AI platform automating patient referrals and care coordination across fragmented health systems
Arbiter is a healthcare AI startup built on LangChain, LangGraph, and Epic Systems integration—technologies that signal deep work in orchestrating complex referral logic and connecting legacy EHR data. The engineering-heavy org (11 engineers, 1 designer, 1 marketer) and focus on model productionization, data processing, and agentic AI development suggest they're building a multi-agent system to route patients through fragmented provider networks rather than a simple scheduling tool.
Arbiter automates referral workflows across hospitals, health systems, and payers by integrating patient data, provider availability, and cost factors into a single care orchestration platform. The company targets healthcare provider networks and payers frustrated by manual referral processes, care gaps, and inability to optimize which site delivers care most efficiently. Built on Kotlin, Java, and Python with PostgreSQL and Kubernetes infrastructure, the platform connects to Epic EHR systems and performs enterprise data modeling to track RAF performance metrics and care outcomes.
Arbiter's stack includes LangChain, LangGraph, Kotlin, Java, Python, PostgreSQL, Kubernetes, Epic Systems integration, Netty, Vert.x, and Playwright for automation and testing.
Arbiter is headquartered in New York, NY. The company was founded in 2025 and is privately held with 11–50 employees.
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