TL;DR: If you are replacing 20n, the closest options are Biocogniv, Docbot, Excepgen. The table below compares 12 alternatives on what they do, stage, size and status.
Every alternative below is compared on what it actually does, not just its category — so you can see which one genuinely replaces 20n (YC Winter 2015).
Last verified:
The three closest alternatives to 20n are:
| Alternative | What it does | Stage | Team | Status |
|---|---|---|---|---|
| Biocogniv | — | YC Summer 2020 | 6 | Acquired |
| Docbot | — | YC Winter 2019 | — | Acquired |
| Excepgen | — | YC Winter 2019 | 3 | Active |
| Mind Emulation Foundation | — | YC Winter 2018 | 1 | Active |
| Semantix | AI for medical billing | YC Summer 2017 | 2 | Inactive |
| Simbie AI | We get patients to their next appointment | YC Summer 2023 | 5 | Active |
| Gerostate Alpha | Developing novel therapeutics for aging and chronic disease | YC Summer 2018 | 6 | Inactive |
| Sophys | AI Agents for Healthcare Intake | YC Winter 2022 | 1 | Active |
| CombineHealth | Automating Healthcare Revenue Cycle Management with AI Workforce | YC Winter 2023 | 15 | Active |
| Numen | Engineering a future without cancer deaths. | YC Summer 2023 | 18 | Active |
| Data Driven Bioscience | Cancer Diagnosis 10X faster, 10X cheaper | YC Summer 2018 | 10 | Active |
| Reverie Labs | Engineering next-generation, brain-penetrant cancer therapies. | YC Winter 2018 | 29 | Inactive |
It depends on your size. Biocogniv is the closest match on what 20n actually does. If you need something more established, sort the table by team size — larger teams generally mean more support and a longer track record. If budget is the constraint, the earlier-batch companies are usually the ones still competing on price.
20n is no longer listed as active, so anyone still relying on it should plan a migration to one of the alternatives above.
Every company here is Y Combinator-backed and was matched to 20n on what it actually does — its own description of its product — rather than on a broad category label. Batch, team size and operating status come from the YC directory and are shown as-is. We do not rank by payment.
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