FHIR Engine
FHIR Engine, Inc. is transforming utilization management in healthcare with its AI-driven Treatment Decision Support Platform, leveraging DaVinci Interoperability standards. Their mission is to digitize payer policies for evidence-based care, enabling real-time interactions between payers, providers, and consumers using HL7 FHIR standards. Their solutions support payers, providers, and consumers in treatment decision support and utilization management across various services like inpatient care, prior authorization, and pharmacy scripts. They utilize NLP/AI techniques with their Machine Learning NLP Digitization Engine for coding clinical content and a Utilization Management Change Management Engine for automating payer policy coding. Key benefits include improved timeliness and quality of care, lower medical and administrative costs, higher transaction adjudication, and reduced system ownership costs. They offer modular cost and transparency tools, a utilization management analytics dashboard, and a FHIR-enabled utilization management transaction engine for at-scale API processing.
FHIR Engine
FHIR Engine, Inc. is transforming utilization management in healthcare with its AI-driven Treatment Decision Support Platform, leveraging DaVinci Interoperability standards. Their mission is to digitize payer policies for evidence-based care, enabling real-time interactions between payers, providers, and consumers using HL7 FHIR standards. Their solutions support payers, providers, and consumers in treatment decision support and utilization management across various services like inpatient care, prior authorization, and pharmacy scripts. They utilize NLP/AI techniques with their Machine Learning NLP Digitization Engine for coding clinical content and a Utilization Management Change Management Engine for automating payer policy coding. Key benefits include improved timeliness and quality of care, lower medical and administrative costs, higher transaction adjudication, and reduced system ownership costs. They offer modular cost and transparency tools, a utilization management analytics dashboard, and a FHIR-enabled utilization management transaction engine for at-scale API processing.