anomaly

JSON twin: https://www.healthaidb.com/software/anomaly.json

Company Name

Anomaly

Product URL

https://www.findanomaly.com/smart-response

Company URL

https://www.findanomaly.com

Categories

Summary

Anomaly is an AI-powered payer management and revenue cycle platform that analyzes payer behavior to predict denials, optimize claims, and embed payer-specific guidance into existing workflows.

Description

Anomaly (Anomaly Insights) uses a machine-learning engine called Smart Response to reverse-engineer payer payment logic from hundreds of millions of encounters, provide real-time denial prediction, assisted claims correction, payer performance analytics, and data to support contract negotiation and revenue recovery. The product embeds insights into provider workflows and clearinghouse/claims processes to reduce revenue leakage and improve payment accuracy.

Api Available

unknown

Certifications

Company Founding

2020

Company Offices

Compliance

Customers

Data Residency

Data Standards

Deployment Model

Features

Id

P0115

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

proprietary commercial

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for pricing; enterprise deployments and commercial contracts (no public pricing or free tier listed).

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

2022

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Anomaly",
  "company_url": "https://www.findanomaly.com",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2020",
  "product_url": "https://www.findanomaly.com/smart-response",
  "categories": [
    "administrative",
    "revenue cycle management",
    "payer management",
    "financial",
    "analytics",
    "AI-powered"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "links": [
    "https://www.findanomaly.com",
    "https://www.findanomaly.com/smart-response",
    "https://www.findanomaly.com/technology",
    "https://www.findanomaly.com/about-us",
    "https://www.findanomaly.com/media",
    "https://www.prnewswire.com/news-releases/anomaly-raises-17-million-to-scale-precision-payments-platform-across-healthcare-industry-301408039.html",
    "https://techcrunch.com/2021/10/26/anomaly-announces-17m-in-funding-to-tackle-a-300b-healthcare-problem/",
    "https://www.fiercehealthcare.com/payer/precision-payments-startup-anomaly-gets-17m-to-reduce-wasteful-spending",
    "https://www.linkedin.com/company/findanomaly"
  ],
  "summary": "Anomaly is an AI-powered payer management and revenue cycle platform that analyzes payer behavior to predict denials, optimize claims, and embed payer-specific guidance into existing workflows.",
  "description": "Anomaly (Anomaly Insights) uses a machine-learning engine called Smart Response to reverse-engineer payer payment logic from hundreds of millions of encounters, provide real-time denial prediction, assisted claims correction, payer performance analytics, and data to support contract negotiation and revenue recovery. The product embeds insights into provider workflows and clearinghouse/claims processes to reduce revenue leakage and improve payment accuracy.",
  "target_users": [
    "revenue cycle teams",
    "billing/coding specialists",
    "finance/admin leaders",
    "provider organizations",
    "health system executives",
    "managed care/contracting teams"
  ],
  "specialties": [
    "revenue cycle management",
    "medical billing",
    "claims denial prediction",
    "payer management",
    "healthcare finance"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing; enterprise deployments and commercial contracts (no public pricing or free tier listed).",
  "license": "proprietary commercial",
  "deployment_model": [
    "SaaS",
    "on_prem",
    "hybrid"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Predict (real-time at-risk payment prediction)",
    "Detect (continuous denial pattern detection)",
    "Recover (prioritize unresolved denials and streamline claims correction)",
    "Real-time payer behavior and rule change detection",
    "Claims-level analytics and risk scoring",
    "Automated insertion of insights into existing workflows",
    "Federated AI model for cross-organization learning",
    "Continuous model updates and adaptation to payer rules",
    "Trained on billions of claims for out-of-box predictions",
    "Prioritization of hidden revenue opportunities",
    "Network-effect learning from aggregated claims data"
  ],
  "optional_modules": [],
  "integrations": [],
  "data_standards": [],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "SOC 2"
  ],
  "certifications": [],
  "security_features": [
    "Federated AI (privacy-preserving model training)",
    "Installed within protected environment (on-prem/private deployment option)",
    "Secure architecture (vendor-stated)"
  ],
  "privacy_features": [
    "Federated learning to preserve data privacy"
  ],
  "data_residency": "",
  "customers": [],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [
    "contact_form",
    "email"
  ],
  "training_options": [
    "documentation",
    "live_online"
  ],
  "release_year": "2022",
  "integration_partners": [],
  "id": "P0115",
  "slug": "anomaly",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/anomaly.json"
  }
}