Transform Cost and Quality with Decision Intelligence

Build Smarter AI Solutions
Using Decision Agents

Deliver Explainable, Transparent And Assured Decisions.

Build AI Solutions That Solve Your Problem

Enso enables you to develop, orchestrate, deploy, and manage decision agents to
deliver engagement, efficiency, and cost outcomes.

Key healthcare processes we have transformed for our clients

Claims Automation

Get predictions and recommended actions required to finalize claims that did not auto-adjudicate.

Document Digitization

Digitize Paper Claims, Prior auth letters, Faxes, Medical Charts, Procurement Contracts, etc.

Provider Contract Risk Management

Discover financial risks related to Claim Payments and Provider Contract compliance.

Provider Education

Analyze and identify aberrant claim patterns to proactively educate providers on best practices.

Contracts Management

Improve speed to market by extracting and harmonizing data (i.e., MSAs, SOWs) to identify opportunities or risks dynamically.

Population Analytics

Identify trends and patterns across member populations to find potential care interventions.

Drive Business Impact Across Your Processes

Achieve transformational business outcomes with an army of healthcare decision agents.

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Reduction in Costs

We drive cost savings through proactive FWA identification, reduction in manual processing, and vendor spending.

%

Improved Operational Efficiency

We have delivered outcomes across the claims value chain in Claims Processing, Payment Integrity, Claims Intake, etc.

%

Faster Quality Improvement

We have improved HEDIS, STAR RATINGS, Customer Satisfaction, Member Engagement Scores, and Provider NPS ratings.

Unlock unique value with our Decision Agent Driven Solutions

Out-of-the-Box I Ready To Go I Works With Existing Investments I Continuously Learns

Claims Audit

Our solution identifies incorrect payments, predicts when payments may process inadequately, and recommends the best course of action based on historical operational outcomes. The solution continuously learns with feedback improving its ability to prevent incorrect payments.

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Payment Integrity

Our solutions leverage intelligent decision agents to drive proactive pre-pay and post-pay savings across the Payment Integrity Value Chain. These solutions leverage continuous learning and real-time feedback across all PI efforts to generate new insights for the right interventions.
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Why Us

Achieve fully-autonomous processes that deliver explainable, transparent, and assured real-time decisions easily using a unique Decision Agent Ecosystem.

Speed to market

Select and orchestrate pre-built agents to get started immediately. Upskill agents and reuse them in processes that use similar data.

Re-Usability

Unlock the ability to extend or reuse agents across different solutions
to accelerate AI adoption within your enterprise.

Transparency, Control, Ownership

Train decision agents on your data and in your environment to drive transparent, explainable, and trusted decisions.

Continuous Learning

Achieve continuous improvement in decisions delivered by enabling agents to learn from implicit and explicit feedback.

How can decision intelligence help your organization?

Adopt and scale intelligent decision making across your enterprise to boost engagement and enhance operational efficiencies.