We’re creating a simpler way forward
We’re streamlining payment integrity to be frictionless and future-ready. With a fully configurable, content-rich AI-enabled platform and best-in-class expertise across the payment continuum, we’re cutting through complexity and delivering greater results.
We’re The Healthcare Intelligence Company
At Machinify, we create disruptively simple, powerfully clear ways to maximize our clients’ financial outcomes and drive down healthcare costs for everyone.
Sharing unrivaled expertise
With over 40 years of experience—from innovating subrogation law to developing breakthrough SaaS solutions—we’re trusted leaders with proven results. We’ve delivered billions in savings and cost avoidance through a commitment to accuracy and excellence.
Stewarding client success
The trust we create with you is just as important as the results we deliver. As an independent organization not owned by an insurance company, we commit ourselves to your success with dedicated focus and unrivaled transparency.
Driving platform-powered innovation
We’re not just ready for change. We thrive on it. From automatic policy codification and repricing to self-learning feedback loops, we’re investing in the innovations that will shape the future of our industry and drive meaningful value for our clients and stakeholders.
Delivering full-suite flexibility
We’ve eliminated the tradeoff between the convenience of a single partner and specialized support. Our flexible delivery model, content-rich platform, and revolutionary AI engine allow you to curate the ideal mix of automation, custom content, and expertise across your payment integrity processes—so you get what you need, how and when you need it.
OUR APPROACH
Where passion meets precision
When complexities in healthcare stand in the way of performance and affordability, we know there’s a better way forward. We’re reimagining payment integrity to be smarter, faster, and built around our clients, delivering unique value to payers, providers, and patients alike.
OUR RESULTS
Our momentum by the numbers
WHAT WE DO
Your solutions, on your terms
Whether you’re looking to outsource support, bolster your internal teams with our SaaS solutions, or want a hybrid approach, we help you take more control of your payment operations. However you engage, we’ll configure our cloud-based platform to fit your processes and transform your policy data—no matter the form—into codified rules. Over time, the technology will grow and learn with your business to deliver continuously greater accuracy and insights at scale.
OUR IMPACT
Amplifying value for payers, reducing costs for everyone
With innovative tech and extensive healthcare experience, we’ve delivered billions in total savings and cost avoidance. Turning petabytes of data into insights that matter, we leverage intelligent automation and domain expertise to streamline processes with transparency and improve pharmacy and medical cost containment for payers, providers, and patients.
Simplifying the payment process
We use large-scale data mining capabilities to dig deeper and find meaningful efficiencies across our clients’ payment integrity processes—giving them more time to focus on mission-critical tasks while optimizing ROI.
Improving provider relationships
We work closely with our clients to address challenges in the provider workstream—improving communications, lowering administrative burdens, streamlining reimbursements, optimizing DRG code management, and preventing cash flow disruption.
Passing on value to patients
We help ensure patients are charged accurately and on time—strengthening patient-provider relationships and building toward a more affordable healthcare system in the long term.
Embedded in your business—invested in your success
Business success starts with shared understanding and transparency. We invest the time to get to know your business on a deeper level to understand how you work, what you need, and how we can support you. That’s what makes us the right partner for over 60 payers—including many of the top 20 plans—no matter their size, requirements, or preferences.
We have realized considerable cost containment and avoidance without increasing our time-to-payment, which keeps provider abrasion low.
Payment Integrity Manager
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
WHO WE ARE
Proven innovators
When administrative complexity costs payers $267 billion annually, we know there must be a better way forward. As a team of industry pioneers and tech disruptors, we set the standards for payment integrity—from developing processes for Medicaid subrogation, to representing 80% of the private health insurance industry in mass tort cases, to revolutionizing bill review and data mining for claims auditing.
Today, our next-gen Healthcare Intelligence Platform is equipped with a suite of custom payment integrity solutions, a powerful content library, and the industry’s most flexible delivery model. Past and present, every innovation we pursue keeps our clients at the center.
