Built for the people who pay for care.
Avandé serves five kinds of buyers with one standard: a board-certified, specialty-matched physician makes every determination.
Health plans & TPAs
Claims and utilization review that holds up on appeal.
Avandé gives health plans and TPAs physician-led prior authorization, claims and utilization review, with cited criteria and a full audit trail on every case.
Employers
Lower self-funded plan costs, same networks.
Avandé helps self-funded employers lower plan costs by reviewing high-cost care before and after service, without changing networks.
Stop-loss & reinsurance
Large-claim review and risk mitigation.
Avandé reviews large claims in the full medical record, so stop-loss carriers and reinsurers pay only for supported care.
Providers & ACOs
Clear, fast determinations.
Avandé gives providers and ACOs clear prior authorization determinations, made by a physician in the same specialty.
Legal & compliance
Expert medical record review.
Avandé physicians review medical records for legal and compliance teams, trained in legal, regulatory and financial healthcare matters.
Is Avandé right for us?
Avandé works with organizations that pay for healthcare: health plans and TPAs, self-funded employers, stop-loss carriers and reinsurers, providers and ACOs, and legal and compliance teams.
No. Avandé reviews care and claims alongside your current networks, TPA and systems.
Board-certified, specialty-matched physicians make every determination. Ansera Portal prepares the evidence and keeps the audit trail.
Rarely. 3 out of 10,000 cases (0.0003%) are overturned on appeal.
Send a few sentences through the contact form or call 1-833-328-2633. Our team reads every message.
Tell us what you're reviewing.
A few sentences are enough.