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features
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support

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Description

Alaffia utilizes an advanced AI-driven system to identify and address fraud, waste, and abuse within complex healthcare claims, aiming to avert and recuperate overpayments for both payers and employers. By spotting and rectifying inaccuracies in misbilled claims prior to any incorrect payments being processed, Alaffia not only helps recover funds but also aids in minimizing future financial losses. With the potential for overpayments on erroneous claims to amount to hundreds of dollars annually for each employee, collaborating with Alaffia can lead to significant cost savings. The Alaffia system works to identify and amend incorrectly billed claims, thereby reducing the chances of overpayments occurring. Our integration with your health plan or TPA is designed to be seamless, ensuring that there is no interruption in service for your members. We operate on a contingency basis, meaning you incur costs only when we successfully generate savings for you. Additionally, we take measures to guarantee that providers do not bill your employees for services that were never actually rendered, thus safeguarding your financial interests. Through our innovative approach, we strive to enhance the overall integrity of healthcare billing practices.

Description

gainIQ Prevent is an innovative software solution designed for ongoing monitoring that detects and prevents payment inaccuracies in real-time. Acting as an internal financial safeguard, gainIQ Prevent generates precise, targeted insights that empower your personnel to spot errors and discrepancies prior to processing payments. The technical setup of gainIQ Prevent is expertly managed by Revenew; after you submit your payment and vendor files from your payment system, we take care of the integration process quickly and effortlessly. Our web-based monitoring platform effectively addresses various payment mistakes, including duplicate payments. It consistently extracts and evaluates both pending and historical payment transactions, identifies potential overpayments, and relays these findings to your team. Additionally, the system can assess procurement card and travel and expense transactions as well. To further enhance its functionality, gainIQ Prevent includes a comprehensive claim management and tracking system, ensuring that necessary corrections are executed promptly, ultimately fostering a more efficient payment process. This seamless approach not only helps in minimizing errors but also improves overall financial accuracy within your organization.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Alaffia Health

Country

United States

Website

alaffiahealth.com

Vendor Details

Company Name

Revenew

Founded

1999

Country

United States

Website

www.revenew.net/gainiq-prevent.html

Product Features

Alternatives

Alternatives

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