The Future is
Pre-Payment
Payment integrity should be proactive. We use AI to optimize your pre-payment claim reviews — saving you more upfront and preventing downsteam friction.
Payment Integrity-as-a-ServiceSM
We’ve got you covered. Alaffia delivers comprehensive support throughout your claim review process — ensuring a streamlined, highly efficient experience from start to finish.
AI-Powered Bill Reviews
Our proprietary OCR system digitizes unstructured itemized bills and medical records to most efficiently review line charges and clinical details — finding you more savings in less time.
Next-Generation
Claims Editing
We’ve combined our team of healthcare domain experts with industry-leading technologists to ensure highly defensible, accurate edits — every claim, every charge, every time.
What Makes Us Different
Cutting-Edge AI Technology
Advanced AI technology is embedded within each service that we offer — allowing us to detect more errors and deliver unparalleled savings.
Highly Defensible Edits
We utilize AI to maximize accuracy and consistency in claims processing — allowing us to easily defend each edit that we apply.
Secured Savings
Our comprehensive review process ensures the security of your savings. We execute a formal letter of agreement with providers to prevent abrasion and eliminate appeals.
Intuitive Claims Review Platform
We’re bringing full transparency to every step of the claims review lifecycle — delivering detailed, easily accessible data insights all in one place.
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 Claims 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.
