The AI Arms Race in Payment Integrity
How Payers Can Keep Pace with Growing Provider AI Adoption
AI has changed how providers document, code, and appeal. The result? More complex claims, faster disputes, and tighter margins. This new eBrief explains how leading payers are responding with an AI operating model that grounds every decision in clinical evidence, unifies data across silos, and adapts in real time.
In this eBrief you’ll learn:
- How provider AI is reshaping the balance of power in payment integrity
- Why legacy payer systems fail under AI pressure
- The blueprint for a Payer AI Operating System that unifies data, policy, and learning
- The seven metrics that matter in an AI-vs-AI environment
- A three-step roadmap to achieve measurable results in the next quarter

“Winning in an AI-vs-AI world starts with measuring what matters.”
© 2025 Machinify. All rights reserved.