Products
Machinify Audit
Machinify Pay
Your Partner, Not Your Vendor
Transparency
A "glass-box" approach to AI—we don't keep our rules under wraps, transferring knowledge to eliminate misalignment
Control
Our AI isn't a one-size-fits-all solution, but tailored and updated to the health plan's needs
Safety
AI drives efficient and consistent data and document digestion; final decisions confirmed by experts
Real-world results
- $500M+ annual savings for a single health plan
- 30% increase in findings per case
- 57% reduction in false positive findings
A Closer Look at the Physicians Make Decisions Act (PMDA)
There are three “levels” of AI that you could test a product for, specifically in the context of claims processing use cases. Asking the right questions can not only help you determine what level of AI a product uses, but can also help you determine if a product even uses AI at all. Discover the three "levels" in the article here.
A Look Back at Healthcare in 2024
Taking a page from AI’s book, we can only improve if we are continuously learning and getting feedback from past experiences. So, we first have to reflect on the year behind us. What happened in healthcare in 2024 and how can we take those learnings into 2025?
New Mountain Capital to Acquire Machinify and Combine with Leading Healthcare Intelligence and Payment Platform
If you’ve ever been on the receiving end of a medical bill or an “explanation of benefits,” you know that, behind the scenes, there's a complex, multilayered system at work. This system ensures healthcare providers are compensated fairly while also preventing unnecessary or fraudulent payments. One crucial aspect of this system is payment integrity.
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What Our Customers are Saying
My team loves Machinify! Their AI capabilities have increased recoveries by over 30% and reduced our dependence on PI vendors. Even more, as a leader of a large PI organization, Machinify multiplied reviewer productivity while eliminating false positives.
Working with Machinify has been a uniquely positive experience. Machinify helped us identify opportunities that were previously missing and continues to serve as valuable thought partners.
Machinify is very flexible and has clearly demonstrated a track record with our payment integrity team. We couldn't ask for better partners. Internally, there is a high level of respect and trust in Machinify and when you say something, you do it.
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