For providers
Sanoki AI agents read every case against the clinical record, the guidelines and your contracts, from the authorization to the payment. Your clinical team decides on every finding.
Where medical cost goes
net savings AI can reach on a hospital’s total cost within five years
NBER Working Paper 30857, 2023
Contracting
Compare every payment with the rate you signed, before the difference is written off.
2–5%of net patient revenue underpaidHFMA estimate
Authorizations
Send requests complete the first time, with the clinical support the payer asks for.
13 hoursa week per physician and staff on prior authorizationsAMA survey, 2024
Bills
Correct the bill before it goes out, and answer denials with the record and the contract.
11.8%of claims denied on first submissionKodiak Solutions, 2024
How it works
How the case lives today
Clinical records, bills, contracts and rules, each in a different system.
Inputs that decide a case
Each source connected in the format it already has.
A model of your hospital
Each record tied to its context, each rule to where it applies.
Workflows on your cases
Some report, some act, each traceable to its rule. Your reviewers decide, and the system learns from every verdict.
Applications
The agents learn how your hospital contracts, admits and bills. You deploy one application at a time, and the next one builds on the data already connected.
Contracting
Contract intelligence
Answers what you agreed with each payer, rate by rate.
Payment variance
Finds what the payer paid below the contract.
Contract modeling
Tests new terms on your volumes before you sign.
Authorizations
Prior authorization submission
Sends each request complete, checked against the payer’s contract.
Concurrent review
Follows a hospital stay while it runs and flags overlaps.
Eligibility verification
Confirms the patient’s coverage before care starts.
Bills
Pre-bill charge review
Finds unsupported and missing charges before the bill goes out.
Claims editing
Catches coding errors and duplicates before you send.
Denial and appeal management
Answers each denial with clinical and contract support.
Why Sanoki
One decision can need the history, the authorization, the contract and the bill at once. Sanoki reads and relates all of it in one connected model, from the thousand-page hospitalization bill to the few-hundred-dollar expense.
Rules, tariffs and behaviors shift all year, and the model keeps up. A correction lands once and every case after runs on it, so more gets caught earlier.
Each finding states its rule and its evidence, and traces back through the chain that produced it. Verdicts from your reviewers land in the memory; the next case runs on all of it.
Sanoki runs the whole payment-integrity cycle, from contract to payment. You take the recovered value where you need it: more bills reviewed with the same team, or straight to your financials.
Case study
“Our clinical team checked the findings on a sample of our patients, and 94% held up. Only then did we run it across everyone.”
Provider network · Latin America
Next steps