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The AI engine for actuarial intelligence & Risk control

Move from reactive claims processing to real-time risk assessment. KlinIQ Ai reduces claim leakage, automates adjudication, and optimizes your Medical Loss Ratio (MLR).

From Static HRAs to Dynamic risk stratification

Traditional Health Risk Assessments (HRAs) are obsolete the moment they are filed. KlinIQ Ai delivers AI driven risk assessment using continuous, longitudinal patient data. We identify rising-risk members early, enabling prevention vs intervention strategies that protect your bottom line.

Predictive Modeling

Analyze unstructured data to flag potential high-cost encounters before they occur.

Stop Claim Leakage

Identify and divert low-severity cases from the ER to lower-cost care settings automatically.

Population Health Management

Aggregate standardized data to spot trends and deploy proactive care pathways for chronic populations.

Automated claims & Adherence verification

Clean data is the fastest route to lower costs. KlinIQ Ai acts as an automated auditor, ensuring every encounter is clinically aligned and documented for rapid claims automation.

Fraud & Waste detection

Structured notes and wearable data provide "ground truth" validation, reducing investigation cycles and claims fraud.

Faster adjudication

We deliver pristine, standardized records that slash dispute rates and accelerate processing times.

Medication adherence

Shift the metric from passive compliance to active engagement. Our platform tracks and encourages medication adherence, reducing readmissions and long-term utilization costs.

Engineered for Trust & Regulatory Compliance

KlinIQ Ai is built for safe, transparent, and fully compliant interactions that actuarial teams can rely on.

Enterprise Security

Fully compliant with HIPAA, SOC 2, and FHIR standards for encrypted, audit-friendly data flows.

Explainable AI

Every risk score and recommendation supports never replaces human review, ensuring transparent decision-making.

Clinical Rigor

Follows American clinical guidelines and validated medical protocols to ensure safety and reliability.

The payer advantage

Lower

Per-Patient Care Costs

Reduced

Medical Loss Ratio (MLR)

Higher

Member retention & satisfaction
Better documentation. Better decisions. Better economics.

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