Products
Machinify Audit
End-to-end system with an integrated AI co-pilot enabling faster, more accurate complex audits of all types.
- Harness AI to identify claims with the highest likelihood of errors.
- Perform AI first-pass review of received documents to identify potential discrepancies or errors.
- Revolutionary AI co-pilot to assist clinician auditors.
- All results confirmed by medical experts.
Machinify Pay
System that applies coding and payment policies to edit and price claims accurately in pre-pay and post-pay.
- Real-time, autonomous claim evaluation/editing solution that covers complex data mining and code editing scenarios in pre-pay and post-pay.
- Reprice claims based on contract and fee schedule source-of-truth.
- Continuous feedback loop from any claims corrected downstream.
Integrated, plan-focused, and AI-first products
At the core of Machinify is an intelligent, cloud-based system digesting and unifying policies, guidelines, and data powering the transformation of payer administration.
This foundational layer has learned the “language of medical coding” by training on billions of claims and millions of medical records to identify anomalous claim coding with extreme accuracy.
Consumer-class ease-of-use
Machinify encompasses a user-focused mentality to product development. Machinify's simplicity and intuitiveness across Audit and Pay workflows bring automation, intelligence, and speed to ensure payers reap the latest software advancements.
For example, clinical and coding reviewers can utilize Machinify Audit's AI Reviewer & Review Assistant, helping transform medical records and itemized bills into structured information relevant to the audit, resulting in significant increases to a reviewer’s productivity, upward of 50%+.
Ease of implementation - meeting you where you are
Across Machinify's products, payers are guided towards success from day one through the combination of customized onboarding programs, support from product experts, and a leading account management team.
Additionally, Machinify's algorithms ingest the individual health plan's policy data and are trained on those organization's specific outcomes, resulting in a holistic solution that meets the organization's unique needs. With time, our AI offerings will consistently learn and evolve, adapting to YOUR organization's needs now, and into the future.
Learn more about Machinify's flexible engagement approaches.
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.
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