At Machinify, we’re using a new class of artificial intelligence—Agentic AI—to fundamentally change clinical data extraction.
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.
Health plans are increasingly moving upstream in the claims adjudication lifecycle—a strategic pivot known as the “shift left” in payment integrity.
Quiz your payment integrity program's performance and review timelines to uncover opportunities for operational and financial improvement.
Behavioral health is no longer an afterthought in healthcare—it’s central to how people heal, how systems function, and how payers drive value.
Explore our simple, transparent payment integrity solutions to see what we can do for your organization.
When it comes to DRG payment integrity, there’s a massive shift underway—towards smarter, faster, more cost-effective pre-pay solutions.
Because artificial superintelligence is still the stuff of science fiction, LLMs need proper guidance in order to be useful to medical professionals, researchers and others in the healthcare industry.
Inefficient claims review processes, audits that frustrate providers, and billions of dollars wasted on inaccurate payments have plagued the healthcare industry for years. Now, with AI, there's a smarter way forward.
Traditionally, payers have cast wide nets and asked providers to navigate hurdles only to claw back money after a payment has been made.
Most payers struggle to incorporate legislative, coding, and clinical changes into policy as well as to validate that policies are consistently applied to make timely, accurate payments of claims.
The last decade has seen AI’s escalating impact on a variety of industries take shape, and perhaps no vertical has been impacted as much as healthcare.