One platform for all you do.
Our platform operates across the full spectrum of payment integrity interventions, delivering state-of-the-art performance and AI that is safe and transparent.
let’s cut the complexity
Machinify is reshaping healthcare payment through seamless intelligence.
Our AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy.
Friction is the enemy
Machinify's high-precision solutions optimize financial impact and reduce healthcare costs for everyone.
Expertise that spans the industry.
Machinify brings a track record of excellence and over 40 years of experience in setting the standard for accurate payment.
Support that drives performance.
We deliver measurable outcomes with a first-principles approach to reinventing processes for the benefit of the overall ecosystem.
Flexibility that fits your needs.
Our solutions adapt to your strategy, supporting a mix of insourced, hybrid, or fully-managed deployment models.
IMPACT IS EVERYTHING
Effectiveness begins with experience.
75 +
Customers, including 16 of the top 20 health plans, with an average 12-year tenure
170 M+
Lives impacted every year across all markets
$4.5 B
Annual cost avoidance and recoveries realized
Healthcare's AI operating system.
Unified data layer
Brings together claims, medical records, contracts, and policies in real time.
Foundation models
Trained on billions of healthcare data points to learn coding and payment.
Task-specific agents
Collection of intelligent agents to execute work independently.
Feedback loops
Improves continuously from humans in the loop and business outcomes.
One size fits nobody
Our products operate the way you need them to.
Our platform is designed from the ground up to seamlessly blend operating models on demand—from fully insourced execution to hands-free, turnkey solutions.
What our partners say.
My team loves Machinify! Their AI capabilities have increased recoveries by over 30% and reduced our dependence on PI vendors. Even more, as a leader of a large PI organization, Machinify multiplied reviewer productivity while eliminating false positives.
VP of Payment Integrity
Leading Medicare health plan
We have realized considerable cost containment and avoidance without increasing our time-to-payment, which keeps provider abrasion low.
Payment Integrity Manager
Health Plan
For our organization, Machinify has improved their recovery numbers year over year at a pretty good clip. Machinify’s key strengths are effective delivery of savings and responsiveness.
Executive
Health Plan
Their flexible services and transparent platform allow us to have control of the process, while still enjoying their expert team’s support.
Payment Integrity Manager
Health Plan
Machinify is highly focused on outcomes and making sure they deliver on their commitments. They do what it takes to get the best outcome the right way.
Vice President
Health Plan
Machinify’s key strength is definitely their people. Those people seem to have an edge when it comes to creating the solutions we use, and they can change things overnight. When I say overnight, I mean overnight. Machinify’s people are just faster and more advanced than others. A lot of that comes down to their expertise.
Executive
Health Plan
Hear more from our partners
Let's do this.
See how accuracy, service, and AI help you recover more and reduce friction.
