2024 PARTNERS
Headline
AMS Intelligent Analytics
Website: www.amspredict.com
Advanced Medical Strategies (AMS) is a leading enterprise healthcare affordability platform that unifies the industry's most comprehensive payment, pricing, clinical, financial, and operational intelligence into a single AI-powered platform. By integrating payment integrity, price transparency, decision intelligence, risk management, clinical standards of care, reimbursement policy intelligence, financial benchmarking, statistically valid analytics, proprietary implant and medical device cost intelligence, and advanced healthcare data, AMS helps healthcare organizations improve payment accuracy, reduce unnecessary spending, and strengthen financial performance.
AMS empowers organizations to prevent, identify, and recover overpayments across pre-payment and post-payment workflows while delivering transparent insights that address the root causes of payment errors, improve reimbursement strategies, strengthen policy governance, support more competitive provider contracting, enhance fiduciary oversight, and advance enterprise healthcare affordability. By transforming complex healthcare data into actionable intelligence, AMS enables clinical, financial, payment integrity, contracting, compliance, and executive leaders to make more informed decisions that improve operational performance, financial outcomes, and healthcare affordability across the healthcare ecosystem.
PLATINUM PARTNER
Machinify
Website: www.machinify.com
Machinify is the healthcare intelligence company helping health plans improve payment accuracy and efficiency across pre- and post-pay. Deployed by 85+ plans and representing 270M+ lives, Machinify's platform operating system combines AI with clinical, coding, and policy expertise to make better decisions at scale. We support COB, subrogation, itemized bill review, DRG audits, pharmacy, and data mining across commercial and government programs.
NETWORKING PARTNER
GOLD PARTNERS
Alivia Analytics
Website: www.aliviaanalytics.com
Your most expansive Payment Integrity and FWA partner for medical, pharmacy, vision, and dental claims. This features our powerful, configurable Alivia 360™ Platform that provides pre- and post-payment flexibility and considerable cost savings across the healthcare claims management process. It seamlessly transitions between FWA detection and Payment Integrity solutions including clinical and non-clinical audit scenarios, first- and second-pass claims editing, and COB/TPL. Alivia 360™ not only ensures comprehensive financial oversight but full adaptability to operational needs. Alivia integrates AI as an assistant, not a replacement, prioritizing ethical use, human oversight, and compliance with industry standards. Our solutions are offered as SaaS or tech-enabled services that build strong cases against inappropriate billing practices, identify new recoveries missed by legacy vendors, deliver actionable analytics, and offer automated corrections. Alivia enables healthcare payers to streamline vendor management, improving control and strategic decision-making. Schedule a discovery meeting and demo.
Rialtic
Website: www.rialtic.io
Rialtic equips payers with technology to enable payment accuracy capabilities, greater choice of policy options, easier response to a changing environment, and an overall lower administration cost.
SILVER PARTNER
EXHIBITOR
Penstock
Website: www.penstockgroup.com
Penstock is a high-performance payment integrity partner built for health plans that expect more—from their vendors, their audit programs, and their financial outcomes. We partner with national and regional health plans to deliver rigorous, transparent, and strategically aligned payment integrity programs that improve payment accuracy, uncover meaningful savings opportunities, and drive long-term operational value.
Our tech-enabled, human-led, auditor-controlled model combines deep payment integrity expertise with advanced data mining to uncover what others overlook and strong pre-pa chart review to pay the claim accurately from the start. Every finding is grounded in plan-specific policy, contract language, and defensible logic—designed to hold up under audit, appeal, and regulatory review. The result is real dollars avoided and recovered, recurring issues addressed at the source, and sustained improvements in payment accuracy.
Penstock’s post-pay work functions as a plan’s research-and-development engine for pre-pay. Through deep post-pay audits and ongoing data mining, our teams consistently generate new claim overpayment concepts each month. By analyzing claims with full context and clinical nuance, we identify not just individual claim overpayments, but the systemic patterns behind them—providing the insights plans need to strengthen pre-pay controls and prevent future leakage.
As consolidation across the payment integrity industry continues to reduce transparency and slow innovation, leading health plans turn to Penstock for precision, accountability, and results that compound over time. Ranked No. 353 on the 2025 Inc. 5000 list—top 50 in healthcare—and named the fastest-growing private company in the Northeast, Penstock is redefining what defensible, modern payment integrity should look like.