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

Supercharge your claims operations with AI

Meet Autodor, the clinical AI coworker built for health plan claims teams.

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Trusted by clinicians across health plans

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Special Investigations
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Appeals
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Utilization Management
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Payment Integrity
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Case Management
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Special Investigations
Cluster icon
Appeals
Approval icon
Utilization Management
Shield icon
Payment Integrity
File box icon
Case Management
Inspection icon

One AI platform, purposefully built for health plans. Auto Agents pair clinical domain expertise with advanced AI to enhance clinician productivity and eliminate wasted spending.

Meet Autodor
With Auto Agents, you can:
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Pre-process claims and medical records
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Intelligently route high-value work to your clinicians
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Delegate complex tasks to your AI coworker
01
Custom AI Agents

Auto Agents incorporate your plan’s specific data, policies, and workflows to become a true extension of your team.

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02
Intelligent Prioritization

Your Auto Agent processes thousands of medical records against relevant clinical criteria and policies, prioritizing the most valuable claims for human review.

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03
Clinical reasoning

Watch as your Auto Agent intelligently cross-references medical records against clinical criteria and policy guidelines, providing clear rationales and citations for each recommendation.

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04
Human validation

Maintain overall control with intuitive validation tools that maintain accuracy and capture your feedback to continuously refine your Auto Agent’s performance.

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HIPAA Compliant

SOC AICPA

SOC-II
TYPE II

HITRUST

HITRUST

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Seamless integration with existing tech

Alaffia’s entire suite of solutions seamlessly integrates with your existing technology and platforms, making it easy to immediately unlock value from today’s most advanced AI capabilities.

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Enterprise-level security

We uphold the strictest levels of enterprise-grade security to keep member and payer data private and secure. We adhere to SOC-II Type II, HIPAA, and HITRUST security standards.

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See how Auto Agents improve efficiency

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Throughput increase

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Seamless integration

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Savings from existing processes

See how other health plan leaders are using Alaffia’s AI solutions to transform their workflows.

"Alaffia is streamlining how medical claims are processed and reviewed. They're applying AI and machine learning in new ways that will reduce burden and lower costs across the industry, which will free up resources to more equitably care for patients."
Dr. Andrey Ostrovsky
Former CMO, US Medicaid

Explore Alaffia on your own, or schedule a demo with a member of our team.

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