The AI engine Fit Assessment
BetaAlivia Analytics develops AI-powered analytics solutions specifically for the insurance industry and employs machine learning techniques for fraud detection.
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Alivia Analytics (known as Alivia) provides a revolutionary, AI-powered end-to-end Healthcare Payment Integrity Platform that serves as a single source of truth data and analytics hub for commercial and government health plans, auditors, and fraud investigators. It includes modules for pre-pay accuracy and post-pay FWA detection and recovery (FWA Finder™). Tying it all together is Alivia's Case Manager™ which works seamlessly in our platform or yours to manage healthcare fraud cases.
We use our platform to also offer Tech-Enabled Services to support payers with outsourced SIU resources, pre-pay clinical reviews, post-pay recovery audits, and end-stage renal disease (ESRD) premium protection.
Our unique expert IT Services help health plan CIOs and VPs modernize outdated claims systems, de-identify and secure PHI, accelerate value-based care strategies, and consolidate data.