Every claim has a business behind it. We built an app for each one.
Grelin is one AI Intelligence Platform with purpose-built applications for every business on the claim. Pharma distributors. Payers. RCM and billing companies. Providers. Pick your seat on the claim. The platform does the rest.
Platform feeds applications
One platform. Four markets. Every claim workflow.
Every Grelin application runs on the same intelligence platform. Playbooks encode payer logic, billing rules, and specialty requirements before a claim ever moves.
What one application learns, every application inherits. That is what makes Claim Integrity possible across the whole claim lifecycle.
Grelin's Flagship Applications
One platform, four applications — RxAI, Audit.ai, RCM.ai, and Chart.ai — powering claim integrity across pharmacy, payer, provider, and clinical documentation workflows.
For Pharma Distributors
RxAI
Claim Integrity for pharmacy claims at distribution scale.
Pharmacy claims move fast and fail quietly. A single coding error or payer rule miss repeats across thousands of transactions before anyone sees it.
RxAI validates pharmacy claims against payer logic before they move. Errors get caught at the source, not discovered in reconciliation.
Distributors and their pharmacy networks get cleaner claims, fewer reversals, and revenue that arrives the first time.
- Validates claims against payer-specific logic before submission
- Catches repeat errors at the source instead of in reconciliation
- Scales across entire pharmacy networks from one platform
For Payers
Audit.ai
Move the audit upstream — from post-pay recovery to pre-pay prevention.
Payers audit claims after they pay them. Recovery is slow, adversarial, and incomplete.
Audit.ai moves the audit upstream. Claims get screened against coverage rules, coding standards, and historical patterns before payment is released.
Overpayments stop being a recovery project. They stop happening.
- Screens claims against coverage and coding rules pre-payment
- Flags patterns human auditors miss at volume
- Turns post-payment recovery into pre-payment prevention
For RCM and Billing Companies
RCM.ai
Claim Integrity across every client, specialty, and payer you bill for.
Billing companies absorb the rework their clients create. Every denial worked is margin lost on a contract priced for clean claims.
RCM.ai applies Claim Integrity across your entire book of business. Playbooks run client by client, specialty by specialty, payer by payer, so errors get caught before submission instead of worked after denial.
Claims go out certified. Rework drops. Margins recover. Clients see the difference in their first remittance cycle.
- Runs Playbooks across every client, specialty, and payer from one platform
- Catches errors before submission instead of working denials after
- Turns clean claims performance into a client retention story
For Providers and Specialty Groups
Chart.ai
Turn clinical documentation into complete, defensible claims — before the claim is built.
Most preventable denials trace back to the chart. The documentation doesn't support the code, and no one sees it until the payer does.
Chart.ai reads the clinical chart and flags coding and documentation gaps before the claim is created, with specialty modules for wound care, pain management, and more.
The claim gets built on documentation that already holds up, so it goes out clean and stays paid.
- Reads the chart and flags coding gaps before the claim exists
- Specialty modules for wound care, pain management, and beyond
- Builds every claim on documentation that supports it
Specialized Applications
These applications extend the flagship products with deep, target-specific intelligence. They are built directly into the platform rather than acting as equal standalone pillars.
Pain.ai
Specialized integrity for pain management practices. LCD compliance for injections and toxicology.
Learn More
PriorAuth.ai
Automated authorization intelligence. Speed up the lifecycle and reduce manual fax and phone workflows.
Learn More
Eligibility.ai
Real-time verification for seamless workflows. Guaranteed patient coverage data before clinical intake.
Learn MoreReady to move upstream
If your business runs on
claims, it runs through Grelin.
Wherever you sit on the claim, there is a Grelin application built for how your work actually happens. Let us secure your claim integrity.