Prevent and Recover FWA & Incorrect Payments

generative ai by alivia
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FWA Hero

The Alivia FWA Finder™ is a key component of the Alivia Healthcare Payment Integrity Platform. It leverages advanced AI and Machine Learning technologies to go beyond post-payment recovery and empower users to isolate Fraud, Waste, and Abuse (FWA) cases before payment, putting them one step ahead of the problem.

  • AI-Powered Detection
  • Generative AI Query
  • Industry-Leading Speed and Accuracy
  • Seamless Integration
FWA finder desktop screen

Dashboards indicate the overall areas of concern flagged by the FWA models

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Generative AI query feature for intuitive, articulate, and visual insights in seconds

Advanced Technology

Alivia’s development team maintains the cutting edge to achieve unprecedented speed and accuracy, allowing users to stop FWA before it starts. This proactive approach not only helps prevent financial losses but also contributes to the overall integrity of the healthcare payment process.

Actionable Insights

The FWA Finder seamlessly integrates with the Alivia Case Manager and existing workflows, making it easy to improve payment integrity Key Performance Indicators (KPIs) quickly. It is designed to work the way users work, turning mountains of data into actionable insights.

Uncovered dozens of new fraud schemes that were previously unknown.”

Key Features

ML & AI-Powered Analytics

Leveraging advanced Machine Learning and AI, our platform ingests claims data to efficiently identify discrepancies and improper payments. With the power of Generative AI, we provide dynamic analysis and adaptation to evolving fraud trends, ensuring proactive and informed decision-making for continuous improvement in payment accuracy.

Proactive Recovery

Alivia revolutionizes fund recovery by offering smart solutions like auto-recoupment, direct ledger integration and automated workflow management. Our adaptive AI system flags potential fraud and facilitates efficient recovery, tracking prevented losses and crediting your team's efforts.

Answers in Seconds

“Provide the top ten providers that billed the most for…” Our generative AI query feature facilitates a seamless, conversational interaction delivering answers in coherent sentences, accompanied by visual diagrams and data grids.

Market focus

Whether you’re a health plan / payer, regulator or investigator, we provide you with seamless analytics solutions that ensure healthcare payment accuracy swiftly and effectively.

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Want to see how you can finally achieve healthcare payment integrity?

Experience a demo of our purpose-built platform.