Commercial Health, Built for Impact

In commercial health, speed, security, and trust are mission-critical. Our SOC 2-compliant technology unites systems, people, and data to deliver faster access, smarter workflows, and confident decisions — without cutting corners.

Female doctor and patient talking
Record reviewing
Intelligent Automation

When Every Data Point Matters, Commence Transforms Millions Daily

From claims and clinical notes to digital forms and device feeds, Commence processes millions of data points each day—turning unstructured information into clear, actionable insight. Our AI-powered platform streamlines intake, automates manual work, and frees teams to focus on high-value priorities, whether that’s improving outcomes, accelerating decisions, or driving efficiency.

  • Reduced administrative costs by 40% through intelligent automation and streamlined intake workflows
  • Saved over 16,000 staff hours using robotic process automation (RPA) to eliminate manual entry

Technology Driving Outcomes Across Every Health Mission

Commence supports commercial health partners—State, Local, and Education (SLED) agencies, payers, and insurers—with technology designed to scale. Our platform is SOC 2-compliant, people-connected, and built to meet the urgency of care.

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Interoperable by Design

Built on modern standards like Fast Healthcare Interoperability Resources (FHIR), our platform integrates with electronic health records (EHRs), claims systems, and agency tools—no silos, just seamless healthcare data interoperability.

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Trust Starts with Compliance

Our SOC 2-compliant architecture meets rigorous data protection standards and keeps commercial data fully separate from federal systems.

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Streamlined Medical Retrieval

We automate private medical record retrieval and extraction—reducing friction, turnaround time, and manual effort across the entire process.

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Embedded Translation

On demand translation lives inside your workflows—bridging gaps, improving care equity, and meeting patients where they are.

Move Fast without
Cutting Corners

Our SOC 2-compliant platform is designed exclusively for commercial use, keeping private medical record separate, secure, and always under your control. This isn’t just security. It’s confidence.

Leadership Powering Innovation in Health Delivery

Chief Growth Officer

Vice President of Sales

Director of Major Accounts
Headshot of Ian Checcio

Ian Checcio

Chief Growth Officer

Ian Checcio serves as Chief Growth Officer at Commence, leading the company’s commercial growth strategy and bringing its solutions to the organizations that need them most. With more than two decades at DOMA and now Commence, he has grown from early operational roles into leadership across sales, business development, and growth—bringing a perspective grounded in both delivery and results.

Ian believes long-term success is built on trust—clients stay, teams excel, and impact happens when relationships come first. His leadership style is situational, adapting to meet people where they are while maintaining a consistent focus on accountability and performance. To him, “Greater Data for the Greater Good” means the work goes beyond the transaction—ensuring data drives real decisions and real outcomes.

Alex Payne

Alex Payne

Vice President of Sales

Alex Payne leads sales and business development across Commence’s commercial markets, building strategic partnerships that drive both growth and impact. With over 15 years of experience in technology sales and business development, Alex brings a strong track record in team building, value-based selling, and connecting innovation with outcomes.

Alex leads with authenticity, openness, and integrity. He’s motivated by progress—whether its helping customers solve challenges or supporting his team’s growth. At Commence, he’s especially proud to have launched the patent-pending On Demand Translation solution, making critical healthcare instructions instantly accessible in a patient’s preferred language. He sees his work as a catalyst for transforming health outcomes for those on the front lines of healthcare.

Josh Borum

Josh Borum

Director of Major Accounts

Josh Borum leads Commence’s commercial healthcare vertical, overseeing top-tier client relationships and spearheading solutions to combat fraud, waste, and abuse. Now in his 12th year with the company, Josh brings his expertise in business development across public and private sectors, helping clients turn documents into data that drives meaningful outcomes. 

Josh believes in the power of listening to build trust and uncover better solutions. He’s especially proud to have launched Commence’s medical records outreach and retrieval program, designed to protect public health through smarter, proactive data use.  

For Josh, our mission means using ethical, intelligent data strategies to solve real-world problems, not just to drive profits. His one-world role summary? Connector. Because real change happens when people, insights, and action align.