65M
Members covered by our platform
$1B+
Annual financial benefit to customers
$200B
Medical claims reviewed annually
15%
Reduction in admin costs
Machinify’s AI Stack
Program Optimization
Autonomous Task Execution
Foundational Models
Machinify's AI stack is comprised of foundational and task-specific AI models applied in a safe and transparent manner to analyze and extract relevant data from billions of claims, medical records, and policies. These models continuously learn from a feedback loop to optimize your program.
Machinify’s Audit and Pay leverage this stack to improve payment integrity operations.
Machinify’s Audit and Pay leverage this stack to improve payment integrity operations.
Learn More About AI
Products
Machinify Audit
Machinify Audit is a medical AI system that identifies erroneous claims and performs record review for clinical, coding, and billing errors.
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Machinify Pay
Machinify Pay processes claims at wire speed, ensuring accurate coding and pricing aligned with payment policies and contracts.
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Your Partner, Not Your Vendor
Transparency
A "glass-box" approach to AI—we don't keep our rules under wraps, transferring knowledge to eliminate misalignment
Control
Our AI isn't a one-size-fits-all solution, but tailored and updated to the health plan's needs
Safety
AI drives efficient and consistent data and document digestion; final decisions confirmed by experts
Real-world results
- $500M+ annual savings for a single health plan
- 30% increase in findings per case
- 57% reduction in false positive findings