Payment Integrity Solutions by Alivia Analytics offers the most inclusive partnership for commercial and government health plans. Claims editing. Clinical reviews & audits. COB. Data mining. Supported by the Alivia Platform with AI assist functions. Tech-enabled services or SaaS.
Comprehensive Payment Integrity Solutions: The Alivia Advantage Read More »
This eBook details how AI reduces costs, enhances accuracy, and improves operational efficiency in healthcare claims management. It covers fraud detection, case management, claims editing, and how these tools increase fraud case capacity while minimizing provider abrasion. Learn how Alivia’s AI solutions streamline workflows, unlock unstructured data for actionable insights, and ensure compliance with regulatory
AI to Enhance Staff Efficiency: Do More Limited Resources Read More »
The Change Healthcare data breach highlights the importance of masking PHI, X12 EDI, using de-identification in non-production environments. Hear from our experts.
Add PHI De-Id to Your Non-Production Environments, Where Data is Exposed Read More »
Data management solution and success stories for masking PHI using de-identification. Hear from our health plan experts.
De-Identification for Responsible AI Enablement in Healthcare Read More »
The unified organization combines SourcEdge’s claims system technology optimization expertise with Alivia’s AI-powered payment integrity / FWA data and analytics platform BOSTON and PHILADELPHIA (February 27, 2024) – Alivia, a leading AI-based healthcare payment integrity platform for fraud, waste, and abuse (FWA) has acquired SourcEdge, a national provider of claims systems modernization services serving over
PREPARED BY:Steven Goldberg, MD, MBA This market report showcases how Missouri Medicaid Audit & Compliance (MMAC) revolutionized its fraud detection strategy using AI-powered analytics. Serving 1.3 million residents and managing over $13 billion in medical benefits and $2 billion in pharmacy benefits annually, MMAC implemented FWA Finder™ to tackle rising costs and improve fraud detection.
FWA Insights & New Approach: State of Missouri, Medicaid Audit and Compliance Team Read More »
HITRUST Certification furthers Alivia Analytics’ commitment to deliver rapid transformation to the healthcare industry while maintaining data security and equity. BOSTON (January 2, 2024) – Alivia Analytics, a leading AI-based healthcare payment integrity platform, today announced the has earned certified status by HITRUST for information security. This includes [FACILITIES] Microsoft Azure (Data Center) managed by