Machinify

Company profile

About Machinify

Machinify is a healthcare payment integrity company that transforms how health plans manage claims and prevent payment errors. The company's AI operating system combines foundation models trained on billions of healthcare data points with task-specific intelligent agents and human expert oversight to deliver industry-leading accuracy in payment integrity. Machinify's platform operates across the full spectrum of payment integrity interventions, including coordination of benefits (COB), subrogation, claims auditing, payment processing, and pharmacy operations. The platform brings together claims data, medical records, contracts, and policies in real time, applying advanced algorithms and comprehensive policy mapping to identify coverage overlaps, third-party liability, coding errors, and payment inaccuracies before or after claims are paid. With over 40 years of combined industry experience, Machinify serves 85+ customers including 18 of the top 20 U.S. health plans, covering 270 million member lives across commercial, Medicare, and Medicaid populations. The company delivers over $6 billion in annual cost avoidance and recoveries. Machinify's solutions are designed for flexible deployment, supporting fully insourced, hybrid, or fully-managed operating models. The platform integrates seamlessly with existing payer systems and continuously improves through feedback loops from human reviewers and business outcomes, enabling health plans to reduce healthcare costs while maintaining provider relationships and ensuring compliance.

Company description · Machinify official website