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Insurance › Claims Management › Fraud Detection (Claims)
Alivia Analytics
AI-driven post-payment health-claims fraud, waste and abuse detection.
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Overview
Alivia Analytics provides AI-driven post-payment detection of fraud, waste and abuse in health claims. It analyzes paid claims to identify improper payments and recovery opportunities.
The platform is aimed at health payers and program-integrity teams focused on post-payment review and recovery.
Key Features
- + Post-payment FWA detection
- + AI health-claims analytics
- + Improper-payment identification
- + Recovery-opportunity surfacing
- + Case management support
- + Reporting and analytics
Integrations
Open APICore claims systems
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