One Unified Platform

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.

Payors

We work with healthcare payors to improve claim processing accuracy and efficiency, reducing administrative costs and improving provider relationships.

DSOs & Group Practices

We help practices streamline their insurance claim workflows and identify missing revenue opportunities with our AI-powered platform.

TPAs & Partners

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.

Purpose-built to scale with payors, DSOs, and TPAs.
Benefit Administration

Use AI to automate, optimize, and enhance the process of setting up configurable benefit plans within the enterprise system.

Sales & Broker Management

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.

Claims Administration & Adjudication

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.

Provider Network Management

Manage provider recruitment, contracting, onboarding, credentialing & continuous monitoring, whether you're a Payor or DSO/Group Practices.

Contact Center Automation

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.

Billing & Payment System

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.

Enterprise Data Warehouse & Reporting

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.

Built By Insiders

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

90
%+
Claims

auto-adjudicated
75
%
Boost in

first-call resolution
50
%
Reduction in

administrative overhead
10
x
Return on Investment (ROI)

Trusted by clients

“LightSpun was able to seamlessly integrate their platform with our existing systems and was able to deploy the entire platform within months due to the teams in-depth domain knowledge in technology, AI and dental”
Insurance Payer
VP, Information Technology
“Using LightSpun’s Contact Center Automation module, we expect to save $2M annually in call center operations, achieving a 64% cost savings.”
Large BCBS Plan
Director of Operations
“Our very manual, time-consuming and error-prone processes needed the injection of technology designed by those who have walked more than a mile in our shoes. We have been able to reduce 50% of FTEs!”
Blue Cross Blue Shield
Dental Director
“Using LightSpun’s Claim Intake Automation module, we will reduce manual intervention on paper claims by 95%.”
Insurance Payor
President
“Our claims administration cost was reduced by 50% thanks to LightSpun’s Claims Administration & Adjudication Platform.”
Insurance Payor
CEO

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.