PRESS RELEASE
FOR IMMEDIATE RELEASE
Paytegrity Unveils the PayRight℠ Unified Defense System: The New Sovereign Infrastructure for Healthcare Payers
[JACKSONVILLE, FLORIDA] — Paytegrity officially announces the launch of the PayRight℠ Solutions Unified Defense System, establishing the new Platinum Standard for healthcare payer operations. Moving beyond traditional vendor models, Paytegrity is now positioned as a Sovereign Infrastructure Provider, offering a private, AI-native ecosystem engineered for absolute operational precision.
The Technical Moat: 300+ Dynamic Rule Engines At the core of this unified defense is a robust library of 300+ pre-built dynamic rule engines utilizing advanced deterministic logic and dynamic tables. This architecture provides “sight” into approximately 80% of medical spending, allowing payers to stop billing anomalies at the source before the claim is paid.
Engineered for Absolute Operational Precision The PayRight℠ Solutions framework is a closed-loop, AI-native architecture that enables organizations to manage their own defensible infrastructure in-house. Key capabilities include:
- Agentic Autonomous Agents: AI workflows that autonomously investigate, validate, and correct multi-layered billing anomalies in real-time.
- Modular Design: Coding & Clinical Audits, Itemized Bill Review, NCCI, Contract Governance, FWA Modules with correspondence/provider portal. FHIR & EMR connectors.
- Integrated Groupers: Seamlessly handling CMS MCE DRG, I/OCE, SNF PDPM, and HH PDGM logic within a single, unified ecosystem.
- High-Velocity Cost Avoidance: Transforming existing payment integrity frameworks into highly optimized engines of capital growth by preventing leakage in real-time.
Elite Access: The Private Offering To protect the integrity of this specialized intellectual property and proprietary telemetry, the PayRight℠ Solutions ecosystem is available exclusively via Private Offering. This ensures that high-stakes infrastructure is managed within a secure, defensible environment, accessible only to verified leadership.
Initiating the Transition To support this macro shift, Paytegrity offers two specialized engagement tracks:
- Track Alpha: The Closed-Door Executive Briefing: A private architectural roadmap for C-Suite Leadership (EVPs, SVPs) to initiate their transition to modern autonomous defense.
- The Enterprise Track: An intensive operational cohort for VPs and Directors to master the modern AI-PI playbook and manage infrastructure in-house.
“We have engineered a full-modernization ecosystem that works in real-time,” says Peggy Barber, CEO at Paytegrity. “This is not about replacing core systems; it is about deploying a highly targeted, capital-efficient prepayment control that works seamlessly from day one”.
About Paytegrity Paytegrity is a specialized payment integrity innovator. By combining deep domain and clinical expertise with cutting-edge AI and agentic workflows, we deliver the next-generation sovereign infrastructure that provides payers with more value and better outcomes.
Media Contact:
Communications Team Paytegrity PayRight℠ Solutions
media@pay-tegrity.com