Meet Your New Best Friend –

Purpose-Built for Healthcare Payment Integrity

Something we hear over and over again from our customers is how powerful our solution is because of its seamless integration. We’ve designed and built our software to work the way you work. To us, technology is a powerful enabler. The Alivia Analytics Healthcare Payment Integrity Platform™ is built on the most advanced technology, including AI and machine learning, and delivers the only seamless, full-platform solution in the industry. The result? Never- before-possible accuracy and answers to give you the knowledge you need to prevent, recover and forecast with unparalleled accuracy. 

Alivia Analytics Healthcare Payment Integrity Platform



Quickly identify
the precise
FWA to pursue


Efficiently track
and manage



Simulate future

Delivering the Answers You Need, Finally.

The Alivia Analytics Advantage:


Lowest false positive rate in the industry

Beyond Recovery to Prevention and Simulation

Forecasting your business with efficiency


Installation to actionable
answers in days
Unprecedented data ingestion— all formats and sources —fast
Advanced AI and Machine Learning gets smarter over time


Built for productivity – easy-to-use for the business user and robust capabilities for data scientists
Easy-to-customize dashboards deliver information and answers for every role in the organization
Integrated Case Management module delivers maximum productivity

Get Up and Running in Days –

The Only Seamlessly Integrated Software Platform

Our software platform is designed to work the way you work and deliver the answers you need when you need them. By understanding our customers and the problems they need to solve, we turn mountains of data into actionable answers, fast. Every module empowers you to go beyond recovery to prevention and simulation and our rapid set-up gets you up and running in days, not months.

Alivia Analytics FWA Finder

Go beyond recovery to prevention

To us, post-payment recovery is only part of the solution. We empower you to isolate FWA cases before you pay—putting you one step ahead of the problem.

  • Achieve unprecedented speed and accuracy
  • Uncover hidden patterns
  • Stop FWA before it starts

Alivia Analytics Case Manager

Seamless integration makes it easy to get started

Work cases more quickly and get the answers you need with unprecedented speed and accuracy. Alivia Analytics Case Manager™ seamlessly integrates with Alivia Analytics FWA Finder ™ along with your existing workflows and claims data, making it easy to improve your payment integrity KPIs fast.

  • Open 10x more cases and
    decrease per case cost by 50-80%
  • Manage thousands of cases simultaneously
  • Instantly create, deliver and track case
    communications directly from Case Manager
  • Make accurate decisions fast with real-time
    analytics and management dashboards

Alivia Analytics Outcome Simulator™

Alivia Analytics Outcome Simulator

Forecast with unprecedented precision

We heard you. You want to be able to look ahead and simulate what the future looks like. Since no one has a crystal ball, we went one step further, building the only healthcare payment integrity simulation software in the industry. Now, you can accurately turn mounds of complex data into answers that transform how you run your business today and brings unprecedented precision in predicting tomorrow.

  • Plan more accurately by simulating future
    portfolio trends
  • See the future payment integrity impact of COVID or other types of disasters like floods, hurricanes,
    tornados, etc.
  • Predict future P&L outcomes, labor requirements, case load, FWA spikes and more
  • Improve your budget accuracy


Alivia Analytics helped bring our fraud investigators into the future. With the Alivia user-friendly dashboards, we have seen a huge improvement in productivity and are able to gain insight from our dataset with ease. The expertise and support from the Alivia team has been excellent and you can tell they really care about our success.”

Suzanne Solven - VP of Audit and Investigations, Pacific Blue Cross