The AI payment integrity layer for healthcare.
Gabeo's AI codifies contracts and audits adjudication against them. The same engine powers two products, tuned for the operators on either side of the claim.
AI-powered intelligence for delegated risk and value-based care. ARIA codifies your DOFRs and benefit grids, then audits every claim against them, line by line, in real time or 24 months back.
Forensic AI for post-denial recovery. ZOE re-reads payer contracts and adjudications, finds underpayments and write-offs everyone missed, and recovers them with audit-ready evidence.
Operators built it. Agents run it.
We've read claims for a living, inside IPAs, payer integrity teams, hospital RCM shops. Every CPT, every DRG, every modifier. Adjudication isn't a black box. It's the building where we kept our desks.
Every payer has a playbook. The denials they reach for first. The clauses they "interpret" loosely. The timely-filing windows they enforce on you and forget on themselves. We memorized those playbooks. Then we taught them to a machine.
Not a chatbot. A network of specialized AI agents, each with a job an operator would recognize. They work in sequence, show their reasoning, route to humans on low confidence. Every claim, every day. Not a 5% sample.
U.S. healthcare spends roughly $5 trillion a year. A few percentage points of payment integrity loss is a number that should never be acceptable, and yet it's the industry baseline.
Claims platforms and RCM systems in use today were architected before contract language could be parsed at machine accuracy. They were built to adjudicate and bill, not to enforce contracts. That gap is the leak.
The people inside health plans, IPAs, MSOs, and hospitals doing the actual contract work have been holding the whole system together with spreadsheets, examiners, and force of will. Gabeo is the source of truth they've been missing.
Partnering with Gabeo.ai has been a game-changer for us. Their AI didn't just automate our workflows - it recovered lost revenue by overturning denials we had written off as unrecoverable. In fact, 50% of all overturns during the pilot came from those write-offs.
Working with Gabeo gave us visibility we'd never had into where contract-level payment integrity was breaking down - and helped our finance team recover dollars we had stopped looking for.
The fastest path to seeing Gabeo against your own contracts and claims is a 90-day pilot. Bring your claims extract. We bring everything else.
Full pilot, end-to-end, with deliverables you can take to your CFO.
Flat-file friendly. SFTP or secure object storage. No platform integration required.
For providers via ZOE: you pay only on recovered dollars. Risk-free.
BAA day-one. Every output is defensible from contract clause to dollar delta.
