Health insurance is becoming value-based | precise | competitive | data-driven | predictive
We apply AI models to your organization’s claims data to improve decision-making without disrupting existing processes.
Why build AI with us?
AI should work for you. Don’t reinvent the wheel.
in claims analyzed.
patient events per month.
Our artificial intelligence platform is designed specifically for health insurance claims data.
Applied to your established processes.
Care coordination and utilization managementCapture cost avoidance from better outcomes while minimizing wasteful treatment.
Audit and investigationSend higher value claims issues to audit by optimizing business rule filters and detecting anomalous claims.
Policy designDesign higher impact coverage and prior authorization policies with advanced population-level models.
Risk adjustmentManage risk more proactively by accurately predicting future events for high risk patients.
Contract negotiationsDevelop data-driven insights to strengthen contract negotiations.
Population health analysisIdentify precise population-wide trends in disease management, patient outcomes, and successful interventions.
Drug managementCustomize prescription utilization based on previous trends and predicted outcomes.
Precise predictions for decision-makers built on millions of patient years in data.
Our AI models in care coordination have identified opportunities to increase the value of expensive screenings and therapies by 3-8X, creating $14MM in potential savings per 1MM covered lives. While our fraud, waste, and abuse detection models have the potential to increase the precision of traditional systems by more than 30%.