June 12, 2023 – Miami, FL – Alivi Health, a leading Non-Emergency Transportation, Card-Based, and Specialist Benefits solutions company, announced today that it has achieved a remarkable 99.89% clean claim rate, a significant milestone in its mission to provide cost-effective, high-quality healthcare solutions.
Managed care organizations have long recognized the importance of clean claims, which are claims that have been submitted without errors and are processed promptly. These claims can significantly reduce the administrative burden on healthcare providers, leading to cost savings, faster reimbursement times, and improved patient care.
Providers can expect a clean claim rate of 95%, according to MGMA and The Advisory Board, but many healthcare organizations fail to meet the standard. Alivi Health’s high clean claim rate can be attributed to its innovative technology and dedicated staff, who ensure that claims are submitted accurately and promptly. By developing state-of-the-art claims adjudication and management software that is integrated with Waystar, a leading healthcare payments platform, Alivi has streamlined its claims process, reduced the risk of errors, and improved the speed and accuracy of claims processing.
“Our clean claim rate is a testament to the hard work and dedication of our team, who are committed to paying our providers promptly, and accurately,” said Natalie Gonzalez, Director of Health Plan Operations at Alivi Health. “We understand the importance of clean claims in managed care, and we are proud to be leading the way in this area.”
Clean claims are critical in managed care, where the financial success of healthcare organizations is closely tied to their ability to submit accurate claims and receive timely reimbursements. Alivi Health’s high clean claim rate contributes to better relationships with their providers. Knowing they will be paid fast and accurately, the providers prioritize Alivi’s patient referrals and transportation trip assignments.
Alivi Health’s commitment to clean claims is just one of the ways in which the company is revolutionizing healthcare management. By leveraging innovative technologies and best practices, the company provides members with a delightful member experience, leading to better healthcare outcomes.
“Alivi Health’s dedication to accuracy and promptness in claims processing aligns with our own commitment to simplify healthcare payments and improve financial performance,” said Matt Hawkins, CEO of Waystar. “We will continue to drive innovation, harnessing the power of our platform to deliver meaningful results, and look forward to continued collaboration with Alivi Health.”
“It is remarkable to achieve such an outstanding clean claim rate, but we know that our work is far from over,” said Gonzalez. “We will continue to innovate and find new ways to improve the healthcare industry.”
As Alivi Health continues its national expansion, the company remains committed to its core values of being collaborative, entrepreneurial, and dynamic, focusing on helping people live happier and healthier lives.
Alivi Health manages supplemental and value-based healthcare benefits. Alivi’s benefit solutions include non-emergency transportation, card-based benefits (i.e., Flex, OTC, Wellness), and specialist benefits (i.e., vision, physical therapy, podiatry). The solutions focus on addressing social determinants of health, enhancing the member experience, promoting member engagement, and creating a competitive advantage for health plans. The company offers value-based programs including full risk capitation, and contractually guarantees all performance standards will be met with a smooth implementation.
Waystar’s mission-critical software is purpose-built to simplify healthcare payments so providers can prioritize patient care and optimize their financial performance. Waystar serves approximately 30,000 clients, representing over a million distinct providers, including 18 of 22 institutions on the U.S. News Best Hospitals list. Waystar’s enterprise-grade platform annually processes over 4 billion healthcare payment transactions, including over $900 billion in gross claims and spanning approximately 50% of U.S. patients. Waystar strives to transform healthcare payments so providers can focus on what matters most: their patients and communities. Discover the way forward at waystar.com.
You can learn more about Alivi and Waystar on their websites:
For more information please contact:
Gabriel Rojas, Alivi Health, firstname.lastname@example.org