Peppermint Raises $4.7M to Bring Scientific Precision to the Finances of Clinical ResearchLearn more

Bring scientific precision to the finances behind every study

Peppermint is the AI-powered financial operations platform designed exclusively for clinical research.

We combine expert billers with intelligent automation to capture the revenue you’ve already earned, within the systems you already run.

Enterprise-grade security & compliance

AICPA SOC 2 Type II in progress

PENDING

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Backed by world-class investors from

Layout Ventures logo Homebrew Management logo Moxxie Ventures logo Better Tomorrow Ventures logo

The problem

Revenue leaks. Hours disappear. No one can see the whole picture.

Contracts, CTMS, payment portals, spreadsheets, bank accounts, accounting — the financial record of your research is spread across all of them and reconciled by none. Collecting what you've earned is grueling. Growing it is nearly impossible.

Our solution

The same rigor you bring to the science, applied to the money.

Our AI reads every contract and captures every visit at the source, validates it against what was billed and what was paid, and reconciles continually. Our expert billers make the calls that need judgment, so every number you report is one you can defend.

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The problem

Revenue leaks. Hours disappear. No one can see the whole picture.

Contracts, CTMS, payment portals, spreadsheets, bank accounts, accounting — the financial record of your research is spread across all of them and reconciled by none. Collecting what you've earned is grueling. Growing it is nearly impossible.

Our solution

The same rigor you bring to the science, applied to the money.

Our AI reads every contract and captures every visit at the source, validates it against what was billed and what was paid, and reconciles continually. Our expert billers make the calls that need judgment, so every number you report is one you can defend.

Book a demo
Patient #83720
Unscheduled MRI • Feb 20
  • FoundeSource #20471
  • ValidatedCTA #20471
  • Invoiced
  • Paid
Patient #25479
Visit 1 • Apr 13
  • FoundeSource #20471
  • ValidatedCTA #20471
  • Invoiced
  • Paid
Patient #66848
Lab panel • Sep 13
  • FoundeSource #20471
  • ValidatedCTA #20471
  • InvoicedINV-2291
  • Paid$1,293.00
Patient #35572
Annual physical • Oct 8
  • FoundeSource #20471
  • ValidatedCTA #20471
  • InvoicedINV-2291
  • Paid$651.00

Realize your revenue, grow to your potential

  • 3x

    reduction in days sales outstanding

  • 6x

    improvement in time to invoice

  • 25%

    of staff time reclaimed

  • 15%

    missing revenue found

How we operate

Live in a week, inside the systems you already run.

We connect to your existing CTMS, EDC, and accounting systems and start reconciling against live studies. Nothing migrates. No one retrains. The first findings land in days.

  1. Day 1

    Connect

    We plug into the systems you already run — CTMS, EDC, accounting — so your team keeps working exactly as they do today.

  2. Day 3

    Reconcile

    Every visit, procedure, and contract term is matched against what was billed and what was paid, to find what’s missing.

  3. Day 7

    Report

    You can finally see what each study is worth, what's outstanding, and what was missed.

  • No forced system change
  • No disruption to workflows
  • No CTMS or EDC replacement

Human expertise where it matters. AI to make it scale.

Expert billers handle the decisions that need judgment — a contract that reads two ways, a payment that doesn't look right. All within a platform that runs at machine speed.

Every revenue event recorded as it happens, down to the CTMS build behind it.

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Peppermint syncing data from CRIO’s clinical trial management system, pulling in 1 pilot study, 23 patients (5 screen failed), and 1,280 visits since January 2025

One view. Every study. Every dollar.

Months of manual reconciliation, replaced by a single source of truth — updated as the work happens, traceable to the contract term that earned it.

Peppermint dashboard showing key billing metrics: invoices submitted, payments received, outstanding accounts receivable, and days sales outstanding

All of your key metrics, at a glance:

Activity to invoice

Time from a billable activity to invoice out the door

Invoice to payment

How long payment takes, by study, site, and payer

Outstanding AR with aging

What you’re owed right now, and how long it’s been waiting

Projected revenue

What your active studies will earn from the work still ahead

How we compare

The only platform built for how clinical trial finance actually works

You run multimillion-dollar trials to an exacting standard. But nothing you already own was built to reconcile a bespoke trial contract against the visits that fulfilled it — so that work falls to people and spreadsheets.

How Peppermint compares Peppermint CTMS Spreadsheet
Real-time activity captureReview accuracy of data capture in real time to ensure billing is right. Included Not included Not included
Line-by-line invoice accuracyEvery line item checked against the CTA and budget rules before it goes out. Included Not included Not included
Continuous invoice creationSponsor-ready invoices generated the moment activity is confirmed, not at the month’s end. Included Not included Not included
Effortless sponsor/CRO follow-upAging invoices chased until paid, disputes worked to resolution. Included Not included Not included
Always-on payment reconciliationEvery payment matched to study, visit, invoice, and site straight from the bank. Included Not included Not included
Proactive revenue recoveryUnbilled activities, amendment changes, and underpayments found and billed. Included Not included Not included
Full-picture leadership visibilityCollected, outstanding, and expected revenue by study, always current. Included Not included Not included
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Who we serve

The people driving clinical trials

Independent sites, site networks, hospital systems, academic medical centers — and the sponsors and CROs who depend on them. The organizations advancing new therapies today, and expanding what's possible tomorrow.

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Blurred figures of staff walking briskly through a modern clinical office hallway Active

Clinical Research Sites, SMOs, & Networks

We take it on

Peppermint runs your trial billing end to end—capture through collections—so your team can stay focused on the studies.

We back you up

Your billers keep control of the work. Peppermint handles the volume behind them, so they move faster and nothing slips.

Get started
Abstract blurred streaks of orange and yellow against a soft green background, with a grainy texture Coming soon

CROs & Sponsors

Cleaner invoices from your sites, fewer disputes to work through, and far less time spent on either. We’re building the rails everyone in the trial can run on.

Get in touch
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Hospital Systems & Academic Medical Centers

Turn research into a business line you can actually measure, and grow it without adding headcount.

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FAQs

Is Peppermint another software tool our team has to operate?

No. Peppermint combines technology with an operating team that performs the underlying revenue work. The platform gives your team visibility and control without creating another queue of tasks to manage.

What if we already have a billing team?

That's one of the two ways sites use Peppermint. We can take it on, running billing end to end so your team can stay focused on the studies. Or we can back you up, with your billers keeping control of the work while Peppermint handles the volume behind them. The division of responsibility depends on your team, your systems, and what you need.

Will adding Peppermint create more work or more handoffs for our team?

No. Peppermint is built to remove work, not add it. We handle routine tasks and investigations independently, and involve your team only when an approval, a correction, or clinical context is genuinely required.

Do we need to replace our CTMS, EDC, or accounting system?

No. Peppermint works across the systems and data sources you already use — CTMS, EDC or eSource, contracts, sponsor portals, email, bank data, and accounting systems. We connect to your existing environment rather than forcing a rip-and-replace implementation.

What does Peppermint handle, and what still belongs to our team?

Peppermint determines what is owed, prepares invoices, tracks outstanding revenue, follows up with sponsors and CROs, reconciles payments, investigates exceptions, and provides financial reporting. Your team keeps the decisions that need clinical context or institutional authority: approving exceptions, confirming what happened at a visit, and any judgment call about the study itself.

How do you ensure the work is accurate when the underlying data is incomplete or incorrect?

Peppermint checks financial activity against contracts, amendments, and available source data rather than assuming every system is correct. Missing or conflicting information is flagged for investigation, and the evidence behind every resolution becomes part of the audited record.

What does "agent prepared, biller reviewed" mean?

AI structures contracts, interprets fragmented data, and prepares the work — but it doesn't operate without controls. Our billers review consequential outputs and handle anything ambiguous, contradictory, or requiring judgment.

How do you handle security and PHI?

Peppermint operates under HIPAA, with SOC 2 certification in progress. We access only the systems you approve, and our billing work uses study and screen identifiers rather than patient identity. Security documentation is available on request.

What does onboarding require?

We start by understanding your current workflow, gathering the relevant contracts, and establishing access to the agreed systems and data. Then we configure responsibilities and approval rules, validate the initial financial picture, and launch on an agreed scope. For most sites, this takes about a week.

How does Peppermint handle sponsor follow-up, invoice revisions, and unclear payments?

Peppermint tracks both invoices and revenue expected through automatic payment structures (autopay). We follow up on outstanding items, manage revision requests, investigate unclear remittances, and work through exceptions until the revenue is accurately resolved.

Who do sponsors and CROs see when you follow up?

Your team. Follow-ups are branded and written to sound like your site, and our billers handle sensitive conversations directly and professionally. What sponsors and CROs experience is a site that bills accurately and follows up consistently.

Can Peppermint help with historical revenue or studies approaching closeout?

Yes. Our revenue diagnostic reviews historical activity, contracts, amendments, invoices, and payments to identify missed billables, unpaid items, incorrect rates, and unreconciled cash. Many customers start here, then expand into ongoing revenue operations.

How is Peppermint priced?

Pricing depends on the scope of work Peppermint manages — study volume, workflows, systems, and implementation complexity. We define the operating scope with each customer and price around the responsibility we're taking on.

Ready to see it in action?

Book a demo