Claims Data & IT Transformation
Why Alivia?
- Leverage insider expertise from a team of former health plan and claims system IT executives and developers.
- Achieve faster results with timeline- and ROI-focused project management.
- Specialty staffing services to fill gaps when internal resources are limited, including Configuration, Testing, EDI, Project Management, and Development.
Expertise With All Systems
Empowering Healthcare with Alivia's Data & IT Services
Alivia Analytics provides specialized Data & IT Services crucial for healthcare payers, health plans, and **government programs** looking to modernize their data infrastructure and enhance **operational efficiency**. These services are designed to unlock the full potential of your healthcare data, driving better decision-making and supporting critical payment integrity initiatives.
Alivia’s Claims System Modernization Solutions optimize and migrate claims systems, and extend the life of legacy systems, working with trusted partners for health plan IT leaders. This ensures your core claims operations are robust, adaptable, and compliant, whether you’re dealing with platforms like HealthEdge® / HealthRules®, AMISYS, or TriZetto Facets / QNXT.
A key offering is Alivia’s Healthcare-Focused Data Fabric Solution. This centralizes fragmented claims data, converting and consolidating it into standardized, analytics-ready formats. This process ensures data quality, accessibility, and security, providing a unified view of your business operations for informed decision-making and efficiency.
Crucially, Alivia offers Healthcare Data De-Identification services, employing innovative data masking strategies to de-identify PHI (Protected Health Information) across non-production environments, including X12 EDI. This ensures patient privacy and regulatory compliance (like **HIPAA**) while enabling responsible AI development and secure data utilization.
Beyond these core services, Alivia helps clients build and modernize secure healthcare data warehouses (DWH) or enterprise data warehouses (EDW). They expertly manage the ingestion of both structured and unstructured data, including medical records, claims, lab tests, and prescriptions, preparing it for fast, accurate insights and advanced analytics. Alivia also supports Value-Based Care (VBC) Acceleration by providing cloud-based data analytics that help clients optimize negotiations, lower costs, and improve outcomes. They also provide Advisory Services, offering hands-on experts for technology configuration, testing, EDI, project management, and custom development, ensuring seamless integration and optimal performance.
Through these specialized Data & IT Services, Alivia Analytics empowers healthcare organizations with the robust, secure, and insightful data foundation needed to achieve payment integrity, drive innovation, and serve their members and providers more effectively.
