Adjudicate in 45 seconds.
Plan documents become a queryable rules engine. Every decision links back to the exact page it pulled from. No claim advances until a licensed processor reads the citation and signs.
Reading the same document for the hundredth time isn't judgment — it's overhead.
The research is automatic. The judgment stays human.
Plan documents become a rules engine.
Drop in SPDs, benefit schedules, and amendments. Bingo parses the library into structured coverage rules, exclusions, copays, deductibles, network tiers, and prior-auth requirements — every value indexed back to the original page and section.
The work queue tells your team where to look.
Clean claims surface for fast verification. Edge cases come tagged with the exact reason AI flagged them — missing prior auth, plan exclusion, ambiguous coverage. Processors spend their judgment where it matters.
The audit trail builds itself, signature by signature.
Every citation must be opened, read, and initialed by a licensed processor before the claim can advance. Compliance teams get a timestamped record of who verified which plan section, on which claim — without back-filling.
Runs alongside your existing CMS.
CSV in, structured decisions out. Or wire the API to PLEXIS, DataGenix, ClaimScape, or whatever you run today. No rip and replace. Live in 30 days.
The labor line item that pays for itself.
Assumes Bingo automates ~93% of processor review time on clean claims (12-min manual → 45-sec AI-assisted review). Actual savings depend on plan complexity and clean-claim mix.
Short, honest answers.
What every buyer raises in the first conversation. The rest gets answered live on the demo call.
Does Bingo replace our processors?
No. Bingo accelerates the research. The processor verifies every citation and signs off before any claim advances. AI never makes a determination alone — that's the architectural point.
How is PHI handled, and where does it live?
Architected to SOC 2 Type II compliance standards with audit logging natively enforced. Plan documents aren't PHI — Phase 1 carries zero compliance risk. Claims data runs inside your environment, behind your firewall. BAA available; PHI stays where it belongs.
Does it replace our CMS?
No. CSV in or API in — structured decisions out. We sit alongside whatever you run (PLEXIS, DataGenix, ClaimScape, custom) and hand the verified decision back. No rip-and-replace.
What happens when the AI gets it wrong?
The processor catches it before approval. The citation workflow forces them to read the cited SPD section, so AI reasoning is always falsifiable. Every override is logged and feeds back into accuracy benchmarks.
How long until we're live?
Thirty days from SPD upload to first adjudication, including processor training. Deeper integrations — CMS handoff, webhook callbacks — typically land in 60–90 days.
What does pricing look like?
Per client. Each engagement is scoped to your operation — monthly claim volume, plan complexity, and integration depth all drive the number. We bring a fitted proposal to the demo call.
See it run on your plans.
Thirty minutes. Sample SPDs, or yours. Walk a real claim end-to-end and see exactly what the processor sees.