READY-TO-DEPLOY AI AGENTS
Strengthen payment integrity with agentic AI
Detect improper payments before they happen and recover lost dollars automatically—with full transparency and auditability.
The hidden cost of payment errors
Improper payments
Billions are lost annually due to incorrect coding, duplicate claims, and overpayments that slip through manual checks.
7–10 % of total claims contain coding or pricing discrepancies
Manual, after-the-fact audits
Most payers find issues post-payment, leading to recovery delays, provider abrasion, and compliance risks.
10–15 % of payments require post-adjudication correction
Limited visibility
Without real-time insight into claims integrity, teams miss early warning signs of systemic leakage.
$1–3 M in annual leakage for mid-size payers due to missed anomalies
End-to-end payment integrity automation
This agent is pre-trained to run the entire authorization workflow. Deploy once on your systems, and it continuously processes incoming requests.
Pre-payment validation
AI employees scan claims before payment to detect coding errors, duplicates, and out-of-policy billing.
Identify overpayments, generate recovery letters, and track recoupments automatically.
Spot anomalies, outliers, and potential fraud using adaptive AI models trained on historical payment data.
Generate audit-ready documentation for regulators and internal compliance teams automatically.
1) Detect anomalies in real time
AI employees analyze every claim against historical trends, provider profiles, and policy rules.
Stop leakage before it starts
70%
Reduction in payment errors
Prevent overpayments by catching anomalies at the source.
Typical time to go live
Deploy fast without heavy integrations.
100%
Audit-ready transparency
Every action is logged for compliance and internal QA review.
90%
Reliability on end-to-end workflows
Reduce operational costs while improving provider experience.
Works across your existing healthcare systems
