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AIShare saleUnited States

CaseStack

casestack.health · AI agent for prior-authorization in dermatology

Drafts and submits prior-auth packets for derm clinics. 38 clinics live.

MRR
$42,000
TTM revenue
$386,000
TTM profit
$162,000
Growth (MoM)
9.5%

From the founder

CaseStack handles prior-authorization for dermatology practices — biologics, photodynamic therapy, Mohs. Ingests EMR notes and payer forms, drafts the packet, submits via clearinghouse, tracks status.

38 clinics, $42k MRR. Average clinic recoups CaseStack's monthly cost in their first 2 approvals.

Selling because I'm going back into clinical practice. Buyer with healthtech sales experience would expand this quickly — we have 80+ inbound clinics on the waitlist.

Growth opportunities

  • Expand to rheumatology + GI (same biologic workflow)
  • Move to outcome-based pricing (% of recovered revenue)
  • EHR partner co-sell

Risks & considerations

  • Payer rule changes
  • SOC2 not yet completed
  • Single specialty concentration

Financials

Last 3 mo revenue
$118,000
Last 6 mo revenue
$220,000
Last 12 mo revenue
$386,000
Profit (TTM)
$162,000
Monetization
$1,100/mo base + per-packet usage
Growth
9.5% MoM

Operations

Team
Founder + 1 eng + 1 nurse SME
Time required
40 hrs/week
Tech stack
Python, Postgres, OpenAI, Claude, Availity API
Processes
Onboarding 2 weeks; weekly approval-rate reports; SOC2 in progress.

Traction & channels

Customers
38 dermatology clinics
Channels
Specialty conferences · Outbound · EHR partner intros
Retention
Too early (median tenure 7 mo)
Moat
Payer form library + approval-rate benchmarks + clinical SME.

AI specifics

LLM(s)
GPT-4o + Claude Sonnet 4.5
Monthly inference cost
$3,400
Model dependency
Dual provider; PHI handled in BAA-covered Azure

Deal & transition

Reason for sale
Founder returning to clinical practice.
Preferred buyer
Healthtech operator with clinical relationships
Transition / support
12 weeks + 6-month advisory
Deal type
Share sale