Amby Health

What do they actually do

Amby Health provides a web dashboard for ambulance/EMS agencies that ingests patient‑care reports (via PDF upload or integrations with existing systems) and automatically reviews each trip for documentation gaps, protocol deviations, high‑risk items, and missed billing opportunities. It also suggests level‑of‑care coding where relevant and aggregates provider‑level performance metrics for QA/CQI teams tryamby.com, YC page.

Agencies typically feed PCRs into Amby, review the system’s flags in the dashboard, send feedback or correction requests to medics, and track completion and per‑provider trends. Billing teams use the billing flags and coding suggestions to catch missed charges and reduce denials before claims are submitted. The company has a public demo and YC launch materials indicating the product is live with early pilots; they also cite case examples from early users tryamby.com, YC page, LinkedIn demo transcript.

Who are their target customer(s)

• EMS director / QA-CQI manager: Needs to assure documentation quality and compliance but can’t manually audit every PCR, so high‑risk issues and protocol deviations are found late or inconsistently. tryamby.com YC page
• Billing manager / revenue‑cycle lead: Loses recoverable revenue and spends time on denials because level‑of‑care coding and missed charges aren’t caught before claims are sent. tryamby.com YC page
• Back‑office QA and billing reviewers: Face high volumes of repetitive PCR review and edits, causing slow turnaround and inconsistent feedback to crews. LinkedIn demo transcript tryamby.com
• Fire department captain / agency executive: Must balance tight budgets and staffing while mitigating audit risk and revenue shortfalls tied to poor documentation. YC page tryamby.com
• Paramedic / field clinician (indirect): Gets rework and vague correction requests due to inconsistent guidance, which adds time and undermines confidence in charting. LinkedIn demo transcript tryamby.com

How would they acquire their first 10, 50, and 100 customers

• First 10: Founder‑led demos and short pilots with local agencies using their own recent PCRs (via upload or simple integration), followed by tailored reports and a day‑to‑day playbook to convert pilots to paid deals tryamby.com YC page.
• First 50: Package the demo→pilot→conversion motion, leverage early case studies/testimonials, and run targeted outbound to municipal/private agencies and billing firms, plus a low‑friction self‑serve upload on the website and LinkedIn outreach to QA/billing leads tryamby.com.
• First 100: Build integrations with major PCR/EHR vendors and partner with EMS billing firms and regional councils for resell/implementation; expand reach via trade shows, state pilots, and a formal partner program with co‑selling and bundled pricing tryamby.com YC page.

What is the rough total addressable market

Top-down context:

Near‑term U.S. buyer pool is ~14,756 EMS agencies that submitted to NEMSIS in 2024, with ~60.3M activations that year. The EMS billing software market is estimated around $494M, while broader billing services are in the multi‑billion range and the overall ambulance services market is ~$18.6B NEMSIS 2024, software TAM, billing services, ambulance services.

Bottom-up calculation:

Start with 14,756 U.S. agencies producing 60,298,684 activations in 2024; a per‑transport fee or per‑agency subscription can be applied to those volumes to size revenue potential (e.g., priced per transport or tied to recovered revenue/denial reduction) NEMSIS 2024. Agencies often benchmark economics per transport, which is why catching missed charges and coding errors can materially move revenue EMS1 analysis.

Assumptions:

• Focus on U.S. EMS agencies submitting to NEMSIS as the near‑term buyer set.
• Pricing is per‑transport or per‑agency; exact price points are not publicly disclosed by Amby.
• NEMSIS activations are a reasonable proxy for annual PCR volume subject to QA/billing workflows.

Who are some of their notable competitors

• ESO: Large EMS/fire software provider offering ePCR, QA/QI, and analytics used by many agencies; adjacent to Amby through documentation quality and operational analytics.
• ZOLL Data Systems: Provides EMS ePCR, billing, and revenue cycle tools; competes on integrated documentation-to-billing workflows for ambulance providers.
• ImageTrend: Offers Elite ePCR, QA/QI, and EMS billing solutions; widely adopted by municipal and private EMS agencies.
• Digitech: Specializes in EMS billing services and software; notable as a channel/outsourcing alternative for revenue cycle management.
• Traumasoft: End‑to‑end EMS platform including ePCR, dispatch, and billing; overlaps with QA and billing workflows that Amby targets.