Limbix (by BigHealth)
Evidence-based digital therapeutics for adolescent mental health and behavioral activation.
AdminHealth is a sophisticated AI-driven analytics platform specifically designed for the healthcare sector to optimize pharmacy benefit management (PBM) and medical claims auditing. The technical architecture leverages proprietary machine learning models to ingest large-scale longitudinal healthcare data, transforming raw claims into actionable financial and clinical insights. Positioned as a critical tool for 2026, it addresses the rising complexity of healthcare costs by providing automated fraud, waste, and abuse (FWA) detection, alongside predictive risk scoring for population health management. The platform operates on a secure, HIPAA-compliant infrastructure, utilizing advanced data normalization techniques to bridge the gap between disparate EHR and PBM data sources. Its 2026 market position is defined by its ability to provide real-time cost-containment strategies for self-insured employers, TPAs, and health systems, moving beyond retrospective reporting into proactive intervention modeling. By integrating generative AI for administrative summary reporting, AdminHealth significantly reduces the operational overhead for clinical analysts and healthcare administrators.
Uses unsupervised learning to identify outliers in medical billing codes and pharmacy NDC patterns that deviate from standard clinical pathways.
Evidence-based digital therapeutics for adolescent mental health and behavioral activation.
Predictive clinical and operational intelligence to fight death and waste in healthcare.
Predictive medical data and clinical insights for streamlined enterprise underwriting.
The professional medical network for clinicians, providing HIPAA-compliant AI and telehealth solutions.
Verified feedback from the global deployment network.
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Machine learning models trained on millions of lives to predict the probability of high-cost events (ER visits, chronic escalations) within the next 12 months.
Automated ETL pipelines that convert legacy EDI healthcare formats into modern HL7 FHIR standards.
Algorithmic verification of pharmacy benefit manager contract compliance including rebate accuracy and spread pricing analysis.
NLP and structured data analysis to identify patients who have missed preventive screenings or medication refills based on clinical guidelines.
Creates a unified 360-degree view of a patient's health journey across different providers and pharmacies.
Automates the collection and calculation of Healthcare Effectiveness Data and Information Set (HEDIS) measures.
Identifying duplicate billings and unbundled codes in high-volume claims data.
Registry Updated:2/7/2026
Reducing ER visits for diabetic patients with low medication adherence.
Controlling rising Per Employee Per Month (PEPM) healthcare costs.