MDI NetworX expands AuditIQ for full claims auditing

By AI, Created 12:26 PM UTC, June 02, 2026, /AGP/ – MDI NetworX has expanded InsightPro AuditIQ to give health plans near real-time, AI-driven audit coverage across both auto-adjudicated and manually processed claims. The upgrade is designed to reduce payment errors, operational leakage and compliance risk while moving payers away from traditional sampling models.

Why it matters: - Health plans have traditionally audited only small samples of claims, leaving most payments unchecked. - MDI NetworX says the expanded InsightPro AuditIQ is designed to improve payment integrity, reduce overpayments and underpayments, and lower compliance exposure. - The move could help payers catch errors faster and reduce downstream provider disputes, rework and customer service escalations.

What happened: - MDI NetworX announced a major expansion of InsightPro AuditIQ on June 2, 2026. - The updated platform is now available to health plans and payer organizations across the United States. - The company says the product shifts claims oversight from sampling to intelligent, near real-time auditing across auto-adjudicated and manually processed claims.

The details: - The enhanced AuditIQ includes intelligent 100% audit coverage across both claims types. - The platform adds near real-time auditing to speed detection and intervention. - The system uses AI to identify, categorize and prioritize errors. - Automated correction workflows can route issues and escalate them based on configured rules. - Pre-check intervention tools are designed to stop downstream claim impact before payment. - The platform also provides enterprise tracking, trending, analytics and operational reporting. - MDI NetworX says the capabilities are intended to strengthen operational consistency across claims environments.

Between the lines: - The update reflects a broader shift from reactive review to preventative claims control. - MDI NetworX argues that recurring patterns can be identified and remediated sooner when every claim is in scope. - The company positions full-coverage auditing as a way to reduce audit burden over time while improving confidence in claims operations.

What’s next: - Health plans can now adopt the expanded AuditIQ capabilities immediately. - MDI NetworX says the platform should help organizations improve adjudication accuracy and financial control as they scale oversight across their claims population. - More information is available at AuditIQ.InsightPro.ai.