Machinify

Machinify builds AI-powered payment integrity solutions for health plans. Its core product is an AI operating system for healthcare payments that learns from billions of healthcare data points, combining foundation models with task-specific AI agents to support accuracy and efficiency in payment integrity work. The company reports more than 85 customers, including 18 of the top 20 health plans, covering 270M member lives and more than $6B in annual cost avoidance and recoveries.

The technical work spans artificial intelligence, machine learning, foundation models, task-specific agents, healthcare data engineering and payment integrity analytics. The approach pairs technical innovation with more than 40 years of industry experience. Machinify states that it builds responsible AI with human oversight, continuous feedback loops, and transparent, safe models that clients can trust.

Payment integrity solutions are delivered through flexible engagement models - insourced, hybrid or fully-managed - adapted to each client's strategy, with the ability to respond overnight. Teams work across disciplines, bringing together data engineers, clinical experts and customer support professionals.