# basys.ai

> basys.ai is a Cambridge, Massachusetts healthcare technology company that builds enterprise-grade, domain-specific AI for health plans and payers. Founded in 2022 by Harvard health data science alumni Amber Nigam and Jie Sun, the company automates prior authorization, utilization management, and payment integrity, turning a process that can take days into decisions rendered in minutes - with plain-language rationales and hyperlinks to the exact policy criteria and clinical notes behind each decision. The platform is designed to encode a payer's own coverage policies so it can compare them against a patient's longitudinal record without requiring integration marathons or sensitive data handoffs.

- **Founded:** 2022
- **Headquarters:** Cambridge, Massachusetts, United States
- **Founders:** Amber Nigam (Co-Founder & CEO), Jie Sun (Co-Founder)
- **Team size:** ~20 employees
- **Products:** AI Prior Authorization, Utilization Management, Payment Integrity
- **Notable:** Raised an oversubscribed $2.4M pre-seed round backed by Eli Lilly and Mayo Clinic (2023), Trained its engine on longitudinal data covering more than 10 million patients from Joslin Diabetes Center and Mayo Clinic, Named a national finalist by CMS in the Crushing Fraud, Waste, and Abuse Challenge (2025)

## Products & services

- **AI Prior Authorization** — Agentic, generative-AI-driven automation that retrieves relevant patient documentation, builds a longitudinal picture of the patient, encodes the payer's coverage policies, and renders coverage decisions in minutes with plain-language rationale and hyperlinks to the governing policy criteria.
- **Utilization Management** — AI that accelerates and standardizes utilization review decisions across all payer lines of business, aiming to improve accuracy, speed, and payer-provider alignment while improving medical loss ratio (MLR).
- **Payment Integrity** — AI applied to payment integrity and medical record review to reduce fraud, waste and abuse and streamline audits - including the SureReview medical record review tool developed with RELI Group.

## Achievements

- Raised an oversubscribed $2.4M pre-seed round backed by Eli Lilly and Mayo Clinic (2023)
- Trained its engine on longitudinal data covering more than 10 million patients from Joslin Diabetes Center and Mayo Clinic
- Named a national finalist by CMS in the Crushing Fraud, Waste, and Abuse Challenge (2025)
- CEO Amber Nigam recognized among the Top Healthcare Technology CEOs of 2025 by The Healthcare Technology Report
- Amber Nigam named Top 50 in Digital Health by Rock Health and a 40 Under 40 honoree
- Signed 2025 strategic partnerships with MedeAnalytics, RELI Group, and Smart Data Solutions

## Latest updates

- **2025-12** — Announced a strategic partnership with MedeAnalytics to transform utilization management and improve MLR across payer lines of business.
- **2025-12** — Selected by CMS as a national finalist in the Crushing Fraud, Waste, and Abuse Challenge.
- **2025-11** — Partnered with RELI Group on federal health and responsible AI, co-developing the SureReview medical record review tool for a 2026 launch.
- **2025-06** — Partnered with Smart Data Solutions to bring AI-driven prior authorization to health plans and TPAs.
- **2025-01** — CEO Amber Nigam recognized among the Top Healthcare Technology CEOs of 2025.

## Links

- Website: https://basys.ai
- LinkedIn: https://www.linkedin.com/company/basysai
- Twitter/X: https://twitter.com/AiBasys
- Facebook: https://facebook.com/basysdotai/

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Profile page: https://yespress.io/basys-ai
Published by YesPress — https://yespress.io
Last updated: 2026-07-07