Alaffia Health
Partner: Amish Jani
Location: New York, NY
Adun Akanni
Alaffia is the leading AI-powered payment integrity platform for health insurers, allowing them to efficiently detect and stop waste, fraud, and abuse through medical claim reviews.
Their proprietary algorithms can rapidly ingest thousands of pages of medical records and figure out what charges were appropriate and which weren’t. Leveraging the latest in LLM technologies, their platform enables workflows to be completely traceable and dynamic, allowing a reviewer to ask validating questions of the medical records themselves, and link back to the original source. This innovation represents a massive step forward for payment integrity, allowing claims to be reviewed 20x faster than traditional workflows. And, because reviews can now be done more efficiently, lower dollar claims can be analyzed as well, bringing transparency to more of the market.