Let’s cut the complexity.
We’re streamlining healthcare payment integrity to be frictionless and future-ready. Combining cutting-edge AI with best-in-class expertise, our configurable solutions cut through complexity and deliver unprecedented results.
Crush costs. Boost performance. Transform healthcare.
At Machinify, we create disruptively simple, powerfully clear ways to maximize your financial outcomes and drive down healthcare costs that impact everyone.
Expertise that spans the industry.
Machinify delivers with a track record of excellence and over 40 years of experience, We developed subrogation law and codified medical policy. We’re committed to accuracy, transparency, and getting results.
AI innovation that changes the game.
We’re bringing payment integrity into the future with AI that is safe and transparent. Our cutting-edge AI models detect anomalies, review claims and medical records, and identify errors, all to support products that deliver game-changing efficiency.
Support that drives performance.
We’re here to create a trusted partnership that’s just as strong as the results we deliver. We’re your partner, committed to your success and to maximizing accuracy, eliminating friction, and improving financial outcomes.
Flexibility that fits your needs.
Our flexible, hybrid delivery model is as revolutionary as our technology. Configure Machinify to achieve the results you need. Because our solutions span the payments landscape, and can be insourced, hybrid, or outsourced to align with your preferences and overall strategy.
THE FUTURE IS FRICTIONLESS
Create more impact with every health dollar.
Complexity is crushing modern medicine. Patients, providers and payers agree. But a revolution is here. Machinify combines AI-forward innovations with deep industry expertise to deliver giant leaps in payment integrity. Smarter, faster, more transparent solutions boost performance and affordability, making every dollar more efficient and impactful.
IMPACT IS EVERYTHING
Effectiveness begins with experience.
ONE SIZE FITS NOBODY
Our solutions operate how you operate.
We help you take control of your payment operations no matter what your model is. Strategic solutions uniquely designed for your model ensure Machinify works for you.
SMARTER EVERY SECOND
Modernize your operations & expand your savings.
Machinify has already delivered billions in total savings and cost avoidance, and we’re just getting started. Our AI approach turns petabytes of data into smarter decisions with a feedback loop that grows with your business to deliver continuously greater accuracy and insights at scale.
We streamline the payment process.
Today, payment integrity processes are marked by complexity and redundancy. Our large-scale data mining capabilities dig deeper to find meaningful efficiencies, and eliminate the waste, complexity and inaccuracies created by legacy software and outdated processes.
We improve provider relationships.
We work closely with you to address challenges in your provider workstream—improving communications, lowering administrative burdens, streamlining reimbursements, optimizing DRG code management, preventing cash flow disruption, and more. Our approach increases accuracy, resulting in fewer false positives, helping to build credibility with providers.
Our investment builds your success.
Business impact begins with shared understanding and transparency. We take 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 your success. That’s what makes us the right partner for over 60 payers—including many of the top 20 plans—no matter the 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
MACHINIFY ON A MISSION
Slash costs. Transform care.
Our health system is drowning in waste, with administrative complexity alone costing payers $267 billion annually. But as we bring innovative AI technology to our most essential health resources, we won’t simply remove friction and streamline our system. We’ll free every dollar to make the biggest impact, transform our health system, and create a whole new meaning of modern medicine.
Our team is up to the challenge. Machinify’s industry pioneers 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.
