Features
AI-powered claims adjudication with automatic error detection
Real-time admin dashboard tracking claims, members, and dollars
Flexible plan design tools for custom health plans
Automated billing error and care gap detection
Multi-channel member support (concierge-level)
Real-time financial and operational analytics
Integration with existing vendor stacks
Data ownership and no resale of client data
SOC 2 Type II and HIPAA compliant security
Fast plan launch capabilities for new health plans
Medical coding automation across all service lines
Longitudinal patient view for complete data capture
Continuous audits against payer-specific guidelines
Auto-assigns billable, clinical, demographic codes
70% reduction in manual coding effort
5x faster coding turnaround time
Emergency Department (ED) coding solution
Enterprise-wide deployment without headcount growth
Predictive denials prevention via early coding gaps
National Council for coding quality standards
Future-proof AI with continuous model improvement
