# Sixfold — profile, pricing & turnaround

> Sixfold in the AI-native / Tech-enabled service segment. 5 of 8 rubric fields published. No public reviews found at capture.

Canonical page: https://medrecords.ai/content-hub/software/sixfold/

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[Content Hub](https://medrecords.ai/content-hub/) › Software & Platforms

SI

## Sixfold — Profile & Assessment

Sixfold operates in the medical-record review ecosystem, within the AI-native / Tech-enabled service segment. This profile records what the company publishes about its services, maps those claims to the Content Hub evaluation rubric, and cites every source behind them. 11 of 17 facts are confirmed from 5 public sources; unpublished fields are marked, never estimated.

4 sections·5 sources·Verified 2026-08-21 ✓
Disclosure
11/17 facts
01

### What it does

AI underwriting platform for P&C and Life & Health insurers; for life insurance specifically, it 'distills APS [attending physician statements], labs and prescription history into a clear case overview, surfacing impairments and mortality factors with the evidence behind each one' — i.e., medical-record summarization for underwriting rather than claims/litigation. Everything above is drawn from the 5 public sources cited at the foot of this page. Fields the company does not publish are marked as unpublished below rather than estimated.

02

### Evaluation criteria

Disclosure across the hub — 318 vendors profiled
Bar chart of published rubric fields across 318 profiled vendors. Sixfold sits at 5 of 8; the median is 5.

Sixfold publishes **5 of the 8** fields in the rubric. Across the 318 vendors profiled in this hub the median is 5. 78 of the 318 publish more; 91 publish exactly as many.

Content Hub rubric — 5 of 8 published
✓
Processing model
100% AI (underwriting document analysis and risk scoring)
✓
Human QA
None disclosed
○
Typical turnaround
Not published
✓
Pricing model
Contracted/Volume-based (enterprise, by submission volume)
○
Indicative cost
Not published
○
Export formats
Not published
✓
Best for
Property & Casualty and Life & Health insurance underwriting teams
✓
Customer satisfaction
No public reviews found
03

### Profile notes

Who it serves
Life & health insurance underwriting (APS/medical record summarization); P&C underwriting/submission review generally — not a litigation/IME product
Claims & platform notes
Described as using 'autonomous AI agents' and deep-learning models for document analysis with explainable risk scoring. Claimed results: 50% improved underwriting efficiency, 15% increased quote-to-bind ratio, 30% more GWP per underwriter, 50% reduction in underwriter review time (per a Guardian case study). Named clients: Guardian, Zurich North America, AXIS, Generali GC&C, Skyward Specialty, Mosaic Insurance
Review summary
Not independently rated by Medrecords AI. Cited public reviews are listed under Sources; Medrecords AI assigns no star rating without verified evidence.
Competitive coverage
[AI Underwriting Software in 2026: 9 Tools Compared by Use Case](https://getperspective.ai/blog/ai-underwriting-software-in-2026-9-tools-compared-by-use-case-personal-commercial-life)
04

### What to confirm before you sign

Sixfold publishes 5 of the 8 fields in the Content Hub rubric. Across the 10 AI-native / Tech-enabled service vendors profiled here, the median is 6 of 8. The gaps below are not marks against the vendor — most of this industry quotes on request. They are simply the questions you still have to ask, and the answers are worth getting in writing before a file changes hands.

1.
What does a real 1,000-page file cost, all in?
Ask for a worked example rather than a rate card. Duplicate pages, rush fees and monthly minimums are where the quoted rate and the final invoice separate.
Indicative cost — 70% of AI-native / Tech-enabled service vendors leave this unpublished[Ours: 10¢ a page, duplicates free](https://medrecords.ai/plans/self-service/?src=content-hub-sixfold)
2.
What is the turnaround on a 1,000-page file, and is that a median or a best case?
Ask what the clock starts from — receipt, or the point the file clears intake — and what the same number looks like in your busiest week.
Typical turnaround — 60% of AI-native / Tech-enabled service vendors leave this unpublished[Ours: same day on the self-service plan](https://medrecords.ai/plans/self-service/?src=content-hub-sixfold)
3.
What formats does the deliverable come in, and do the citations survive export?
Ask to see an exported file rather than a screen share. A citation that works inside the vendor's viewer and dies in Word is not a citation you can file.
Export formats — 90% of AI-native / Tech-enabled service vendors leave this unpublished[Ours: DOCX or HTML, every citation stays a live link](https://medrecords.ai/product/hyperlinked-exports/?src=content-hub-sixfold)
4.
Where do the records live, and who signs the BAA?
Protected health information is going to leave your office. Ask which entity holds it, in which country, and who is on the hook if it leaks.
Every vendor[Ours: HIPAA-eligible cloud under our own BAA](https://medrecords.ai/hipaa/?src=content-hub-sixfold)
5.
Is my data used to train a model?
Ask for the answer in the contract rather than the sales call, and check whether it also binds their subprocessors.
Every vendor[Ours: never trains a model](https://medrecords.ai/security/?src=content-hub-sixfold)

### Key facts

[](https://www.sixfold.ai)

| Segment | AI-native / Tech-enabled service |
| --- | --- |
| Website | https://www.sixfold.ai |
| HQ | New York, NY — exact street address Not published |
| Headcount | 11–50 employees |
| Ownership | Private, venture-backed. Crunchbase shows 4 funding rounds incl. a Series B led by Brewer Lane Ventures and a Series A; other investor Bessemer Venture Partners (7 total investors). Amounts Not published (obfuscated on free Crunchbase view). |
| Certifications | Not published this session |
| Not published | Founded — Pricing — Turnaround |

### Sources

- [Sixfold website](https://www.sixfold.ai)
- [Sixfold — P&C Insurance Underwriting Solution](https://www.sixfold.ai/solution/property-and-casualty-insurance-underwriting)
- [Reinsurance News — Sixfold introduces AI underwriter](https://www.reinsurancene.ws/sixfold-introduces-ai-underwriter-to-support-insurance-underwriting-decisions/)
- [Feathery — What Is Sixfold.ai? Complete Platform Review](https://www.feathery.io/blog/what-is-sixfold-ai-complete-platform-review)
- [Perspective AI: AI Underwriting Software in 2026: 9 Tools Compared by Use Case](https://getperspective.ai/blog/ai-underwriting-software-in-2026-9-tools-compared-by-use-case-personal-commercial-life)

Medrecords AI
Every line cited back to its page.
Send one real record set. We return a cited chronology you can check line by line, and a human decides what it means.
[Test on a file](https://medrecords.ai/test-a-file/?src=content-hub-sixfold) [Book a demo](https://medrecords.ai/demo/?src=content-hub-sixfold)

### How Medrecords AI does this work

Medrecords AI does this category of work as software. The record is sorted, deduplicated and read in minutes, every statement cited back to its page, and a qualified human signs off on what it means.

[Product — **Medical chronology** — A dated, deduplicated timeline with a citation on every entry. Read more →](https://medrecords.ai/product/chronology/?src=content-hub-sixfold) [Product — **Citations** — Every statement links back to the page and line it came from. Read more →](https://medrecords.ai/product/citations/?src=content-hub-sixfold) [Product — **Neutrality firewall** — Retained-side language kept out of the record read. Read more →](https://medrecords.ai/product/neutrality-firewall/?src=content-hub-sixfold)
Test it on a file you already have.
Send one real record set. You get back a cited chronology and decide for yourself whether the read holds up — no obligation either way.
[Test a file](https://medrecords.ai/test-a-file/?src=content-hub-sixfold) [Book a demo](https://medrecords.ai/demo/?src=content-hub-sixfold)

### Explore the Content Hub

[

#### Software & platforms

AI and case-management platforms across medical-record review.

](https://medrecords.ai/content-hub/software/) [

#### Service providers & BPOs

IME, peer review, retrieval, and BPO providers.

](https://medrecords.ai/content-hub/services/) [

#### State programs

Rules, AMA Guides edition, and MMI standards by state.

](https://medrecords.ai/content-hub/states/) [

#### Comparisons

Head-to-head vendor and program comparisons.

](https://medrecords.ai/content-hub/compare/) [

#### Guides

Editorial reference on report writing, MMI, and validity testing.

](https://medrecords.ai/content-hub/guides/) [

#### Conferences & events

Workers' comp, claims, and IME conferences with editorial takes.

](https://medrecords.ai/content-hub/events/) [

#### Directories

Link-out rosters of examiners, LNCs, and expert witnesses.

](https://medrecords.ai/content-hub/directory/) [

#### State matrix report

All 10 verified state programs, side by side.

](https://medrecords.ai/content-hub/reports/ime-state-matrix-2026/) [

#### Content Hub home

The full index of everything in the hub.

](https://medrecords.ai/content-hub/)
Medrecords AI

### Minutes per file. Every line cited. 10¢ a page.

Bring the hardest file from this page. Get a cited chronology and a report draft in minutes — every line traced to its source page, ready for your review and signature.

- Minutes per file, not days
- Every line cited to its source page
- Flat 10¢/page, duplicates free — no license, no minimums
- HIPAA-eligible · SOC 2 audit-ready

[Test on a file](https://medrecords.ai/test-a-file/?src=content-hub-sixfold) [Book a demo](https://medrecords.ai/demo/)
See how Medrecords AI compares with anything on this page — over a 30-minute call, side by side.

Last verified: 2026-08-15
