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InsuranceClaims ManagementFraud 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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