Cut Administrative Costs. Accelerate Every Claim.
Zabrizon delivers production-ready AI automation for health insurance payers — from intelligent claims adjudication and prior auth to fraud prevention and member engagement. Reduce operating costs by up to 60% while improving member and provider experience.
The Operational Burden Facing Payers Today
Rising administrative costs, tightening margins, and growing member expectations demand a fundamentally different approach to payer operations.
Manual Claims Backlogs
Administrative staff spend 60–70% of their time on repetitive claims intake, verification, and adjudication tasks that should be automated.
Prior Auth Delays
Average prior authorisation turnaround exceeds 3 days, causing care delays, provider friction, and member dissatisfaction.
Fraud & Improper Payments
Healthcare fraud costs US payers an estimated $68B annually — legacy rules-based systems miss sophisticated billing anomalies.
Low Member Engagement
Only 23% of members actively engage with wellness programmes, leaving significant preventive care opportunity on the table.
Purpose-Built for Payer Operations
Every module is designed around the specific workflows, compliance requirements, and data structures of health insurance payers.
Claims Processing Automation
AI-driven intake, eligibility verification, code validation, and auto-adjudication. Reduce manual touch rates to under 10% and cut processing time by 80%.
Explore solutionPrior Authorization AI
Real-time clinical decision support against payer policies. Reduce turnaround from days to minutes while maintaining compliance with CMS interoperability rules.
Explore solutionFraud Detection & Prevention
Graph-neural-network anomaly detection that spots billing fraud, abuse patterns, and duplicate claims before payment.
Explore solutionMember Engagement
Personalised outreach, care gap closure, and wellness nudges powered by predictive analytics. Drive HEDIS measure improvement and Star Ratings growth.
Explore solutionCare Management
AI-stratified risk populations, automated care plan generation, and real-time care coordinator dashboards to reduce avoidable admissions.
Explore solutionProvider Network Management
Automated credentialing, performance analytics, contract modelling, and network adequacy monitoring across your provider ecosystem.
Explore solutionBuilt for Regulatory Compliance
Every Zabrizon solution is designed from the ground up to meet the most demanding payer compliance and security requirements.
Ready to Transform Your Payer Operations?
Talk to a payer operations specialist and receive a tailored AI readiness assessment — no commitment required.