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 Look Back at Healthcare in 2024
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 Glimpse into Healthcare in 2025
Of the notable possibilities in 2025, we specifically want to call attention to healthcare innovations in Artificial Intelligence (AI), payment integrity, and security as well as potential policy changes—Affordable Care Act (ACA), Medicaid, and Medicare—and the impact those changes may have on health plans.
What’s the Big Deal With Provider Abrasion?
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.
Learn from our customers
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.
.png)
%20(1).webp)