Stop improper payments before dollars move.

Anuly is an AI-driven payment integrity platform built for the self-funded healthcare ecosystem. Employers, TPAs, brokers, and payer organizations use Anuly to prevent improper payments before dollars move.
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We intervene in the payment lifecycle across the health plan, provider, and member.

The status quo

not included
Payment integrity starts too late
not included
Disconnected workflows
not included
Manual rules and human bottlenecks
not included
No learning loop
included
Intervention before payment occurs
included
One connected platform
included
Automation with clinical intelligence
included
Fewer repeat issues

Payment integrity earlier in the lifecycle

Anuly evaluates claims in full context—including policy, contracts, and clinical documentation—to prevent improper payments before dollars move. This reduces claims spend, strengthens compliance, and minimizes friction for members and providers.

Earlier intervention

Improper payments are identified before dollars move—when action still matters.

Closed-loop intelligence

Root causes are identified and addressed so problems do not recur. Patterns emerge, guidance improves, and repeat issues decline.

Integrated by design

Claims, policies, plan assets, medical records, and 501(r) discounting logic are evaluated together, eliminating silos and handoffs.

Built for real-world plans

AI handles policy variability, contract complexity, and clinical validation at scale without increasing operational workload.

Payment integrity is now a competitive requirement

Rising healthcare costs, tighter margins, and increased scrutiny are changing expectations across the self-funded healthcare ecosystem. Payment integrity now directly affects financial risk, competitiveness, and the experience delivered to members.

Self-Insured Employers

You carry the risk.
Improper payments come directly out of plan assets. ERISA fiduciary responsibility requires active oversight, not retrospective cleanup. Members expect support during high-cost and stressful care, when billing issues matter most.

Brokers and Consultants

Your recommendations shape outcomes.
Employers expect measurable cost containment, not promises. Technology capability increasingly differentiates TPAs. Your competitive edge depends on recommending solutions that deliver real, defensible results.

TPAs and ASOs

Cost management is table stakes.
Employers compare TPAs based on their ability to control claims spend. Some operating models carry financial risk. Manual review increases overhead and limits scalability.

Four integrated capabilities enabling better payment integrity outcomes.

Claims Analysis and Payment Validation

Anuly evaluates claims in the full context of the plan assets that govern payment—so decisions align with what should actually be paid.

By validating claims against payment policies, plan documents, machine-readable files, and provider contracts, Anuly identifies improper reimbursement risk early and enables intervention before payment occurs.

AI-Enabled Medical Record Review

When clinical justification matters, Anuly analyzes medical records to validate medical necessity, level of care, and coding accuracy.

Clinical documentation is compared to billed services to support or contradict admissions, identify documentation gaps, and flag potential upcoding before payment decisions are finalized.

501(r) Hospital Overbilling Detection

Anuly identifies when charity care rules apply and works with hospitals on the member’s behalf to ensure charges reflect the appropriate financial assistance before payment occurs.

By engaging members early and coordinating with hospitals, Anuly helps prevent overpayment instead of correcting it later.

Provider Intelligence

Anuly identifies recurring patterns across claims analysis, payment validation, and clinical review outcomes to surface provider-level trends.

These insights are converted into targeted provider guidance. Clear guidance on policy requirements, coding expectations, and documentation standards reduces future errors and improves long-term accuracy.

Together, these capabilities form a closed-loop system focused on prevention.

Built for organizations accountable for payment accuracy

Self-funded employers managing claims spend and fiduciary risk

Third-party administrators operating at scale

Brokers and consultants advising on cost containment

Payer organizations responsible for payment integrity and compliance

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