PrecisionGx is an artificial intelligence technology company helping health insurers leverage the power of AI to better detect inappropriate and wasteful payments and increase recoveries. Built natively on and for health insurance claims data, our Engine thrives in complexity and is uniquely positioned to solve healthcare's most complex and expensive claims problems. Today, payers still rely on traditional business-rules and labor-intensive human review processes to handle everything from payment accuracy and adjudication to fraud detection and risk adjustment auditing, but with >$1T in annual waste it's clear it's time for a change. At PrecisionGx we help our clients make the transition from the outdated status quo to automated, intelligent decision-making.With over $50B in paid claims analyzed, including over 2.5B patient events and 100B patient data points analyzed in 2019 alone our AI Engine is proven. Having identified tens of millions of dollars in over-payments and potential savings for insurers each year, the models we deliver help our clients improve their detection system performance and overall audit efficiency by greater than 35%.If you're looking to bring more recoveries back in-house and generate substantial lift for your bottom line, please contact us about building a long-term asset with no up-front risk for your organization.

Software Data Analytics Genomics Biotechnology Healthcare Medical Claims Predictive Data Analytics Claims Data Machine Learning Healthcare Big Data Analytics Data Mining Artificial Intelligence Data Science Automated Machine Learning Healthcare Software Fraud Detection Risk Adjustment Health Insurance Dark Claims Business Intelligence Machine Learning Analytics Payment Integrity Premium Integrity Health Insurance Claims Data Root Cause Analysis Root Cause Resolution Over-payment Recovery Provider Pattern Analysis