By PYMNTS | October 19, 2026
Highlights
Treso raised $3.75 million, led by Redesign Health, to build a financial operating system for independent physician practices. It starts with a charge card.
The founders said they hope financial products can pay for the software, which would let Treso offer its business tools for free.
Treso wants AI agents to handle financial operations, including reconciliation, bookkeeping and supply tracking. It plans to launch with its first design-partner practices in December.
Independent medical practices operate like small businesses, but the financial tools available to them rarely account for how healthcare works. Physicians must manage insurance reimbursements, medical supplies and operating expenses across disconnected systems, often while running lean.
Treso, a startup building a financial operating system for independent physician practices, wants to close that gap. It announced in a Wednesday (Oct. 14) press release that it raised $3.75 million in a funding round led by Redesign Health. Locke Health and KCRise Fund also participated. The company plans to launch with its first design-partner practices in December.
Treso Co-Founder and CEO Ryan Greenhaw and Co-Founder and Chief Technology Officer Zvika Badalov said they envision combining credit, accounting, procurement and artificial intelligence-powered automation in a platform designed around how medical practices operate.
Greenhaw told PYMNTS the approach comes down to one rule.
“It’s got to look like HealthTech, act like FinTech,” he said.
Slow Reimbursements Leave Practices Hunting for Credit
A practice may deliver care today but wait weeks or months to get paid.
“There’s a very long tail,” Greenhaw said, adding that insurance reimbursements can take anywhere from 30 days to two years depending on the claim.
Treso’s conversations with dozens of practices revealed demand for financial products that fit how they operate, Greenhaw said.
“They’re often searching for better credit options, more cash flow,” he said.
To cover the wait, many practices lean on general-purpose business cards or cycle through several cards because credit lines fall short of what the business needs.
Badalov, who led engineering at Cross River Bank and served as CTO of spend management company Finally, said FinTechs built for small- to medium-sized businesses (SMBs) often overlook healthcare’s operational differences.
“They understand a lot of what it means to run as a small business or a midmarket, but they don’t understand the nuances that the healthcare practices have to go through,” Badalov said.
Treso Bets Financial Products Can Make Software Free
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Treso begins with a charge card for independent practices, but the founders said they see it as an entry point. They hope financial products can pay for the software. Practices may need better tools, but standalone software is hard to justify when the return is unclear.
“Some of these tools are very ambiguous around ROI as a standalone,” Greenhaw said.
That’s why Treso looks to the money side. Greenhaw said the company wants to “take advantage of the toll booths that are already there on the movement of money.” The payoff is free software.
“We think we can make these business products free by offering the financial products,” he said.
The card does a second job. It gives Treso real-time data on what practices spend, Badalov said.
Greenhaw said he wants to use that data to build “the best underwriting model in healthcare.”
AI is part of the plan from the start.
“We are committed to being an AI-native company from day one,” Badalov said.
Treso wants to start with financial operations, where AI agents could reconcile transactions, handle bookkeeping and track supply use to flag when products need restocking, Badalov said. Eventually, Treso plans to expand into a marketplace that would let practices buy supplies from distributors at negotiated discounts when they use the Treso card.
“I think the product is going to become headless maybe five years from now,” Badalov said.
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Ryan Greenhaw is co-founder and CEO of Treso.
Zvika Badalov is co-founder and chief technology officer of Treso.