Machinify’s AI Stack

Cutting-edge generative AI and LLMs that learned the “language of medical coding” and brings unprecedented accuracy and insight to healthcare admin
Book a demo

Program Optimization

Enhance your program through KPI improvement, executing identified fixes, and implementing important feedback loops.

Policy Enforcement  •  Complex Decision Making  •  Continuous Improvement

Autonomous Task Execution

Harness fine-tuned AI models to interpret policy and automate typically manual admin processes.

Ranking and Prioritizing   •  Complex Reasoning  •   Generating Code

Foundational Models

Core models analyze billions of medical claims, contracts, and policies while extracting relevant data to serve as a document source of truth tailored to each individual health plan.

Medical Coding Models  •  Policy and Contract Models  •  Medical Record Models

Robust and purpose-built AI stack

PROGRAM OPTIMIZATION

Decision-making

Optimize KPIs

Neque porro quisquam est qui dolorem ipsum quia dolor sit amet, consectetur, adipisci velit..

Policy Enforcement

Execute fixes

Neque porro quisquam est qui dolorem ipsum quia dolor sit amet, consectetur, adipisci velit..

CI/CD

Continuous feedback loop

Neque porro quisquam est qui dolorem ipsum quia dolor sit amet, consectetur, adipisci velit..

AUTONOMOUS TASK EXECUTION

Ranking/Prediction

Predict errors

Neque porro quisquam est qui dolorem ipsum quia dolor sit amet, consectetur, adipisci velit..

Complex Reasoning

Draw conclusions

Neque porro quisquam est qui dolorem ipsum quia dolor sit amet, consectetur, adipisci velit..

Code Generation

Codify rules

Neque porro quisquam est qui dolorem ipsum quia dolor sit amet, consectetur, adipisci velit..

FOUNDATION MODELS

CoderLM

Learner of medical coding

Neque porro quisquam est qui dolorem ipsum quia dolor sit amet, consectetur, adipisci velit..

ChartLM

Medical record facts

Neque porro quisquam est qui dolorem ipsum quia dolor sit amet, consectetur, adipisci velit..

DocumentLM

Reader of policy/contract

Neque porro quisquam est qui dolorem ipsum quia dolor sit amet, consectetur, adipisci velit..

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.

VP of Payment Integrity at Leading Medicare Health Plan

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.

AVP of Claims Operations at Leading US Health Plan

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.

AVP of Data Science at Leading US Health Plan