Healthcare Administration simplified with AI
LightSpun delivers AI-powered automation across claims, credentialing, contact center, and more—so your team can focus on what matters: better patient outcomes, improved member engagement and a seamless provider experience.
Trusted by leading Insurance Companies, DSOs and Academic Institutions
Payors, Providers, and DSOs deserve a better healthcare administration platform.
So we built it. Pick and deploy the modules you need.
We work with healthcare payors to improve claim processing accuracy and efficiency, reducing administrative costs and improving provider relationships.
We help practices streamline their insurance claim workflows and identify missing revenue opportunities with our AI-powered platform.
We help TPAs and Partners to streamline administration using AI and Automation across locations while maximizing claim approvals and identifying potential revenue gaps.
LightSpun brings together every piece of modern healthcare administration in one seamless platform.
Use AI to automate, optimize, and enhance the process of setting up configurable benefit plans within the enterprise system.
Our modern Sales and Broker Management module is designed to empower payors and their broker networks. This innovative solution powered by AI centralizes crucial operations, from lead management and quote generation to policy administration and commission tracking.
Using LightSpun’s Claims Administration and Adjudication module, clients can configure plans, onboard groups in real-time, create flexible adjudication rules, and automate requests for information.
Manage provider recruitment, contracting, onboarding, credentialing & continuous monitoring, whether you're a Payor or DSO/Group Practices.
Reduce support costs and enhance the experience for members, providers, and groups with AI-powered chat and voice agents. Enable self-service through intuitive portals and integrate seamlessly with your existing IVR - all with minimal implementation cost.
Streamline claims, premium billing, and broker payments with our real-time, API-first financial module. Generate accurate EOBs, EOPs, and invoices for seamless claims billing and payment.
Gain a holistic view of your operations with embedded, enterprise-grade data lake powered reporting. Track performance, monitor trends, and uncover predictive insights without leaving the platform.
Experts in Healthcare & AI
We’ve lived the complexity of healthcare administration — from payors and TPAs to provider networks. Our team includes former operators from top health plans, dental insurers, and DSOs, who know the operational pain points firsthand.
We’ve paired that domain knowledge with world-class AI and engineering talent from leading technology firms. The result: a purpose-built platform that automates admin workflows with precision, speed, and trust.
Proven Impact
auto-adjudicated
first-call resolution
administrative overhead
Trusted by clients
Unlock your organization's full potential
Partner with Lightspun to make transformational changes to your organization. Our unified platform helps our customers achieve lasting results through intelligent automation, reduced processing time, and enhanced provider network management.