Machinify

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

Company Name

Machinify

Product URL

https://www.machinify.com/products

Company URL

https://www.machinify.com

Categories

• administrative Operations
• clinical Care
• patient Facing
• diagnostic Support
• Administrative
• Clinical
• Diagnostic

Summary

Machinify offers AI-driven solutions to streamline healthcare payment processes, enhancing accuracy and efficiency.

Description

Machinify provides AI-powered payment integrity solutions that automate and optimize the entire healthcare claims lifecycle, from prior authorization to final payment, aiming to reduce administrative costs and improve financial outcomes.

Api Available

yes

Certifications

• FDA 510(k)
• CE/MDR
• ONC
• ISO 27001

Company Founding

2024

Company Offices

• United States

Compliance

• HIPAA
• HITECH
• SOC 2 Type 2
• HITRUST r2

Customers

Data Residency

US/EU regions

Data Standards

• FHIR
• HL7 v2
• DICOM
• SNOMED
• ICD-10

Deployment Model

• SaaS
• hybrid

Features

• Healthcare Intelligence Platform
• AI-enabled payment integrity solutions
• Automated prior authorization processing
• Claims auditing and payment policy enforcement
• Medical record interpretation
• Coding validation
• Policy and contract interpretation
• Medical record analysis
• Pharmacy payment solutions
• Data mining for payment policy enforcement
• Coding, billing, and pricing edits
• Claim repricing
• Medical Coordination of Benefits (COB)
• Workers' Compensation management
• Subrogation services
• Pharmacy Coordination of Benefits (COB)
• Pharmacy Retroactive Terminations
• Medicare Part D Compliance
• High Cost/Specialty Drug Management

Id

SW1710

Integration Partners

Integrations

• Evolent Health
• The Rawlings Group
• Apixio Payment Integrity
• VARIS

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• Pharmacy

Os Platforms

• Web

Pricing Details

contact vendor

Pricing Model

subscription

Privacy Features

• BAA available
• consent mgmt
• anonymization
• data minimization

Product Code

SW1710

Product Name

Machinify

Ratings

Regions Available

• United States

Related Urls

• https://elion.health/products/machinify

Release Year

Security Features

• Encryption
• RBAC
• SSO/SAML
• audit logs
• 2FA
• DLP

Specialties

• Payment Integrity
• Healthcare Administration
• Claims Processing
• Medical Coding
• Policy Enforcement
• Data Mining
• Subrogation
• Coordination Of Benefits
• Pharmacy Payment Solutions

Support Channels

System Requirements

Target Users

• health plans
• payers
• providers
• patients

Training Options

Type

product

User Reviews

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "Machinify",
  "company_name": "Machinify",
  "product_url": "https://www.machinify.com/products",
  "company_url": "https://www.machinify.com",
  "related_urls": [
    "https://elion.health/products/machinify"
  ],
  "product_code": "SW1710",
  "summary": "Machinify offers AI-driven solutions to streamline healthcare payment processes, enhancing accuracy and efficiency.",
  "description": "Machinify provides AI-powered payment integrity solutions that automate and optimize the entire healthcare claims lifecycle, from prior authorization to final payment, aiming to reduce administrative costs and improve financial outcomes.",
  "categories": [
    "administrative Operations",
    "clinical Care",
    "patient Facing",
    "diagnostic Support",
    "Administrative",
    "Clinical",
    "Patient-facing",
    "Diagnostic"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "health plans",
    "payers",
    "providers",
    "patients"
  ],
  "specialties": [
    "Payment Integrity",
    "Healthcare Administration",
    "Claims Processing",
    "Medical Coding",
    "Policy Enforcement",
    "Data Mining",
    "Subrogation",
    "Coordination Of Benefits",
    "Pharmacy Payment Solutions"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "contact vendor",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2024",
  "deployment_model": [
    "SaaS",
    "hybrid"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Healthcare Intelligence Platform",
    "AI-enabled payment integrity solutions",
    "Automated prior authorization processing",
    "Claims auditing and payment policy enforcement",
    "Medical record interpretation",
    "Coding validation",
    "Policy and contract interpretation",
    "Medical record analysis",
    "Pharmacy payment solutions",
    "Data mining for payment policy enforcement",
    "Coding, billing, and pricing edits",
    "Claim repricing",
    "Medical Coordination of Benefits (COB)",
    "Workers' Compensation management",
    "Subrogation services",
    "Pharmacy Coordination of Benefits (COB)",
    "Pharmacy Retroactive Terminations",
    "Medicare Part D Compliance",
    "High Cost/Specialty Drug Management"
  ],
  "optional_modules": [
    "Pharmacy"
  ],
  "integrations": [
    "Evolent Health",
    "The Rawlings Group",
    "Apixio Payment Integrity",
    "VARIS"
  ],
  "data_standards": [
    "FHIR",
    "HL7 v2",
    "DICOM",
    "SNOMED",
    "ICD-10"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "HITECH",
    "SOC 2 Type 2",
    "HITRUST r2"
  ],
  "certifications": [
    "FDA 510(k)",
    "CE/MDR",
    "ONC",
    "ISO 27001"
  ],
  "security_features": [
    "Encryption",
    "RBAC",
    "SSO/SAML",
    "audit logs",
    "2FA",
    "DLP"
  ],
  "privacy_features": [
    "BAA available",
    "consent mgmt",
    "anonymization",
    "data minimization"
  ],
  "data_residency": "US/EU regions",
  "customers": [],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [],
  "training_options": [],
  "release_year": "",
  "integration_partners": [],
  "id": "SW1710",
  "slug": "machinify",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/machinify.json"
  }
}