Think Big: Fueling a New Era of Payment Integrity Innovation 

By
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. I am thrilled to see it formally recognized as one of our core values because it speaks directly to what makes us different: the relentless beliefs that healthcare payments should evolve and that we are the ones that are delivering that future. 

A Legacy of Thinking Big 

Long before innovation became a buzzword in healthcare, our founding teams were reimagining the industry. They did not just improve existing operating models; they dared to invent new ones. The same DNA that led George Rawlings to singlehandedly create healthcare subrogation–the same DNA that led a small AI company to be at the foundation of almost $500M in recovery growth for a single Payer–is the same DNA powering Machinify today. We combine deep expertise across every aspect of payment integrity with advanced technology that does not just keep up with change, it drives it. 

Our people-first, platform-powered approach means we can solve today’s challenges faster, more dynamically, and more affordably than traditional models ever could. With leading experts across all walks of payment integrit—coordination of benefits (COB), subrogation, chart audits, , claim editing, claim pricing, and more—amplified by technology designed to evolve dynamically, we are positioned to tackle both today’s known complexities and tomorrow’s emerging ones. 

Big Ideas, Bigger Opportunities 

Thinking big means recognizing that our solutions extend far beyond the status quo. Payment integrity has long been dominated by massive companies that tout their millions of lines of code and sprawling global operations. But size alone does not deliver speed, adaptability, or value. In fact, it often hinders it. 

At Machinify, we see an opportunity to do better. Our dynamic, self-learning AI and SaaS solutions coupled with our expertise empowers us to react faster to regulatory changes, shifts in provider behavior, and rapidly-emerging AI claim billing the very areas where legacy systems stumble. That agility creates a major competitive advantage: faster resolutions, lower costs, and a dramatically better experience for patients and members. 

When we think big, we see a future where outdated adjudication systems are replaced with intelligent, responsive platforms. Where complexity doesn’t slow us down but fuels innovation. And where delivering payments faster and easier becomes the new standard in healthcare. 

Big Thinking in Action 

Big thinking is not just a philosophy. At Machinify, it’s something we live every day.  

It is Heather Morse not stopping when she automates a client’s data mining, but daring to imagine how else claims processing can be applied for them – leading to automation of broader claim rework, streamlining administrative operations and improving relationships with providers. 

It is Vijay Bharadwaj reimagining what an audit program can achieve, doubling and tripling the sizes of industry-leading programs while further increasing hit rates. 

Derek McMahan and the Pharmacy COB team are constant examples. After recently engaging with a new client, they did not stop at simply answering questions and addressing concerns. Instead, they took a strategic pause to assess: 

  • What did we hear? 
  • What does it reveal about our competition? 
  • How can we validate this insight across our client base? 
  • How do we build a campaign to challenge and disrupt outdated vendor models? 

This mindset—where every client conversation becomes a launchpad for smarter strategies and bigger moves—is exactly what “Think Big” looks like in practice. It’s not about celebrating small wins; it’s about constantly asking, “What’s next?” and “How can we do it better?” 

The Call to Action: Think Big Every Day 

Our value of “Think Big” is a call to action for all of us at Machinify. It challenges each of us to: 

  • Step back from our day-to-day tasks 
  • Envision larger possibilities 
  • Find smarter, faster, more innovative paths forward 

When we think big, big things happen—not just for Machinify, but for the entire healthcare ecosystem we serve. 

So, take a step back. Challenge assumptions. Imagine what’s possible. Together, we’ll lead the next era of payment integrity and beyond. 

To learn more about Machinify’s values and capabilities, contact us today.