Alivia Analytics
Healthcare fraud detection and payment integrity company serving health plans, government agencies, and TPAs.
About Alivia Analytics
Healthcare fraud detection and payment integrity company serving health plans, government agencies, and TPAs.
Products
Unified platform for FWA and payment integrity, enabling earlier detection, shared insights, and action at any point in the claims lifecycle.
Streamlines post-pay fraud case volumes and workflows with centralized SIU case tracking and evidence management.
Flags high-risk providers before payment using advanced scoring, configurable pend-and-review triggers, and built-in compliance checks.
Consolidates and standardizes fragmented claims and operational data into trusted, analytics-ready formats to support faster analytics, payment integrity, and enterprise data st...
AI-assisted insights for aging systems, code, and data environments, helping healthcare payer IT leaders stabilize critical technology, modernize with confidence, and prepare tr...
Specialized IT and program staffing with deep Medicaid system expertise, providing legacy platform talent, training, and flexible workforce delivery models.
Outsourced SIU resources providing investigators, clinicians, and coders to accelerate case resolution and recover lost dollars after claims are paid.
Optimizes, configures, and manages migrations for legacy claims platforms, including TriZetto Facets®, QNXT™, HealthRules®, Burgess Source®, AMISYS, Conduent HSP, and PowerMHS/P...
AI-powered post-pay claims intelligence that uncovers hidden leads and accelerates SIU investigations.
Data masking strategies to de-identify PHI across non-production environments, including X12 EDI, ensuring patient privacy and regulatory compliance.
Security and compliance
As reported by Alivia Analytics. Ask for audit reports before you buy.
- HITRUST CSFCertified
- SOC 2 Type IICompliant
- HIPAACompliant
- NIST CSFCompliant
Is this your company?
Claim the profile to keep facts current, answer buyers and submit evidence for the next ranking review.
Claim Alivia Analytics