Sentient-Layer Intelligence

Purpose-Built AI for High-Scrutiny Specialties

Precision moving upstream. Grelin applies sentient-layer intelligence to the most complex clinical and financial documentation environments.

app.grelin.ai/rxai
Rx.ai product screenshot
PRESCRIPTION INTELLIGENCE

Rx.aiPrescription Claim Integrity Before Dispensing

Rx.ai reviews medication necessity, prior authorization requirements, and payer drug policies before a prescription claim is created. It catches the documentation and coverage gaps that turn into denials later.

  • Prevent avoidable prescription denials
  • Support pharmacy and prior authorization teams
  • Automate medical necessity and formulary checks
REVENUE INTEGRITY

Wound.aiRevenue Integrity for Wound Care Programs

Wound.ai applies Grelin's intelligence platform to the documentation, coding, and payer policy requirements unique to wound care — including WISer and complexity-based reimbursement.

  • Match documentation to complexity-based reimbursement requirements
  • Align coding with wound care-specific payer policies
  • Navigate reimbursement complexity automatically
app.grelin.ai/wound
W
Wound AI
Wound AssessmentCoding Review
Connected

Chart Assessment

Upload a wound care chart and let AI analyze it.

Drop PDF, image, or TXT here to upload

PDF, TXT, PNG, JPG, JPEG, WEBP

Select a chart...
Begin Extraction...
Clear
Or paste chart text directly
Paste wound chart text here...
Use pasted chart
app.grelin.ai/pain
P
Pain.ai
ComplianceCPT Review
Live
Payer Policies1,248
Alert Signals12
Claims Today847
CODEPROCEDUREPAYERSTATUS
62323Epidural Inj.BCBSValidated
64483Nerve BlockAetnaValidated
99215E&M ComplexUHCReview
64490Facet JointCignaValidated
62321IT InjectionHumanaValidated
98%
Alignment Score
4,200+
LCD/NCD Rules
94%
Audit Precision

New CMS Policy Update

SCS documentation shift effective next Monday — 94% of claims pre-flagged.

PATTERN ANALYSIS

Pain.aiRevenue Integrity for Pain Management

Pain.ai applies Grelin's intelligence platform to the regulatory and coding requirements of pain management — validating CPT accuracy, modifier use, and payer policy alignment.

  • Analyze documentation and coding patterns
  • Align with payer policy requirements
  • Prevent denials and maintain consistent performance
UPSTREAM VALIDATION

PriorAuth.aiIntelligent Prior Authorization Validation

PriorAuth.ai helps organizations ensure required authorizations are obtained and documented before services are billed — moving the work upstream, where it belongs.

  • Validate authorization requirements upstream
  • Avoid common claim delays from missing auth
  • Ensure documentation compliance before billing
app.grelin.ai/priorauth
Prior AuthorizationActive
Request #3841UHC · Plan 29104
CPT 27447 · Total Knee Arthroplasty
Clinical Criteria80%
Documentation100%
Medical Necessity90%

Clinical Checklist

Conservative treatment >6 months
Radiographic evidence attached
BMI within payer threshold
Additional clinical notes

Approved

Decision received in 4.2h

Auto-resubmit scheduled · T+24h if no response
app.grelin.ai/eligibility
Coverage VerificationLive

Jane Miller

BCBS Illinois · Plan ID 99420

DOB 04/12/1982
CoverageActive
Deductible$1,200
Co-pay$45

Benefit Details

In-Network SpecialistCovered 80%
Outpatient SurgeryCovered 70%
Emergency CareCovered 90%
Mental HealthCovered 80%
Preventive ServicesCovered 100%
Prior Auth RequiredCPT 27447 · Submit before service
Verified 2 min ago · Re-scan scheduled in 24h
CONTINUOUS VERIFICATION

Eligibility.aiReal-time Coverage Verification

Eligibility.ai continuously verifies patient coverage, benefit requirements, and payer eligibility rules before claims are created — preventing avoidable denials at the source.

  • Prevent avoidable eligibility denials
  • Support front-office and billing teams
  • Automate benefit requirement checks

Ready to move upstream

"Precision is not just a goal in RCM; it is the foundation of institutional stability."