Aivara Health provides an AI‑driven platform that consolidates revenue cycle and clinical workflow tools for medical practices. It automates documentation with AI‑powered scribing, detects and tracks prior authorizations, and closes quality measure gaps such as HEDIS and MIPS, helping providers reduce claim denials and prevent revenue leakage while remaining HIPAA compliant. The solution also streamlines provider credentialing and referral management in a single, no‑setup environment.
Funding
Funding not disclosed
Founders
Product
Problem
Medical practices often lose revenue and compromise patient care due to missed prior authorizations, fragmented quality‑measure tracking, delayed referrals, and inefficient credentialing processes. These operational gaps lead to claim denials, unreimbursed incentive payments, and gaps in preventive‑care delivery.
Solution
Aivara Health delivers an integrated, HIPAA‑compliant platform that automates key revenue‑cycle and care‑coordination tasks. AI‑driven clinical scribing captures accurate documentation in real time, while embedded coding suggestions streamline ICD and CPT entry. The system detects prior‑authorization requirements early, initiates and tracks the workflow to prevent denials. A quality‑measure optimizer continuously monitors HEDIS, MIPS, and preventive‑care gaps, automatically closing them before patients leave the practice. Referral management provides closed‑loop tracking to ensure specialty appointments are completed, and provider credentialing consolidates onboarding, payer enrollment, and re‑credentialing in a single interface. All modules integrate with major EHRs, giving clinicians real‑time revenue insights and care‑continuity guardrails without additional setup.
Target Audience
Primary customers are ambulatory medical practices—including solo physicians, multi‑provider groups, and health systems—that need to streamline revenue cycle operations and close quality‑measure gaps.
Features
- AI clinical scribe with ambient, real‑time documentation and multi‑lingual transcription
- Automated ICD‑10, CPT, HCC, and HCPCS coding suggestions to improve claim accuracy
- Prior‑authorization detection and workflow automation that flags and initiates requests before care is delivered
- Quality‑measure optimizer that continuously closes HEDIS, MIPS, and preventive‑care gaps
- Referral management with closed‑loop tracking to prevent lost or delayed specialty referrals
- Provider credentialing and payer enrollment hub for onboarding, document management, and re‑credentialing
- Native integration with 20+ EHR systems and customizable workflow APIs
- Patient engagement tools for visit summaries, pre‑visit forms, and care‑plan communication