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 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.
General-purpose AI tools create more problems than they solve in regulated healthcare environments. Everlign IQ Suite is different - by architecture, by design, by default.
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.
Critical insights for Payer organizations and Managed Care Leaders looking to operationalize their data with Everlign.
Talk to our team
The purpose-built AI platform for health plans - delivering claims analytics, automation, and member intelligence for payers nationwide.
By automatically extracting evidence from unstructured clinical faxes and pharmacy data, Everlign's AI agents identify and verify gap closures as they happen ensuring audit-ready results well before the measurement year ends.
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.
Everlign is designed for healthcare Payers and Managed Care Organizations (MCOs) navigating the complexities of Medicare Advantage, Medicaid, and Commercial lines of business. We partner with national health plans, regional carriers, and large Value-Based Care (VBC) entities that require high-fidelity automation for quality, clinical review, and data orchestration.
