AI-Powered Payment Integrity Solutions

We use AI to optimize your pre-payment claim reviews — finding you more savings in less time.

Contact us and get started today.

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Our Clients Save 22% More

We save our clients an average of 22% above industry discount rates.

Explore our client case studies below to learn more about our technology-driven approach to tackling fraud, waste, and abuse.

"Alaffia is streamlining how medical claims are processed and reviewed. They're applying AI and machine learning in new ways that will reduce burden and lower costs across the industry, which will free up resources to more equitably care for patients."
Andrey Ostrovsky
Former Chief Medical Officer,
US Medicaid Program

Find More Errors and
in Less Time

Our AI-Powered Solutions

AI-Powered Bill Reviews

Our proprietary OCR system digitizes unstructured itemized bills to intelligently and accurately review line charge details — finding you more savings in less time.

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Claims Editing

We leverage AI and machine learning to ensure highly defensible and accurate edits — every claim, every charge, every time.

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Claims Negotiation

We proactively negotiate with your providers to improve reimbursement cycles, eliminate friction, and maximize your savings.

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Our AI-Powered Payment Integrity Solutions ensure that you and your members are covered, no matter what comes your way.

Let us do the heavy lifting for you.

Get Started

Our AI-powered payment integrity solutions ensure that you and your members are covered, no matter what comes your way.

Let us do the heavy lifting so you don't have to.

The Future is Pre-Payment

Stop paying first and chasing your healthcare providers later.

We work directly with your providers to proactively detect and correct errors in misbilled claims before an overpayment is made.

Making the right payment upfront is proven to reduce abrasion and lower costs. Want to learn more about the future of payment integrity? Click below to speak to a payment integrity expert on our team.

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Explore Our Claims
Review Platform

Transparency Brought to Claim Reviews

Partner with us and discover a reinvented way to view, sort, and gain insight from your claims data.

Our cutting-edge, highly transparent Claim Review Platform provides you with real-time insights on your claims — from discrepant charge details, to review status and delivered savings — displaying all of the information you need in one central location.