AI Solutions for Healthcare

Video

Clinical ClaimPilot:
Streamlining Claim Validation with AI

Clinical ClaimPilot video

Say goodbye to time-consuming manual reviews that divert your clinical team from higher priority work and overload them with audit tasks. Say hello to your future. Near zero-touch payment integrity fueled by generative AI that takes the heavy lifting off your team and delivers faster and more accurate inpatient audits.

FORENSIC AI PLATFORM

Our Forensic AI Engine analyzes your data, detects problems, and builds connections across your data to provide actionable insights

Insight Scope

For everyone across the health plan

Clinical Scope

For clinical teams

Audit Scope

For everyone across the health plan and PBM

Network Scope

For network teams

Payment Scope

For payment integrity teams

Provider Scope

For network and payment teams

Fraud Scope

For SIU teams

SERVICES

We provide a full range of professional services, from data migration and ongoing customer success through flexible virtual SIU options.