Self-Service Pre-Payment Analytics for Claims Editing
Alivia’s advanced first-pass pre-payment editing identifies coding errors and ensures compliance with healthcare regulations before claims are processed. By preventing billing mistakes, healthcare payers can reduce unnecessary expenditures and improve overall efficiency. Our solutions are delivered as Tech-Enabled Services and SaaS supported by a powerful, configurable Payer Analytics Platform. Alivia’s technology and robust content seamlessly integrate with your existing claims adjudication and payment workflows using healthcare rules, regulations, and policies.
Payment Integrity Expertise
It’s maintained by Clinical Specialists and Data Scientists who are on the cutting edge. You can scrutinize each claim to reveal a wealth of actionable insights quickly. Whether you are a Government Agency or a Medicaid, Medicare, or Commercial health plan, our editing solution will maximize the accuracy and savings of your claims.
Our Difference:
- One-View Searches: AI Queries, Details, Billing & Statuses
- Drag & Drop Capabilities
- Simple, Configurable Dashboards
- Real-Time Statistics & Tracking
Extended Editing Capabilities, including:
- Professional Claims
- Facility Claims
- Specialty Rx
- Emergency Department
- National Coverage Determinations (NCD)
- Local Coverage Determinations (LCD)
AI ASSIST FUNCTIONS
Alivia’s AI capabilities extend beyond traditional data analysis, providing predictive modeling, real-time decision support, and automated workflows that enhance operational effectiveness. By leveraging AI, we help organizations avoid fraud, optimize their payment processes, and confidently make data-driven decisions.
Contact Alivia Today!
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