Automated accuracy.
Increase internal findings by automating what others say can’t be done with precision and quality that redefine industry standards.
Pay
Erase the divide between claims editing and data mining.
Machinify Pay combines real-time claims editing, data mining, and repricing in one product, spanning pre-pay automation and post-pay precision.
WHAT WE DO
Move beyond legacy claims editing and data mining.
Edit and reprice autonomously
Edit and reprice autonomously
Machinify Pay automatically finds and fixes large categories of claim coding and pricing errors that previously required manual review and repricing. This not only speeds up claim fixes but allows for real-time pre-pay execution, avoiding pay-and-chase overhead.
Discover what's next
Discover what's next
With advanced modeling on billions of claims, Machinify's AI models identify anomalous billing behavior, resulting both in a pipeline of new payment integrity concepts and an effective shield against fraud, waste, and abuse.
Adapt and scale
Adapt and scale
Whether deployed as a fully delegated model or tailored to empower payer teams with specific parts of their work, Machinify Pay adapts to fit each organization’s strategy, driving measurable savings and sustainable efficiency.
THE MACHINIFY DIFFERENCE
Next gen detection. No static edits. No rigid rules.
Contract intelligence.
Target provider contract and policy anomalies, uncovering misalignments in pricing, terms, and billing often overlooked by legacy vendors.
Continuous discovery.
Continuously surface new outliers and emerging error patterns with advanced machine learning to keep programs ahead of leakage.
Expert-driven AI.
Balance advanced detection with seasoned industry expertise for accuracy, defensibility, and provider trust.
Human expertise where it matters most.
While AI powers scale, speed, and discovery, our team of industry experts ensures accuracy. Their judgment transforms machine insights into defensible, transparent outcomes that payers and providers can trust.