Transform Payment Integrity with AI-Powered Precision
Identify, prevent, and recover improper payments with our advanced clinical validation and data mining solutions—protecting billions in healthcare spend.
Identify, prevent, and recover improper payments with our advanced clinical validation and data mining solutions—protecting billions in healthcare spend.
In today's complex healthcare landscape, payers face unprecedented challenges in managing payment accuracy while maintaining operational efficiency. Advice Healthcare revolutionizes payment integrity through cutting-edge AI technology and deep clinical expertise.
Leverage machine learning to analyze and score millions of claims in real-time.
Expert clinical review powered by AI ensures medical necessity for every claim.
Identify patterns and anomalies before they become costly payment errors.
Streamline operations and reduce manual review time by up to 80%.
End-to-end coverage for pre-pay and post-pay claims with advanced AI and clinical expertise
Leverage machine learning algorithms to identify patterns, anomalies, and opportunities across millions of claims in seconds.
Explore Data Mining
Expert clinical review powered by AI ensures medical necessity and appropriate care delivery for every claim.
Explore Clinical Validation
Catch errors before payment with predictive claim scoring, real-time eligibility verification, and automated prior authorization.
Learn More
Retrospective claim analysis, overpayment identification, and recovery with comprehensive audit targeting and validation.
Learn MoreProcess millions of claims in real-time with our cloud-native architecture designed for enterprise scale.
Achieve 99%+ accuracy while maintaining full regulatory compliance with CMS, HIPAA, and state requirements.
Typical clients see 3-5x ROI within 12 months through reduced improper payments and operational efficiencies.
Seamless integration with all major payer systems and 24/7 expert support from our clinical and technical teams.
Join leading healthcare payers saving billions with AI-powered solutions.