The AI platform for Claim Integrity
One engine reads clinical and financial data, understands payer rules, and applies judgment to the claim. Upstream it prevents the bad claim. Downstream it audits the claim at scale.
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."
The same intelligence that prevents a bad claim is the intelligence that recognizes one. Upstream it catches the error. Downstream it audits the claim. The direction changes. The judgment does not.
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.
Flagship Applications
RxAI and Audit.ai are the flagships. Specialty apps share the same 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
One platform serves every organization that touches a claim. From providers and pharmacies to payers and government programs, the same intelligence applies judgment before the claim is created and after it is filed.
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.
Four capabilities working as one engine — monitoring, verifying, and scoring every claim in both directions.
Real-time Claims Monitoring
Proactive revenue monitoring that catches failures before they happen.
Global Registry
Comprehensive payer coverage validated across a global registry of plans.
Eligibility & Authorization
Verifies coverage and authorizations to prevent revenue delays.
Risk Scoring Engine
Assigns risk scores to surface the highest-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.