Backed by
Y
Combinator
Audit your medical claims with AI
Payment integrity for TPAs and health plans. Save 2-7% on plan spend annually.
Built by a world class team



Built by a world class team



Avelis audits every medical claim with AI and clinician review. We deploy voice AI agents to recover nuanced billing, coding, and contract errors.
Avelis audits every medical claim with AI and clinician review. We deploy voice AI agents to recover nuanced billing, coding, and contract errors.
Avelis audits every medical claim with AI and clinician review. We deploy voice AI agents to recover nuanced billing, coding, and contract errors.
Avelis audits every medical claim with AI and clinician review. We deploy voice AI agents to recover nuanced billing, coding, and contract errors.
How it works
How it works
How it works
We've built advanced machine learning models to identify and recover hidden errors on medical claims
We've built advanced machine learning models to identify and recover hidden errors on medical claims
We've built advanced machine learning models to identify and recover hidden errors on medical claims
Zero implementation fees
Unlock hidden savings
Parse medical records with AI
Post-pay recovery
Zero implementation fees
Connect fast and securely without disrupting existing workflows.
We only charge for actual savings
We accept raw claims data in any format (CSV, 837/835, etc.)
We normalize your claims data (no extra IT work required)
HIPAA compliant enterprise security
Zero implementation fees
Connect fast and securely without disrupting existing workflows.
We only charge for actual savings
We accept raw claims data in any format (CSV, 837/835, etc.)
We normalize your claims data (no extra IT work required)
HIPAA compliant enterprise security
Zero implementation fees
Unlock hidden savings
Parse records with AI
Post-pay recovery
AI + clinicians catch errors others miss, across every claim.
Audit 100% of claims with AI, not just high-dollar review
Machine learning identifies nuanced billing errors
Clinician-in-the-loop to eliminate false positives
Auditable findings on every claim
Unlock hidden savings
AI + clinicians catch errors others miss, across every claim.
Audit 100% of claims with AI, not just high-dollar review
Machine learning identifies nuanced billing errors
Clinician-in-the-loop to eliminate false positives
Auditable findings on every claim
Unlock hidden savings
AI + clinicians catch errors others miss, across every claim.
Audit 100% of claims with AI, not just high-dollar review
Machine learning identifies nuanced billing errors
Clinician-in-the-loop to eliminate false positives
Auditable findings on every claim
Parse medical records with AI
Bring medical evidence into decisions for confident, shareable outcomes.
Parse unstructured clinical notes instantly
Minimize provider abrasion with targeted retrieval
Verify medical necessity against billing codes
Resolve claims faster with defensible proof
Parse medical records with AI
Bring medical evidence into decisions for confident, shareable outcomes.
Parse unstructured clinical notes instantly
Minimize provider abrasion with targeted retrieval
Verify medical necessity against billing codes
Resolve claims faster with defensible proof
Post-pay recovery
Convert findings into recoveries with clear, auditable documentation.
We own the entire negotiation and dispute cycle
Track resolution progress in real-time
Reconcile recovered payments with claims data
Reduce appeals with defensible documentation
Post-pay recovery
Convert findings into recoveries with clear, auditable documentation.
We own the entire negotiation and dispute cycle
Track resolution progress in real-time
Reconcile recovered payments with claims data
Reduce appeals with defensible documentation
We only charge for actual savings
We accept raw claims data in any format (CSV, 837/835, etc.)
We normalize your claims data (no extra IT work required)
HIPAA compliant enterprise security
Audit 100% of claims with AI, not just high-dollar review
Machine learning identifies nuanced billing errors
Clinician-in-the-loop to eliminate false positives
Explanations you can trust and share.
Parse unstructured clinical notes instantly
Minimize provider abrasion with targeted retrieval
Verify medical necessity against billing codes
Resolve claims faster with defensible proof
We own the entire negotiation and dispute cycle
Track resolution progress in real-time
Reconcile recovered payments with claims data
Reduce appeals with defensible documentation
AI Call Center
AI Call Center
AI Call Center
AI Call Center
We automate the entire recovery process from end-to-end.
We automate the entire recovery process from end-to-end.
We automate the entire recovery process from end-to-end.
Our proprietary voice AI models call providers to initiate and resolve post-payment recoveries on medical claims. We deploy human-level empathy with machine-level persistence.
Our proprietary voice AI models call providers to initiate and resolve post-payment recoveries on medical claims. We deploy human-level empathy with machine-level persistence.
Our proprietary voice AI models call providers to initiate and resolve post-payment recoveries on medical claims. We deploy human-level empathy with machine-level persistence.
Infinite Scale
Infinite Scale
Infinite Scale
Infinite Scale
Deploy a massive workforce the moment you need it
Deploy a massive workforce the moment you need it
Deploy a massive workforce the moment you need it
Human teams have limits; our infrastructure doesn’t. We're capable of executing thousands of simultaneous calls, compressing months of outreach into hours. Our voice AI agents scale elastically to ensure recovery velocity keeps up with your audits.
Human teams have limits; our infrastructure doesn’t. We're capable of executing thousands of simultaneous calls, compressing months of outreach into hours. Our voice AI agents scale elastically to ensure recovery velocity keeps up with your audits.
Human teams have limits; our infrastructure doesn’t. We're capable of executing thousands of simultaneous calls, compressing months of outreach into hours. Our voice AI agents scale elastically to ensure recovery velocity keeps up with your audits.
Dispute Resolution
Dispute Resolution
Dispute Resolution
Dispute Resolution
Identifying an error is easy, getting the money back is hard.
Identifying an error is easy, getting the money back is hard.
Identifying an error is easy, getting the money back is hard.
When providers push back, our AI pushes forward with data. Trained on complex coding guidelines and payer policies, our voice agents autonomously navigate objections and technical counter-arguments in real-time to validate the error and secure the refund.
When providers push back, our AI pushes forward with data. Trained on complex coding guidelines and payer policies, our voice agents autonomously navigate objections and technical counter-arguments in real-time to validate the error and secure the refund.
When providers push back, our AI pushes forward with data. Trained on complex coding guidelines and payer policies, our voice agents autonomously navigate objections and technical counter-arguments in real-time to validate the error and secure the refund.
Payment Reconciliation
Payment Reconciliation
Payment Reconciliation
Payment Reconciliation
We follow the money trail to increase visibility
We follow the money trail to increase visibility
We follow the money trail to increase visibility
We provide end-to-end transparency on the movement of funds from first call to settlement. Our platform tags every interaction and gives you an instant view of which funds have been recovered and which are in transit.
We provide end-to-end transparency on the movement of funds from first call to settlement. Our platform tags every interaction and gives you an instant view of which funds have been recovered and which are in transit.
We provide end-to-end transparency on the movement of funds from first call to settlement. Our platform tags every interaction and gives you an instant view of which funds have been recovered and which are in transit.
Newsroom & Blog

Articles
Mar 25, 2025
Beyond "Black Box" AI: Why Clinical Context is King in Payment Integrity
The Limits of Pure Algorithms
Read More

Articles
Nov 28, 2025
The Kraft Heinz Precedent: Is Your TPA Protected from ERISA Liability?
The Structural Conflict: Velocity vs. Veracity
Read More

Articles
Jun 1, 2025
Why Self-Insured Employers Systematically Overpay Medical Claims
The Current Claims Processing Model Creates Natural Blind Spots
Read More
Newsroom & Blog

Articles
Mar 25, 2025
Beyond "Black Box" AI: Why Clinical Context is King in Payment Integrity
The Limits of Pure Algorithms
Read More

Articles
Nov 28, 2025
The Kraft Heinz Precedent: Is Your TPA Protected from ERISA Liability?
The Structural Conflict: Velocity vs. Veracity
Read More

Articles
Jun 1, 2025
Why Self-Insured Employers Systematically Overpay Medical Claims
The Current Claims Processing Model Creates Natural Blind Spots
Read More
Newsroom & Blog

Articles
Mar 25, 2025
Beyond "Black Box" AI: Why Clinical Context is King in Payment Integrity
The Limits of Pure Algorithms
Read More

Articles
Nov 28, 2025
The Kraft Heinz Precedent: Is Your TPA Protected from ERISA Liability?
The Structural Conflict: Velocity vs. Veracity
Read More

Articles
Jun 1, 2025
Why Self-Insured Employers Systematically Overpay Medical Claims
The Current Claims Processing Model Creates Natural Blind Spots
Read More
FREQUENTLY ASKED QUESTION
Everything you need to know
Everything you need to know
Will this disrupt our current setup?
How much does this cost?
Is my company information secure with Avelis?
How does Avelis handle provider abrasion?
Will this disrupt our current setup?
How much does this cost?
Is my company information secure with Avelis?
How does Avelis handle provider abrasion?
Will this disrupt our current setup?
How much does this cost?
Is my company information secure with Avelis?
How does Avelis handle provider abrasion?
Recovery on autopilot
Dispute, track, recover, and close overpayments fast
Recovery on autopilot
Dispute, track, recover, and close overpayments fast
Recovery on autopilot
Dispute, track, recover, and close overpayments fast
Recovery on autopilot
Dispute, track, recover, and close overpayments fast
© 2025 Avelis Inc.

© 2025 Avelis Inc.

© 2025 Avelis Inc.
