Transforming Healthcare Payers with Superior Claims Technology & Analytics
Our prospective and retrospective solutions increase operational efficiencies, decrease medical expense spending, boost savings / recoveries, and lower provider & member abrasion.
Fraud
Detection
Detection
Payment
Integrity
Integrity
Data &
IT Services
IT Services
AI-POWERED SOLUTIONS
Pioneering FWA Detection & Prevention
Our innovative approach to Fraud, Waste, Abuse (FWA) detection has led to significant improvements for our clients, including a dramatic increase in fraud case management and recoveries. We continuously enhance our technology to stay ahead of emerging threats, ensuring that healthcare payers can protect their resources effectively.
Comprehensive Payment Integrity Offerings
Industry-leading pre- and post-payment solutions for medical, pharmacy, vision, and dental claims, backed by our powerful, configurable Payer Analytics Platform. Our Tech-Enabled Services & SaaS identify new recoveries missed by legacy vendors, deliver actionable pre- and post-pay analytics, and offer automated pre-pay corrections.
Serving Government & Commercial Health Plans
Alivia Analytics forms trusted partnerships with Medicaid, State Employee Benefit Plans, Medicare, Medicare Advantage, and Medicaid Managed Care plans. Our expertise extends to Private Health Insurance Plans, Employer-Sponsored Insurance (ESI), Third-Party Administrators (TPAs), and Self-Insured Employers.
