Alivia Data & IT Services

Healthcare payers depend on reliable systems and data to support secure, efficient operations. Alivia’s Data & IT Services business unit, formerly SourcEdge, helps IT leaders at these organizations stabilize aging technology, modernize systems and data environments, and prepare trusted data for AI. From modernization through ongoing operations, our services help reduce technology risk, improve reliability, and support what comes next.

All
All Claims Systems

Why Alivia?

  • Team is led by former health plan IT executives, claims system leaders, and developers.
  • Achieve faster results with timeline- and ROI-focused project management.

Claim System Modernization

Modernize core claims platforms by planning and executing migrations to TriZetto Facets®, QNXT™, and HealthRules® Payer while reducing implementation risk and maintaining operational continuity.

Insights for Aging Systems & Data

Bring clarity to aging systems, code, and data environments with AI-assisted insights. LegacyIQ™ helps healthcare payer IT leaders stabilize critical technology, modernize with confidence, and prepare trusted data for AI.

Claims System Configuration

Extend and optimize modern and legacy claims platforms with specialized healthcare expertise across configuration, upgrades, testing, and business line requirements.

Healthcare Data De‑Identification

Safeguard patient privacy and support regulatory compliance with advanced data masking that protects PHI, enabling the safe use of healthcare data in non-production environments, including X12 EDI.

Consolidate Claims Data

DataChrome™ consolidates and standardizes fragmented claims and operational data into trusted, analytics-ready formats to support faster analytics, payment integrity, and enterprise data strategies.

Specialized Staffing Services

Sustain critical operations with IT talent and flexible staffing models across Medicaid and commercial health plan environments, including configuration, testing, EDI, project management, development, and legacy platform expertise.

Expertise With All Systems

AMISYS: An Overview of the Healthcare Management System

Implementing and Optimizing Conduent HSP™ Systems

Comprehensive HealthEdge™ / HealthRules™ Support for Modern Healthcare Administration

Optimize Health Plan Administration with PowerMHS™ & PowerSTEPP™ Solutions

Advanced TriZetto QNXT™ Support for Integrated Healthcare Management

Comprehensive TriZetto Facets™ Support for Healthcare Efficiency

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.