Machinify
AI payment integrity and accuracy platform for health plans
Our take
Machinify was founded in 2016 in Palo Alto by Prasanna Ganesan and Alain Rossmann as an AI platform for enterprise data workflows, then focused on healthcare claims. Its software helps health plans decide whether claims are billed and paid correctly, spanning AI claims auditing, clinical chart and DRG validation, itemized bill review, and recovery work such as subrogation and coordination of benefits. Buyers are payment integrity, claims, and finance leaders at health plans.
In 2024 New Mountain Capital merged The Rawlings Group, Apixio's payment integrity business, and VARIS into a single payment accuracy platform, then acquired Machinify in 2025 and put the combined company under the Machinify name with David Pierre as CEO and Ganesan as chief product officer. The combined business has more than 2,000 employees and serves over 60 health plans, including 13 of the top 20 US payers, with a reported valuation around $5 billion. That makes Machinify one of the largest independent payment integrity vendors, though buyers should expect some integration work as the four legacy organizations consolidate.
What it does
- AI-driven claims auditing and payment accuracy
- Clinical chart and DRG validation
- Itemized bill review
- Subrogation and coordination of benefits recovery
- Prepay and postpay claim analytics
Where it's strong
- Scale few rivals match: more than 2,000 employees serving over 60 health plans, including 13 of the top 20 payers.
- Combines Machinify's AI software with decades of recovery and audit operations from Rawlings, Apixio PI, and VARIS.
- New Mountain Capital backing and a $5B combined valuation signal long-term investment in the platform.
What buyers should weigh
- Integrating four companies merged in 2024 and 2025 carries execution risk while systems and teams consolidate.
- Built for payers, so it is not a fit for provider organizations shopping for revenue tools.
- Payment integrity vendors are typically paid on recoveries, so incentives should be reviewed carefully during contracting.
Latest
New Mountain Capital closed its acquisition of Machinify in 2025 and combined it with The Rawlings Group, Apixio Payment Integrity, and VARIS under the Machinify brand, valued around $5 billion.
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