payment-integrity

Cotiviti intern assessment — three-era clinical NLP (rules → LLM → vision): measured 89%→100% status accuracy, validated on real de-identified notes, ICD-10-CM guardrails + audit trail

Codoxo is an AI-driven healthcare cost-containment and payment-integrity platform serving health plans, PBMs, and government agencies across more than 80 million lives. Its Forensic AI Platform powers Provider Scope (pre-claim provider education), Audit Scope, Fraud Scope, and Payment Scope, alongside the generative ClaimPilot suite for clinical…

Alaffia (Alaffia Health) is a New York City-based healthtech company building an AI platform that helps health plans reduce improper payments and administrative waste across claims operations.

Machinify is an AI-powered healthcare payment integrity platform that streamlines and automates payment processes for health plans. Its products - Coordinate (claims coordination), Subrogate (subrogation management), Audit (payment audit), Pay (payment processing), and Pharmacy (pharmacy payment integrity) - run on a unified data layer that…

Apixio (Centene) — Apixio is a healthcare artificial intelligence company that applies machine learning and natural language processing to unstructured clinical and claims data for value-based care, risk adjustment, HCC coding, payment integrity, and healthcare analytics.