Alaffia Health

Alaffia Health delivers advanced AI-powered payment integrity solutions designed to automate pre-payment claim reviews and optimize claim processing for healthcare payers and cost-containment firms. Their solutions enable clinicians and claim analysts to review healthcare facility claims 20 times faster than traditional workflows. Alaffia Health’s proprietary OCR system digitizes unstructured itemized bills and medical records, allowing for intelligent and accurate review of line charge details. Their Ask Autodor platform, the world’s first AI assistant for clinical records, helps summarize clinical records, source information, and draft determination responses instantly. This platform also autonomously summarizes doctor’s notes, patient treatment plans, and medication administration records, verifying evidence for billed charges and enhancing clinical validation. Alaffia Health’s solutions streamline claims operations, reduce healthcare costs, and ensure coverage for members. Their AI-powered tools reduce claim review timelines to less than 24 hours and proactively detect and correct errors in erroneously billed claims. By tackling fraud, waste, abuse, and billing errors, Alaffia Health helps reduce improper payment rates and provider abrasion through precise edits and a cooperative approach. Their solutions also support the reallocation of healthcare spend towards preventive care initiatives by generating savings from fewer overpayments. Integration with all major clearinghouses and adjudication systems allows for immediate savings and protection against wasted healthcare spend.