Novo AI

Novo AI reads claims, pre-authorizations and medical documents for health insurers and turns them into structured evidence. Reviewers use it to catch fraud, waste and abuse and keep the final decision themselves.

The platform extracts data from medical files with each field linked to its source, converts doctors' notes into localised diagnosis and procedure codes, and flags questionable requests and missing evidence during pre-authorization and pre-payment review. Portfolio views show patterns across providers, treatments and members.

The company claims up to 5% better combined ratios and ten times more claims cleared per reviewer, which are vendor figures. Access starts with a demo.