0
Percent of Claims Spend Wasted
Due to fraud, errors, and inefficiencies
We Unclog Frozen Revenue
Since 2024
For Payers
Catch Fraud Pre-Payment
Proven Cost Containment
For Providers
Spot Denial Patterns in Real Time
Automate Appeals & Recover More
We Unclog Frozen Revenue
Since 2024
For Payers
Catch Fraud Pre-Payment
Proven Cost Containment
For Providers
Spot Denial Patterns in Real Time
Automate Appeals & Recover More
Turn Hidden Leakages Into Recovered Revenue.
Vistora gives payers and providers advanced tools to detect denial risk, payout leakage, and fraud patterns in real time, then uses machine learning to predict what’s next and automate what matters.
Turn Hidden Leakages Into Recovered Revenue.
Vistora gives payers and providers advanced tools to detect denial risk, payout leakage, and fraud patterns in real time, then uses machine learning to predict what’s next and automate what matters.
Efficient Software Solutions For
Healthcare.
2025
Healthcare is drowning in inefficiency. Our products are built to end the waste.
These numbers show why it can’t wait:
Healthcare is drowning in inefficiency. Our products are built to end the waste.
These numbers show why it can’t wait:
0
Percent of Claims Spend Wasted
Due to fraud, errors, and inefficiencies
0
Percent of Claims Spend Wasted
Due to fraud, errors, and inefficiencies
100
Hours Lost Per Staff Annually
Wasted on manual, repetitive tasks
100
Hours Lost Per Staff Annually
Wasted on manual, repetitive tasks
100
Hours Lost Per Staff Annually
Wasted on manual, repetitive tasks
0
Billion Dollars
U.S. Healthcare Fraud Estimated cost each year
0
Billion Dollars
U.S. Healthcare Fraud Estimated cost each year
0
Billion Dollars
U.S. Healthcare Fraud Estimated cost each year
0
Promise
Whether you’re a provider or a payer, our products will make healthcare operations effortless.
0
Promise
Whether you’re a provider or a payer, our products will make healthcare operations effortless.
0
Promise
Whether you’re a provider or a payer, our products will make healthcare operations effortless.
We are available
For Those We Serve:
Payers
Providers
Catch Fraud Before Paying
Predictive Fraud Defense
Self-Learning Fraud Detection
Engine trained on millions of claims
Proactively stops new fraud patterns
Reduce claim leakage
Fraud Intelligence
Multi-Level Claims Intelligence
Root-cause analysis for every claim
Detect patterns across providers,
plans, and time
Spot systemic issues before
they spiral
Visualized claims analytics
Compliance Confidence
Compliance Without Chaos
Full traceability for every
claim decision
SOC 2 & HIPAA-aligned security
Immutable, tamper-proof audit logs
Instant audit-ready reports
Payers
Providers
Catch Fraud Before Paying
Predictive Fraud Defense
Self-Learning Fraud Detection
Engine trained on millions of claims
Proactively stops new fraud patterns
Reduce claim leakage
Fraud Intelligence
Multi-Level Claims Intelligence
Root-cause analysis for every claim
Detect patterns across providers,
plans, and time
Spot systemic issues before
they spiral
Visualized claims analytics
Compliance Confidence
Compliance Without Chaos
Full traceability for every
claim decision
SOC 2 & HIPAA-aligned security
Immutable, tamper-proof audit logs
Instant audit-ready reports
Payers
Providers
Catch Fraud Before Paying
Predictive Fraud Defense
Self-Learning Fraud Detection
Engine trained on millions of claims
Proactively stops new fraud patterns
Reduce claim leakage
Fraud Intelligence
Multi-Level Claims Intelligence
Root-cause analysis for every claim
Detect patterns across providers,
plans, and time
Spot systemic issues before
they spiral
Visualized claims analytics
Compliance Confidence
Compliance Without Chaos
Full traceability for every
claim decision
SOC 2 & HIPAA-aligned security
Immutable, tamper-proof audit logs
Instant audit-ready reports
Our Products:
Fraud Detection Engine
X-1
X-1 Fraud Detection Engine
Flag and block fraudulent claims before payout.
Reduce leakage, stop new fraud patterns cold, and stay ahead of abuse, without lifting a finger. Every action is logged and visualized with built-in fraud analytics.
Live
Denials
Management
Engine
EXR
EXR-1 Claims Management Engine
Centralize denials, appeals, and scrubbing all from one place.
Built for modern RCM and Billing teams, EXR-1 flags what needs action, helps you route it to the right person, and keeps everything moving. Full analytics show where claims stall and how to fix them.
Live
AIX
Agentic
Workflow
Engine
AIX Agentic Workflow Engine
Coming for Providers and Payers:
Deploy AI agents that handle tasks ranging from claims processing to revenue cycle management, all from a single dashboard.
Coming Soon
Our Products:
Fraud Detection Engine
X-1
X-1 Fraud Detection Engine
Flag and block fraudulent claims before payout.
Reduce leakage, stop new fraud patterns cold, and stay ahead of abuse, without lifting a finger. Every action is logged and visualized with built-in fraud analytics.
Live
Denials
Management
Engine
EXR
EXR-1 Claims Management Engine
Centralize denials, appeals, and scrubbing all from one place.
Built for modern RCM and Billing teams, EXR-1 flags what needs action, helps you route it to the right person, and keeps everything moving. Full analytics show where claims stall and how to fix them.
Live
AIX
Agentic
Workflow
Engine
AIX Agentic Workflow Engine
Coming for Providers and Payers:
Deploy AI agents that handle tasks ranging from claims processing to revenue cycle management, all from a single dashboard.
Coming Soon
Our Products:
Fraud Detection Engine
X-1
X-1 Fraud Detection Engine
Paris, France
2019
Live
EXR
Denials
Management
Engine
EXR-1 Claims Management Engine
Centralize denials, appeals, and scrubbing all from one place.
Built for modern RCM and Billing teams, EXR-1 flags what needs action, helps you route it to the right person, and keeps everything moving. Full analytics show where claims stall and how to fix them.
Live
AIX
Agentic
Workflow
Engine
AIX Agentic Workflow Engine
Coming for Providers and Payers:
Deploy AI agents that handle tasks ranging from claims processing to revenue cycle management, all from a single dashboard.
Coming Soon
HOW WE DO IT
We offer a speedy, hassle-free integration process tailored to your organization's wishes.
We offer a speedy, hassle-free integration process tailored to your organization's wishes.
The Process:
01.
Scoping
We assess your existing systems, intake formats, and operational structure to define the integration scope.
01.
Scoping
We assess your existing systems, intake formats, and operational structure to define the integration scope.
01.
Scoping
We assess your existing systems, intake formats, and operational structure to define the integration scope.
02.
System Connection
Vistora connects through APIs or secure file-based handoffs. No disruption to your current infrastructure.
02.
System Connection
Vistora connects through APIs or secure file-based handoffs. No disruption to your current infrastructure.
02.
System Connection
Vistora connects through APIs or secure file-based handoffs. No disruption to your current infrastructure.
03.
Data Mapping
We map claim fields, plan rules, and routing logic to ensure seamless intake and processing.
03.
Data Mapping
We map claim fields, plan rules, and routing logic to ensure seamless intake and processing.
03.
Data Mapping
We map claim fields, plan rules, and routing logic to ensure seamless intake and processing.
04.
Logic Configuration
Custom fraud checks, coordination logic, and audit requirements are configured to match your workflows.
04.
Logic Configuration
Custom fraud checks, coordination logic, and audit requirements are configured to match your workflows.
04.
Logic Configuration
Custom fraud checks, coordination logic, and audit requirements are configured to match your workflows.
05.
Validation Phase
We run in parallel with your live system, validating outcomes across real claims data.
05.
Validation Phase
We run in parallel with your live system, validating outcomes across real claims data.
05.
Validation Phase
We run in parallel with your live system, validating outcomes across real claims data.
06.
Deployment
The system goes live. Claims flow through, insights are delivered, and teams operate as usual — only faster.
06.
Deployment
The system goes live. Claims flow through, insights are delivered, and teams operate as usual — only faster.
06.
Deployment
The system goes live. Claims flow through, insights are delivered, and teams operate as usual — only faster.
07.
Ongoing Support
Post-launch, we stay aligned with your team to monitor results, fine-tune performance, and support new requirements.
07.
Ongoing Support
Post-launch, we stay aligned with your team to monitor results, fine-tune performance, and support new requirements.
07.
Ongoing Support
Post-launch, we stay aligned with your team to monitor results, fine-tune performance, and support new requirements.
