The AI Platform Built for Healthcare Payers
AI platform built for healthcare payers to automate claims, streamline prior auth, and unlock value-based care insights.
AI platform built for healthcare payers to automate claims, streamline prior auth, and unlock value-based care insights.
Built for Claims, Members & Value-Based Care
Deploy prebuilt AI agents or configure custom apps to automate healthcare payer operations - from claims processing to prior authorization automation and member engagement.
Purpose-built AI tools for every critical function across your health plan operations.
Move from retrospective reporting to real-time action with autonomous agents built for HEDIS gap closure and NCQA compliance.
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Unify fragmented claims, member, provider, and contract data into a single source of truth powered by GenAI and autonomous reasoning.
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Deploy autonomous agents to identify billing anomalies and prevent fraud, waste, and abuse in real-time before claims are paid
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Move beyond basic risk stratification with a unified member view that identifies clinical needs and automates personalized outreach to close care gaps in real-time
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Track outcomes, performance, and contract results with our value-based care analytics platform built for payers.
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Reduce administrative friction and clinical review backlogs using autonomous agents that extract and verify evidence against plan-specific policies.
Purpose-built AI tools for every critical function across your health plan operations.
Encryption, role-based access, and multi-factor authentication are standard on the Everlign AI Platform.
ISO, HIPAA, and industry-specific regulations for healthcare, finance, etc.
We never use customer data for model training, ensuring security and compliance. The Everlign AI platform is fully containerized and supports airgapped, on-premise deployments eliminating cloud dependencies.
Everything healthcare payers and health insurance companies need to know about Everlign AI.
Talk to our team
The purpose-built AI platform for healthcare payers - delivering claims analytics, automation, and member intelligence for health insurance companies nationwide.
Everlign AI accelerates HEDIS gap closure by detecting missing care opportunities, optimizing member engagement, and providing real-time insights to improve quality scores and compliance.
Yes - Policy-IQ leverages prior authorization automation AI to handle workflows end-to-end for health plans, cutting review times by up to 70% and dramatically reducing administrative burden on clinical teams.
Yes - the AI platform is HIPAA, ISO 27001, and SOC 2 Type II compliant, with support for on-premise and airgapped deployments for maximum data privacy and regulatory compliance.
Healthcare payers including CVS Health, Moda Health, and regional health insurance carriers rely on Everlign for GenAI solutions for health insurance companies - across claims, member engagement, and payer analytics.
