Your Most Inclusive Healthcare Payment Integrity Partner
Industry-leading pre- and post-payment solutions for medical, pharmacy, vision, and dental claims, backed by our powerful, configurable Payer Analytics Platform.
Tech-Enabled Services & SaaS
We provide unmatched accuracy, efficiency, and insights, empowering organizations to enhance their financial operations and maintain compliance.
Why Alivia Analytics?
- We identify new recoveries missed by legacy vendors
- We deliver actionable pre- and post-pay analytics
- We offer automated pre-pay corrections
Innovative Solutions for Commercial Health Plans
- Private Health Insurance Plans
- Employer-Sponsored Insurance (ESI)
- Third-Party Administrators (TPAs)
- Self-Insured Employers
- Commercial Health Exchanges
Trusted Partner for State And Federal Agencies
- State Medicaid Agencies
- Centers for Medicare & Medicaid Services (CMS)
- Veterans Health Administration (VHA)
- Defense Health Agency (DHA)
- Centers for Disease Control and Prevention (CDC)
Moving as Fast & Far Left as you Need
Alivia’s Claims Process Fit
Alivia Advantage
Vendor Insourcing & Team Integration
Alivia’s AI-powered platform enables organizations to bring critical vendor functions in-house, reducing dependency on external parties and improving control over operations. With advanced tools and insights, our platform streamlines vendor management, enhances oversight, and drives strategic decision-making.
Bringing Teams Together
Our platform breaks down silos within your organization, fostering greater collaboration and transparency across different teams. By integrating diverse functions into one unified system, Alivia helps accelerate decision-making and drive innovation.
Adaptive Pre- and Post-Pay Flexibility
Alivia’s platform allows for seamless transitions between pre-pay and post-pay audit scenarios, providing a dynamic approach to financial oversight. Whether addressing issues proactively or resolving discrepancies after the fact, our AI-driven solution ensures comprehensive analysis and real-time adjustments.
Move To Pre-Pay
Our platform breaks down silos within your organization, fostering greater collaboration and transparency across different teams. By integrating diverse functions into one unified system, Alivia helps accelerate decision-making and drive innovation.
Holistic Approach to Accurate, Compliant Audits
Alivia’s auditing solution offers a full-spectrum review of all claims, ensuring no detail is overlooked. Our approach integrates various audit types, including data mining, clinical audits, COB, and more, providing a thorough and accurate assessment of payment integrity.
- Duplicate Payments
- Contractual Discrepancies
- Upcoding and Unbundling
- Outlier Detection
- System Pricing Errors
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.
Alivia Healthcare LLMs
Contact Alivia Today!
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