Milliman IntelliScript

What Milliman IntelliScript does

Milliman IntelliScript is a specialty insurtech subsidiary of Milliman, Inc., established in 1998 and headquartered in Milwaukee, Wisconsin, with 51-100 employees. The company builds proprietary data networks and interpretation platforms that aggregate prescription histories, medical claims, electronic health records (EHR), criminal records, and credit data from dozens of sources, then applies actuarial science, machine learning, and natural language processing to surface risk, eligibility, and opportunity signals for high-stakes decisions.

Its product portfolio is organized around three core suites: Irix (identified data interpretation for individual underwriting across life, disability, long-term care, and Medicare Supplement insurance, including a configurable Rules Engine, multiple Risk Score models, and ReCheck post-issue monitoring); Curv (deidentified data interpretation for group risk across health, life, disability, and ACA risk adjustment, protected by six U.S. patents); and Nodal (AI-powered P&C claims intelligence for workers' compensation, including Claims Triage and Medical Benchmarking). Two newer platforms, Contxt (clinical trial pre-screening) and Parse (legal case intake intelligence), extend the core data infrastructure into life sciences and legal services.

The company operates an enterprise B2B sales-led model targeting insurance carriers, reinsurers, professional employer organizations (PEOs), stop loss carriers, life sciences companies, and legal firms. Revenue is generated through subscription-based and per-transaction pricing under multi-year enterprise contracts, with quote-based pricing and proof-of-concept studies standard in the sales process. The business is wholly owned by Milliman, Inc., a private global consulting and actuarial firm founded in 1947, and has no external venture capital backing.

Name

Milliman IntelliScript

Legal name

Milliman, Inc.

Website

https://rxhistories.com

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

51–100 employees

Short description

Milliman IntelliScript is a specialty insurtech subsidiary of Milliman, Inc. that builds data networks and AI-driven interpretation platforms (Irix, Curv, Nodal, Contxt, Parse) used by insurance carriers, reinsurers, PEOs, life sciences companies, and legal firms to accelerate underwriting, risk assessment, and claims decisions.

Ownership category

akta.pro rank

Product category

Insurance Underwriting Software

NAICS

Insurance Carriers and Related Activities (524), Claims Adjusting (524291), Legal Services (5411)

SIC

Accident & Health Insurance (6321), Hospital & Medical Service Plans (6324), Services-Legal Services (8111)

akta.pro primary industry

De-identification, Tokenization & Privacy-Preserving Data Platforms (HLACAIAK)

Keywords

• Underwriting decision support
• Insurance data analytics
• Risk assessment software
• Clinical data interpretation
• Claims intelligence platform

Headquarters

HQ city

Brookfield

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Technology or R&D, Personnel, Operations, Marketing or Sales, Infrastructure

Revenue model

1. Data and Analytics Services: Subscription-based access to data products (Prescription Data, Medical Data, EHR) and analytics platforms (Irix, Curv, Nodal). Revenue generated through per-transaction or per-assessment fees, with enterprise contracts for carriers and insurers.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels8 records

Core offering

Milliman IntelliScript builds and licenses SaaS-based data networks and interpretation platforms that aggregate prescription histories, medical claims, EHR, criminal, and credit data to support underwriting and claims decisions. Its core products are the Irix Suite (identified data for individual risk), Curv Suite (deidentified data for group risk), Nodal Suite (AI-powered claims intelligence for P&C), plus Contxt for clinical trial pre-screening and Parse for legal case intake. Products are sold on subscription or per-assessment terms to insurance carriers, reinsurers, PEOs, stop loss carriers, life sciences firms, and legal services organizations.

Product overview

Milliman IntelliScript is an insurtech company that builds data networks and decision-support platforms across insurance, healthcare, legal services, and life sciences. The company offers three main product suites: Irix® Suite (identified data for individual underwriting including Rules Engine, Risk Score products, Prescription Data, Medical Data, EHR, Criminal Data, ReCheck, and Enroll), Curv® Suite (deidentified data for group risk including Group Health, Group Life & Disability, Market Segmentation, Risk Adjustment, and Census Check), and Nodal® Suite (AI-powered P&C claims intelligence including Claims Triage and Medical Benchmarking). Additionally, Contxt serves clinical trial pre-screening and Parse supports legal case intake. The products leverage advanced data aggregation, interpretation, and predictive analytics to surface risk signals that enable faster, more accurate decisions across high-stakes industries.

Differentiator

Problem solved

Functional benefit

Brands

• Irix Suite: Identified data interpretation suite for individual risk assessment in life, disability, long-term care, and Medicare Supplement insurance underwriting
• Curv Suite
• Nodal Suite
• Contxt
• Parse

Products and services

• Irix Suite Identified (individual-level) data interpretation platform that combines prescription histories, medical claims, EHR, criminal, and credit data with the Irix Rules Engine to deliver point-of-sale underwriting decisioning, triage, and post-issue review for life, disability, LTC, and Medicare Supplement carriers.
• Irix Rules Engine Automated underwriting decision engine that ingests Irix data sets along with application information and outputs condition-specific guidance (approve, decline, refer, or post-issue review) custom-calibrated to each carrier's underwriting standards.
• Irix Risk Score | Mortality Predictive mortality risk-scoring model for life insurance underwriting that surfaces risks and opportunities not visible through traditional underwriting, enabling more policies to be issued with improved mortality outcomes.
• Irix Risk Score | Morbidity Single morbidity risk metric for Medicare Supplement insurance that uses predictive analytics to counter rate compression and increasing loss ratios, supporting better risk selection and policy pricing.
• Irix Risk Score | LTC Long-term care risk scoring model built on five million life-years of Milliman LARA experience that generates LTC-specific risk scores for more than 90% of applicants using real-world health history.
• Irix Prescription Data Real-time electronic prescription history data aggregated from dozens of sources with same-day or previous-day fill visibility, used by insurers as core underwriting input for individual risk assessment.
• Irix Medical Data Real-time medical claims records aggregated from provider encounters (ERs, substance abuse facilities, mental health centers, specialty clinics) that reveal serious conditions often missed in labs and exam reports.
• Irix EHR (Electronic Health Records) Claims-driven EHR acquisition and interpretation tool that targets EHR orders based on prescription and medical claims data and provides FCRA-compliant, standardized, categorized, and searchable records.
• Irix Criminal Data Criminal history data integrated into the Irix workflow with rules informed by intensive mortality analyses, providing insight on felonies, misdemeanor DUI charges, and insurance fraud history.
• Irix ReCheck Post-issue review tool that reorders policyholder data 3–6 months into the contestability period to detect misrepresentation and uncover new decline conditions not visible at issue.
• Irix Enroll Medicare enrollment tool that instantly gathers prescription and provider history to cut average handle times and guide enrollees toward the best and most cost-effective plans.
• Curv Suite Deidentified (group-level) data interpretation platform that uses predictive modeling to chart group risk from deidentified prescription histories and medical claims data, protected by multiple U.S. patents.
• Curv Group Health Predictive risk scoring model for group health underwriting and pricing that transforms health-plan census data into risk scores without requiring past claims, used by PEOs, associations, MEWAs, captive, stop loss, and fully insured carriers.
• Curv Group Life & Disability Machine-learning model that predicts a group's potential long-term disability or life insurance claims at underwriting or renewal using deidentified prescription and medical claims data.
• Curv Market Segmentation Predictive model that sorts individuals into highly accurate risk segments using deidentified health data, supporting targeted marketing, upselling, cross-selling, and market entry or expansion for insurers.
• Curv Risk Adjustment Predictive model for ACA plan carriers that identifies new members with likely uncoded HCCs and sorts them into tiers by HCC revenue potential, leveraging patented deidentification and tokenization technology.
• Census Check Curv Group Health add-on that validates submitted census data against IntelliScript's data sources in real time to flag anomalies and potential errors before risk scoring.
• Nodal Suite AI-powered claims intelligence platform that uses AI, machine learning, and NLP to analyze structured and unstructured claims data and predict high-cost claims, excessive medical spend, and litigation likelihood in P&C insurance.
• Nodal Claims Triage Claims management solution using NLP and predictive modeling to extract insights from adjuster notes and other unstructured data, identifying volatile and high-cost claims earlier for timely intervention.
• Nodal Medical Benchmarking Workers' compensation cost management tool that compares WC outcomes to Group Health benchmarks for the same conditions on a risk-adjusted basis, using Milliman's proprietary Group Health database.
• Contxt SaaS platform for clinical trial pre-screening and enrollment that automates participant qualification using real-time, interpreted health data aligned to trial-specific inclusion and exclusion criteria.
• Parse Legal intake intelligence platform that brings verified, interpreted medical and prescription claims data into view at case intake and retainer, with HIPAA-compliant workflows and tort-specific intelligence for plaintiff firms and mass tort programs.

Quantifiable outcome

• 90% fewer APS orders and 55% faster decisions
• +6 more outcomes

Named customers5 records

Segments10 records

Ideal customer profiles6 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

AI capability19 records

Feature8 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• OneRecordcoreTechnology or Integration · 7 October 2022Milliman IntelliScript acquired OneRecord, a digital healthcare firm, to enhance its risk assessment services for life and health insurers. The acquisition allows Milliman to better serve clients with consumer-accessible healthcare data and position itself at the forefront of digital health technology.
• ClaretocoreTechnology or Integration · 5 May 2021Integration partnership to provide insurers with electronic health record (EHR) data. The integration enhanced IntelliScript's ability to deliver EHR data to insurance carriers through the Irix platform.
• Swiss RecoreStrategic or Co-development Partner · 19 November 2020Swiss Re and Milliman IntelliScript unveiled an integrated life insurance risk scoring solution for Magnum users. The partnership combined IntelliScript's data analytics with Swiss Re's Magnum underwriting platform to deliver integrated risk scoring for life insurance carriers.
• Munich RecoreStrategic or Co-development PartnerMunich Re conducted multiple retrospective studies validating IntelliScript products including EHR data value, Risk Score with Medical Data, and EHR vs traditional fluids in accelerated underwriting. Studies demonstrated mortality savings of nearly $1,000 per policy with EHR data.
• RGAcoreStrategic or Co-development PartnerRGA (Reinsurance Group of America) conducted actuarial validation of Irix Risk Score 3.0 with Credit Data, showing increased hit rates and improved segmentation of both lowest and highest deciles. Also validated Risk Score 3.0 without Credit Data.
• Hannover RecoreStrategic or Co-development PartnerHannover Re proved Medical Data's protective value through collaborative study, demonstrating the product's ability to identify serious conditions often missed in traditional underwriting.
• Partner ReminorStrategic or Co-development PartnerPartner Re used Irix Risk Score to test industry assumptions about decline mortality, examining mortality implications of declined applicants.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Emerging players

• Earnix: Earnix provides AI-driven rating, pricing, and personalization analytics for insurance and banking. It competes more directly with the predictive modeling layer IntelliScript offers through Curv Group Health and Risk Adjustment, but on the carrier pricing side rather than the data interpretation side.
• Cytora: Cytora is an AI underwriting platform for commercial insurance, using LLMs to ingest submission data and streamline risk evaluation. It represents the emerging AI-native underwriting wave that could compete with IntelliScript's automated Rules Engine, particularly in commercial P&C and specialty lines.
• Datavant: Datavant provides deidentification and tokenization technology for healthcare data exchange, competing directly with the patented deidentification technology underpinning Curv Suite. Its expanding footprint in clinical trial and health data linkage overlaps with IntelliScript's Contxt product.

Others

• Sapiens International: Sapiens is a global provider of insurance core systems and digital platforms for life, P&C, and reinsurance carriers. While it operates in the insurance technology ecosystem, it is more complementary than competitive, integrating with data analytics providers like IntelliScript rather than replacing them.

Broad incumbents

• Verisk Analytics: Verisk (NASDAQ: VRSK) is a large public analytics company serving insurance, financial services, and government, with deep data assets and ISO-based carrier integrations. It competes with IntelliScript in life and P&C underwriting and claims analytics, and bundles analytics inside incumbent carrier workflows.
• LexisNexis Risk Solutions: LexisNexis Risk Solutions is the dominant insurance data and analytics provider, offering credit, criminal, public records, and claims analytics to carriers, reinsurers, and P&C insurers. It is the largest direct competitor to IntelliScript's prescription, medical, and criminal data products and operates at materially greater scale.
• EXL Service: EXL is a publicly listed analytics and digital operations firm with a sizable insurance practice spanning underwriting, claims, and actuarial services. It competes with IntelliScript on adjacent underwriting and claims transformation engagements, though typically with a services-heavy model.
• CCC Intelligent Solutions: CCC Intelligent Solutions is a major P&C claims analytics platform serving auto insurers with claims triage, subrogation, and medical benchmarking. It overlaps with IntelliScript's Nodal Suite in P&C claims intelligence and medical cost benchmarking.

Direct peers

• MIB (Medical Information Bureau): MIB is the life insurance industry's primary data-sharing service for applicant history checks across hundreds of member carriers. It is the closest functional peer to Irix in the life insurance underwriting data layer, providing shared applicant information that complements IntelliScript's prescription and medical data.
• ExamWorks (now Gainwell) / Veloxinate: ExamWorks and related medical record retrieval services provide APS (Attending Physician Statement) ordering for life insurers, the workflow that IntelliScript's Medical Data product is explicitly designed to reduce (Woodmen Life cut APS orders nearly in half). They represent both a competitor and a complementary channel in underwriting.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/milliman-intelliscript

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Milliman IntelliScript