robust understanding of payer behavior that is unattainable through conventional software tools. This unique approach positions Tally to effectively navigate and mitigate the myriad challenges providers face.

Sonny Vu, Chief Builder at Liminal, commented on the partnership: “We back founders who tackle enormous structural challenges with actual technical depth. Peter and his team possess extraordinary operational credibility in healthcare finance, strengthened by a data asset that improves with continuous use.”

As the healthcare landscape evolves, Tally and Liminal are committed to unlocking significant value in the specialty healthcare RCM market—an area ripe for innovation and growth. The two companies are setting forth to revolutionize how healthcare providers get paid, creating a more equitable and efficient system for all stakeholders.

About Tally and Liminal

Tally is at the forefront of a new era in revenue cycle management, utilizing AI to empower multi-site specialty healthcare operators. Their solution not only enhances billing efficiency but also ensures practices collect the revenue they deserve.

Liminal is a Founders' Studio that collaborates with outstanding founders, supporting ventures that span various industries, including healthcare and technology. Established by Temasek, a global investment company based in Singapore, Liminal aims to cultivate transformative businesses that address fundamental challenges across sectors.

For more information, visit Tally’s website and learn about Liminal at Liminal's site.