New agent intelligently benchmarks high-cost and unusual medical claims against price transparency and market data, identifying relevant comparables in seconds
WASHINGTON, Sept. 17, 2026 /PRNewswire/ — Gigasheet today announced a new agentic AI capability designed to make medical claim investigations up to 10 times faster. Built for payment integrity organizations, litigation support teams, and stop-loss carriers the capability replaces time-consuming manual research with on-demand automated intelligence.
The new AI agent takes details about a claim, such as the billing code, provider or hospital, payer, geography, and payment amount, and benchmarks it against commercial rates published under federal healthcare price transparency requirements.
Instead of relying on a single exact-match lookup, Gigasheet’s AI evaluates the available pricing evidence and determines the most relevant comparison set. It can reason across comparable providers, relevant payers, local geographic markets, sample sufficiency, and custom rules. It can also provide geographically-adjusted Medicare reimbursement. The result is a more complete picture of a claim versus relevant market benchmarks.
“Price transparency rules have made a tremendous amount of commercial healthcare pricing data public, but finding the right rate isn’t always as simple as looking up a code,” said Jason Hines, co-founder and CEO of Gigasheet. “When an unusual high-cost claim lands on an analyst’s desk, the real question is often: what are the most defensible comparisons given what we know? AI gives us a way to make this data dramatically more accessible and useful for cost containment.”
From Rate Lookup to Intelligent Claim Research
Healthcare price transparency has created an unprecedented source of commercial pricing evidence. For years health plans and hospitals have been required to publish negotiated prices covering hundreds of billions of rate records.
But using those records to investigate an individual claim remains difficult. An exact combination of provider, payer, service, and geography may produce multiple prices, or no results. Even with an exact rate, a reviewer may need a broader view of the market to assess a claim.
Gigasheet’s AI agent handles that analytical process. Rather than needing a human analyst to determine what constitutes a typical rate, the AI does the work given the claim facts plus any methodology and output requirements. It performs the necessary research across Gigasheet’s data and returns a structured result. The agent evaluates available datapoints, tests comparisons, applies thresholds, customizes to rules, and returns a structured benchmark.
“Our agentic capability is a level beyond anything else on the market,” said Garth Griffin, co-founder and CTO of Gigasheet. “Our product has always offered an intuitive interface for finding data, then we added AI-friendly integration points for users that had their own AI tools, and now we have gone even further to provide the AI agent itself, with baked-in expertise in healthcare price transparency. It’s like having an expert consultant on call 24 hours a day that has all the data and always gets back to you right away. You can even use it in your own automation with our API.”
Availability
Organizations interested in evaluating the capability can contact Gigasheet or see the AI agent in action during a live webinar on September 24, 2026 at 1:00 PM ET.
About Gigasheet
Gigasheet is a healthcare market intelligence company that combines price transparency data with proprietary provider, quality, and market signals to make healthcare pricing more actionable. Gigasheet processes over 15 trillion published negotiated rates and delivers intelligence for reimbursement benchmarking, payment integrity, and litigation support.
Media Contact
Rachel Abel, Marketing
703-584-7511
422923@email4pr.com
Gigasheet, Inc.
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SOURCE Gigasheet, Inc.
