AI powered
Payment Integrity
is 100X better than
rules-based systems

Schedule Demo


payment integrity
is broken

Only 2% of claims have overpayments. Audits rarely identify all cases 

Traditional approaches merely mimic adjudication rules

It is highly resource-intensive and only provides static analysis

How AI makes a difference

AI exponentially
expands the
considerations criteria
for Payment Integrity
It helps
Payment Integrity
programs learn and
evolve as opposed to
static analysis.
AI boosts human
Reduces the use of
high-cost resources
such as nurses

Amplify your payment integrity
program outcomes with AI

No replication of your processing rules.

No random sampling. AI can analyze every claim.

We can get started with just your claims data.


Synergen Health deployed AI driven, Underpayment Analytics from Health Sigma. The solution used readily available 835s and successfully identified significant underpayments very efficiently. The mapping of underpayment to contracts further made the appeals process easier.

Sunil Konda

Vice President, Product at SYNERGEN Health