ABOUT THE AUTHOR
Brooke Grief
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Think Big: Fueling a New Era of Payment Integrity Innovation
At Machinify, “Think Big” is not just a value we aspire to, it is a way of operating that has defined us for decades.
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What is Coordination of Benefits (COB)?
Coordination of Benefits (COB) is used to establish the order in which a health insurance plan pays claims when an individual has more than one insurance carrier.
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Ask Why: The Engine Behind Lasting Innovation
Principal Engineer, CJ Silverio, explains how “Asking Why” helps us move forward. One reason? We don’t just take things at face value—we get to the root of the problem.
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A Healthcare Evolution: Modernizing Your Health Plan With an AI Operating System
Earlier this month, in partnership with Fierce Healthcare, Machinify’s Chief Product Officer, Prasanna Ganesan, presented a webinar titled, “A Healthcare Evolution: Modernizing Your Health Plan With an AI Operating System.”
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12 Questions (and Answers) About Pharmacy Payment Integrity, from a Payer’s POV
At Machinify, we’re always looking for new ways to bring clarity to complex payment integrity challenges—and pharmacy is no exception. Chris Powers, VP of National Sales, sat down with Derek McMahan, SVP of Pharmacy to answer the industry’s most pressing questions.
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How Agentic AI is Transforming Clinical Data Extraction and Review
At Machinify, we’re using a new class of artificial intelligence—Agentic AI—to fundamentally change clinical data extraction.
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What is a PDE and Why Does It Matter to Payers?
In the complex world of healthcare reimbursement and oversight, few acronyms carry as much weight for Medicare Part D payers as PDE—Prescription Drug Event.
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AI for Health Plans: High Hopes, Slow Starts
Is AI moving the needle for health plans? That’s what we set out to answer in our new report based on a survey of 100 health plan executives.
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A Bright Future for Health Plan AI Applications
To better understand the state of AI applications and adoption amongst payers, Machinify surveyed 100 executives from U.S. health plans.
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Shift Happens: Why Payment Integrity is Moving Towards Pre-Pay
Health plans are increasingly moving upstream in the claims adjudication lifecycle—a strategic pivot known as the “shift left” in payment integrity.