https://avelishealth.com

Avelis Health - Audit your medical claims with AIAvelis Health, employer cost containment, healthcare cost savings, AI medical billing, claims repricing, self-funded health plans, TPA solutions, stop-loss optimization, insurance appeal automationAvelis uses AI to audit 100% of medical claims to identify errors and recover overpayments. We reduce annual health plan spend by 2-7%.Avelis Health - Audit your medical claims with AI Learn MoreHow it worksPodcastBook a demoLearn MoreHow it worksPodcastBook a demoLearn MoreHow it worksPodcastBook a demoBacked byYCombinatorAudit your medical claims with AIPayment integrity for TPAs and health plans. Save 2-7% on plan spend annually.Book a demoBook a demoAI Call CenterAI Call CenterBuilt by a world class teamBuilt by a world class teamAvelis audits every medical claim with AI and clinician review. We deploy voice AI agents to recover nuanced billing, coding, and contract errors.Avelis audits every medical claim with AI and clinician review. We deploy voice AI agents to recover nuanced billing, coding, and contract errors.Avelis audits every medical claim with AI and clinician review. We deploy voice AI agents to recover nuanced billing, coding, and contract errors.Avelis audits every medical claim with AI and clinician review. We deploy voice AI agents to recover nuanced billing, coding, and contract errors.How it worksHow it worksHow it worksWe've built advanced machine learning models to identify and recover hidden errors on medical claimsWe've built advanced machine learning models to identify and recover hidden errors on medical claimsWe've built advanced machine learning models to identify and recover hidden errors on medical claimsBook a demoBook a demoBook a demoZero implementation feesUnlock hidden savingsParse medical records with AIPost-pay recovery Zero implementation feesConnect fast and securely without disrupting existing workflows.We only charge for actual savingsWe accept raw claims data in any format (CSV, 837/835, etc.)We normalize your claims data (no extra IT work required)HIPAA compliant enterprise securityZero implementation feesConnect fast and securely without disrupting existing workflows.We only charge for actual savingsWe accept raw claims data in any format (CSV, 837/835, etc.)We normalize your claims data (no extra IT work required)HIPAA compliant enterprise securityZero implementation feesUnlock hidden savingsParse records with AIPost-pay recoveryAI + clinicians catch errors others miss, across every claim.Audit 100% of claims with AI, not just high-dollar reviewMachine learning identifies nuanced billing errorsClinician-in-the-loop to eliminate false positivesAuditable findings on every claimUnlock hidden savings AI + clinicians catch errors others miss, across every claim.Audit 100% of claims with AI, not just high-dollar reviewMachine learning identifies nuanced billing errorsClinician-in-the-loop to eliminate false positivesAuditable findings on every claimUnlock hidden savings AI + clinicians catch errors others miss, across every claim.Audit 100% of claims with AI, not just high-dollar reviewMachine learning identifies nuanced billing errorsClinician-in-the-loop to eliminate false positivesAuditable findings on every claim Parse medical records with AIBring medical evidence into decisions for confident, shareable outcomes.Parse unstructured clinical notes instantlyMinimize provider abrasion with targeted retrievalVerify medical necessity against billing codesResolve claims faster with defensible proof Parse medical records with AIBring medical evidence into decisions for confident, shareable outcomes.Parse unstructured clinical notes instantlyMinimize provider abrasion with targeted retrievalVerify medical necessity against billing codesResolve claims faster with defensible proofPost-pay recoveryConvert findings into recoveries with clear, auditable documentation.We own the entire negotiation and dispute cycleTrack resolution progress in real-timeReconcile recovered payments with claims dataReduce appeals with defensible documentationPost-pay recoveryConvert findings into recoveries with clear, auditable documentation.We own the entire negotiation and dispute cycleTrack resolution progress in real-timeReconcile recovered payments with claims dataReduce appeals with defensible documentationWe only charge for actual savingsWe accept raw claims data in any format (CSV, 837/835, etc.)We normalize your claims data (no extra IT work required)HIPAA compliant enterprise securityAudit 100% of claims with AI, not just high-dollar reviewMachine learning identifies nuanced billing errorsClinician-in-the-loop to eliminate false positivesExplanations you can trust and share.Parse unstructured clinical notes instantlyMinimize provider abrasion with targeted retrievalVerify medical necessity against billing codesResolve claims faster with defensible proofWe own the entire negotiation and dispute cycleTrack resolution progress in real-timeReconcile recovered payments with claims dataReduce appeals with defensible documentationAI Call CenterAI Call CenterAI Call CenterAI Call CenterWe automate the entire recovery process from end-to-end.We automate the entire recovery process from end-to-end.We automate the entire recovery process from end-to-end.Our proprietary voice AI models call providers to initiate and resolve post-payment recoveries on medical claims. We deploy human-level empathy with machine-level persistence. Our proprietary voice AI models call providers to initiate and resolve post-payment recoveries on medical claims. We deploy human-level empathy with machine-level persistence. Our proprietary voice AI models call providers to initiate and resolve post-payment recoveries on medical claims. We deploy human-level empathy with machine-level persistence. Infinite ScaleInfinite ScaleInfinite ScaleInfinite ScaleDeploy a massive workforce the moment you need itDeploy a massive workforce the moment you need itDeploy a massive workforce the moment you need itHuman teams have limits; our infrastructure doesn’t. We're capable of executing thousands of simultaneous calls, compressing months of outreach into hours. Our voice AI agents scale elastically to ensure recovery velocity keeps up with your audits.Human teams have limits; our infrastructure doesn’t. We're capable of executing thousands of simultaneous calls, compressing months of outreach into hours. Our voice AI agents scale elastically to ensure recovery velocity keeps up with your audits.Human teams have limits; our infrastructure doesn’t. We're capable of executing thousands of simultaneous calls, compressing months of outreach into hours. Our voice AI agents scale elastically to ensure recovery velocity keeps up with your audits.Dispute ResolutionDispute ResolutionDispute ResolutionDispute ResolutionIdentifying an error is easy, getting the money back is hard.Identifying an error is easy, getting the money back is hard.Identifying an error is easy, getting the money back is hard.When providers push back, our AI pushes forward with data. Trained on complex coding guidelines and payer policies, our voice agents autonomously navigate objections and technical counter-arguments in real-time to validate the error and secure the refund.When providers push back, our AI pushes forward with data. Trained on complex coding guidelines and payer policies, our voice agents autonomously navigate objections and technical counter-arguments in real-time to validate the error and secure the refund.When providers push back, our AI pushes forward with data. Trained on complex coding guidelines and payer policies, our voice agents autonomously navigate objections and technical counter-arguments in real-time to validate the error and secure the refund.Payment ReconciliationPayment ReconciliationPayment ReconciliationPayment ReconciliationWe follow the money trail to increase visibilityWe follow the money trail to increase visibilityWe follow the money trail to increase visibilityWe provide end-to-end transparency on the movement of funds from first call to settlement. Our platform tags every interaction and gives you an instant view of which funds have been recovered and which are in transit.We provide end-to-end transparency on the movement of funds from first call to settlement. Our platform tags every interaction and gives you an instant view of which funds have been recovered and which are in transit.We provide end-to-end transparency on the movement of funds from first call to settlement. Our platform tags every interaction and gives you an instant view of which funds have been recovered and which are in transit.Avelis PodcastAvelis PodcastEpisode 2AI in Payment IntegrityAI, Payment Integrity16 minsEpisode 2AI in Payment IntegrityAI, Payment Integrity16 minsEpisode 2AI in Payment IntegrityAI, Payment Integrity16 minsEpisode 2AI in Payment IntegrityAI, Payment Integrity16 minsEpisode 1Scott BordenFighting Healthcare's Misaligned IncentivesAdjudication, AI14 minsEpisode 1Scott BordenFighting Healthcare's Misaligned IncentivesAdjudication, AI14 minsEpisode 1Scott BordenFighting Healthcare's Misaligned IncentivesAdjudication, AI14 minsEpisode 1Scott BordenFighting Healthcare's Misaligned IncentivesAdjudication, AI14 minsFREQUENTLY ASKED QUESTIONEverything you need to knowEverything you need to knowWill this disrupt our current setup?How much does this cost?Is my company information secure with Avelis?How does Avelis handle provider abrasion?Will this disrupt our current setup?How much does this cost?Is my company information secure with Avelis?How does Avelis handle provider abrasion?Will this disrupt our current setup?How much does this cost?Is my company information secure with Avelis?How does Avelis handle provider abrasion?Recovery on autopilotDispute, track, recover, and close overpayments fastBook a demoRecovery on autopilotDispute, track, recover, and close overpayments fastBook a demoRecovery on autopilotDispute, track, recover, and close overpayments fastBook a demoRecovery on autopilotDispute, track, recover, and close overpayments fastBook a demoCatch costly errors before payment and recover what slips throughProductLearn MoreHow It WorksLegalPrivacy PolicyTerms And ConditionsResourcesContact UsBlog© 2025 Avelis Inc.Catch costly errors before payment and recover what slips throughProductLearn MoreHow It WorksLegalPrivacy PolicyTerms And ConditionsResourcesContact UsBlog© 2025 Avelis Inc.Catch costly errors before payment and recover what slips throughProductLearn MoreHow It WorksLegalPrivacy PolicyTerms And ConditionsResourcesContact UsBlog© 2025 Avelis Inc.enen1770751201https://avelishealth.com

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