Anomaly

Anomaly is the Intelligent Automation Platform for Health Payment, delivering machine-scale solutions for healthcare’s most complicated problem. We bring health payment certainty by exposing payer behavior from live claims data, at scale. By combining deep industry expertise with advanced AI, we uncover hidden barriers to healthcare payment and deliver automated intelligence to resolve issues at the source. As payer logic evolves, our AI adapts—helping providers stay ahead and maximize revenue.

At the heart of our platform is Smart Response, the AI engine reverse-engineering payer logic in real time. By analyzing payment patterns across hundreds of millions of healthcare encounters, Smart Response detects shifts in payer behavior, predicts denials, and identifies opportunity to recover lost revenue—empowering providers to hold payers accountable.

Seamlessly embedded into existing revenue cycle workflows, Smart Response provides real-time insights to optimize payments. It pinpoints payer behavior changes that impact revenue, strengthens contract negotiations, and enables proactive claims correction—so providers can fix issues before they lead to costly denials.

With Anomaly, healthcare payments become smarter, faster, and more transparent—ensuring providers get paid what they’ve earned.