PrecisionGx Details

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 ...
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 At PrecisionGx we help our clients make the transition from the outdated status quo to automated, intelligent decision-making.With over $50B in paid claims analyzed, including over 2.5B patient events and 100B patient data points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.
Employees
HQ
(215) 278-2189
Location
Philadelphia, Pennsylvania

Technologies

Notable Alumni

Muriel Liguori
Jr. Software Engineer
Byte Technology
Andrew Hunter
Senior Data Scientist
MITRE
Sam Korn
Lead Machine Learning Engineer
AcuityMD
Abhishek Srinivasa
Software Developer II (Customer Experience, Data Science & Project Delivery)
YPrime

Job Postings

Employees

Director of Payment Integrity
Chief Operating Officer
Data Scientist

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