The payment check self-funded employers never had.

Anuly reviews claims before payment against thousands of current industry and plan-specific guidelines, returning a clear, traceable decision before funds go out.
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Legacy payment integrity wasn’t built around the needs of self-funded plans.

Traditional payment integrity has often left self-funded employers without direct access to the tools, data, and transparency behind the claims they ultimately pay.

The status quo

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Review after payment, on a sample
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Built and sold for carriers
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Updates tied to vendor release cycles
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Denial codes without the rule behind them
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Out-of-network pricing done by hand, somewhere else
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Every claim checked before funds are disbursed
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Built for self-funded employers and the TPAs that serve them
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Current the day the industry changes
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Every decision traceable to its guideline, in plain language
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Medicare-based pricing in the same pass, calculation shown

A claim arrives before payment.

Anuly evaluates it against thousands of current industry and plan-specific guidelines before the claim is paid.

When a rule changes, the platform stays current. When Anuly identifies an issue, the decision includes the reason, source, financial impact, and supporting guideline — so the result is clear and traceable.

Self-Funded Employers

They carry the risk. Anuly gives them a pre-payment check and clear documentation showing how each decision was made.

TPAs and ASOs

Get a modern payment-integrity layer on your own platform, owned outright, with a defensible answer for every client and every renewal.

Brokers and consultants

Get proof on the client's own claims: what is leaking, what can be prevented, and what it is worth.

Pre-payment claim review

Thousands of guidelines applied before every claim is paid, with precision built from national-scale experience.

Deeper review

Review can extend beyond the claim when additional plan and network data are available, adding context a claim alone can’t show.

Medicare-based pricing

Claims priced to Medicare rules with the full calculation shown. Rates and methodology stay current with CMS updates.

Explanation

Every finding shows the rule, source, version, and amount, so the “why” is clear before anyone asks.

Built by payment integrity experts.

Anuly was created by the team behind claims editing and pricing technology used across government and commercial health plans.

AI keeps guidelines current; sourced rules make the final decisions

Every rule is reviewed by credentialed experts before going live

Every determination is traceable, so everyone gets the same answer

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