In 2024, Kaplan founded Patriot Pay, a Manchester-based software company that allows patients to better understand and pay their medical bills. Since then, he has partnered with over 75 medical practices in the U.S., nearly 30 of which are in New Hampshire.

Matthew Kaplan grew up knowing his parents spent their days caring for patients — his mom as a nurse, his father in a hospital laboratory. While he appreciated how their successful careers supported their family of 10, he didn’t, at first, see there might be opportunities in health care for him.

Patient billing has long been one of the most challenging parts of running a medical practice. Patients often face confusing statements, unclear insurance terms, and long wait times for answers. Meanwhile, staff are flooded with phone calls, emails, and portal messages just to explain basic charges.