MAnaged Services
Your clinical workforce that scales with demand
Outsource your claims review to Alaffia’s clinical team—supercharged by Autodor to drive savings, consistency, and speed.
What is Autodor?
A purpose-built AI platform, Autodor pairs the best of AI with deep clinical expertise.
With Alaffia’s managed services, our licensed clinicians use Autodor daily to boost total productivity, eliminate wasted spending, and streamline daily workflows for leading health plans.
Pre-process clinical claims and charts
Smart claim routing based on complexity and value
Instant clinical summaries for faster decision-making
Clinician validation on every decision
AI trained on your plan’s unique policies
What makes Autodor so valuable is the platform’s ability to learn from your plan’s specific data, clinical policies, and workflows to make sharper recommendations, every time.
Flexible engagement models
Use your clinicians, ours, or both. Autodor powers every model, ensuring efficient, policy-aligned reviews at scale.
Boost review volume to maximize savings
Whether you need surge capacity or full-service review, our outsourced team leverages Autodor to drive measurable savings for health plans of all sizes.
AI trained on your plan’s unique policies
What makes Autodor so valuable is the platform’s ability to learn from your plan’s specific data, clinical policies, and workflows to make sharper recommendations, every time.
Flexible engagement models
Use your clinicians, ours, or both. Autodor powers every model, ensuring efficient, policy-aligned reviews at scale.
Boost review volume to maximize savings
Whether you need surge capacity or full-service review, our outsourced team leverages Autodor to drive measurable savings for health plans of all sizes.
Autodor makes clinicians faster and claims cleaner.
We review thousands of claims weekly using Autodor. The result: Faster turnaround, better documentation, and cleaner claims.
Clinical Chart Review
Accelerate case reviews and identify new opportunities to save through a structured, AI-powered workflow.
Itemized Bill Review
Uncover overbilling and inconsistencies with detailed line-item review, aligned with your health plans’ coding guidelines and policies.
DRG Validation
Validate DRGs quickly and accurately with AI-aided reviews of coding, documentation, and diagnoses.
Engagement models to meet you where you are
Autodor sits at the center of every model. It’s the platform your clinicians—or ours—use to deliver faster reviews.
Insource
Your clinical team, made better.
Integrate Autodor as a core pillar of your workflows. Your team gains new level of efficiency, productivity, and clarity.
Hybrid
Your team, plus ours.
Combine intelligent automation with in-house and outsourced clinicians to expand scale, consistency, and output.
Outsource
Your claims, our team.
No clinicians on staff? Alaffia becomes your clinical team, pairing expert reviewers with Autodor’s capabilities to handle everything.
Get in touch with a member of our team today to explore which solution is right for you.
Get a DemoBuilt with trust and safety at the center
We uphold the strictest levels of enterprise-grade security to keep patient and payer data private and secure. We adhere to SOC-II, HIPAA, and HITRUST security standards.
HIPAA Compliant
SOC-II
TYPE II
HITRUST
"Agentic AI is the future and Alaffia is on the forefront with their best in class technology."
VP of Payment Integrity, Regional Health Plan
Integrate Autodor into your workflows in 30 days
No matter your engagement model, Autodor integrates into your existing systems in 30 days or less—so you can start seeing the impact of smarter AI workflows.
