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Stay up to date with all things Alaffia

Everest Group Recognizes Alaffia as a Major Contender in Payment Integrity Solutions

Everest Group's globally recognized PEAK Matrix® Assessment highlights Alaffia's flagship Autodor Auto Agents and their impact on streamlining clinical workflows for health plans nationwide.

Industry Insights

September 14, 2021

Evaluating Payment Integrity Solutions for Health Plans

Discover how health plans can maximize savings and reduce fraud, waste, and abuse by choosing the right payment integrity partner — and why Alaffia’s AI-powered, contingency-based platform stands out as the industry leader.

Industry Insights

August 31, 2021

7 Most Common Medical Billing Errors

Discover the seven most frequent medical billing errors that drive costly overpayments and how proactive payment integrity can help healthcare payers recover and prevent these losses.

Blog

case studies

See how Autodor makes a difference for health plans

CLIENT CASE STUDY

Inpatient Hospital Claim

Alaffia Health's AI platform identified over $90,000 in overpayments on a single $750,000+ medical claim by detecting duplicate billing errors.

CLIENT CASE STUDY

Drug Pricing Error

Alaffia Health's AI platform caught a drug pricing error where identical medications were billed at $1,398 versus $14.94 per unit, saving $16,606 on a $34,442 claim.

CLIENT CASE STUDY

Charges For Non-Rendered Services

Alaffia Health's AI platform identified $33,344 in charges for non-administered medication on a $48,706 claim, preventing payment for services never rendered.

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