Avelis Health

We audit medical claims for self-insured employers and health plans.

Avelis Health is active in the healthcare space.

Profile

𝐖𝐡𝐲 𝐰𝐞 𝐛𝐮𝐢𝐥𝐭 𝐭𝐡𝐢𝐬:
I (Angel) have had three knee surgeries since my mid-teens and was billed more than $250K for care that should have cost a fraction of that. Fighting those inflated charges was so painful that we set out to build a consumer-facing AI agent to do it for others. In less than five months, we helped sixty patients erase or reduce over $300K from their medical bills.

This inspired us to fix the problem farther upstream: stopping bad payments before the patient ever sees a bill. So we launched payment integrity, machine-learning models that audit every medical claim for self-insured employers and health plans in real time.

𝐓𝐡𝐞 𝐏𝐫𝐨𝐛𝐥𝐞𝐦:
• Self-insured employers waste $60 B+ each year on claims that never should have been paid. Healthcare is the 2nd largest company expense after payroll.

• Manual audits are slow and partial: Reviewers focus only on high-dollar claims, letting millions more slip through unnoticed.

• Existing audit software is static: Decades-old rule engines can’t keep pace with evolving codes, contracts, or billing tactics.

• Incentives are misaligned: Third-party administrators are paid to process claims, not to police them, so accuracy checks are minimal.

𝐎𝐮𝐫 𝐒𝐨𝐥𝐮𝐭𝐢𝐨𝐧:
Our models audit medical claims before and after payments have been issued. We catch nuanced billing, coding, and contract errors to save 3-7% on annual claims s

Within the healthcare space, the company focuses on its core offering rather than a broad product line.

Directory data places it at the Summer 2025 stage.

The company reports a headcount in the 3 range.

Website: avelishealth.com