How Much Are Manual Ops Costing You?
Risk isn’t abstract. Payers lose billions to fraud, noncompliance, and wasted operations. With Penguin Ai, you can de-risk adoption — governance, privacy, and auditability built in. Cut costs and realize ROI in 90 days or less.
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The Price of Doing Nothing
Every day of "business as usual" causes revenue bleed and piles on more risk. Penguin Ai is the healthcare-native platform that stops the leakage, de-risks your operations, and delivers measurable ROI in 90 days.
Compliance Pressure is Rising
From CMS-0057-F on prior auth to stricter audit requirements.
Manual Workflows Create Risk
From coding errors to inconsistent adjudication.
Fraud, Waste, and Abuse
Account for 10–20% of all healthcare spend, with billions lost to scams each year.
The Result
Higher costs, regulatory exposure, and frustrated providers and members.
Your Costliest Problems Fixed
Choose the pain point slowing you down — Penguin Ai has a Digital Worker ready to fix it. These are just a few examples in a sea of possibilities.
Prior Authorizations
Cut turnaround times, improve decision accuracy, and stay CMS-0057-F compliant with built-in auditability
Risk Adjustments & Reporting
Identify HCC codes with AI-driven precision, optimize risk scores, and safeguard compliance.
Claims Adjudication
Apply payer-specific rules automatically, reduce rework, and ensure consistent, explainable outcomes.
Payment Integrity
Detect and prevent fraud, waste, and abuse with anomaly detection and risk scoring — closing the gaps that cost you billions.
No Risk. No Lock-In. Just Results.
Too many pilots stall before they deliver value — Penguin Ai delivers guaranteed, measurable ROI in 90 days — or it’s free
De-Risked by Design
Governance, privacy, and auditability built in from day one.
Low Barriers to Entry — and Exit
No lock-in, no wasted investment.
Compliance First
CMS-ready, HIPAA-aligned, and regulator-proof.
Ecosystem Ready
Built for payers, providers, and partners across healthcare
Scalable Platform
Start with one workflow, expand to an AI workforce.
Ready to Cut Risk and Recover Millions?
See how Penguin Ai transforms payer operations — from prior auth to payment integrity.
