JSON twin: https://www.healthaidb.com/software/machinify.json
Machinify
https://www.machinify.com/solutions/
AI‑driven healthcare payment integrity platform that automates claims review, coding validation, repricing, and recoveries for payers and health plans.
Machinify provides a configurable, AI‑enabled Healthcare Intelligence Platform and services to improve payment accuracy, identify overpayments, enforce payment policy, automate itemized bill reviews, and manage subrogation/COB and pharmacy payment integrity. Combines large‑scale data mining, purpose‑built algorithms, clinical and coding expertise, and managed services to reduce costs and increase recovery and automation rates for health plans.
unknown
2016
P0962
2025-09-07
commercial proprietary
Contact vendor for pricing, configurable SaaS and hybrid delivery; no public list prices; enterprise agreements and implementation options.
enterprise_quote
2016
product
1.0
{
"company_name": "Machinify",
"company_url": "https://www.machinify.com/",
"company_offices": [
"United States"
],
"company_founding": "2016",
"product_url": "https://www.machinify.com/solutions/",
"categories": [
"administrative",
"payment integrity",
"analytics",
"AI/ML",
"claims automation",
"revenue cycle"
],
"market_segment": [
"enterprise"
],
"links": [
"https://www.machinify.com/",
"https://www.machinify.com/solutions/",
"https://www.machinify.com/ai/",
"https://www.machinify.com/about/",
"https://www.machinify.com/compliance/",
"https://www.machinify.com/privacy-policy/",
"https://www.businesswire.com/news/home/20250110147006/en/New-Mountain-Capital-to-Acquire-Machinify-and-Combine-with-Leading-Healthcare-Intelligence-and-Payment-Platform",
"https://www.fiercehealthcare.com/health-tech/new-mountain-capital-acquire-ai-company-machinify-form-5b-medical-payments-powerhouse",
"https://www.cbinsights.com/company/machinify",
"https://www.linkedin.com/company/machinify"
],
"summary": "AI‑driven healthcare payment integrity platform that automates claims review, coding validation, repricing, and recoveries for payers and health plans.",
"description": "Machinify provides a configurable, AI‑enabled Healthcare Intelligence Platform and services to improve payment accuracy, identify overpayments, enforce payment policy, automate itemized bill reviews, and manage subrogation/COB and pharmacy payment integrity. Combines large‑scale data mining, purpose‑built algorithms, clinical and coding expertise, and managed services to reduce costs and increase recovery and automation rates for health plans.",
"target_users": [
"health plans / payers",
"payment integrity teams",
"claims analysts",
"coding specialists",
"recovery / subrogation teams",
"pharmacy payment analysts",
"operations leaders",
"vendors/outsourcing partners",
"compliance/legal teams"
],
"specialties": [
"payment integrity",
"claims auditing",
"coding validation (ICD/DRG/APC)",
"itemized bill review (IBR)",
"claim repricing",
"payment policy enforcement",
"coordination of benefits (COB)",
"subrogation",
"workers' compensation",
"pharmacy payment integrity",
"Medicare Part D compliance",
"mass tort recovery"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing, configurable SaaS and hybrid delivery; no public list prices; enterprise agreements and implementation options.",
"license": "commercial proprietary",
"deployment_model": [
"SaaS",
"cloud-hosted",
"configurable/managed services"
],
"os_platforms": [
"Web"
],
"features": [
"Payment integrity automation",
"Clinical and coding validation",
"Itemized bill review (IBR) and compliance review",
"Payment policy enforcement",
"Coding, billing, and pricing edits",
"Claim repricing",
"Right-payer workflows (COB, subrogation, workers' comp)",
"Pharmacy payment solutions (Part D, high-cost drug management)",
"Specialty solutions (APC/DRG focused automation)",
"AI/ML and LLM-enabled decisioning",
"Content library of rules, algorithms and workflows",
"Analytics and reporting",
"Workflow orchestration and automation",
"Configurable rules and policies"
],
"optional_modules": [
"Pharmacy payment module",
"Right-payer/subrogation module",
"Specialty clinical modules",
"Itemized billing review module",
"Advanced analytics/additional content packs"
],
"integrations": [],
"data_standards": [
"HL7 v2",
"FHIR",
"X12/EDI (claims)"
],
"api_available": "unknown",
"system_requirements": "",
"compliance": [
"HIPAA",
"HITECH",
"HITRUST r2",
"SOC 2 Type 2"
],
"certifications": [
"HITRUST r2",
"SOC 2 Type 2"
],
"security_features": [
"Encryption (in transit & at rest)",
"Role-based access control (RBAC)",
"Audit logging",
"SSO/SAML",
"Multi-factor authentication (2FA)"
],
"privacy_features": [
"Business Associate Agreement (BAA) available",
"Protected health information safeguards",
"Data access controls"
],
"data_residency": "",
"customers": [],
"user_reviews": [],
"ratings": [
"Glassdoor: 3.1/5 (employee reviews)",
"KLAS Research: insufficient public data / newly rated (no stable score)"
],
"support_channels": [
"email",
"phone",
"chat",
"ticketing"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"onsite",
"certification"
],
"release_year": "2016",
"integration_partners": [
"The Rawlings Group",
"Apixio (Payment Integrity business)",
"VARIS",
"Performant Healthcare",
"New Mountain Capital"
],
"id": "P0962",
"slug": "machinify",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/machinify.json"
}
}