Avelis Health

We audit medical claims for self-insured employers and health plans.

avelishealth.com1-10 employees

𝐖𝐡𝐲 𝐰𝐞 𝐛𝐮𝐢𝐥𝐭 𝐭𝐡𝐢𝐬: I (Angel) have had three knee surgeries since my mid-teens and was billed more than $250K for care that should have cost a fraction of that. Fighting those inflated charges was so painful that we set out to build a consumer-facing AI agent to do it for others. In less than five months, we helped sixty patients erase or reduce over $300K from their medical bills. This inspired us to fix the problem farther upstream: stopping bad payments before the patient ever sees a bill. So we launched payment integrity, machine-learning models that audit every medical claim for self-insured employers and health plans in real time. 𝐓𝐡𝐞 𝐏𝐫𝐨𝐛𝐥𝐞𝐦: • Self-insured employers waste $60 B+ each year on claims that never should have been paid. Healthcare is the 2nd largest company expense after payroll. • Manual audits are slow and partial: Reviewers focus only on high-dollar claims, letting millions more slip through unnoticed. • Existing audit software is static: D