SmartLight Analytics uses artificial intelligence and data science to monitor employee healthcare claims, focusing on reducing wasteful spending in health plans. The company, established in 2016, integrates clinical analytics and fraud investigation with its AI-driven approach.
Its Health Claims Monitoring Service applies AI to review 100% of medical claims, identifying fraud, waste, and abuse - such as improper over-treatments and exploitation of low-income participants - without disrupting benefits.
The firm has achieved notable growth, ranking No. 148 on the 2022 Inc. 5000 list and No. 16 among software companies. It operates in the healthcare, employer health plans, and insurance verticals.
