Machinify Post Payment Accuracy and Integrity Commentary
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Subject Expert
Mark Allphin
Vice President of Sales
Commentary Summary
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User Commentary
Product
There is no perfect solution. With Machinify, the only things that we have had some bumps with have...
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Relationship
Machinify is pretty good about coming to the table, and I have no problem with getting ahold of...
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Relationship
I have seen a dip in the level of support that Machinify provides as Machinify has grown. That is...
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Operations
The training that Machinify offers is fine. I have requested certain training for a very long time,...
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Culture
There is a disconnect between what Machinify told me they could produce and what I’m seeing. They...
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Relationship, Value
Our providers hate Machinify; the solution is very abrasive for providers. I can understand why they...
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Relationship
We had something happen recently, but Machinify didn’t handle it very delicately, and it was a...
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Relationship
I do not know who our executive from Machinify is. Every time we get on the call, there is somebody...
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Culture
Because Machinify was just acquired, they are throwing different people trying to sell us everything...
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Relationship, Product
I’m dependent on Machinify to run the rate sheets, but it isn't done as often as I would like. The...
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Loyalty
We selected Machinify's system because Machinify appears to have advanced predictive modeling and...
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Relationship, Operations
When an organization implements Machinify's system, their team has to be open-minded and to do...
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Relationship, Product
Machinify's key strength is definitely their people. Those people seem to have an edge when it comes...
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Loyalty, Relationship
Our concern is that as Machinify gets bigger and buys more, we don't know that we will continue to...
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Loyalty, Relationship, Value
Machinify is a strong entity in the subrogation space, and we derive a significant amount of value...
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Loyalty, Value
We have been with Machinify for a very long time, so we have a very steady-state relationship. We...
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Relationship
The vendor was originally VARIS. They recently merged with a couple of different organizations to...
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Operations
The advice I would give a customer who is implementing Machinify's system would be to have the...
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Product
We struggle with Machinify’s secure email platform. Their file limitations are quite small, so we...
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Relationship
When we originally onboarded VARIS, they had made a promise to meet with providers in addition to...
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Relationship, Product
Machinify does not have phone support; everything is done via email. Providers have to deal with...
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Value
Machinify is a third-party auditor for us. They audit our claims post-payment and look for...
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Relationship, Product
When providers dispute the Machinify findings, they handle all of the requests for medical records,...
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Product
The counsel I would suggest to anybody working with Machinify is to be careful with agreements. For...
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Loyalty
We chose Machinify primarily because of the cost and the solution's ability to be flexible with...
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Relationship, Product
Machinify is very easy to work with. The solution so far has been very flexible. If we need to tweak...
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Relationship
Machinify offers expertise to help us work through sentinels and policies. They have a wide range of...
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Relationship, Product
Things are still up in the air with Machinify because of the merger. They are developing their...
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Relationship, Product
The data capabilities that this vendor has set them apart. They innovate every year. We have been...
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Relationship, Product
The key strengths of Machinify are twofold. Their data mining is strong, and that is something they...
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Product
The biggest advice I would have for someone looking to work with Machinify is the more data we can...
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Relationship
Machinify delivers on what they promise. They give us active projections every year. They usually...
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Value
Machinify is paid on a percentage of what they bring in, so our interests are very much aligned. The...
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Product
The online portal that we use could be a little more user-friendly. It isn't bad by any means, but...
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Relationship, Product
Machinify does data mining and identifies third-party liability for a medical or pharmacy claim that...
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Operations
With respect to the litigation services that Machinify provides, there is not much that is required...
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Relationship, Product
We are not a premier Machinify client, like one of the big payers. I'm 100% sure that if Machinify...
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Relationship
One of the key strengths of Machinify is the customer service. They have an old-fashioned approach...
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Relationship
We have procured the service from Machinify multiple times, and they have always been the choice...
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Relationship
The outcomes that we expect from Machinify are twofold. One is best-in-class financial-recovery...
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Loyalty
Machinify identifies postpaid claims where the DRGs on the claim indicate potential for high...
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Loyalty
Originally, we were working with another vendor that was acquired by Apixio. The primary reason we...
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Relationship
Once private equity gets in with a vendor, the focus becomes more on them wanting to see our money...
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Loyalty
With recent upgrades for Machinify, we learned rather abruptly that the vendor was moving onto the...
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Loyalty
The reasons we picked Machinify were their advanced capabilities with NLP and large language models...
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Loyalty, Product
The number-one pitfall we had in implementing Machinify was the slow process of trying to identify...
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Relationship, Product
I have executive involvement with other vendors but not with Machinify. They review the medical...
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Relationship
I would tell the customer to make sure the in-house technology team that supports them is ready to...
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Relationship, Product
The vendor could help to battle the AI-coded medical records. What I mean by that is the providers...
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Loyalty, Relationship
I expect my satisfaction to be higher a year from now since the vendor is engaging differently and...
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Product, Value
The coordination of benefits and the third-party liability division are the vendor's key strengths....
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Product
Machinify has the best AI technology that I can find. We ran a couple of pilots with them and with...
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Value
We expected higher savings with less provider abrasion, and we are achieving that.
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Relationship, Product
Machinify collects data from our health plan and uses it to flag potential subrogation cases,...
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Product
Vendors like Machinify need to show where AI is integrated into their program, how it helps improve...
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Relationship, Product
I haven't seen bullish proactive conversations about the future state or future problems regarding...
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Relationship
Machinify has the right people. They always have people readily available and on calls.
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Relationship
We would tell other organizations that want to be successful with Machinify to have the vendor take...
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Relationship
Machinify is very responsive. The group that we work with from Machinify is very strong. We have...
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Value
With everybody being laser-focused on cost, I really only hear about the cost of the Machinify's solution....
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Loyalty
The only constructive feedback that I would give is about the merger. Rawlings has a very reputable...
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Relationship, Product
Machinify is very good at identification. We had a situation where we misinterpreted a regulation,...
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Product
We are happy with the technology we have, but I am unaware of any new technology because we just...
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Value
With Machinify's post-pay solutions, the outcomes we are expecting are recovery goals and forecasts....
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Relationship
What sets Machinify apart compared to our other vendors is that they are very responsive,...
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Product
Machinify is able to run the solution, and the system doesn't require a lot of integration or...
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Relationship, Operations
The advice I would give a customer implementing Machinify is to make sure that they have the tech...
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Product
I'm not aware that we have access to something like a real-time reporting dashboard in Machinify as...
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Loyalty
We have been building a lot of internal functions and people at our organization, and we really...
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Loyalty, Relationship
We have been with Machinify for many years, so we have a long history and relationship with them,...
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Operations
The advice I would give a customer who is implementing Machinify to be successful would be to be...
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Product
We send pre- and post-pay claims data to Machinify, and from there, they mine the data to identify...
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Relationship
To ensure continuity of services, Machinify needs to proceed with caution when making changes to a...
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Relationship
During the transition from Rawlings to Machinify, Rawlings made some promises to me, and we changed...
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Relationship, Product
Machinify is the expert in subrogation. They know every state, and they know their stuff. I can’t...
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Product
For me, the solution's ease of use is great. I don’t have to do much. If I need anything, Machinify...
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Relationship
The vendor has amazing people who help us out. I appreciate that Machinify is ready to meet us where...
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Relationship
Machinify has great suggestions, and I believe in their ideas, but they shouldn't leave me hanging....
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Product
I have people who weren’t originally intended to do subrogation who are now doing full-time data...
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