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Audit your medical claims with AI
Audit your medical claims with AI
Audit your medical claims with AI
Payment integrity for self-insured employers and health plans. Save 3-7% on plan spend annually.
Payment integrity for self-insured employers and health plans. Save 3-7% on plan spend annually.
Payment integrity for self-insured employers and health plans. Save 3-7% on plan spend annually.
Built by a world class team
Built by a world class team
Built by a world class team
How it works
Catch nuanced billing errors without any member benefit disruption.
Catch nuanced billing errors without any member benefit disruption.
Seamless claim auditing
Seamless claim auditing
We integrate seamlessly with your TPAs to audit 100% of claims post payment.
Unlock Hidden Savings
Unlock Hidden Savings
We deploy machine learning models to find nuanced billing errors, instantly.
Bulletproof Documentation
Bulletproof Documentation
We provide detailed evidence, plan contract references, and audit logs on every claim adjustment.
Avelis manages the appeals process from start to finish. She will reach out to your hospital / insurer by phone, email, fax, and mail.
provider Appeals
provider Appeals
We serve as an extension to your appeals team. We manage all provider disputes from end-to-end.
Every year, your health plan pays millions of dollars in erroneous medical claims. This drains your annual budget and leaves employees with rising premiums and worse coverage.
ERISA Compliance & Fiduciary Protection
Self-funded plan sponsors have a fiduciary duty to prudently manage plan assets and protect member interests. Our comprehensive audit trails reduce your exposure to compliance risks.
ERISA Compliance & Fiduciary Protection
Self-funded plan sponsors have a fiduciary duty to prudently manage plan assets and protect member interests. Our comprehensive audit trails reduce your exposure to compliance risks.
ERISA Compliance & Fiduciary Protection
Self-funded plan sponsors have a fiduciary duty to prudently manage plan assets and protect member interests. Our comprehensive audit trails reduce your exposure to compliance risks.
ERISA Compliance & Fiduciary Protection
Self-funded plan sponsors have a fiduciary duty to prudently manage plan assets and protect member interests. Our comprehensive audit trails reduce your exposure to compliance risks.
Post-Payment Audit Engine
We leverage the power of artificial intelligence to enforce your contracted plan, retrieve medical records, and identify hard to catch billing errors.
Post-Payment Audit Engine
We leverage the power of artificial intelligence to enforce your contracted plan, retrieve medical records, and identify hard to catch billing errors.
Post-Payment Audit Engine
We leverage the power of artificial intelligence to enforce your contracted plan, retrieve medical records, and identify hard to catch billing errors.
Post-Payment Audit Engine
We leverage the power of artificial intelligence to enforce your contracted plan, retrieve medical records, and identify hard to catch billing errors.
Real-Time Savings Dashboard
Track every dollar recovered with detailed claim-by-claim reporting. See which facilities generate the most billing errors and monitor savings trends over time.
Real-Time Savings Dashboard
Track every dollar recovered with detailed claim-by-claim reporting. See which facilities generate the most billing errors and monitor savings trends over time.
Real-Time Savings Dashboard
Track every dollar recovered with detailed claim-by-claim reporting. See which facilities generate the most billing errors and monitor savings trends over time.
Real-Time Savings Dashboard
Most US hospitals are legally required to give discounts to low income patients. This can be up to 100% off. We search and apply for these on your behalf.
501(r) Financial Assistance
Non-profit hospitals are required to offer financial assitance, yet patients do not get screened. This leads to missed savings in 30-40% of claims, and millions in overpayments.
501(r) Financial Assistance
Non-profit hospitals are required to offer financial assitance, yet patients do not get screened. This leads to missed savings in 30-40% of claims, and millions in overpayments.
501(r) Financial Assistance
Non-profit hospitals are required to offer financial assitance, yet patients do not get screened. This leads to missed savings in 30-40% of claims, and millions in overpayments.
501(r) Financial Assistance
Non-profit hospitals are required to offer financial assitance, yet patients do not get screened. This leads to missed savings in 30-40% of claims, and millions in overpayments.
Frequently Asked Questions
Will this disrupt our current setup?
Not at all. Your employees keep their same cards, networks, and benefits. Avelis works invisibly in the background.
Will this disrupt our current setup?
Will this disrupt our current setup?
Not at all. Your employees keep their same cards, networks, and benefits. Avelis works invisibly in the background.
Will this disrupt our current setup?
Not at all. Your employees keep their same cards, networks, and benefits. Avelis works invisibly in the background.
How much does this cost?
How much does this cost?
How much does this cost?
How much does this cost?
Is my company information secure with Avelis?
Is my company information secure with Avelis?
Is my company information secure with Avelis?
Is my company information secure with Avelis?
How do providers respond to challenges?
How do providers respond to challenges?
How do providers respond to challenges?
How do providers respond to challenges?
Reduce your annual health plan spend. Guaranteed savings, or it's free
Reduce your annual health plan spend. Guaranteed savings, or it's free
Reduce your annual health plan spend. Guaranteed savings, or it's free
Reduce your annual health plan spend. Guaranteed savings, or it's free