Audit.ai. Payer Claims Intelligence.

Audit.ai | AI Healthcare
Payment Integrity Platform

Audit healthcare claims before payment using AI to identify coding errors, fraud risk, documentation gaps, and coverage conflicts.

100%of claims audited, not sampled.
29 CHECKSper claim.
6 LAYERS30 stages.
MINUTESto a reasoned queue.
Order of Operations

The problem.
Recovery starts before
payment.

Pay and chase is the order of operations almost everywhere. The claim gets paid. The dollar leaves the plan. Recovery becomes a slow negotiation that clears cents on the dollar.

Audit.ai changes the order. Six audit layers run before adjudication. When fraud or overpayment shows up, the dollar does not.

Legacy Order
1Pay Claim
2Audit Post-Pay
3Chase Recovery
Dollar leaves the plan
Audit.ai Order
1Audit Pre-Pay (6 layers)
2Intervene / Deny
3Pay Compliant Only
Dollar stays in the plan
ClearVision Audit
1,204 Claims — full resolution status
Passed (382)
Denied (216)
Fraud (129)
Engine Core Architecture

How a claim gets audited.

Six layers per facility, adapting to specialty. Thirty stages. Twenty-nine audit functions. Each layer retools per line of business: vision, dental, medical, DME, pharmacy.

LAYER 1 OF 6Audit Engine v2 · Intake and Eligibility

Intake and Eligibility

Standardizes and validates member data, coverage mapping, and historical linkage before the claim enters adjudication. This layer catches eligibility mismatches, duplicate member records, and coverage gaps before any downstream processing begins.

Audit Checks in This Layer
Member eligibility verification
Coverage period validation
Duplicate claim detection
Historical linkage analysis
Provider enrollment status
29
TOTAL CHECKS
6
LAYERS
30
STAGES
Structured Verdict Output

Every claim gets a verdict.

Six outcomes, clearly reasoned. No claim leaves without a verdict, its category, and the checks behind it.

Passed

Fully compliant, ready to pay. Proceed to adjudication and payment.

Denied

Violates policy or coverage. Deny with policy citation attached.

Fraud

Intentional deceptive billing detected — phantom billing, identity fraud. SIU escalation triggered.

Abuse

Excessive or improper utilization — duplicate component billing. Investigation queue.

Coding Issue

Coding or documentation mismatch — revenue code error, modifier missing. Route to correction.

On Hold

Awaiting manual review. Flagged for auditor queue with reasoning attached.

One Payer View

What one audit surfaces.

Figures shown represent a complete pre-payment health plan audit, not sampled.

Total Run Overview

Coverage across active healthcare facilities

Pre-Payment Complete Audit
Claim Volume
9,716
100% of pipeline reviewed
Claims Value
$18.27M
Claims monetary pool
Active Providers
324
Benchmark comparison
Facilities Checked
5
Full facility contracts
Data integrity: 29 checks run seamlessly per itemPrepare date: Grelin Representative Demo

ClearVision Audit

1,204 Claims full resolution status

Passed (382)31.7%
Denied (216)17.9%
Fraud (129)10.7%
Abuse (173)14.4%
Coding (200)16.6%
On Hold (104)8.6%

Sum: Exactly 1,204 processed

Smart Filter

Pre-payment audit run · 9,716 claims total · Complete pipeline

Claim IDPatientSpecialtyProviderCPT CodeValue (USD)VerdictAudit Findings
CLM-9832J. D.VisionDr. Smith92014$1,250PassedRoutine billing, fully compliant.
CLM-7741A. M.SurgeryMercy Gen22551$14,400CodingModifier 59 missing on secondary.
CLM-5529R. K.DentalValley DentalD2740$1,100FraudDuplicate crown billing detected.
CLM-1184S. T.MedicalCity Clinic99215$350HoldLevel 5 visit without supporting documentation.
CLM-3920M. P.PharmaCareRxJ0178$4,800DeniedPrior authorization missing for specialty drug.
CLM-8842L. L.OB/GYNWomen's Health59400$3,200PassedGlobal maternity package verified.
CLM-2105E. C.MedicalDr. Jones93000$150HoldAwaiting manual review for unbundling.
CLM-4417B. N.DMEMedEquip CoE0601$2,900AbuseExcessive supply billing per member history.
Revenue IntegritySpecialty Module

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...
WISer Severity Indexing97% Accuracy

Automated staging and complexity analysis based on real-time clinician input.

LCD/NCD Compliance4M+ Rules

Real-time alerts for missing debridement and documentation gaps.

Audit-Ready Trails99.9% Uptime

Every documentation action is timestamped, traceable, audit-linked.

Pattern AnalysisSpecialty Module

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
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
98%
Alignment Score
4,200+
LCD/NCD Rules
94%
Audit Precision
Regulatory Pattern AnalysisReal-time

Real-time LCD/NCD compliance mapping before claims reach the clearinghouse.

Coding Alignment98% Alignment

Automated CPT/ICD crosswalks specific to interventional pain procedures.

Predictive Audit Defense94% Precision

Simulates payer audit logic to flag potential denials before submission.

Next-Generation Audit Intelligence

Payer Integrity, Uncompromised.

"Audit.ai does not replace the auditor. It lets a one hundred percent audit ship verdicts faster, with the reasoning already attached, and more recovery dollars on the run for every payment integrity team that deploys it."
Chief Medical Officer
National Health Plan
Hands-On Proof

See Audit.ai on your own claims.

Bring a representative claim parameters below. Run it through our interactive six layers and generate a reasoned, defensible queue verdict instantly.

Select a Known Preset Anomaly
Preset #1: Flagging anomaly factors for review.
Use words like 'phantom billing', 'duplicate', or 'upcoding' to trigger respective logic checks.
Claims Integrity Processing Unit
Prepared by Grelin
Audit compliance: 0%Active Layer: 0/6
L1  INTAKE AND ELIGIBILITY
PENDING GATEWAY
L2  CLASSIFICATION
PENDING GATEWAY
L3  CODING AND CLINICAL
PENDING GATEWAY
L4  BILLING AND AUTHORIZATION
PENDING GATEWAY
L5  DOCUMENTATION AND UTILIZATION
PENDING GATEWAY
L6  FRAUD, RISK AND PAYMENT
PENDING GATEWAY
Enter claim parameters and select 'Process' to run live audit checks.

Support Center

Frequently Asked Questions About Audit.ai

Find answers about Audit.ai, pre-payment claim auditing, payer policy validation, medical necessity, and AI-powered claims auditing.

What is Audit.ai?

Audit.ai is Grelin's claim auditing application for payers. It reviews claims before payment, checks them against coding standards, medical necessity logic, documentation, and the payer's own policy set, and returns a verdict with the reasoning and policy basis behind it.

What is payment integrity?

Payment integrity is how payers confirm claims are paid correctly: to the right party, for covered services, at the contracted rate, with no error or fraud. Historically it relied on post-payment audits and recovery. AI moves the same checks before payment.

What is the difference between payment integrity and claim integrity?

Payment integrity is the payer's discipline of paying claims correctly, and it has mostly worked after payment. Claim Integrity applies the same validation on both sides of the transaction, before submission and before payment, so wrong claims are prevented rather than recovered.

What is the difference between a pre-bill audit and a post-pay audit?

A pre-bill audit reviews a claim before it is submitted, while the encounter can still be corrected. A post-pay audit reviews a claim after money has moved, and any error becomes a recovery effort. Pre-bill audits prevent the loss. Post-pay audits chase it.

What is payer policy validation?

Payer policy validation checks a claim against the specific payer's coverage rules, medical policies, prior authorization requirements, and coding edits before submission or payment. Because payer policies change frequently, validation must continuously stay up to date to ensure claims remain compliant.

How does AI detect healthcare fraud, waste, and abuse?

AI screens claims against coverage rules, coding standards, and historical billing patterns at full volume, flagging outliers that would be difficult for manual audit teams to review. It helps identify potential upcoding, unbundling, duplicate billing, impossible utilization, and other patterns of fraud, waste, and abuse before payment is released.

What is DRG validation?

DRG validation confirms that an inpatient claim's diagnosis-related group (DRG) is supported by the medical record. It verifies that the principal diagnosis, secondary diagnoses, and procedures are documented and coded correctly, helping prevent costly overpayments caused by inaccurate DRG assignment.

What is coding compliance?

Coding compliance means healthcare claims are coded according to official coding guidelines and payer policies. This includes selecting the correct ICD-10 and CPT codes, applying appropriate modifiers, and avoiding errors such as unbundling or upcoding. Strong coding compliance helps providers protect revenue while preventing improper payments for payers.

Still have questions?

We're here to help you navigate the complexities of revenue cycle intelligence.

Contact Support

Who it is for, and the close.

Built for the payer side of the wire. Payers and health plans. Audit organizations. SIU and payment integrity teams. Government program integrity.

Book a demo & analysis

See Audit.ai on your own claims. Bring a representative claim file. We will run it through the six layers and hand back a reasoned queue you can defend.