Health plans are under extraordinary pressure today. Rising utilization, increasingly complex billing patterns, and sophisticated upcoding make it harder than ever for plans to protect affordability for their members. Traditional workflows and legacy vendors are not well-equipped to address these challenges, resulting in billions of avoidable spend flowing through the system each year. Health plans need a modern partner to help them eliminate spending waste and operate more quickly, accurately, and transparently.

Alaffia combines transparent, domain-specific AI with the expertise of seasoned clinicians. Their platform strengthens every part of the claims operation—from Utilization Management to Payment Integrity to Appeals—empowering teams to work more intelligently and efficiently. They are building the foundation for a new era of health plan operations in which AI amplifies human expertise, reduces administrative friction, and meaningfully curbs wasteful spending.

https://www.alaffiahealth.com/

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