Built by a world class team
Built by a world class team
Avelis audits every medical claim with AI and clinician review to catch nuanced billing, coding, and contract errors both pre- and post-pay.
Avelis audits every medical claim with AI and clinician review to catch nuanced billing, coding, and contract errors both pre- and post-pay.
Avelis audits every medical claim with AI and clinician review to catch nuanced billing, coding, and contract errors both pre- and post-pay.
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
Book a demo
Book a demo
Book a demo
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 plus 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
Zero implementation fees
AI plus 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
Zero implementation fees
AI plus 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
Hidden Leakage
Hidden Leakage
Hidden Leakage
Hidden Leakage
2-7% of plan spend is avoidable waste.
2-7% of plan spend is avoidable waste.
2-7% of plan spend is avoidable waste.
Leading solutions miss 2-3% of errors on medical claims. This silent leakage drains annual budgets, driving up premiums and eroding employee benefits year over year.
Leading solutions miss 2-3% of errors on medical claims. This silent leakage drains annual budgets, driving up premiums and eroding employee benefits year over year.
Leading solutions miss 2-3% of errors on medical claims. This silent leakage drains annual budgets, driving up premiums and eroding employee benefits year over year.
Legacy audits
Legacy audits
Legacy audits
Legacy audits
High-dollar thresholds miss the volume.
High-dollar thresholds miss the volume.
High-dollar thresholds miss the volume.
By auditing only the most expensive claims, traditional plans miss the high volume of mid-sized errors. Sampling is no longer enough; you need 100% coverage to catch nuanced billing schemes.
By auditing only the most expensive claims, traditional plans miss the high volume of mid-sized errors. Sampling is no longer enough; you need 100% coverage to catch nuanced billing schemes.
By auditing only the most expensive claims, traditional plans miss the high volume of mid-sized errors. Sampling is no longer enough; you need 100% coverage to catch nuanced billing schemes.
Recovery
Recovery
Recovery
Recovery
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.
Most solutions stop at detection, dumping the burden of disputes & recovery onto your team. We handle the negotiation and appeal process, turning "identified savings" into actual refunds.
Most solutions stop at detection, dumping the burden of disputes & recovery onto your team. We handle the negotiation and appeal process, turning "identified savings" into actual refunds.
Most solutions stop at detection, dumping the burden of disputes & recovery onto your team. We handle the negotiation and appeal process, turning "identified savings" into actual refunds.
Newsroom & Blog
Articles
Sep 19, 2025
Beyond "Black Box" AI: Why Clinical Context is King in Payment Integrity
The Limits of Pure Algorithms
Read More
Articles
Sep 19, 2025
The Kraft Heinz Precedent: Is Your TPA Protected from ERISA Liability?
The Structural Conflict: Velocity vs. Veracity
Read More
Articles
Sep 19, 2025
Why Self-Insured Employers Systematically Overpay Medical Claims
The Current Claims Processing Model Creates Natural Blind Spots
Read More
Newsroom & Blog
Articles
Sep 19, 2025
Beyond "Black Box" AI: Why Clinical Context is King in Payment Integrity
The Limits of Pure Algorithms
Read More
Articles
Sep 19, 2025
The Kraft Heinz Precedent: Is Your TPA Protected from ERISA Liability?
The Structural Conflict: Velocity vs. Veracity
Read More
Articles
Sep 19, 2025
Why Self-Insured Employers Systematically Overpay Medical Claims
The Current Claims Processing Model Creates Natural Blind Spots
Read More
Newsroom & Blog
Articles
Sep 19, 2025
Beyond "Black Box" AI: Why Clinical Context is King in Payment Integrity
The Limits of Pure Algorithms
Read More
Articles
Sep 19, 2025
The Kraft Heinz Precedent: Is Your TPA Protected from ERISA Liability?
The Structural Conflict: Velocity vs. Veracity
Read More
Articles
Sep 19, 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?
Pre-pay protection.
Post-pay recovery
Dispute, track, recover, and close overpayments fast
Book a demo
Pre-pay protection.
Post-pay recovery
Dispute, track, recover, and close overpayments fast
Book a demo
Pre-pay protection.
Post-pay recovery
Dispute, track, recover, and close overpayments fast
Book a demo
Pre-pay protection.
Post-pay recovery
Dispute, track, recover, and close overpayments fast
Book a demo
© 2025 Avelis Inc.
© 2025 Avelis Inc.
© 2025 Avelis Inc.