The AI Engine Reverse Engineering Payer Logic at Scale
Anomaly’s AI engine, Smart Response, decodes complex payer logic by detecting payment patterns across hundreds of millions of healthcare encounters. By continuously analyzing payer behavior, it proactively adapts to shifting rules, helping you predict denials, reverse revenue loss, and hold your payers accountable.
Smart Response brings AI-powered payment intelligence directly into your managed care decisions and revenue cycle workflows. Smart Response pinpoints changes in payer behavior that impact your revenue, helping to level the playing field in contract negotiations. And payer-specific learnings are embedded into your existing systems to provide real-time denials prediction and assisted claims correction so you can fix errors before they impact revenue.
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What People Say
"Anomaly applies modern technology to improve payment accuracy and reduce friction for payers, providers, and patients."
Jeff Alter
Former CEO of UnitedHealthcare Commercial, and former EVP at Anthem
