Board-certified physicians review prior authorizations, claims and utilization, so health plans and employers pay for the right care, faster.
Avandé is a physician-led healthcare cost management company: board-certified, specialty-matched physicians review prior authorizations, claims and utilization on the Ansera Portal platform, and have delivered $500M+ in cost savings.
Most vendors review the claim. Avandé reviews the care behind it. A 50% discount on an inappropriate claim is still an inappropriate payment.
Specialty-matched physicians review care before it happens, against current evidence-based guidelines.
Physicians read the full medical record to find what automated edits miss: miscoding, unsupported stays and excess services.
Ongoing monitoring of utilization across 20+ databases flags outliers early, and physicians review each flag before action.
Custom development, legacy modernization and FHIR and X12 EDI integration, supported 24/7/365.
A clean claim every scrubber would have paid.
Approved by another vendor. Caught by Avandé physicians.
Avandé turns utilization data into physician decisions, and physician decisions into measurable savings.
Avandé pulls utilization data from 20+ databases to show where cost and risk concentrate.
20+ DATA SOURCESBoard-certified physicians lead clinical, legal and financial review of every flagged case.
PHYSICIAN DETERMINATIONDecisions lower cost and risk while protecting patient safety and outcomes.
$500M+ SAVED
Board-certified, specialty-matched physicians make every call.
Cited criteria and a full audit trail on every case.
Physicians and engineers under one roof, building Ansera Portal.
$500M+ in savings delivered.
HITRUST certification in progress.
Avandé is a physician-led healthcare cost management company. Board-certified, specialty-matched physicians review prior authorizations, claims and utilization on the Ansera Portal platform for health plans, TPAs, employers, stop-loss carriers, providers and legal teams.
Physicians do. The Ansera Portal platform prepares the evidence and keeps the audit trail; it never replaces clinical judgment.
Rarely. 3 out of 10,000 cases (0.0003%) are overturned on appeal.
Unsupported admissions, DRG miscoding, excessive services, misrepresented findings, inappropriate treatment pathways and fraudulent billing, found in the full medical record.
Yes. Avandé is SOC 2 Type II and HIPAA compliant, signs a BAA for client PHI, and uses AES-256, TLS 1.2+, MFA and US data residency. HITRUST certification is in progress.
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