AI Claim Integrity Platform for Healthcare Revenue Cycle
AI-powered Claim Integrity platform helping healthcare providers, payers, and pharmacies validate claims before submission, prevent denials, and audit claims before payment.
Two flagship applications. RxAI for the pharmacy supply chain. Audit.ai for payers and audit organizations.
"The claim is decided long before billing ever sees it."
Most claim denials are created upstream, in patient eligibility, clinical documentation, medical coding, and charge capture, before billing ever sees the claim. Grelin validates each steps with AI while the encounter is still active, so errors are corrected before submission instead of appealed after denial.
Purpose-built AI applications. Powered by Grelin
Each application solves a specific claim integrity challenge, powered by the same intelligence engine.
Grelin is a platform, not a point tool.
One Engine
One engine reads the claim and applies payer logic before it exists and after.
Four Applications
RxAI, Audit.ai, RCM.ai, and Chart.ai — four applications on one shared engine.
Every Claim Makes It Sharper
The model that protected a pharmacy yesterday helps a payer today. Every claim makes the platform smarter.
Built for every market that runs on claims
Grelin serves healthcare payers, providers, pharmacy distributors, RCM and billing companies, and government programs by validating, auditing, and verifying healthcare claims across the payment lifecycle.
Payers & Audit Organizations
Verify claim accuracy at full volume, not a sample. Audit every claim with reasoned findings and ranked review queues.
Pharmacy & Distribution
Enforce authorization, coding, and documentation integrity across the supply chain before dispense or billing.
Providers & MSOs
Apply payer logic before submission to prevent documentation, coding, authorization, and billing errors.
Government Program Integrity
Support Medicare, Medicaid, and CMS initiatives that reduce fraud, waste, and improper payments at scale.
What happens when revenue intelligence moves upstream
Catch issues before they become denials. Grelin surfaces pre-bill risk across documentation, eligibility, authorization, and coding.
Revenue Health Overview
Preventable Denials
Caught upstream before submission
Our AI-driven engine identifies gaps in authorization and coding documentation in real-time, preventing high-risk claims from moving downstream.
Performance Metrics
Automated risk detection at scale
Consistent pre-bill validation
Fewer surprises, fewer rework cycles
Let's Connect!
Precision Intelligence.
Real-time Claims Monitoring
Proactive revenue monitoring to catch failures before they happen.
Global Registry
Proactive revenue monitoring to catch failures before they happen.
Eligibility & Authorization
Verifies coverage and authorizations to prevent revenue delays.
Risk Scoring Engine
Assigns risk scores to surface priority issues first.
See what the platform does to a claim in both directions.
Grelin identifies pre-bill revenue risk across documentation, eligibility, authorization, and coding before it becomes a denial.